Browsing by Subject "young women"

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    Open Access
    An exploration of the determinants of sexual risk behaviour among adolescent girls and young women aged 15-24 years in South Africa: a sub-study of the 2019-2022 HERStory2 study
    (2024) Chamuka, Paidashe; Knight, Lucia; Duby, Zoe
    Objective: The study aims to understand why South African adolescent girls and young women (AGYW) engage in sexual risk behaviours, such as unsafe sex and transactional and inter-generational sexual relationships. These behaviours lead to adverse sexual and reproductive health (SRH) outcomes, including HIV, STIs, unplanned pregnancies, and forced sex. By exploring the perspectives of AGYW and community stakeholders, the study seeks to enhance future interventions aimed at reducing the risk of STIs, including HIV, and unintended pregnancies among AGYW. Methods The study is based on the qualitative component of the HERStory2 study, a mixed-methods evaluation of an SRH intervention for AGYW in six South African districts. Data from in-depth interviews with twenty-seven participants were thematically analysed using the social-ecological model as a theoretical framework. Results The findings showed that the reasons for AGYW's engagement in sexual risk behaviour are nested within individual, interpersonal, community, and structural levels. At the individual level, participants reported that AGYW may engage in sexual risk behaviours due to their age, low perception of risk, problematic alcohol consumption, and the need for high grades at school. At the interpersonal level, social media-induced peer pressure was cited as a reason for AGYW's engagement in sexual risk behaviours. Community-level factors included lack of safety and economic activities such as mining. At the structural level, poverty, negative attitudes from public healthcare providers at clinics, and social and gender norms were perceived to influence AGYW's sexual risk behavior. Conclusion The results suggest that AGYW's sexual risk behaviour is influenced by many complex factors beyond the individual. The results call for targeted holistic interventions to reduce sexual risk behaviour and improve the SRH outcomes for AGYW in this high HIV burden context.
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    Open Access
    An investigation into the progression of premarital fertility since the onset of Zimbabwe's fertility transition
    (2021) Ngwenya, Chantelle Linda; Moultrie, Thomas
    Premarital fertility, that is, childbearing before first marriage, is an important yet under researched demographic topic in sub-Saharan Africa. In Zimbabwe, the distinction by marital status in fertility research is hardly drawn. Hence, a gap exists in the knowledge of premarital fertility levels. This research aims to investigate levels of, and factors associated with, premarital fertility since the onset of Zimbabwe's fertility transition in the mid-1980s. The research employed direct fertility estimation techniques to effectively compare premarital, marital, and overall fertility trends between 1988 and 2015. Cox proportional-hazards regression and forest plot analyses were then used to explain changes in factors associated with the timing of premarital first births over the same period. Data quality assessments were carried out using the method of cohortperiod fertility rates to provide explanations for any erratic results. The results showed that premarital fertility was constant and moderate, with an average of 0.7 children per woman, between 1988 and 2015. While most premarital first births consistently occurred to younger women, from 2005 onwards, they increased among women aged above 24 years and decreased among adolescents. An increase in age, commencing sexual activity after adolescence, and improved socio-economic status including level of education decreased the relative risk of having a premarital first birth. However, delaying marriage past young womanhood, history of contraceptive use, Ndebele ethnicity, and residence in regions other than Manicaland and Masvingo, especially Ndebele dominated regions, increased the same risk by 465.0%, 45.5%, 136.0% and up to 135.0% respectively. The stagnation of premarital fertility between 1988 and 2015 while both marital and overall fertility first declined and then stalled indicates that there is insufficient evidence to suggest that premarital fertility had contributed to the stall of fertility decline in Zimbabwe from the mid-1990s. The timing of premarital first births since the start of the fertility transition in the 1980s has had a strong ethnic and cultural bias. Due to evidence of the effect of migrancy and tourism on premarital fertility in border and tourism towns, an extension into the theory of migrant premarital sexual behaviour to detail the risk of premarital fertility among border town residents who interact with but are neither migrants nor tourists is recommended.
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    Open Access
    Intimate partner violence among adolescent girls and young women in Bulawayo, Zimbabwe and perceived barriers and facilitators to the provision of psychosocial interventions in salons
    (2024) Ndondo, Nonhlanhla; Carney, Tara; Richter, Marlise; van der Westhuizen, Claire
    Background. Women are disproportionately affected by intimate partner violence (IPV), particularly those in low-to-middle-income countries (LMIC). Recent research data suggests that IPV prevalence among adolescent girls and young women (AGYW) in Zimbabwe is estimated to be 36.5%. Innovative intervention models that leverage gendered spaces to provide IPV support have shown great potential in high income countries, but little is known about these in LMIC settings, including in Zimbabwe. The current qualitative study explored the experiences of IPV among AGYW as well as the feasibility of the use of pre-existing female spaces such as salons to provide psychosocial interventions in Bulawayo, Zimbabwe. Methods. Nine AGYW who had experienced IPV participated in virtual and in-person key informant interviews. Two focus groups were conducted with salon and spa workers to explore the potential use of salon-based interventions (n=10). Purposive sampling was used as a recruitment strategy. Thematic analysis was used to analyse the data. Results. The findings indicated that in this study, AGYW participants' experiences of IPV consisted mainly of physical IPV such as being beaten with an object, being slapped, or punched with a fist, followed by psychological and lastly, sexual IPV. The results of the study highlighted the factors that seemed to predispose AGYW participants to IPV such as sociocultural influences, economic disempowerment and partner characteristics and behaviours. AGYW participants also discussed the negative physical and mental health impact of the psychological and sexual abuses they had encountered. Both salon workers and the AGYW interviewed identified peer support facilitated by the positive social capital created in salons, as well as the female centeredness of salons as conducive elements for an acceptable intervention. However, some speculations around confidentiality and accessibility to salons were some of the potential barriers identified for implementing salon based IPV interventions. Conclusion. The findings of this study indicated that there is a need to identify and address IPV, as well as the mental health consequences that AGYW experience due to IPV. While the use of predominantly female spaces, in this case salons, were discussed as feasible spaces to incorporate into IPV support models for AGYW, there were certain barriers which will need to be addressed for this to be considered. In addition, it was clear that the content of such interventions needed to include not only IPV and associated mental health issues, but also include other components such as economic empowerment of AGYW, while also challenging traditional gender norms through salon-based interventions. Furthermore, AGYW alluded to their preference for IPV psychosocial support interventions to be peer-based and female-driven. Salons typically provide these aspects, hence increasing their viability as a choice for community based IPV support.