A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping
| dc.contributor.author | Harries, Jane | |
| dc.contributor.author | Constant, Deborah | |
| dc.contributor.author | Wright, Vanessa | |
| dc.contributor.author | Morroni, Chelsea | |
| dc.contributor.author | Müller, Alex | |
| dc.contributor.author | Colvin, Christopher J | |
| dc.date.accessioned | 2019-12-10T08:52:39Z | |
| dc.date.available | 2019-12-10T08:52:39Z | |
| dc.date.issued | 2019-11-06 | |
| dc.date.updated | 2019-11-10T04:17:09Z | |
| dc.description.abstract | Abstract Background In recent decades there have been great improvements in the reproductive health of women in low- and middle-income countries and increases in the use of modern contraceptive methods. Nonetheless, many women are not able to access information, contraceptive technologies and services that could facilitate preventing unintended pregnancies and planning the number and timing of desired pregnancies. In South Africa, the contraceptive prevalence rate is 64.6%. However, this relatively high contraceptive prevalence rate masks problems with quality contraceptive service delivery, equitable access, and women’s ability to correctly and consistently, use contraceptive methods of their choice. This study set out to understand the specific family planning and contraceptive needs and behaviours of women of reproductive age in South Africa, through a lived experience, multisensory approach. Methods Participatory qualitative research methods were used including body mapping workshops amongst reproductive aged women recruited from urban and peri urban areas in the Western Cape South Africa. Data including body map images were analysed using a thematic analysis approach. Results Women had limited biomedical knowledge of the female reproductive anatomy, conception, fertility and how contraceptives worked, compounded by a lack of contraceptive counseling and support from health care providers. Women’s preferences for different contraceptive methods were not based on a single, sensory or experiential factor. Rather, they were made up of a composite of sensory, physical, social and emotional experiences underscored by potential for threats to bodily harm. Conclusions This study highlighted the need to address communication and knowledge gaps around the female reproductive anatomy, different contraceptive methods and how contraception works to prevent a pregnancy. Women, including younger women, identified sexual and reproductive health knowledge gaps themselves and identified these gaps as important factors that influenced uptake and effective contraceptive use. These knowledge gaps were overwhelmingly linked to poor or absent communication and counseling provided by health care providers. Body mapping techniques could be used in education and communication strategies around sexual and reproductive health programmes in diverse settings. | |
| dc.identifier.apacitation | Harries, J., Constant, D., Wright, V., Morroni, C., Müller, A., & Colvin, C. J. (2019). A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping. http://hdl.handle.net/11427/30668 | en_ZA |
| dc.identifier.chicagocitation | Harries, Jane, Deborah Constant, Vanessa Wright, Chelsea Morroni, Alex Müller, and Christopher J Colvin "A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping." (2019) http://hdl.handle.net/11427/30668 | en_ZA |
| dc.identifier.citation | Reproductive Health. 2019 Nov 06;16(1):159 | |
| dc.identifier.ris | TY - Journal Article AU - Harries, Jane AU - Constant, Deborah AU - Wright, Vanessa AU - Morroni, Chelsea AU - Müller, Alex AU - Colvin, Christopher J AB - Abstract Background In recent decades there have been great improvements in the reproductive health of women in low- and middle-income countries and increases in the use of modern contraceptive methods. Nonetheless, many women are not able to access information, contraceptive technologies and services that could facilitate preventing unintended pregnancies and planning the number and timing of desired pregnancies. In South Africa, the contraceptive prevalence rate is 64.6%. However, this relatively high contraceptive prevalence rate masks problems with quality contraceptive service delivery, equitable access, and women’s ability to correctly and consistently, use contraceptive methods of their choice. This study set out to understand the specific family planning and contraceptive needs and behaviours of women of reproductive age in South Africa, through a lived experience, multisensory approach. Methods Participatory qualitative research methods were used including body mapping workshops amongst reproductive aged women recruited from urban and peri urban areas in the Western Cape South Africa. Data including body map images were analysed using a thematic analysis approach. Results Women had limited biomedical knowledge of the female reproductive anatomy, conception, fertility and how contraceptives worked, compounded by a lack of contraceptive counseling and support from health care providers. Women’s preferences for different contraceptive methods were not based on a single, sensory or experiential factor. Rather, they were made up of a composite of sensory, physical, social and emotional experiences underscored by potential for threats to bodily harm. Conclusions This study highlighted the need to address communication and knowledge gaps around the female reproductive anatomy, different contraceptive methods and how contraception works to prevent a pregnancy. Women, including younger women, identified sexual and reproductive health knowledge gaps themselves and identified these gaps as important factors that influenced uptake and effective contraceptive use. These knowledge gaps were overwhelmingly linked to poor or absent communication and counseling provided by health care providers. Body mapping techniques could be used in education and communication strategies around sexual and reproductive health programmes in diverse settings. DA - 2019-11-06 DB - OpenUCT DP - University of Cape Town KW - Contraception KW - Family planning KW - Unintended pregnancy KW - South Africa KW - Body mapping KW - Participatory research KW - Sensory experiences KW - Person-Centred counseling LK - https://open.uct.ac.za PY - 2019 T1 - A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping TI - A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping UR - http://hdl.handle.net/11427/30668 ER - | en_ZA |
| dc.identifier.uri | https://doi.org/10.1186/s12978-019-0830-6 | |
| dc.identifier.uri | http://hdl.handle.net/11427/30668 | |
| dc.identifier.vancouvercitation | Harries J, Constant D, Wright V, Morroni C, Müller A, Colvin CJ. A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping. 2019; http://hdl.handle.net/11427/30668. | en_ZA |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s). | |
| dc.subject | Contraception | |
| dc.subject | Family planning | |
| dc.subject | Unintended pregnancy | |
| dc.subject | South Africa | |
| dc.subject | Body mapping | |
| dc.subject | Participatory research | |
| dc.subject | Sensory experiences | |
| dc.subject | Person-Centred counseling | |
| dc.title | A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping | |
| dc.type | Journal Article |