Abstract

BackgroundThere is a high rate at which women in South Africa who are of childbearing age and still opt for abortions or voluntary termination of pregnancy (VTOP). Despite the availability of free contraceptive methods and health education in all health facilities across the country, to reduce and prevent unwanted pregnancies and VTOP, there is still an alarming increase in the rate of VTOP.AimThis study sought to determine the knowledge, attitudes and practices of contraceptive methods among women seeking VTOP.SettingThe study was conducted at Jubilee Hospital, Pretoria, South Africa.MethodsA cross-sectional survey was taken using a piloted, structured and self-administered questionnaire. Convenience sampling was applied and the sample size was 126.ResultsThe mean age of the 126 participants was 26.1 years. Findings obtained after analysis of participants’ data were grouped following the university categorisation. A score below 50% was referred to as a ‘poor’ outcome that from 50% to 74% was referred to as a ‘satisfactory’ outcome and that beyond 74% was considered as an ‘excellent’ outcome. Knowledge was poor for 28 (22.2%) women. It was satisfactory for 91 (72.2%) women and excellent for 7 (5.5%) women. Looking at the attitude: 124 (98.4%) approved the use of contraception, 1 (0.79%) disapproved and 1 (0.79%) abstained because of religious beliefs. Regarding the practice of contraception: 92 (73.0%) have already used contraceptive methods, while 34 (27.0%) have not.ConclusionIn summary, the study showed a satisfactory knowledge of contraceptive methods, a positive attitude towards contraception and a huge number of participants who had already used contraceptive methods, among women seeking VTOP at Jubilee Hospital, Pretoria, South Africa.

Highlights

  • In South Africa, the Choice on Termination of Pregnancy Act of 1996, passed in 2008, allows pregnant women to terminate their pregnancies

  • Existing reliable and accessible methods of contraception could have resolved the issue of unplanned pregnancies and the increase in unplanned pregnancies can be attributed to the lack of literature addressing the knowledge of women regarding contraceptive measures

  • This probable lack of knowledge could explain the high rates of abortion that have been reported in numerous countries in the world

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Summary

Introduction

In South Africa, the Choice on Termination of Pregnancy Act of 1996, passed in 2008, allows pregnant women to terminate their pregnancies. Existing reliable and accessible methods of contraception could have resolved the issue of unplanned pregnancies and the increase in unplanned pregnancies can be attributed to the lack of literature addressing the knowledge of women regarding contraceptive measures. This probable lack of knowledge could explain the high rates of abortion that have been reported in numerous countries in the world. Despite the availability of free contraceptive methods and health education in all health facilities across the country, to reduce and prevent unwanted pregnancies and VTOP, there is still an alarming increase in the rate of VTOP

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