Bongongo Tombo, Govender Indiran
Department of Family Medicine, Sefako Makgatho Health Sciences University, Pretoria.
Afr J Prim Health Care Fam Med. 2019 Aug 15;11(1):e1-e5. doi: 10.4102/phcfm.v11i1.1919.
There is an alarmingly high rate of women in South Africa, who are of childbearing age, who 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. This study sought to determine the knowledge, attitudes and practices of contraceptive methods among women seeking voluntary termination of pregnancy at Jubilee Hospital, Pretoria, South Africa.
A across-sectional survey using a piloted, structured and self- administered questionnaire. Convenience sampling was applied and the sample size was 126.
The mean age of the 126 participants was 26.1 years. Findings obtained after analysis of participants' data were grouped following the university categorisation. Below 50% referred as "poor" outcome, from 50 to 74% was referred as "satisfactory" outcome and beyond 74% was considered as "excellent" outcome. Knowledge was poor for 28 (22.2%) of 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 due to religious beliefs. Regarding the practice of contraception: 92 (73.0%) have already used contraceptive methods while 34 (27.0%) have not.
In summary, the study showed a satisfactory knowledge of contraceptive methods, a positive attitude towards contraception and a huge number of participants who have already used contraceptive methods, among women seeking voluntary termination of pregnancy at Jubilee Hospital, Pretoria, South Africa.
在南非,育龄妇女选择堕胎或自愿终止妊娠(VTOP)的比例高得惊人。尽管全国所有医疗机构都提供免费避孕方法和健康教育,以减少和预防意外怀孕及自愿终止妊娠的情况,但自愿终止妊娠的比例仍在惊人地上升。本研究旨在确定南非比勒陀利亚朱比利医院寻求自愿终止妊娠的女性对避孕方法的知识、态度和实践情况。
采用经过试点的结构化自填问卷进行横断面调查。采用便利抽样,样本量为126。
126名参与者的平均年龄为26.1岁。对参与者数据进行分析后获得的结果按照大学分类进行分组。低于50%被称为“差”结果,50%至74%被称为“满意”结果,超过74%被视为“优秀”结果。28名(22.2%)女性的知识水平较差。91名(72.2%)女性的知识水平令人满意,7名(5.5%)女性的知识水平优秀。从态度方面来看:124名(98.4%)女性赞成使用避孕方法,1名(0.79%)反对,1名(0.79%)因宗教信仰弃权。关于避孕实践:92名(73.0%)女性已经使用过避孕方法,34名(27.0%)女性尚未使用过。
总之,该研究表明,在南非比勒陀利亚朱比利医院寻求自愿终止妊娠的女性中,对避孕方法的知识了解令人满意,对避孕持积极态度,并且有大量参与者已经使用过避孕方法。