Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming
Identifieur interne : 000284 ( Pmc/Checkpoint ); précédent : 000283; suivant : 000285Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming
Auteurs : Catherine Ndinda [Afrique du Sud] ; Tidings Ndhlovu [Afrique du Sud] ; Nene Ernest KhalemaSource :
- International Journal of Environmental Research and Public Health [ 1661-7827 ] ; 2017.
Abstract
Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal.
Url:
DOI: 10.3390/ijerph14040353
PubMed: 28350334
PubMed Central: 5409554
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming</title><author><name sortKey="Ndinda, Catherine" sort="Ndinda, Catherine" uniqKey="Ndinda C" first="Catherine" last="Ndinda">Catherine Ndinda</name><affiliation wicri:level="1"><nlm:aff id="af1-ijerph-14-00353">Human Sciences Research Council, Private Bag X41, Pretoria 0001, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Human Sciences Research Council, Private Bag X41, Pretoria 0001</wicri:regionArea><wicri:noRegion>Pretoria 0001</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ijerph-14-00353">School of Social Sciences (Sociology), University of KwaZulu-Natal, KwaZulu-Natal Dalbridge 4041, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>School of Social Sciences (Sociology), University of KwaZulu-Natal, KwaZulu-Natal 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type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000284</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming</title><author><name sortKey="Ndinda, Catherine" sort="Ndinda, Catherine" uniqKey="Ndinda C" first="Catherine" last="Ndinda">Catherine Ndinda</name><affiliation wicri:level="1"><nlm:aff id="af1-ijerph-14-00353">Human Sciences Research Council, Private Bag X41, Pretoria 0001, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Human Sciences Research Council, Private Bag X41, Pretoria 0001</wicri:regionArea><wicri:noRegion>Pretoria 0001</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ijerph-14-00353">School of Social Sciences (Sociology), University of KwaZulu-Natal, KwaZulu-Natal Dalbridge 4041, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>School of Social Sciences (Sociology), University of KwaZulu-Natal, KwaZulu-Natal Dalbridge 4041</wicri:regionArea><wicri:noRegion>KwaZulu-Natal Dalbridge 4041</wicri:noRegion></affiliation></author><author><name sortKey="Ndhlovu, Tidings" sort="Ndhlovu, Tidings" uniqKey="Ndhlovu T" first="Tidings" last="Ndhlovu">Tidings Ndhlovu</name><affiliation><nlm:aff id="af3-ijerph-14-00353">Department of Economics and International Business, Faculty of Business and Law, Manchester Metropolitan University, Manchester M15 6BH, UK;<email>t.ndhlovu@mmu.ac.uk</email></nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af4-ijerph-14-00353">Graduate School of Business Leadership, University of South Africa, Midrand Johannesburg 1685, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Graduate School of Business Leadership, University of South Africa, Midrand Johannesburg 1685</wicri:regionArea><wicri:noRegion>Midrand Johannesburg 1685</wicri:noRegion></affiliation></author><author><name sortKey="Khalema, Nene Ernest" sort="Khalema, Nene Ernest" uniqKey="Khalema N" first="Nene Ernest" last="Khalema">Nene Ernest Khalema</name><affiliation><nlm:aff id="af5-ijerph-14-00353">School of Built Environment and Development Studies, University of KwaZulu-Natal, KwaZulu-Natal Dalbridge 4041, South Africa;<email>khalema@ukzn.ac.za</email></nlm:aff></affiliation></author></analytic><series><title level="j">International Journal of Environmental Research and Public Health</title><idno type="ISSN">1661-7827</idno><idno type="eISSN">1660-4601</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bongaarts, J" uniqKey="Bongaarts J">J. Bongaarts</name></author><author><name sortKey="Casterline, J" uniqKey="Casterline J">J. Casterline</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cameron, J" uniqKey="Cameron J">J. Cameron</name></author><author><name sortKey="Ndhlovu, T P" uniqKey="Ndhlovu T">T.P. Ndhlovu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chimere Dan, O" uniqKey="Chimere Dan O">O. Chimere-Dan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olson, D J" uniqKey="Olson D">D.J. Olson</name></author><author><name sortKey="Piller, A" uniqKey="Piller A">A. Piller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anderson, T M" uniqKey="Anderson T">T.M. Anderson</name></author><author><name sortKey="Kohler, H P" uniqKey="Kohler H">H.-P. Kohler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Becker, G S" uniqKey="Becker G">G.S. Becker</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ndhlovu, T P" uniqKey="Ndhlovu T">T.P. Ndhlovu</name></author><author><name sortKey="Spring, A" uniqKey="Spring A">A. Spring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ndhlovu, T P" uniqKey="Ndhlovu T">T.P. Ndhlovu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thompson, M S" uniqKey="Thompson M">M.S. Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stark, N" uniqKey="Stark N">N. Stark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petruney, T" uniqKey="Petruney T">T. Petruney</name></author><author><name sortKey="Wilson, L C" uniqKey="Wilson L">L.C. Wilson</name></author><author><name sortKey="Stanback, J" uniqKey="Stanback J">J. Stanback</name></author><author><name sortKey="Cates, W" uniqKey="Cates W">W. Cates</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khalema, N E" uniqKey="Khalema N">N.E. Khalema</name></author><author><name sortKey="Ndinda, C" uniqKey="Ndinda C">C. Ndinda</name></author><author><name sortKey="Makiwane, M" uniqKey="Makiwane M">M. Makiwane</name></author><author><name sortKey="Vawda, M" uniqKey="Vawda M">M. Vawda</name></author><author><name sortKey="Bhembe, L" uniqKey="Bhembe L">L. Bhembe</name></author><author><name sortKey="Mahapa, N" uniqKey="Mahapa N">N. Mahapa</name></author><author><name sortKey="Zondo, N" uniqKey="Zondo N">N. Zondo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bourdieu, P" uniqKey="Bourdieu P">P. Bourdieu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rex, L A" uniqKey="Rex L">L.A. Rex</name></author><author><name sortKey="Bunn, M" uniqKey="Bunn M">M. Bunn</name></author><author><name sortKey="Davila, B A" uniqKey="Davila B">B.A. Davila</name></author><author><name sortKey="Dickinson, H A" uniqKey="Dickinson H">H.A. Dickinson</name></author><author><name sortKey="Ford, A C" uniqKey="Ford A">A.C. Ford</name></author><author><name sortKey="Gerben, C" uniqKey="Gerben C">C. Gerben</name></author><author><name sortKey="Orzulack, M J M" uniqKey="Orzulack M">M.J.M. Orzulack</name></author><author><name sortKey="Thomson, H" uniqKey="Thomson H">H. Thomson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wertsch, J V" uniqKey="Wertsch J">J.V. Wertsch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petit, V" uniqKey="Petit V">V. Petit</name></author><author><name sortKey="Charbit, Y" uniqKey="Charbit Y">Y. Charbit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hutcheson, F" uniqKey="Hutcheson F">F. Hutcheson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcnicoll, G" uniqKey="Mcnicoll G">G. McNicoll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pritchett, L" uniqKey="Pritchett L">L. Pritchett</name></author><author><name sortKey="Viarengo, M" uniqKey="Viarengo M">M. Viarengo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malthus, T" uniqKey="Malthus T">T. Malthus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ndhlovu, T P" uniqKey="Ndhlovu T">T.P. Ndhlovu</name></author><author><name sortKey="Cameron, J" uniqKey="Cameron J">J. Cameron</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lundberg, S" uniqKey="Lundberg S">S. Lundberg</name></author><author><name sortKey="Pollak, R A" uniqKey="Pollak R">R.A. Pollak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lesthaeghe, R" uniqKey="Lesthaeghe R">R. Lesthaeghe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campbell, M" uniqKey="Campbell M">M. Campbell</name></author><author><name sortKey="Bedford, K" uniqKey="Bedford K">K. Bedford</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, R" uniqKey="Lee R">R. Lee</name></author><author><name sortKey="Reher, D S" uniqKey="Reher D">D.S. Reher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Michie, L" uniqKey="Michie L">L. Michie</name></author><author><name sortKey="Cameron, S T" uniqKey="Cameron S">S.T. Cameron</name></author><author><name sortKey="Glasier, A" uniqKey="Glasier A">A. Glasier</name></author><author><name sortKey="Wellings, K" uniqKey="Wellings K">K. Wellings</name></author><author><name sortKey="Loudon, J" uniqKey="Loudon J">J. Loudon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caldwell, J C" uniqKey="Caldwell J">J.C. Caldwell</name></author><author><name sortKey="Orubuloye, I O" uniqKey="Orubuloye I">I.O. Orubuloye</name></author><author><name sortKey="Caldwell, P" uniqKey="Caldwell P">P. Caldwell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Watkins, S C" uniqKey="Watkins S">S.C. Watkins</name></author><author><name sortKey="Swidler, A" uniqKey="Swidler A">A. Swidler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sen, A" uniqKey="Sen A">A. Sen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sen, A" uniqKey="Sen A">A. Sen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="George, E R" uniqKey="George E">E.R. George</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smylie, J" uniqKey="Smylie J">J. Smylie</name></author><author><name sortKey="Kirst, M" uniqKey="Kirst M">M. Kirst</name></author><author><name sortKey="Mcshane, K" uniqKey="Mcshane K">K. McShane</name></author><author><name sortKey="Firestone, M" uniqKey="Firestone M">M. Firestone</name></author><author><name sortKey="Wolfe, S" uniqKey="Wolfe S">S. Wolfe</name></author><author><name sortKey="O Ampo, P" uniqKey="O Ampo P">P. O’Campo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Russell, A" uniqKey="Russell A">A. Russell</name></author><author><name sortKey="Thompson, M S" uniqKey="Thompson M">M.S. Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ieda, A" uniqKey="Ieda A">A. Ieda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rutterford, C" uniqKey="Rutterford C">C. Rutterford</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hsieh, H F" uniqKey="Hsieh H">H.-F. Hsieh</name></author><author><name sortKey="Shannon, S E" uniqKey="Shannon S">S.E. Shannon</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mbiti, J S" uniqKey="Mbiti J">J.S. Mbiti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stats, S A" uniqKey="Stats S">S.A. Stats</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stats, S A" uniqKey="Stats S">S.A. Stats</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ndinda, C" uniqKey="Ndinda C">C. Ndinda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ndinda, C" uniqKey="Ndinda C">C. Ndinda</name></author><author><name sortKey="Uzodike, U" uniqKey="Uzodike U">U. Uzodike</name></author><author><name sortKey="Chimbwete, C" uniqKey="Chimbwete C">C. Chimbwete</name></author><author><name sortKey="Mgeyane, M" uniqKey="Mgeyane M">M. Mgeyane</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agyei, W" uniqKey="Agyei W">W. Agyei</name></author><author><name sortKey="Migadde, M" uniqKey="Migadde M">M. Migadde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ndinda, C" uniqKey="Ndinda C">C. Ndinda</name></author><author><name sortKey="Uzodike, U" uniqKey="Uzodike U">U. Uzodike</name></author><author><name sortKey="Chimbwete, C" uniqKey="Chimbwete C">C. Chimbwete</name></author><author><name sortKey="Pool, R" uniqKey="Pool R">R. Pool</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ndinda, C" uniqKey="Ndinda C">C. Ndinda</name></author><author><name sortKey="Ngandu, S" uniqKey="Ngandu S">S. Ngandu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Makiwane, M" uniqKey="Makiwane M">M. Makiwane</name></author><author><name sortKey="Desmond, C" uniqKey="Desmond C">C. Desmond</name></author><author><name sortKey="Richter, L" uniqKey="Richter L">L. Richter</name></author><author><name sortKey="Udjo, E" uniqKey="Udjo E">E. Udjo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Odimwegu, C" uniqKey="Odimwegu C">C. Odimwegu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maluleke, T" uniqKey="Maluleke T">T. Maluleke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Konje, J" uniqKey="Konje J">J. Konje</name></author><author><name sortKey="Oladini, F" uniqKey="Oladini F">F. Oladini</name></author><author><name sortKey="Otolorin, E" uniqKey="Otolorin E">E. Otolorin</name></author><author><name sortKey="Ladipo, O" uniqKey="Ladipo O">O. Ladipo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Were, E" uniqKey="Were E">E. Were</name></author><author><name sortKey="Karanja, J" uniqKey="Karanja J">J. Karanja</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wambui, T" uniqKey="Wambui T">T. Wambui</name></author><author><name sortKey="Ek, A" uniqKey="Ek A">A. Ek</name></author><author><name sortKey="Alehagen, S" uniqKey="Alehagen S">S. Alehagen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agadjanian, V" uniqKey="Agadjanian V">V. Agadjanian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clark, S" uniqKey="Clark S">S. Clark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Gilany, A H" uniqKey="El Gilany A">A.-H. El Gilany</name></author><author><name sortKey="Shady, E" uniqKey="Shady E">E. Shady</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haughton, J H" uniqKey="Haughton J">J.H. Haughton</name></author><author><name sortKey="Haughton, D" uniqKey="Haughton D">D. Haughton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, C" uniqKey="Park C">C. Park</name></author><author><name sortKey="Cho, N H" uniqKey="Cho N">N.-H. Cho</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Scorgie, F" uniqKey="Scorgie F">F. Scorgie</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Environ Res Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Int J Environ Res Public Health</journal-id><journal-id journal-id-type="publisher-id">ijerph</journal-id><journal-title-group><journal-title>International Journal of Environmental Research and Public Health</journal-title></journal-title-group><issn pub-type="ppub">1661-7827</issn><issn pub-type="epub">1660-4601</issn><publisher><publisher-name>MDPI</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28350334</article-id><article-id pub-id-type="pmc">5409554</article-id><article-id pub-id-type="doi">10.3390/ijerph14040353</article-id><article-id pub-id-type="publisher-id">ijerph-14-00353</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Conceptions of Contraceptive Use in Rural KwaZulu-Natal, South Africa: Lessons for Programming</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ndinda</surname><given-names>Catherine</given-names></name><xref ref-type="aff" rid="af1-ijerph-14-00353">1</xref><xref ref-type="aff" rid="af2-ijerph-14-00353">2</xref><xref rid="c1-ijerph-14-00353" ref-type="corresp">*</xref></contrib><contrib contrib-type="author"><name><surname>Ndhlovu</surname><given-names>Tidings</given-names></name><xref ref-type="aff" rid="af3-ijerph-14-00353">3</xref><xref ref-type="aff" rid="af4-ijerph-14-00353">4</xref></contrib><contrib contrib-type="author"><name><surname>Khalema</surname><given-names>Nene Ernest</given-names></name><xref ref-type="aff" rid="af5-ijerph-14-00353">5</xref></contrib></contrib-group><contrib-group><contrib contrib-type="editor"><name><surname>Mawson</surname><given-names>Anthony R.</given-names></name><role>Academic Editor</role></contrib></contrib-group><aff id="af1-ijerph-14-00353"><label>1</label>Human Sciences Research Council, Private Bag X41, Pretoria 0001, South Africa</aff><aff id="af2-ijerph-14-00353"><label>2</label>School of Social Sciences (Sociology), University of KwaZulu-Natal, KwaZulu-Natal Dalbridge 4041, South Africa</aff><aff id="af3-ijerph-14-00353"><label>3</label>Department of Economics and International Business, Faculty of Business and Law, Manchester Metropolitan University, Manchester M15 6BH, UK;<email>t.ndhlovu@mmu.ac.uk</email></aff><aff id="af4-ijerph-14-00353"><label>4</label>Graduate School of Business Leadership, University of South Africa, Midrand Johannesburg 1685, South Africa</aff><aff id="af5-ijerph-14-00353"><label>5</label>School of Built Environment and Development Studies, University of KwaZulu-Natal, KwaZulu-Natal Dalbridge 4041, South Africa;<email>khalema@ukzn.ac.za</email></aff><author-notes><corresp id="c1-ijerph-14-00353"><label>*</label>Correspondence: <email>cndinda@hsrc.ac.za</email>; Tel.: +27-12302-2505</corresp></author-notes><pub-date pub-type="epub"><day>28</day><month>3</month><year>2017</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2017</year></pub-date><volume>14</volume><issue>4</issue><elocation-id>353</elocation-id><history><date date-type="received"><day>22</day><month>11</month><year>2016</year></date><date date-type="accepted"><day>15</day><month>3</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 by the authors.</copyright-statement><copyright-year>2017</copyright-year><license license-type="open-access"><license-p>Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>).</license-p></license></permissions><abstract><p>Community family planning programmes in South Africa arose from the controversial apartheid history of controlling the African population while encouraging the growth of European migrant population. Post-apartheid population policies shifted away from population control to aligning policies to the global agenda that placed emphasis on the link between population and development. The focus on population and development polices in post-apartheid South Africa is on social equality, justice and peace rather than controlling sections of the population. Given the shift, this paper interrogates the conceptions of contraceptive use among rural communities in KwaZulu-Natal. Our primary objective is to understand the dynamics surrounding access to and use of family planning services in peri-urban and rural areas of KwaZulu-Natal. Using focus group data, the findings of the study suggest that different social categories interact with the family planning programmes differently. How teenagers and married women perceive the value of family planning differs. Gender differences regarding the use of condoms are also evident. The paper attempts to grapple with the non-use of condoms despite the knowledge that these prevent pregnancy and provide protection from sexually-transmitted diseases. The contribution of this paper lies in its identification of socio-cultural factors and the political economy underlying the different attitudes towards contraceptive use in rural KwaZulu-Natal.</p></abstract><kwd-group><kwd>contraceptive use</kwd><kwd>sexual and reproductive health and rights</kwd><kwd>Kwazulu-Natal</kwd><kwd>focus group discussions</kwd><kwd>socio-cultural dynamics</kwd><kwd>political economy</kwd><kwd>gender</kwd></kwd-group></article-meta></front><floats-group><table-wrap id="ijerph-14-00353-t001" orientation="portrait" position="float"><object-id pub-id-type="pii">ijerph-14-00353-t001_Table 1</object-id><label>Table 1</label><caption><p>Number of focus group discussions participants per district area.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">District</th><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Are of Study</th><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Male</th><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Female</th><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Total</th></tr></thead><tbody><tr><td align="center" valign="middle" rowspan="1" colspan="1">UThukela</td><td align="center" valign="middle" rowspan="1" colspan="1">Ladysmith</td><td align="center" valign="middle" rowspan="1" colspan="1">3</td><td align="center" valign="middle" rowspan="1" colspan="1">14</td><td align="center" valign="middle" rowspan="1" colspan="1">17</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">UThukela</td><td align="center" valign="middle" rowspan="1" colspan="1">Bergville</td><td align="center" valign="middle" rowspan="1" colspan="1">1</td><td align="center" valign="middle" rowspan="1" colspan="1">20</td><td align="center" valign="middle" rowspan="1" colspan="1">21</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">UMkhanyakude</td><td align="center" valign="middle" rowspan="1" colspan="1">Jozini</td><td align="center" valign="middle" rowspan="1" colspan="1">0</td><td align="center" valign="middle" rowspan="1" colspan="1">12</td><td align="center" valign="middle" rowspan="1" colspan="1">12</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">UMkhanyakude</td><td align="center" valign="middle" rowspan="1" colspan="1">Hlabisa</td><td align="center" valign="middle" rowspan="1" colspan="1">7</td><td align="center" valign="middle" rowspan="1" colspan="1">3</td><td align="center" valign="middle" rowspan="1" colspan="1">10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">Zululand</td><td align="center" valign="middle" rowspan="1" colspan="1">Phongola</td><td align="center" valign="middle" rowspan="1" colspan="1">4</td><td align="center" valign="middle" rowspan="1" colspan="1">18</td><td align="center" valign="middle" rowspan="1" colspan="1">22</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">ILembe</td><td align="center" valign="middle" rowspan="1" colspan="1">Kwadukuza</td><td align="center" valign="middle" rowspan="1" colspan="1">8</td><td align="center" valign="middle" rowspan="1" colspan="1">0</td><td align="center" valign="middle" rowspan="1" colspan="1">8</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">Ilembe</td><td align="center" valign="middle" rowspan="1" colspan="1">iNdwedwe</td><td align="center" valign="middle" rowspan="1" colspan="1">8</td><td align="center" valign="middle" rowspan="1" colspan="1">0</td><td align="center" valign="middle" rowspan="1" colspan="1">8</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">Ugu</td><td align="center" valign="middle" rowspan="1" colspan="1">Port Shepstone</td><td align="center" valign="middle" rowspan="1" colspan="1">9</td><td align="center" valign="middle" rowspan="1" colspan="1">14</td><td align="center" valign="middle" rowspan="1" colspan="1">23</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">Zululand</td><td align="center" valign="middle" rowspan="1" colspan="1">Ulundi</td><td align="center" valign="middle" rowspan="1" colspan="1">6</td><td align="center" valign="middle" rowspan="1" colspan="1">10</td><td align="center" valign="middle" rowspan="1" colspan="1">16</td></tr><tr><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">46</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">91</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">137</td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>Afrique du Sud</li></country></list><tree><noCountry><name sortKey="Khalema, Nene Ernest" sort="Khalema, Nene Ernest" uniqKey="Khalema N" first="Nene Ernest" last="Khalema">Nene Ernest Khalema</name></noCountry><country name="Afrique du Sud"><noRegion><name sortKey="Ndinda, Catherine" sort="Ndinda, Catherine" uniqKey="Ndinda C" first="Catherine" last="Ndinda">Catherine Ndinda</name></noRegion><name sortKey="Ndhlovu, Tidings" sort="Ndhlovu, Tidings" uniqKey="Ndhlovu T" first="Tidings" last="Ndhlovu">Tidings Ndhlovu</name><name sortKey="Ndinda, Catherine" sort="Ndinda, Catherine" uniqKey="Ndinda C" first="Catherine" last="Ndinda">Catherine Ndinda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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