Original Research

Reasons women terminate their pregnancies legally and their contraceptive practices at Soshanguve 3 Community Health Centre, Tshwane district, South Africa

David K.K. Masanabo, Indiran Govender, Tombo Bongongo
South African Family Practice | Vol 62, No 1 | a4310 | DOI: https://doi.org/10.4102/safp.v62i1.4310 | © 2020 David K.K. Masanabo, Indiran Govender, Tombo Bongongo | This work is licensed under CC Attribution 4.0
Submitted: 16 November 2019 | Published: 26 March 2020

About the author(s)

David K.K. Masanabo, Department of Family Medicine and Primary Health Care, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa
Indiran Govender, Department of Family Medicine, University of Pretoria and Kalafong Hospital, Pretoria, South Africa
Tombo Bongongo, Department of Family Medicine and Primary Health Care, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa


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Abstract

Background: Various reasons have been cited in studies conducted in South Africa on why women legally terminate their pregnancies. We sought to determine the reasons for women to terminate their pregnancies legally and their contraceptive practices. This study was conducted at Soshanguve 3 Community Health Centre (CHC), located in a semi-rural zone in the north-west of Pretoria, Gauteng province of South Africa.

Method: A cross-sectional study design was adopted in this study.

Results: Of the 250 respondents, high participation (23.2%) was noted amongst women aged 18–20 years. Eighty-three (33.2%) respondents did not have children, 108 (43.2%) had completed their secondary school education and 226 (90.4%) were Christian. Of the participants, 80% were single and 62.8% were unemployed. About 85.6% (214) of respondents had not had a previous abortion. A total of 24% of respondents requested abortion because they wanted to focus on their education, while 23.1% were not ready to be parents and 21.7% experienced financial difficulties. With regard to practice, all respondents had already used contraception and the most used contraceptive was the male condom (43.5%), followed by an injectable contraceptive (7.1%).

Conclusion: While academic reasons, not being ready to be a parent and financial difficulties were named as the main reasons for terminating a pregnancy legally, the selected pregnant women at Soshanguve 3 CHC demonstrated an unsatisfactory practice of contraceptive measures.


Keywords

reasons for legal TOP and contraceptive practices; Soshanguve; South Africa; unplanned pregnancy; limiting childbearing; socio-economic problems

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