Original Research

Condom use education, promotion and reasons for condom use: Perspectives of healthcare providers and young adults in Vhembe district, Limpopo province

Namadzavho J. Muswede, Livhuwani Tshivhase, Azwihangwisi H. Mavhandu-Mudzusi
South African Family Practice | Vol 63, No 1 : Part 4| a5326 | DOI: https://doi.org/10.4102/safp.v63i1.5326 | © 2021 Namadzavho J. Muswede, Livhuwani Tshivhase, Azwihangwisi H. Mavhandu-Mudzusi | This work is licensed under CC Attribution 4.0
Submitted: 07 May 2021 | Published: 30 November 2021

About the author(s)

Namadzavho J. Muswede, Professional Practice, South African Nursing Council, Pretoria, South Africa
Livhuwani Tshivhase, Department of Nursing Sciences, Faculty of Health Care, University of Sefako Makgatho Health Sciences University, Pretoria, South Africa
Azwihangwisi H. Mavhandu-Mudzusi, Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa


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Abstract

Background: Condom use is a critical component of a comprehensive and sustainable approach to the prevention of unintended pregnancies and sexually transmitted infections (STIs) (including HIV). Despite government making condoms freely available in the healthcare facilities in Vhembe district, there are reports of an increase in teenage pregnancies and STIs, including HIV, amongst young adults. The aim of the study was to gain an in-depth understanding of condom use promotion and reasons of condom use amongst young adults in Vhembe district, in Limpopo province.

Methods: A descriptive phenomenological design was used to explore the reasons for promoting condom use amongst young adults themselves and from the perspectives of healthcare providers who are critical role players in condom education and provision. Purposive sampling was used to sample young adults and healthcare providers at three of Vhembe district’s primary healthcare facilities. Individual semi-structured interviews were conducted, after which thematic data analysis was used to develop themes and subthemes.

Results: Two superordinate themes emerged from data analysis, namely approaches to promote condom use and reasons for condom use. Two themes emerged in respect of approaches for promotion of condom use: information sharing in the form of education, the distribution of informative material, and the adoption of a multi-sectoral approach. Self-protection emerged as a reason for condom use, to prevent disease, pregnancy and ‘u wela’, and was indicative of not trusting a sexual partner.

Conclusion: To effectively promote condom use, a multidisciplinary team approach involving nurses, lay counsellors and peer educators need to be strengthened at local primary health facilities in order to facilitate the distribution of condoms and educate young adults on consistent condom use.


Keywords

approaches; promote; condom use; descriptive phenomenology; young adults

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