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Contraceptive use among young women in Namibia : determinants and policy implications

Thesis (DPhil(Sociology))--University of Pretoria, 2008.

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Other Authors: Naidoo, Kammila
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Naidoo, Kammila
author_browse Naidoo, Kammila
author_facet Naidoo, Kammila
collection Thesis
dc_rights_str_mv © University of Pretor
description Thesis (DPhil(Sociology))--University of Pretoria, 2008.
format Thesis
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:37:30.755Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
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publisher University of Pretoria
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spelling oai:repository.up.ac.za:2263/25078 Contraceptive use among young women in Namibia : determinants and policy implications Naidoo, Kammila Bomela, Nolunkcwe nkanime@unam.na Indongo, Irja Nelago Kandiwapa Birth control Young women Contraceptives Government policy Namibia Population policy Contraception UCTD Thesis (DPhil(Sociology))--University of Pretoria, 2008. The present study examines social, demographic and behavioural factors that influence contraceptive use and method choice among young Namibian women. The study also explores ways to improve the accessibility of health facilities and family planning services for young women. The research is based on both quantitative and qualitative data provided by the 2000 Namibian Demographic and Health Survey and focus group discussions with young women (15-24 years) respectively. The data have been used to analyse the factors affecting contraceptive use and method choice among young women in Namibia. The logistic regression method has been applied to examine the determinants of contraceptive use and method choice. The study examines knowledge of contraceptive methods and sources of supply, decisions leading to contraceptive use and views about service delivery and the availability of contraceptive methods. The study reveals that whilst there is provision, the accessibility of existing reproductive health services for young women is poor in rural areas. There is a lack of support from parents, nurses, and the broader community. Part of the problem here is that older people are not fully aware of the sexual rights of young women, which leads to misunderstandings with regard to sexual and reproductive health issues. Nurses, especially in rural areas, are deemed to be judgmental and reluctant to provide contraceptives to young female scholars. Health facilities are also ranked by young women as user-unfriendly as most of them, as public spaces, lack confidentiality and privacy. These negative experiences of young women impact on their utilization of reproductive and health services and their use of contraceptives. Levels of contraceptive use among all age groups, including young women, in Namibia are still low. The choice of contraceptive method is restricted to injectables and to some extent, condoms. Uninformed and unsupportive parents are identified as major barriers to young women’s sexual health and their ability to use contraception consistently. Apart from this, individual use of contraception is greatly influenced by individual and community characteristics. The education level, marital status, number of children and work status are important individual factors affecting whether and what kind of contraception young women will use. Other issues related to the individual women concern whether she discusses family planning with her partner or parent, and whether she has access to the media and to health facilities. For example, findings from the multivariate analysis showed that increased education was significantly associated with a greater likelihood of using contraception. Unmarried young women were more likely to use condoms than married women. Higher condom use was also reported among young women of 15-19 years old than among 20-24 year olds. Furthermore, young women in urban areas had more positive attitudes towards using contraceptives, as well as more forthcoming friends and parents than those in the rural areas. The findings thus suggest that government strategies, which aim to increase the use of contraceptives amongst young women in Namibia, ought to enhance and improve parent-child communication, engage young women’s social networks, and seek to counteract negative assumptions of service providers who could potentially cater for a growing number of young women users and also make a range of choices available. Sociology DPhil unrestricted 2013-09-06T19:10:56Z 2008-04-18 2013-09-06T19:10:56Z 2007-09-05 2008-04-18 2008-01-25 Thesis Indongo, INK 2008, Contraceptive use among young women in Namibia : determinants and policy implications, DPhil Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/25078> Pretoria http://hdl.handle.net/2263/25078 http://upetd.up.ac.za/thesis/available/etd-01252008-110751/ © University of Pretor application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria
spellingShingle Birth control
Young women
Contraceptives
Government policy
Namibia
Population policy
Contraception
UCTD
Contraceptive use among young women in Namibia : determinants and policy implications
title Contraceptive use among young women in Namibia : determinants and policy implications
title_full Contraceptive use among young women in Namibia : determinants and policy implications
title_fullStr Contraceptive use among young women in Namibia : determinants and policy implications
title_full_unstemmed Contraceptive use among young women in Namibia : determinants and policy implications
title_short Contraceptive use among young women in Namibia : determinants and policy implications
title_sort contraceptive use among young women in namibia determinants and policy implications
topic Birth control
Young women
Contraceptives
Government policy
Namibia
Population policy
Contraception
UCTD
url http://hdl.handle.net/2263/25078
http://upetd.up.ac.za/thesis/available/etd-01252008-110751/