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Table 2 Emergent themes by focus group

From: Centering female agency while investigating contraceptive use: a case study in Agincourt, South Africa

Discussion

Mozambican

South African

18–24

25–34

35–44

18–24

25–34

35–44

Early first births

 Interrupt schooling and work

x

x

 

x

x

 

 Difficulty balancing school and motherhood

x

  

x

x

 

 Burden on grandparents

  

x

  

x

 Financial burden

x

x

x

x

x

x

 Ideal to wait until can support a child

x

x

x

x

x

x

 Ideal to wait until have a partner

x

x

x

x

x

x

Contraceptive use

 Start prior to dating and after menstruation

x

  

x

x

 

 Start at sexual debut

 

x

x

 

x

x

 Pregnancy prevention as primary rationale

x

x

 

x

  

 HIV prevention as primary rationale

  

x

 

x

x

 Women must take initiative in use

x

x

x

x

x

x

 Traditional methods of contraception

x

x

x

x

x

x

 Modern methods of contraception

x

x

x

x

x

x

 Switching methods due to weight gain or feeling ill

x

  

x

  

 Switching methods due to irregular menstruation

x

x

x

x

x

x

 Switching methods due to decreased sex drive

  

x

  

x

 Concerns about infertility

x

x

x

x

x

x

Unplanned pregnancy

 Seek abortion from pride, fear of parents, school

x

  

x

  

 Seek abortion for socioeconomic reasons

x

x

x

x

x

x

 Seek abortion due to infidelity

  

x

 

x

x

 Abortion as dangerous

x

x

x

x

x

x

 Disagreement around abortion

x

x

x

x

x

x

 Abortion and future infertility

x

x

x

x

x

x

 Disapproval of abortion from community

x

x

x

x

x

x

 Disapproval of abortion from nurses

x

x

x

x

x

x

HIV testing

 Likelihood of partner being unfaithful

x

x

x

x

x

x

 Need to get tested if sexually active

x

x

x

x

x

x

 At risk of HIV because family caregiver

  

x

  

x

 Need to get tested to protect family

x

  

x

  

 Women need to know their status

x

x

x

x

x

x