Postpartum family planning service provision in Durban, South Africa: client and provider perspectives
Marlow, H.M.; Maman, S.; Moodley, D.; Curtis, Sân.
Health Care for Women International 35(2): 175-199
2014
ISSN/ISBN: 0739-9332 PMID: 23998760 DOI: 10.1080/07399332.2013.815753Document Number: 576302
Researchers in Sub-Saharan Africa have found that health facility factors influence client contraceptive use. We sought to understand how client-provider interactions, discussions of side effects, and HIV status influence women's contraceptive use postpartum. We conducted in-depth interviews with eight HIV negative clients and six HIV positive clients in Zulu, and with five nurses in English. Interviews were translated and transcribed into English. We created a codebook and coded all transcripts. Nurses and clients reported limited time to discuss contraception, side effects, and HIV. Nurses did not comply with national contraceptive policies and created unnecessary barriers to contraceptive use.