ArticleCulture, health & sexuality2021
Perceptions matter: Narratives of contraceptive implant robbery in Cape Town, South Africa.
Article in Culture, health & sexuality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- "I will find the best method that will work for me": navigating contraceptive journeys amongst South African adolescent girls and young women.Contraception and reproductive medicine · 2024Article
- Key programmatic and policy considerations for introducing multipurpose prevention (MPT) methods: reflections from healthcare providers and key stakeholders in South Africa.Frontiers in reproductive health · 2024Article
- Incorporating end-users' voices into the development of an implant for HIV prevention: a discrete choice experiment in South Africa and Zimbabwe.BMC women's health · 2023Article
- Women's perceptions with use of ImplanonHealth SA = SA Gesondheid · 2023Article
- Acceptability of Implants for HIV Treatment in Young Children: Perspectives of Health Care Providers in Johannesburg, South Africa.AIDS patient care and STDs · 2022Article
- Embodiment, agency, unmet need: Young women's experiences in the use and non-use of contraception in Khayelitsha, South Africa.Global public health · 2022Article
- Rumours, myths, and misperceptions as barriers to contraceptive use among adolescent girls and young women in South Africa.Frontiers in reproductive health · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
Uptake of contraceptive implants has declined in South Africa since their introduction in 2014, with side effects and inadequate health provider training cited as primary contributors underlying a poor community perception of implants. In this paper we explore a theme that emerged unexpectedly during analysis of our research in Cape Town that may be an additional factor in this decline: narratives of women being assaulted by robbers who physically remove the implants for smoking as drugs. Narratives were described consistently across interviews and focus groups with youth (aged 18-24 years) and in interviews with health providers, with six participants (two young people, four health providers) sharing personal experiences of robbery. While there was a range of perspectives on whether narratives are based on real experiences or are myths, there was strong consensus that narratives of implant robbery may be influencing women's decisions around implant use in Cape Town. This is a potent example of how perceptions of new products can affect uptake and offers important lessons for implementers to reflect on in planning for rollout of other health technologies.
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