ArticleBMJ open2023
Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Awareness, service use and barriers to sexual and reproductive health among adolescents in the Arsi Zone, Oromia, Ethiopia.African journal of primary health care & family medicine · 2026Article
- Cultural Adaptation and Selection of a Minimal Set of Variables from Two Adolescent Pregnancy Risk Instruments (IRENE and REND) in Colombian Schoolgirls.Nursing reports (Pavia, Italy) · 2026Article
- What factors drive unmet need for modern contraception among sexually active adolescent girls and young women in Zambia: a multilevel analysis.Contraception and reproductive medicine · 2026Article
- The Role of Ideation on Intention to Use Contraceptives Among Married Women in Shenen Dhugo District, Eastern Ethiopia.BioMed research international · 2026Article
- Empowering women: intimate partner violence and its association with unintended pregnancies, contraceptive use, and HIV infection among Ugandan women: a cross-sectional population-based study in Wakiso and Hoima districts.Global health action · 2025Article
- Contraceptive Use Patterns and Associated Determinants in a Rural Population of Narayanganj District, Bangladesh.Public health challenges · 2025Article
- Prevalence and predictors of modern contraceptive method utilization among married couples in the pastoralist communities of Fentale district, Eastern Ethiopia.Scientific reports · 2025Article
- Predictors of quality of family planning counselling in Ethiopia: multilevel analysis of the SPA survey 2021/22.Frontiers in reproductive health · 2025Article
- Sexual activity and contraceptive use among adolescents: A descriptive survey in a Ghanaian municipality.PLOS global public health · 2025Article
- Pregnancy risk behaviour among sexually active adolescent girls aged 10-17 years in high HIV prevalence districts in Uganda: a cross-sectional secondary analysis of the 2018 AGYW survey data.BMJ public health · 2025Article
- Factors associated with modern contraceptive use among sexually active youths attending secondary schools in Mbale City, Uganda.PLOS global public health · 2025Article
- Determinants of contraceptive use and intention to use among youth 15-24 years from a remote pastoral community in Northeastern, Uganda.Frontiers in global women's health · 2025Article
- Fertility awareness, perceived factors and approaches to improve contraceptive uptake among sexually active adolescent girls in Phalombe, Malawi: a mixed-methods study.Reproductive health · 2024Article
- Barriers to modern contraceptive utilization in Ethiopia.Contraception and reproductive medicine · 2024Article
- Exploring the drivers of unmet need for contraception among adolescents and young women in Sierra Leone. a cross-sectional study.Contraception and reproductive medicine · 2024Article
- Article
- "I want one nurse who is friendly to talk to me properly like a friend": Learner preferences for HIV and contraceptive service provision in Gauteng, South Africa.Research square · 2023Article
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Authors and funding
3 authors.
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Abstract
objectiveTo assess barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia, in 2021.
designA grounded theory approach to the qualitative study was conducted between December 2020 and April 2021 in Gedeo zone, South Ethiopia.
settingThe study was conducted in two urban and four rural schools, in Gedeo zone; Gedeo zone is one of the 14 zones in the Southern Nations, Nationalities, and Peoples' Region of Ethiopia.
participantsThe study involved 24 in-depth interviews with secondary school adolescents and 28 key informants. The interviews were conducted with students, school counsellors, Kebele youth association coordinators, zonal child, adolescent, and youth officers, health workers, and non-governmental organisation workers.
resultsThe findings were organised into four major themes that influence contraceptive use; these include; (1) Individual-related barriers such as knowledge, fear and psychosocial development. (2) Community-related barriers encompass fear of rumours, family pressure, social and cultural norms, economic vulnerability, and religious beliefs. (3) Health service-related barriers include the lack of adolescent-responsive health services, health workers' behaviour, and fear of health workers. Furthermore, (4) The school and service integration barrier was identified.
conclusionsAdolescents' contraceptive use was affected by various barriers ranging from individual to multisectorial levels. Adolescents note various barriers to using contraception and that, without contraception, sexual activity can lead to an increased risk for unintended pregnancy and its associated health risks.
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