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- Background: Early 2014, subdermal contraceptive implant was introduced in South Africa, Implanon® NXT, aiming to expand the method mix, increase effectiveness and availability to long-acting contraceptives. The initial uptake was extremely high, but concerns have been raised with treatment failure and high number of removals reported. Aim: The study focuses on describing women’s perceptions with use of Implanon® at a primary health care (PHC) facility in KwaZulu-Natal. Setting: This study was conducted at a selected primary health care (PHC) facility in KwaZulu-Natal. Methods: A quantitative, descriptive study design was used. Through purposive sampling, a sample of 60 women from 15 to 50 years old were recruited. Data were gathered through a structured questionnaire and analysed using SPSS 24 software. Results: Study findings show that slightly above half of respondents, 32 or 58.1% expressed satisfaction towards the implant, 20 or 40.9% had stopped using the implant as a result of its major implications. It was found that an edge above half of respondents continued using the implant 28 or 50.9%, while close to half had abandoned it (27 or 49.1%). Some respondents reported that they were experiencing heavy menstrual bleeding and low sex drive as serious unwanted side effects forcing them to stop using Implanon®. Conclusion: Side-effects and poor screening, counselling and support are major reasons for early removal. It is imperative to develop an effective screening tool and to re-train healthcare workers on Implanon® NXT. Contributions: This article contributes to increase awareness of women’s perceptions about Implanon® contraceptive.
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- Background: Effective parent-adolescent communication plays a crucial role in preventing HIV, especially during adolescence, a stage marked by heightened curiosity, risk-taking behaviour, and exploration of sexual activity. Even though many adolescents are sexually active, research indicates that communication between parents and adolescents about HIV-related issues remains limited, particularly in developing countries. This lack of communication leaves adolescents vulnerable to misinformation, risky behaviours, and increased rates of HIV infection. Objective: To explore factors that influence parent-adolescent communication about HIV-related issues. Relevant literature was retrieved from databases including Google Scholar, ScienceDirect, Content Server, and JSTOR, covering the period from 2010 to 2022. Results: The selected articles revealed one central theme: the challenges faced by parents when communicating HIV-related issues to adolescents. Two sub-themes also emerged, cultural and religious barriers and parents’ level of knowledge, with six distinct codes identified under each sub-theme. Conclusion: This study demonstrates that parent-adolescent communication about HIV remains limited in developing countries. Strengthening this communication is essential for effective HIV prevention among adolescents.
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