Lebogang Seutlwadi

Bio: Lebogang Seutlwadi is an academic researcher from Human Sciences Research Council. The author has contributed to research in topics: Population & Reproductive health. The author has an hindex of 3, co-authored 3 publications receiving 61 citations.

Contraceptive use and associated factors among South African youth (18 - 24 years): A population-based survey

Abstract: Results. Among women who reported to be currently using contraception (89.1%), 9.3% were using the Pill, 5.2% the intra-uterine contraceptive device, 25.6% injectables, 57.6% male condoms, 5.9% female condoms, and 8.9% dual methods; other methods used were the rhythm method (7.0%), withdrawal (11.5%), and emergency contraception (5.5%). In multivariable analysis among women, ease of getting condoms and not having had early sex (below 15 years of age) were associated with contraceptive use. Among men, better knowledge about contraceptives, having talked with the partner about condoms in the past 12 months, loveLife and multimedia programme exposure were associated with contraceptive use in univariate analysis, while none were retained in the multivariable model. Conclusion. Communicating with the partner about condom use, education and being employed were significantly associated with contraceptive use. However, use of contraceptives is still low, and this is substantiated by the high rate of unwanted pregnancies reported. It is clear that more vigorous, effective and meticulous means of promoting contraceptive use need to be explored, enabling youth to take control of their reproductive health and make informed decisions.

Sexual Violence and Associated Factors among Female Youths in South Africa

Abstract: The study aims to investigate factors associated with sexual violence among South African female youths (18-24 years) in a cross-sectional household survey. The final sample included 974 sexually active females from four provinces (Eastern Cape, Gauteng, KwaZulu-Natal and Mpumalanga). Of those, 7.3% reported to have had sex because someone used physical force to make them have sex with him/her. In the bivariate analysis, low self-esteem, lack of partner risk self-efficacy, having had sexually transmitted infections in a life-time, early sexual debut, not being employed and medium to high sexually permissive attitudes were associated with having experienced sexual violence. Programmes in combating sexual violence can utilize identified risk factors in interventions.

Integration of family planning services into HIV care and treatment in Kenya: a cluster-randomized trial.

Abstract: Objective:To determine whether integrating family planning services into HIV care is associated with increased use of more effective contraceptive methods (sterilization, intrauterine device, implant, injectable or oral contraceptives).Design:Cluster-randomized trial.Setting:Eighteen public HIV clin

Contraception coverage and methods used among women in South Africa: A national household survey.

Abstract: Background. Globally, family planning services are being strengthened and the range of contraceptive choices expanded. Data on contraceptive coverage and service gaps could help to shape these initiatives. Objective. To assess contraception coverage in South Africa (SA) and identify underserved populations and aspects of programming that require strengthening. Methods. Data from a 2012 SA household survey assessed contraception coverage among 6 296 women aged 15 - 49 years and identified underserved populations. Results. Two-thirds had an unintended pregnancy in the past 5 years, a quarter of which were contraceptive failures. Most knew of injectable (92.0%) and oral contraception (89.9%), but fewer of intrauterine devices (56.1%) and emergency contraception (47.3%). Contraceptive prevalence was 49.1%, and 41.8% women used modern non-barrier methods. About half had ever used injectable contraception. Contraception was lower in black Africans and younger women, who used a limited range of methods. Conclusion. Contraception coverage is higher than many previous estimates. Rates of unintended pregnancy, contraceptive failure and knowledge gaps, however, demonstrate high levels of unmet need, especially among black Africans and young women.

Divergent Preferences for HIV Prevention: A Discrete Choice Experiment for Multipurpose HIV Prevention Products in South Africa.

Abstract: Background. The development of antiretroviral (ARV)-based prevention products has the potential to substantially change the HIV prevention landscape; yet, little is known about how appealing these products will be outside of clinical trials, as compared with the existing options. Methods. We conducted a discrete choice experiment (DCE) to measure preferences for 5 new products among 4 important populations in the HIV response: adult men and women in the general population (aged 18 to 49 y), adolescent girls (aged 16 to 17 y), and self-identifying female sex workers (aged 18 to 49 y). We interviewed 661 self-reported HIV-negative participants in peri-urban South Africa, who were asked to choose between 3 unique, hypothetical products over 10 choice sets. Data were analyzed using multinomial, latent class and mixed multinomial logit models. Results. HIV protection was the most important attribute to respondents; however, results indicate significant demand among all groups for multipurpose prevention produc...

End-Users’ Product Preference Across Three Multipurpose Prevention Technology Delivery Forms: Baseline Results from Young Women in Kenya and South Africa

Abstract: A multipurpose prevention technology (MPT) that combines HIV and pregnancy prevention is a promising women’s health intervention, particularly for young women. However, little is known about the drivers of acceptability and product choice for MPTs in this population. This paper explores approval ratings and stated choice across three different MPT delivery forms among potential end-users. The Trio Study was a mixed-methods study in women ages 18–30 that examined acceptability of three MPT delivery forms: oral tablets, injections, and vaginal ring. Approval ratings and stated choice among the products was collected at baseline. Factors influencing stated product choice were explored using multivariable multinomial logistic regression. The majority (62%) of women in Trio stated they would choose injections, 27% would choose tablets and 11% would choose the ring. Significant predictors of choice included past experience with similar contraceptive delivery forms, age, and citing frequency of use as important. Ring choice was higher for older (25–30) women than for younger (18–24) women (aRR = 3.1; p < 0.05). These results highlight the importance of familiarity in MPT product choice of potential for variations in MPT preference by age.

Factors associated with unintended pregnancy among women attending a public health facility in KwaZulu-Natal, South Africa

Abstract: Background: Across the globe a large proportion of pregnancies have been reported as unintended. There are no available reports from South Africa concerning the prevalence of unintended pregnancies...