title: Postpartum family planning service provision in Durban, South Africa: client and provider perspectives.
abstract: 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.
authors.affiliation: a Department of Maternal and Child Health , University of North Carolina at Chapel Hill , Chapel Hill , North Carolina , USA.
authors.forename: Heather M
authors.initials: HM
authors.lastname: Marlow
authors.forename: Suzanne
authors.initials: S
authors.lastname: Maman
authors.forename: Dhayendre
authors.initials: D
authors.lastname: Moodley
authors.forename: Siân
authors.initials: S
authors.lastname: Curtis
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003267:Contraception / Q000706:statistics & numerical data; D003268:Contraception Behavior; D005193:Family Planning Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D011181:Postnatal Care; D049590:Postpartum Period; D011369:Professional-Patient Relations; D036301:Qualitative Research; D012959:Socioeconomic Factors; D013019:South Africa; D055815:Young Adult