BACKGROUND : The increase in the number of teenage pregnancies and its negative consequences
has encouraged various researchers to explore the possible causes of teenage pregnancy.
Findings from previously-conducted research have indicated different preventable factors that
predispose female teenagers to pregnancy, such as staff attitudes and the lack of information
resulting from poor access to health facilities.
OBJECTIVE : To explore and describe access to information and decision making on teenage
pregnancy prevention by females using a primary healthcare clinic in Tshwane, South Africa.
METHOD : In this study, the researchers used a descriptive qualitative and exploratory research
design to explore and describe the verbal reports regarding prevention of teenage pregnancy
by females using a primary healthcare clinic in Tshwane, South Africa. Face-to-face semistructured
interviews were conducted with 15 female participants aged between 15 and 26,
who had been pregnant once or more during their teens.
RESULTS : Two themes emerged, namely, access to information and decision making by
female teenagers. Five categories that emerged were: access to information on pregnancy
prevention; ignoring of provided information; the use of alternative medicine with hormonal
contraception; personal reasons for use and non-use of contraception; and decisions made by
teenagers to not fall pregnant. Females in this study fell pregnant in their teens, even though
they had access to information.
CONCLUSION : Given the complexity of this problem, female teenagers should use their families
as primary sources of information for reproductive health promotion and educational
institutions should build on this to aid the prevention of teenage pregnancy.