Knowledge, attitude and practice of women regarding contraceptive implants, in Odendaalsrus, Lejweleputswa District, Free State Province
Contraceptive implant is a type of long acting reversible contraception (LARC) and these methods are ideal and can be recommended and be utilised to reduce unplanned, unwanted or untimed pregnancies, that could be related to the high maternal mortality and morbidity in South Africa. This form of contraception was made available to all in the public sector, Republic of South Africa, at no costs in 2014 February. This study was a cross sectional, mainly KAP (knowledge, attitude and practice) study conducted in the district of Lejweleputswa, Free State Province. Its main purpose was to determine the knowledge, attitude and practice of women towards contraceptive implant, Implanon, and to determine the availability and the use of family planning. This was the first study conducted in the Province. Four hundred and fifty women participated in the study. A questionnaire which was distributed in five local clinics in a period of two months was used to extract data. Clinic managers also provided information with regards to the availability of implant and other contraceptives. It has been shown that all methods of family planning are provided for in the clinics, and there is no report of them having been out of stock throughout the year(s). Majority of the participants knew about contraception (88%) and 64.8% first heard about contraception and its availability in the public health centres. Only 51% knew about implant. Although they had an increased perception of side effects, they had a positive attitude towards implant (59%). Sixty-two percent (62%) on contraceptives, and only twenty-six (10%) were on implant. This study has indicated that the knowledge of implant contraceptive is poor in the local area as compared to studies done in other countries and also a poor practice was shown even though they had positive attitude towards implant.