Postpartum Family Planning Service Provision in Durban, South Africa: Client and Provider Perspectives

Researchers in sub-Saharan Africa have found health facility factors influence client contraceptive use. We sought to understand how client provider interactions, discussion of side effects and HIV status influence women’s contraceptive use post-partum. We conducted in-depth interviews with 8 HIV negative clients and 6 HIV positive clients in Zulu and with 5 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