Perceptions of the female condoms use as a contraceptive method among women attending postnatal care at Makole health center in Dodoma

Abstract

ABSTRACT Background: The use of contraception is critical for reproductive health, allowing individuals to manage childbearing effectively, thus enhancing women's well-being. Despite global advancements in contraceptive methods, the prevalence of modern contraceptive use in sub-Saharan Africa remains low, therefore high rates of unintended pregnancies and maternal deaths. Objective: To explore perceived attitudes, social norms and behavioral control on the use of female condoms as a contraceptive method among women aged 18-49 attending postnatal care. Methods: This cross-sectional, exploratory study employed a case study design to gather data at a specific point in time. A purposive sampling was used to select study participants. The in-depth interview guide was used to collect data. Interviews were digitally recorded and transcribed verbatim. The thematic analysis by Cresswell et al method was used to analyze data. Findings: The study illuminated various perceptions surrounding the use of female condoms as a contraceptive method. Participants expressed a range of attitudes shaped by their knowledge and awareness, which significantly influenced their perceptions of female condoms. Many conveyed positive perceptions, often linked to an understanding of the benefits, such as dual protection and the empowerment of women in managing their sexual health. Additionally, social norms influenced their perceptions, with insights drawn from family, partners, peers, and religious communities shaping their views on female condoms. Overall, addressing these diverse perceptions is essential for effectively promoting the use of female condoms. Conclusion and recommendation: This study reveals that women attending postnatal care at Makole Health Center in Dodoma City have mixed perceptions about female condom use, shaped by attitudes, social norms, and perceived behavioral control. While some women recognize its benefits, barriers such as cultural stigma and misinformation hinder broader adoption. Addressing these challenges through targeted educational interventions and improved access could empower women and enhance female condom utilization.