Sexual and reproductive health (SRH) services have drawn much attention in most African countries. Special focus had been directed toward the utilization of sexual and reproductive health services by adolescents aged 15 to 19 years old. However, little is known about parental and guardians' roles in optimizing the utilization of sexual and reproductive health services by adolescents 15 – 19 years in Leribe district, Lesotho. The study aimed to explore the perceptions and experiences of parents and guardians regarding contraceptive use by adolescents to prevent teenage pregnancy in the Leribe district. A qualitative exploratory study design was done using one-on-one semi-structured interviews with parents and guardians raising adolescents aged 15-19 years in their homes. Twelve parents and guardians attending healthcare services at the selected hospital were purposively selected to participate in the study. Data was analyzed using six steps of Thematic data analysis by Braun and Clarke. Six themes were identified from the study, parents and guardians knew about contraceptives and their use, contraceptive use was understood to prevent problems to the family, contraceptives were viewed as resulting in unfavorable behaviour to adolescents, experiences on sexual health communication were considered as significant and non-significant, outreach services were needed to reach vulnerable adolescents, and awareness about contraceptive use by adolescents. Participants were aware of the prevailing situation of teenage pregnancy and its consequences. That is why they advocated for contraceptive use by adolescents and engage in sexual health communication for their adolescents to make the right decisions concerning SRH issues.
Published in | International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 11, Issue 1) |
DOI | 10.11648/j.ijhpebs.20251101.11 |
Page(s) | 1-8 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Adolescents, Contraceptives, Experiences, Perceptions, Teenage Pregnancy
[1] | Mturi, J. A. Parents’ Attitudes to Adolescent Sexual Behaviour in Lesotho. African Journal of Reproductive Health, 2003, 7(2), 25-33. |
[2] | Janet A. B. Perception of Parents on Adolescents’ use of Contraceptives in Igbogbo District in Ikorodu Local Government, local state Nigeria, Texila International Journal of Public Health (2017) 5(1). |
[3] | Govender, D., Naidoo, S., and Taylor, M. Understanding Adolescent Mothers Perspectives of Sexual Risk Behaviour in KwaZulu Natal, South Africa. BMC Public Health, (2020) 20(1), 1-17. |
[4] | Matope F. B. An Assessment of Factors that Determine Usage of Contraceptive Services Among Adolescent Women in Lesotho: An Analytical Cross-Sectional Study of Maseru City Secondary School Students, Master’s Degree Thesis, University of the Western Cape, South Africa, 2022. |
[5] | Brindis, C. D., Decker, M. J., Gutmann-Gonzalez, A., Berglas, N. F. Perspectives on Adolescent Pregnancy Prevention Strategies in the United States: Looking back, Looking forward, Adolescent Health Medicine Therapeutics. 2020, (11), 135-145. |
[6] | Vuamaiku, G. J., Epuitai, J., Andru, M., Aleni, M. Perceptions of Parents and Guardians Regarding the use of Modern Contraceptives by Adolescents in Arua City, Uganda, International Journal of Reproductive Medicine. 2023, (1), 1-9. |
[7] | Ayalew, M., Mengostie, B., Semahegn, A. Adolescent – Parent communication on Sexual and Reproductive issues Among High School Students in Dire Dawa, Eastern Ethiopia; A Cross-Sectional Study, Reproductive health. 2014, 11(77), 1-11 |
[8] | Ministry of Health. Demographic and health survey, Lesotho, Maseru; 2014, pp. 75-79. |
[9] | Tipwareerom, W., Weglicki, L. Parents Knowledge, Attitudes, Behaviors and promoting condom use among their adolescent sons, Nursing and Health Sciences. 2017, 19(2) 212 – 219. |
[10] | Ehiaghe, A. D., Barrow, A. Parental Knowledge, Willingness, and Attitude towards Contraceptive Usage among Their Unmarried Adolescents in Ekpoma, Edo State, Nigeria, International Journal of Reproductive Medicine. 2022, 2022(1) 85333174 |
[11] | Kinaro, J., Kimani, M., Ikamari, L., Ayiemba, E. H. O., Perceptions and Barriers to Contraceptive Use among Adolescents Aged 15-19 years in Kenya: A Case Study of Nairobi, Scientific Research Publishing, 2015, 7(1), 85-97 |
[12] | Olal, E., Grovogui, F. M., Nantale, R., Sserwanja, Q., Nakazwe, C., Nuwabaine, L., Mukunya, D., Ikoona, E. N., Benova, L. Trends and Determinants of Modern Contraceptive Utilization among Adolescent Girls Aged 15-19 years in Sierra Leone: An Analysis of Demographic and Health Surveys, 2008-2019, Journal of Global Health Reports, 2023, 7. |
[13] | Dioubaté, N., Manet, H., Bangoura, C., Sidibé, S., Kouyaté, M., Kolie, D., El Ayadi, A. M., Delamou, A. Barriers to Contraceptive Use Among Urban Adolescents and Youth in Conakry in 2019 Guinea, Frontiers in global women health, 2021, 2, |
[14] | Bhatta, B. R., Kiriya, J., Shibanuma, A., Jimba, M. Parent–adolescent communication on sexual and reproductive health and the utilization of adolescent-friendly health services in Kailali, Nepal, Plos one, 2021, 16 (2), 1-19. |
[15] | Mekonen, M. T., Hana Abebe Dagnew, H. A., Yimam, T. A., Yimam, H. N., Reta, M. A. Adolescent-parent communication on sexual and reproductive health issues and associated factors among high school students in Woldia town, Northeastern Ethiopia, Pan African Medical Journal. 2018, 31(35), 1-15. |
[16] | Makwinja, A. K., Maida, Z. M. Nyondo-Mipando, A. L. Delivery strategies for optimizing uptake of contraceptives among adolescents aged 15–19 years in Nsanje District, Malawi, Reproductive health, 2021, 18(15), 1-9. |
[17] | Self, A., Chipokosa, S., Misomali, A., Aung, T., Harvey, S. A., Chimchere, M., Chilembwe, J., Park, L., Chalima, C., Monjeza, E., Kachale, F., Ndawala, J., Marx, M. A. Youth Accessing Reproductive Health Services in Malawi: Drivers, Barriers, and Suggestions from the perspectives of Youth and Parents, Reproductive Health, 2018, 15(108) |
APA Style
Molefe, S. P., Nyangu, I. (2025). Exploring Adolescent Contraceptive Use: The Voices of Parents/Guardians from a Selected Hospital in Lesotho. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 11(1), 1-8. https://doi.org/10.11648/j.ijhpebs.20251101.11
ACS Style
Molefe, S. P.; Nyangu, I. Exploring Adolescent Contraceptive Use: The Voices of Parents/Guardians from a Selected Hospital in Lesotho. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2025, 11(1), 1-8. doi: 10.11648/j.ijhpebs.20251101.11
@article{10.11648/j.ijhpebs.20251101.11, author = {Sebofe Peter Molefe and Isabel Nyangu}, title = {Exploring Adolescent Contraceptive Use: The Voices of Parents/Guardians from a Selected Hospital in Lesotho }, journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science}, volume = {11}, number = {1}, pages = {1-8}, doi = {10.11648/j.ijhpebs.20251101.11}, url = {https://doi.org/10.11648/j.ijhpebs.20251101.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20251101.11}, abstract = {Sexual and reproductive health (SRH) services have drawn much attention in most African countries. Special focus had been directed toward the utilization of sexual and reproductive health services by adolescents aged 15 to 19 years old. However, little is known about parental and guardians' roles in optimizing the utilization of sexual and reproductive health services by adolescents 15 – 19 years in Leribe district, Lesotho. The study aimed to explore the perceptions and experiences of parents and guardians regarding contraceptive use by adolescents to prevent teenage pregnancy in the Leribe district. A qualitative exploratory study design was done using one-on-one semi-structured interviews with parents and guardians raising adolescents aged 15-19 years in their homes. Twelve parents and guardians attending healthcare services at the selected hospital were purposively selected to participate in the study. Data was analyzed using six steps of Thematic data analysis by Braun and Clarke. Six themes were identified from the study, parents and guardians knew about contraceptives and their use, contraceptive use was understood to prevent problems to the family, contraceptives were viewed as resulting in unfavorable behaviour to adolescents, experiences on sexual health communication were considered as significant and non-significant, outreach services were needed to reach vulnerable adolescents, and awareness about contraceptive use by adolescents. Participants were aware of the prevailing situation of teenage pregnancy and its consequences. That is why they advocated for contraceptive use by adolescents and engage in sexual health communication for their adolescents to make the right decisions concerning SRH issues. }, year = {2025} }
TY - JOUR T1 - Exploring Adolescent Contraceptive Use: The Voices of Parents/Guardians from a Selected Hospital in Lesotho AU - Sebofe Peter Molefe AU - Isabel Nyangu Y1 - 2025/01/09 PY - 2025 N1 - https://doi.org/10.11648/j.ijhpebs.20251101.11 DO - 10.11648/j.ijhpebs.20251101.11 T2 - International Journal of HIV/AIDS Prevention, Education and Behavioural Science JF - International Journal of HIV/AIDS Prevention, Education and Behavioural Science JO - International Journal of HIV/AIDS Prevention, Education and Behavioural Science SP - 1 EP - 8 PB - Science Publishing Group SN - 2575-5765 UR - https://doi.org/10.11648/j.ijhpebs.20251101.11 AB - Sexual and reproductive health (SRH) services have drawn much attention in most African countries. Special focus had been directed toward the utilization of sexual and reproductive health services by adolescents aged 15 to 19 years old. However, little is known about parental and guardians' roles in optimizing the utilization of sexual and reproductive health services by adolescents 15 – 19 years in Leribe district, Lesotho. The study aimed to explore the perceptions and experiences of parents and guardians regarding contraceptive use by adolescents to prevent teenage pregnancy in the Leribe district. A qualitative exploratory study design was done using one-on-one semi-structured interviews with parents and guardians raising adolescents aged 15-19 years in their homes. Twelve parents and guardians attending healthcare services at the selected hospital were purposively selected to participate in the study. Data was analyzed using six steps of Thematic data analysis by Braun and Clarke. Six themes were identified from the study, parents and guardians knew about contraceptives and their use, contraceptive use was understood to prevent problems to the family, contraceptives were viewed as resulting in unfavorable behaviour to adolescents, experiences on sexual health communication were considered as significant and non-significant, outreach services were needed to reach vulnerable adolescents, and awareness about contraceptive use by adolescents. Participants were aware of the prevailing situation of teenage pregnancy and its consequences. That is why they advocated for contraceptive use by adolescents and engage in sexual health communication for their adolescents to make the right decisions concerning SRH issues. VL - 11 IS - 1 ER -