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Table 4 Table of themes

From: Prevalence of sexual coercion and its association with unwanted pregnancies among young pregnant females in Kampala, Uganda: a facility based cross-sectional study

Theme

Subthemes

Codes

Threatened and forced

Feared to be beaten

He said that we had to do it [have sex] and if I shouted he would beat me.

Forced and used

He told me that we had to have sex, so when I refused, he forced me and used me.

Feared to be abandoned

If we don’t have sex pack your things and leave.

Forced to have sex by relatives

There is one who was raped repeatedly by her uncle; he had warned her never to tell anyone.

You may be staying with your sister’s husband. He will admire you and buy for you things. Then one day when your sister is not around, he will force you into sex.

Forced to have sex by a stranger

I didn’t know that person though I used to see him but he raped me when I was going to bathe.

A man broke into my house at night, he raped me and I became pregnant, but it took me long to discover that I was pregnant.

Deception

Deceived and impregnated

He deceived me that he would give me a lot of things, but when I got pregnant he left me without giving me what he promised.

Ok, he first told me and I refused, then he started giving me gifts so as to seduce me and I accepted.

Lied with promises

This man promised me something….I won’t tell you what it was, so we slept together, and I became pregnant. Unfortunately he never stood by his promises.

Normally they deceive girls, that they will marry them, give them business or educate them; they use such things.

Deceiving them that they will marry them but after using them; whether they have got HIV or pregnancy, he runs away.

Gifts mostly and use of persuasive words to deceive them. A man might deceive you that I will do this for you or come at home and pick this and that.

Poor socio-economic status

Not being able to afford

You need something and you can’t get it from your parents, you have no money but you really want it, so you are forced to have sex with someone to get what you want.

Poor parents

You find a parent leaves home in the morning without providing food for children or they will tell her that you also go and look for what you can eat.

Forced to have sex to get what you want

Gifts; they tend to deceive them with gifts. Normally they give them money to buy things like clothes, powder or to plait hair. Girls normally have a list of items they want and they cannot ask everything from their parents. Therefore, gifts are so much liked by girls and they end up getting unwanted pregnancies because if you keep going to the man’s place to request for such items, he will rape you and you may become pregnant.

These young girls are given money either for tuition or pocket money and they end up having sex with these men and they get unwanted pregnancy.

Alcohol

Forced to have sex while under alcohol influence

When a girl takes a lot of alcohol and gets drunk, men may use her and she ends up with an unwanted pregnancy and she cannot even think of contraceptives, since she will be drunk.

More so when the girl takes alcohol because if a man realizes that he cannot get her when she is not drunk, he will buy a lot of alcohol for her so that she gets drunk and he will do anything he wants. That’s why they always get pregnant when they don’t know anything at all.

Alcohol influencing contraceptive use

They want to go and booze but when she is drunk at night, they will be only two and the man will use her.

For example If a woman is drunk, she might not really think about a condom because her reasoning has been tampered with, by the substance.

Strategies

Youth friendly services

If we have services specifically for young people so that there’s no fear of meeting ones mother or elder sister in the line. This will go a long way to improve the kind of service young people can access.

Punishing perpetrators

What I would want the government to do is to put laws in place that punish such people who coerce girls. But because they are left unpunished they continue doing that to even more other girls. So they should really be treated by law and imprisoned so that they stop it.

Sex education

By having sensitizations, teaching them how to prevent unwanted pregnancies at an early age. Sensitize them; educate them about the disadvantages of having sex at an early age. Yes, and what they watch; actually when children are there, they should not cast blue movies.

Girls should be counseled and also parents themselves; they should know what a girl needs and they should always talk peacefully with their children. You have to be free with your children.

Youth mobile services

May be going around distributing boxes of condoms. Yes, one will be protected with that box in the pocket. Yes, because some fear to buy them from shops.

Community services for the youth.

Health workers should come to the community on specific days and just talk to us. Many of us leave with stepmothers and our fathers are too busy, so no one talks to us.