Dual protection was computed as use of both hormonal and barrier contraception or abstinence. Reproductive aspirations were measured as the number of children participants wanted to have. Standardized questionnaires included socio-demographic measures, reproductive health and contraception experiences. Quantitative interviews were conducted with 1712 adolescent girls and young women (ages 10 to 24): 336 adolescent mothers living with HIV (AMLHIV), 454 nulliparous adolescent girls living with HIV (ALHIV), 744 HIV-negative adolescent mothers (control adolescent mothers) and 178 HIV-negative nulliparous adolescent girls (nulliparous controls) in 2018 to 2019. We report data from a large survey of adolescent girls and young women conducted in a mixed rural-urban district in South Africa. To better shape services and health outcomes, we need evidence on reproductive aspirations and contraception use in this high-risk group, including the effect of motherhood and HIV status. There is a growing interest in adolescent motherhood and HIV among policymakers and programme implementers.
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