Barriers and Mythical Practices of Teenagers regarding Sexually Transmitted Infections Prevention in Rural Areas of Limpopo Province, South Africa

Sexually transmitted infections in South Africa are increasing at alarming rates. The study setting is no.5, with the highest STIs, pregnancy, and HIV statistics in Limpopo province among 13 to 19-year-old teenagers. This study explored preventative measures against STIs practiced by teenagers in rural areas of Limpopo Province, South Africa. The study was conducted at a selected rural-based clinic using an exploratory, descriptive qualitative research approach. Unstructured, in-depth face-to-face interviews were used to collect data from sixteen conveniently sampled teenagers aged 13 -19 who came to Manavhela Clinic for Youth Friendly Services in Au-gust/September 2022. Open-coding analysis was used to identify themes and sub-themes. Measures to ensure trustworthiness were ensured. Ethical clearance (FSH/21/PH/22/2211) was obtained, and ethics principles were observed throughout the study. Two themes emerged from data analysis: STI preventive measures practiced by teenagers and factors influencing the choice of STI preventive measures practices by teenagers. Only a few participants aged 13 and 14 years practiced abstinence and condom use. Most participants were sexually active and used mythical mixtures made from boiling aloe or morula tree, which they drank before and after sex, applying plain yogurt on the vagina once a week, OR vaginal steaming. Participants cited patriarchy, lack of sex education in rural schools, long distances to clinics, and desire to taste sex as reasons for adopting the practiced preventive measures. Risky sexual behaviour among 13 to 19-year-old teenagers is still rife in rural areas. Rural clinics in Limpopo Province should intensify STI school health education and Youth Friendly Services programs to raise awareness and improve accessibility to condoms