An explorative qualitative study, using purposive sampling to recruit participants at Haydom Lutheran Hospital from October 2023 to January 2024. Using semi-structured interviews,14 women, one to six months post-delivery were interviewed in Kiswahili language, on perceptions and experiences regarding VAD. Interview guides were used to collect data until the saturation point was reached. Field notes were taken, interviews were audio-recorded, transcribed verbatim and translated into English. Thematic analysis was used to generate themes.

Results
The mean age of the study participants was 24.6. 50% of the participants had primary education, 28.6% had secondary education, 21.4% had college
71.4% had a parity of 1, 7.1% had parity 2, 14,3% had parity 3 and 7.1% had parity 7, The majority were residing in rural

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