Behind every abortion, of course, is an unintended or unwanted pregnancy. Lack of access to contraceptives is the most commonly cited cause of those pregnancies, according to the South African health professionals we interviewed. The World Bank has found that 60 percent of South African women use contraceptives, but access varies greatly by community. Less than half of sexually active teenagers report using condoms; nearly 20 percent report forgoing contraception entirely. Meanwhile, in the Eastern Cape, we heard stories of teens having sex for money, shoes or cellphone credit. Unemployment in South Africa hovers around 25 percent, and the recent and bloody strikes by black laborers at mining facilities have ignited a debate over the persistent social inequalities in the country nearly twenty years after the end of apartheid.
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