the actual number of children they already have. These conflicting beliefs are explained by socio-cultural norms, the prestige of having children and the cost of living. Clients desire to have more than two or three children because of the prestige associated with large families. Conversely, clients are under the pressure of economic constraints.

Using Ndawane's example, this study describes the factors which influenced him to change his fertility intention. Ndawane is a 27 year-old man and he has been in a marital union since he was 19. He has three children aged eight, six and three years old. At the time of the interview, Ndawane was unemployed and his wife was a farmworker. In order to support his family he works in small activities in the informal sector and helpingthrough counselling practices {#Sec17}
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Most clients had varying perceptions of the involvement of male partners in counselling sessions. Male clients said that when they see a man escorting his wife/partner to the health centre, he is "labelled as a man who is dominated by his wife". Other comments included: "it is women's matter, and it is better that the man let her go alone"; "there is no space for men in the consultation room"; and "it is an obstruction of female matters". Conversely, several female clients said they were "afraid of being subject to teasing or rumours", "man often says \[he\] is not available", and "there are resistance from the male partners". This is demonstrated below:"*Women when they see a man in counselling practices, they start to laugh at