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Here in South Africa, it's always been an alternative to Gertruida and they were historically used at the same time, with no real difference in usage, though Gertruida was always more popular, probably because it is closer in sound and spelling to the male name Gert, making it an obvious way to honour a male when naming a female.

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I haven't seen Geertruida used by or on living women; I suspect that it's been replaced by Gertruida.