The importance of husbands’ engagement in family planning discussion to promote contraception use for birth spacing in rural India

2017 ◽  
Vol 31 (2) ◽  
pp. 5-20 ◽  
Author(s):  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammad Farhan Asif ◽  
Zahid Pervaiz ◽  
Jawad Rahim Afridi ◽  
Ghulam Abid ◽  
Zohra S. Lassi

Abstract Background Family planning services deliver a wide range of benefits to the well-being of females and the community. It can curtail the risk of maternal and neonatal mortality through the reduction in abortions and pregnancies. The government of Pakistan has been struggling to convince people about the usefulness of family planning programs. However, different factors related to social norms, values, and culture are important to determine the success of these programs. One such factor is the patriarchal structure of Pakistani society where most of the household decisions are made by men. The objective of this research is to examine the role of the husband’s attitude towards the usage of contraceptives for the unmet need of family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan. Method The dataset of Pakistan Demographic and Health Survey 2017–18 is utilized to examine the role of the husband’s attitude towards the usage of contraceptives in UMNFP among MWRA in Pakistan. Results The UMNFP was considerably lower among MWRA between 40 years and above compared to women 15–19 years. The odds of UMNFP were higher among women and men who were educated up to the primary level compared to those with no education. Odds of UMNFP were higher among women from the poor wealth quintile compared to the poorest wealth quintile; similarly, it was significantly lower among women who were from the richer and the richest wealth quintile compared to the poorest wealth quintile. The odds of UMNFP were lower among women who were employed compared to those who were not employed. Lastly, the odds of UMNFP were higher among women whose husbands opposed to using contraceptives, who perceived that there was a religious prohibition for such use and when a decision on the contraception use was solely made by the husband. Conclusions Husband’s attitude towards the usage of contraceptives is an important predictor of UMNFP. Liaising with the community and religious leaders to persuade people particularly men about the usefulness of family planning programs and encouraging men to understand their women’s say in using contraceptives should be encouraged.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Bagappa Chalawadi ◽  
Dr. Ashok D Holkar

The fertility data indicate that there is a need to change to scenario of contraception use in India. The present paper reports the Family Planning: A Study among 100Men and 100 Women of a Rural Muslim Community in Karnataka state the information was collected through in-depth interviews with structured questionnaire. A considerable proportion of people reported that their spouse encouraged adopting family planning. And very few people reported that their spouse opposed and discouraged the use of family planning methods.


2018 ◽  
Vol 49 (1) ◽  
pp. 41-56 ◽  
Author(s):  
Paul J. Fleming ◽  
Jay Silverman ◽  
Mohan Ghule ◽  
Julie Ritter ◽  
Madhusudana Battala ◽  
...  

2016 ◽  
Vol 9 (2) ◽  
pp. 85
Author(s):  
Misnaniarti Misnaniarti

<p><strong>BACKGROUND &amp; PURPOSE: </strong>One important effort in reducing the Maternal Mortality Rate is integration of Family Planning services into Health Insurance policy. This is giving affordability in health service financing through providing contraceptive accordance with established policy. The purpose of this study is to examine women’s participation in health insurance and correlations to contraception use.</p><p><strong>MATERIAL &amp; METHODS: </strong>The study used the 2012 Indonesian Demographic and Health Survey data-set. Samples were women aged 15 to 49 years, of married status or living together (n=33,465). The dependent variable was contraception used for three categories: Using Long Term Contraceptive, using non-Long Term Contraceptive, and not using any kind of contraception. Data analysis used Chi-square and multinomial logistic regression with complex sample.</p><p><strong>RESULTS: </strong>10.6% of women were found to have used a Long Term Contraception method. Health insurance membership has correlations to contraceptive use (OR=1.241 and 0.964, <em>p</em>&lt;0.05, CI 95%), with confounder variables of age (<em>p</em>&lt;0.05, OR=1.428 and 0.648), education (<em>p</em>&lt;0.05, OR=1.402 and 1.064), work status (<em>p</em>&lt;0.05, OR=1.151 and 0.966), parity (<em>p</em>&lt;0.05, OR=3.114 and 1.685), perception of ideal number of children (<em>p</em>&lt;0.05, OR=2.057 and 1.682), husband’s education (<em>p</em>&lt;0.05, OR=0.166 and 0.920), husband's work (<em>p</em>&lt;0.05, OR=1.247 and 2.469), and role of media (<em>p</em>&lt;0.05, OR=1.255 and 1.084).</p><p><strong>CONCLUSION &amp; RECOMMENDATIONS: </strong>This study was empirical evidence in Indonesia that health insurance factors have a significant correlation to Long Term Contraceptive use in women. It is recommended for government to maintain and improve policies that integrate Family Planning services into National Health Insurance. </p>


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C W Rijlaarsdam ◽  
D W M van Sambeek ◽  
L Rust

Abstract Issue/problem Unplanned and unwanted pregnancies are an important issue in public health. Especially when parents already are in complex or vulnerable situations, for example being homeless, having an addiction, serious psychiatric- or financial problems or intellectual disabilities. Although most of these parents are in contact with several professionals, family planning and contraceptives are rarely discussed. Description of the problem In 2014 a pilot programme was developed to support vulnerable adults on family planning and adequate use of contraception. In a qualitative explorative case study the pilot was evaluated. Results The pilot showed a significant increase in postponed pregnancies by using appropriate contraceptives. Over eighty percent of this population started contraception on a voluntary basis. The study showed 5 determinants influencing contraception use: responsibility, knowledge, finance, emotion and social environment. If needed, the programme played a role on all different determinants. The method of working was the key element in the success: addressing family planning and contraceptive use through an outreach practise orientated presence approach and empowerment. Another important factor for success was the collaboration between public health and medical doctors. Lessons The successful pilot became regular care for vulnerable (potential) parents in Tilburg. The pilot was replicated in two other cities, Rotterdam and Nijmegen, with similar results. In 2018-2021 the programme will be implemented nationwide with financial support of the Ministry of Health, Welfare and Sports, coordinated by GGD GHOR Nederland (the Association of GGDs (Regional Public Health Services) and GHOR-(Regional Medical Emergency Preparedness and Planning) offices in the Netherlands). Key messages ‘Pregnant not now!’ successfully supports vulnerable people with family planning and contraceptives, helping them to gain control over their future and preventing unplanned and unwanted pregnancies. The programme is unique and preventive, its innovative character is applicable in other communities in the Netherlands and possibly across Europe.


2020 ◽  
pp. 1-19
Author(s):  
Reyhaneh Bagheri ◽  
Rashidah Shuib ◽  
Premalatha Karupiah ◽  
Panteá Farvid ◽  
Farideh Khalajabadi-Farahani

Abstract From 1989 to 2014, Iran was known as a country with a successful family planning programme, and has experienced a sharp decline in fertility over recent decades. This led to the introduction of pronatalist policies in 2014 and the restriction of family planning services. The aim of this study was to explore men’s views on their access to contraceptive information and services and the socio-cultural barriers to such access in Tehran. The qualitative study was conducted in 2014 using in-depth interviews with 60 married men of varying ages and socioeconomic status from across Tehran. The data were analysed with a basic interpretive approach using MAXQDA10. Although the majority of the men acknowledged the importance of family planning and contraceptive use, they reported that their access to contraceptive information and services was limited. Discussion of sexual matters and contraception among men was identified as being somewhat embarrassing. Three main issues were identified: (1) men’s poor awareness of contraceptive use; (2) men’s poor access to high-quality health care services; and (3) cultural taboos and gender norms as barriers to contraception use by men. Socio-cultural and gender norms were found to significantly affect the men’s contraceptive use. The study results support the growing call for gender-transformative approaches to family planning and reproductive health service delivery in Iran, to involve men and facilitate their greater participation.


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