Rethinking Cultural Factors Through a Structural Health Vulnerability Approach: A Critical Perspective of a Family Planning Evaluation in Rural Uganda

2021 ◽  
Author(s):  
Geneviève Fortin ◽  
Marie-Catherine Gagnon-Dufresne ◽  
Kirsten Bunkeddeko ◽  
James Muwereza ◽  
Kate Zinszer
Keyword(s):  
Family Planning ◽  
Cultural Factors ◽  
Critical Perspective ◽  
Structural Health ◽  
Health Vulnerability

scholarly journals Low contraceptive utilization among young married women is associated with perceived social norms and belief in contraceptive myths in rural Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247484
Author(s):  
Tariku Dingeta ◽  
Lemessa Oljira ◽  
Alemayehu Worku ◽  
Yemane Berhane
Keyword(s):  
Family Planning ◽  
Social Norms ◽  
Unmet Need ◽  
Cultural Factors ◽  
Married Women ◽  
Multivariable Logistic Regression Analysis ◽  
Contraceptive Methods ◽  
Eastern Ethiopia ◽  
Rural Ethiopia ◽  
Contraceptive Utilization

Introduction Despite the increasingly wider availability of contraceptives and the high levels of unmet need for family planning in rural Ethiopia, contraceptive utilization among young married women is low. Studies on associated factors in Ethiopia so far have been focused on individual factors with little emphasis on socio-cultural factors. This study aimed to assess the association between contraceptive utilization and socio-cultural factors among young married women in Eastern Ethiopia. Methods A community-based survey was conducted among young married women aged 14–24 years. A total of 3039 women were interviewed by trained data collectors using a structured questionnaire. Adjusted Odds Ratio (AOR) with 95% Confidence Intervals (CI) was used to identify factors associated with contraceptive utilization using multivariable logistic regression analysis. Results The current contraceptive prevalence rate was 14.1% (95% CI: 12.8–15.5). Perceived social approval (AOR = 1.90; 95% CI = 1.60–2.30) and perception of friends’ contraceptive practice (AOR = 1.34; 95% CI: 1.20–1.54) were significantly and positively associated with contraceptive utilization. On the contrary, increased score of belief in contraceptive myths was significantly and negatively associated with contraceptive use (AOR = 0.60; 95% CI: 0.49–0.73). Moreover, recent exposure to family planning information (AOR = 1.67; 95% CI: 1.22–2.28), ever-mother (AOR = 9.68; 95% CI: 4.47–20.90), and secondary and above education level (AOR = 1.90; 95% CI: 1.38–2.70) were significantly associated with higher odds of contraceptive utilization. Conclusion Only about one-in-seven young married women were using contraceptive methods. Socio-cultural factors significantly influence young married women’s contraceptive utilization. Interventions to address social norms and pervasive myths and misconceptions could increase the use of contraceptive methods in young married women.

CULTURAL FACTORS IN FAMILY PLANNING

1970 ◽  
Vol 175 (3 International) ◽  
pp. 833-846 ◽  
Author(s):  
Lucile F. Newman
Keyword(s):  
Family Planning ◽  
Cultural Factors

scholarly journals ROLE OF SOCIO-DEMOGRAPHIC AND CULTURAL FACTORS IN KNOWLEDGE, ATTITUDE AND PRACTICE OF USERS ABOUT FAMILY PLANNING METHODS AND SERVICES, RENDERING FROM RURAL PRIMARY HEALTH CARE CENTRE OF BANGLADESH

1970 ◽  
Vol 7 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Mohammad Shamsal Islam ◽  
Kourosh Holakouie Naieni ◽  
Hassan Eftekhar Ardebili ◽  
Abbas Rahimi Foroushani ◽  
Amjad Mirani
Keyword(s):  
Family Planning ◽  
Cultural Beliefs ◽  
Unmet Need ◽  
Cultural Factors ◽  
Rural Setting ◽  
Family Planning Services ◽  
Attitude And Practice ◽  
Planning Methods ◽  
Knowledge Attitude And Practice ◽  
Family Planning Methods

Background: The socio-demographic and cultural factors closely related with Knowledge, Attitude and Practice (KAP) of users at rural setting. Unfortunately studies on KAP of women about Family planning services from rural setting are almost absent. This study was designed to determine the responsible factors role on KAP of users for receiving family planning services from rural setting of Bangladesh. Methods: Qualitative descriptive analytical study was employed to follow a structured questionnaire format. A total 420 users were interviewed from two unions. Relevant literatures were reviewed to enhance our understanding of the issue in question. The questionnaires were pretest before finalization and it's has both open and close-ended questions. Results: The knowledge of users (87%) was mostly universal, while community women were more advanced than men. The unmet need for contraception's remains about 16% and 40% of mothers to have unintended births. Of all users, Pill was most known methods (68%), although IUCD (18%) and condom (14%) methods were common at community. Side effect (69%) and husband disapproval (31%) was barrier of practice of FPMs, although space for child bear (37%), health problems (30%), financial problems (25%) and education (8%) were push factors to users. Approximately 40% respondents travelled more than 4 kilometer to getting services. Factors were found to be significantly associated with KAP of users were: education (X2=29.73; p<0.001), occupation (X2=16.67; p<0.001) income (X2=17.61; p<0.011) family size (X2=25.44; p<0.022) distance(X2=18.75; p<0.013) cultural beliefs (X2=23.84; p<0.001, and accessibility (X2=23.67; p<0.00). Poor practice (44%) associated with schooling of users. Conclusion: Regular yard meeting with users' community and services allied persons may be arranged at community levels for upgrading the existing KAP. Stakeholders' from different ages, genders, and socioeconomic groups have to be engaged to promote evidence-based services. Extensive education and communication programs are needed to address family planning methods and services.

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