MEN’S INVOLVEMENT IN FAMILY PLANNING IN RURAL BANGLADESH

2008 ◽  
Vol 40 (6) ◽  
pp. 815-840 ◽  
Author(s):  
JILL CLARK ◽  
KATHRYN M. YOUNT ◽  
ROGER ROCHAT

SummaryContraceptive prevalence has risen markedly in rural Bangladesh due in part to a doorstep-delivery system initiated by the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B). This study investigates effects of residence in the Matlab MCH-FP treatment area on men’s involvement in family planning. The analysis compares for treatment and comparison areas knowledge of and attitudes toward contraception, as well as levels of contraceptive use, among 413 married men interviewed at the baseline of an ICDDR,B men’s involvement project. Although residence in the MCH-FP area is associated with a higher overall contraceptive prevalence, it also is associated with a lower adjusted ratio of male-to-female method use, and lower odds of other indicators of men’s involvement in family planning. Historical decisions to exclude men from contraceptive decision-making may place the ‘burden’ of contraception on women and may preclude the productive involvement of men. These and other implications and strategies for increased men’s involvement are discussed.

2002 ◽  
Vol 34 (4) ◽  
pp. 497-510 ◽  
Author(s):  
KOLAWOLE A. OYEDIRAN ◽  
GBENGA P. ISHOLA ◽  
BAMIKALE J. FEYISETAN

African men play important roles in the decisions about family life, including fertility and family planning. However, fertility and family planning research and programmes have ignored their roles in the past, focusing only on women’s behaviours. Since the 1994 International Conference on Population and Development (ICPD), interest in men’s involvement in reproductive health has increased. Unfortunately, data on their knowledge and use of contraception are generally scanty. This paper examines knowledge and use of contraception among ever-married men in Nigeria. A total of 1451 ever-married men aged 18–55 were interviewed in Imo and Ondo States, Nigeria. The findings reveal that men’s level of contraceptive knowledge is high in the study areas. About 90% knew at least one method of family planning. Furthermore, the level of contraceptive use among married men is such that men could participate in family planning activities if there were adequate programmes to involve them. Men in the sample areas were found not only to support their spouses’ use of contraceptives, but were actually using condoms to delay or prevent pregnancy. Age, education, place of residence, number of living children and being counselled for family planning were identified as key factors determining contraceptive knowledge and use among married men in the study areas. To ensure increased participation of men in family planning, programmes must be designed to educate them on the need for family size limitation and involve them in service delivery, even if only to their male counterparts.


1989 ◽  
Vol 21 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Mehrab Ali Khan ◽  
Caroline Smith ◽  
Jalaluddin Akbar ◽  
Michael A. Koenig

SummaryAn experimental maternal and child health and family planning programme has been in existence in Matlab for almost 10 years. During this time the project has achieved remarkable success in the area of family planning. Based upon a 1984 survey, this study examines the pattern of contraceptive use in the Matlab treatment area, and contrasts it with the regular government programme in the neighbouring comparison area. Important differences between the two areas are observed, with the treatment area characterized by substantially higher levels of current contraceptive use, greater reliance upon temporary methods for birth spacing and, among acceptors of sterilization, more prior experimentation with other methods. In the comparison area lower rates of contraceptive use are observed, with heavy reliance upon tubectomy for limiting family size. The findings suggest that an intensive and innovative family planning programme in rural Bangladesh can achieve success not only in terms of contraceptive prevalence, but can also attract users interested in child spacing and others wanting to limit their family size, by offering the widest range of contraceptive methods.


1994 ◽  
Vol 26 (3) ◽  
pp. 369-375 ◽  
Author(s):  
M. Kabir ◽  
Ruhul Amin ◽  
Ashraf Uddin Ahmed ◽  
Jamir Chowdhury

SummaryFactors affecting desired family size in rural Bangladesh are examined using data from contraceptive prevalence surveys conducted between 1983 and 1991. The analysis suggests that mothers having two sons and one daughter are more inclined to perceive their family as complete than those having three sons and no daughter. Logistic regression analysis indicates that important determinants of desire for more children are age of woman, current contraceptive use status, work status, and family planning worker's visit. The policy implications of these findings are discussed.


2003 ◽  
Vol 42 (3) ◽  
pp. 197-217 ◽  
Author(s):  
M Framurz Khan Kiani

The study of men in involvement and use of family planning methods is important because of their dominant role in family decision-making in the socio-structural context of Pakistan. The objective of present study is to examine the changes in knowledge and attitude of men about family planning, and also to estimate the extent to which it affects their contraceptive use behaviour. The findings show that men’s knowledge and contraceptive use has increased three times during the period from 1968-69 to 1990. The important factors that determine men’s contraceptive use behaviour are the approval of family planning, the communication with wife on family planning matters, and the desire for children. The multivariate analysis shows that men living in urban areas, with greater knowledge and a positive attitude towards family planning, are more likely to use contraception. In addition, wife’s autonomy is also important in explaining men’s involvement in the use of family planning. The study reveals that most Pakistani men approve of family planning and suggests that men should receive an equal focus together with women in the population welfare programme activities.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thao Thi Nguyen ◽  
Sarah Neal

PurposeIn this study, the authors determined the prevalence of contraceptive use among Pakistani women and assessed factors influencing the utilization of contraception with a particular focus on the experience of gender-based violence.Design/methodology/approachThe dataset used in this study was the Pakistan Demographic Health Survey 2018, which includes married women only. Bivariate analysis and multivariate logistic regression were used to investigate the association between contraceptive use and a number of explanatory variables including experience of gender-based violence.FindingsFrom 2006 to 2018, the contraceptive prevalence rate (CPR) and the use of modern contraceptive methods increased slowly. The findings of this study demonstrated that higher educational level and wealth index increased the likelihood of contraceptive uptake and the use of modern contraception. Media exposure to family planning and spousal communication were protective factors that encouraged women to use contraception, including modern contraception, to avoid unwanted pregnancy. Women who experienced gender-based violence (GBV) were more likely to use contraception than women who did not experience GBV.Research limitations/implicationsThe use of secondary data limited the variety of important variable that should be investigated including knowledge of women on SRH, the attitude of women toward SRH and family planning, the skills of a healthcare provider on counseling family planning, and other barrier variables such as transportation and willingness to pay for contraceptive methods. 10;The sensitivity of the topic is considered as another challenge when collecting data. Women might be hesitant to share about their GBV experience. The experience to GBV is also hard to define and depends on the feeling of each person, especially emotional violence.Originality/valueThis paper is one of the very few studies to examine the association between GBV and contraceptive use, and thus is valuable in opening up debate about the links between these two factors.


2017 ◽  
Vol 6 (10) ◽  
pp. 5513
Author(s):  
Vijayasree L.

The study on contraceptive use and unmet need for family planning is the key to understanding the change in fertility and improving reproductive health. Family planning program aims to not only achieve population stabilization but also to promote reproductive health and reduce maternal, infant & child mortality and morbidity. In this study an attempt has been made to assess the family planning practices adopted in the rural Shamirpet. Probability proportion sampling was done and 402 women were selected from 13 villages. Prevalence of contraception was found to be 61.7%. Permanent methods were preferred over temporary methods. Total unmet need for family planning was 11.7%. The contraceptive prevalence rate found in the present study is higher than the district figures and is on par with the state statistics. Unmet needs also are low compared to state figures.


2016 ◽  
Vol 1 (4) ◽  
Author(s):  
Jacob Daube ◽  
Viktoria Chamberman ◽  
Eliza Raymond

<p><strong>Background</strong>: Improving access to family planning in the Pacific region has been slow, especially for those living in remote and rural areas. Pacific countries consistently report contraceptive prevalence rates well below the United Nations’ global averages for ‘less developed’ regions.  The most recent data available on family planning usage in Kiribati from 2009 reported that the modern contraceptive prevalence rate was just 18.0% and total contraceptive prevalence rate just 22.3%.</p><div><p>The aim of the study was to investigate knowledge and use of family planning and identify barriers to contraceptive uptake for men and women of reproductive age in South Tarawa, Kiribati, to inform future approaches aimed at increasing access to family planning.</p><p><strong>Methods:</strong> A mixed methods approach was used. A community survey of men and women of reproductive age (15-49 years) (n=500) was carried out to identify current levels of knowledge, contraceptive use and barriers to use. Focus groups (n=4) of target populations (men 15-24, men 25-49, women 15-24, women 25-49) were undertaken and in-depth interviews (n=14) were conducted with health professionals and government officials to interpret survey results, further investigate barriers and generate ideas for improving service delivery.</p><p><strong>Findings:</strong> Considerable barriers to family planning use were observed in the community survey and explored in the interviews and focus groups. They can be categorised into four thematic groups: disinterest in family planning; knowledge gaps; personal, family and social objections; and unsuitable service delivery.<strong><em></em></strong></p></div><p><strong>Conclusion:</strong> A broad range of solutions were identified and fourteen service delivery recommendations were made for family planning service providers in South Tarawa. The recommendations may also hold relevance to other Pacific countries, however we encourage service providers to consider their country context before initiating any recommendations provided in this study. </p>


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