scholarly journals Concordance, communication, and shared decision-making about family planning among couples in Nepal: A qualitative and quantitative investigation

2019 ◽  
Vol 37 (2) ◽  
pp. 357-376
Author(s):  
Carol R. Underwood ◽  
Lauren I. Dayton ◽  
Zoé Mistrale Hendrickson
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Shared Decision Making ◽  
Quantitative Study ◽  
Shared Decision ◽  
Partner Communication ◽  
Joint Decision ◽  
Couple Communication ◽  
Spousal Concordance ◽  
Planning Decision

Couple communication and joint decision-making are widely recommended in the family planning and reproductive health literature as vital aspects of fertility management. Yet, most studies continue to rely on women’s reports to measure couple concordance. Moreover, the association between communication and decision-making is often assumed and very rarely studied. Arguably, associations between dyadic communication and shared decision-making constitute a missing link in our understanding of how communication affects fertility-related practices. Informed by Carey’s notions of transmission and ritual communication, this study sought to address those gaps with two complementary studies in Nepal: a qualitative study of married men and women and a quantitative study of 737 couples. To assess spousal concordance on matters of family planning-related communication and decision-making in the quantitative study, responses from the couple were compared for each question of interest and matched responses were classified as concordant. Quantitative results found that more than one-third of couples reported spousal communication on all measured family planning-related topics. Nearly, 87% of couples reported joint decision-making on both family planning use and method type. Partner communication was significantly and positively associated with concordant family planning decision-making in both bivariate and multivariate models. Couples communicating about three family planning topics had more than twice the odds of concordant family planning decision-making than did those not reporting such communication. The qualitative findings provided insights into discordant as well as concordant interactions, revealing that decision-making, even when concordant, is not necessarily linear and is often complex.

scholarly journals Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala

2020 ◽  
Vol 8 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Meghna Nandi ◽  
Jillian Moore ◽  
Marcela Colom ◽  
Andrea del Rosario Garcia Quezada ◽  
Anita Chary ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Provider Bias

scholarly journals Determinants of Male Involvement in Family Planning Services in Abia State, Southeast Nigeria

2021 ◽  
Author(s):  
Chidinma Ihuoma Amuzie ◽  
Uche Ngozi Nwamoh ◽  
Andy Ukegbu ◽  
Chukwuma David Umeokonkwo ◽  
Benedict Ndubueze Azuogu ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Shared Decision Making ◽  
Employment Status ◽  
Male Involvement ◽  
Shared Decision ◽  
Family Planning Services ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Active Involvement

Abstract Background: Male involvement in family planning (FP) remains low in male-dominant communities. Family planning contributes to the regulation of fertility and population growth in Nigeria. Increasing male involvement in family planning services is crucial in reducing maternal morbidity and mortality in patriarchal societies such as Nigeria. This study identified the determinants of male involvement in family planning services in Abia State, Nigeria. Methods: This was a cross-sectional study conducted in twelve communities of Abia State, Nigeria. A total of 588 married men who met the eligibility criteria were recruited using a multistage sampling technique. An interviewer-administered semi-structured questionnaire was used to collect data on the variables. Univariate, bivariate and multivariate analysis was done. The level of significance was set at 5%. Results: The overall level of active male involvement in family planning services was 55.1% (95% CI:51.0%- 59.2%). The mean age of the respondents was 42.4±8.0 years. Access to television (aOR= 1.58, 95% CI: 1.05-2.39), spouse employment status (aOR= 2.02, 95% CI: 1.33-2.06), shared decision-making (aOR= 1.66, 95% CI: 1.05-2.62), and accompanying spouse to the FP clinic (aOR= 3.15, 95% CI: 2.16-4.62) were all predictors of active male involvement.Conclusion: Active involvement of men in family planning services was moderate. This was predicted by access to television, employment status of spouse, shared decision-making, and accompanying spouse to the FP clinic. There is a need to focus on the identified factors in order to further improve the active involvement of men in FP services.

scholarly journals The Extent of Male Partners’ Participation in Family Planning: A Case of Tarime District, Tanzania

2020 ◽  
Vol 1 (3) ◽  
pp. 136-144
Author(s):  
Zena Ismail Machinda ◽  
J. M Mbonile ◽  
Herrieth Godwin Mtae
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Family Income ◽  
Male Partners ◽  
Partner Communication ◽  
Joint Decision ◽  
Family Planning Programs ◽  
The Family ◽  
Planning Methods ◽  
Family Planning Methods

This study sought to examine the extent of male partners’ participation in family planning in Tarime District, Tanzania. The study adapted a mixed research design to generate data through in-depth interviews, focus group discussions and questionnaires. The instruments were employed to 312 respondents. The analysis was done using descriptive statistics and thematic approach. The major findings indicated that men were the major decision makers within the household because in many situations, they owned the family income and they were the breadwinners. Study participants had different perceptions of family planning methods but generally, fear of side effects was found to be the major hindrance to enhanced use of family planning methods. Furthermore, some people associated the use of family planning with unfaithfulness or promiscuity. The study recommends that it is important to consider the multiplicity of social realities in the efforts to improve the acceptability of the modern family planning services. In addition, efforts need to be intensified to encourage partner communication and engagement in order to improve the family planning practices. Future family planning programs should look at addressing underlying social norms leading to gender inequality and lack of joint decision-making. Finally, family planning programs should encourage communication and joint decision-making among couples in households.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

On the evaluation of shared decision making: The Decision Evaluation Scales

2004 ◽  
Author(s):  
P. F. M. Stalmeier ◽  
M. S. Roosmalen ◽  
L. C. G. Josette Verhoef ◽  
E. H. M. Hoekstra-Weebers ◽  
J. C. Oosterwijk ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision

Shared Decision Making to Increase Family Involvement in the Care of Consumers With SMI

2013 ◽  
Author(s):  
Shirley M. Glynn ◽  
Lisa Dixon ◽  
Amy Cohen ◽  
Amy Drapalski ◽  
Deborah Medoff ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Family Involvement ◽  
Shared Decision

Shared-Decision-Making

2018 ◽  
Vol 09 (06) ◽  
pp. 250-252
Author(s):  
Rainer Bubenzer
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Partizipative Entscheidungsfindung ◽  
Shared Decision ◽  
Sich Eine

Auch in der Onkologie hat das Thema Patientenbeteiligung zunehmend an Bedeutung gewonnen. Ein häufig genanntes Mantra dazu lautet: Viele Patienten wünschen sich eine aktivere Rolle bei der eigenen Gesundheitsversorgung, am besten auf „Augenhöhe“. Ein Ansatz, der solche Wünsche berücksichtigt, ist die partizipative Entscheidungsfindung (PEF, shared-decision-making). Auch auf gesundheitspolitischer Ebene spielt PEF eine wachsende Rolle, wird z. B. im Rahmen des Nationalen Krebsplans spezifisch gefördert (►siehe Kasten). Ob und wieweit diese ambitionierten Ziele in der Onkologie in der Versorgungswirklichkeit angekommen sind, war eines der Themen beim 17. Deutschen Kongress für Versorgungsforschung in Berlin. Es zeigte sich: PEF ist in vielen Bereichen der Onkologie noch längst nicht angekommen.

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