scholarly journals The association between men’s family planning networks and contraceptive use among their female partners: an egocentric network study in Madagascar

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alison B. Comfort ◽  
Cynthia C. Harper ◽  
Alexander C. Tsai ◽  
Jessica M. Perkins ◽  
James Moody ◽  
...  
Keyword(s):  
Social Networks ◽  
Family Planning ◽  
Linear Models ◽  
Contraceptive Use ◽  
Social Ties ◽  
Information Support ◽  
Health Providers ◽  
Modern Contraception ◽  
Mixed Network ◽  
Egocentric Network

Abstract Background Ensuring women have information, support and access to family planning (FP) services will allow women to exercise their reproductive autonomy and reduce maternal mortality, which remains high in countries such as Madagascar. Research shows that women’s social networks - their ties with partners, family members, friends, and providers - affect their contraceptive use. Few studies have considered the role of men’s social networks on women’s contraceptive use. Insofar as women’s contraceptive use may be influenced by their male partners, women’s contraceptive use may also be affected by their partner’s social networks. Men may differ by the types of ties they rely on for information and advice about FP. It is unknown whether differences in the composition of men’s FP networks matter for couples’ contraceptive use. This study assessed the association between men’s FP networks and couples’ contraceptive use. Methods This egocentric network study was conducted among married/partnered men (n = 178) in rural Madagascar. Study participants listed who they relied on for FP information and advice, including health providers and social ties. They provided ties’ gender, age, relationship, and perceived support of contraceptive use. The primary outcome was couples’ contraceptive use, and explanatory variables included FP networks and their composition (no FP network, social-only network, provider-only network, and mixed network of social and provider ties). Analyses used generalized linear models specifying a Poisson distribution, with covariate adjustment and cluster robust standard errors. Results Men who had FP networks were 1.9 times more likely to use modern contraception as a couple compared to men with no FP network (95% confidence interval [CI] 1.64–2.52; p ≤ 0.001). Compared to men with no FP network, men were more likely to use modern contraception if they had a social-only network, relative risk (RR) = 2.10 (95% CI, 1.65–2.68; p ≤ 0.001); a provider-only network, RR = 1.80 (95% CI, 1.54–2.11; p ≤ 0.001); or a mixed network, RR = 2.35 (95% CI, 1.97–2.80; p ≤ 0.001). Conclusions Whether men have a FP network, be it provider or social ties, distinguishes if couples are using contraception. Interventions should focus on reaching men not only through providers but also through their social ties to foster communication and support for contraceptive use.

MEN’S SOCIAL NETWORKS AND CONTRACEPTION IN GHANA

2008 ◽  
Vol 40 (3) ◽  
pp. 413-429 ◽  
Author(s):  
WINFRED AVOGO ◽  
VICTOR AGADJANIAN
Keyword(s):  
Social Networks ◽  
Family Planning ◽  
Longitudinal Data ◽  
Conceptual Model ◽  
Contraceptive Use ◽  
Northern Ghana ◽  
Personal Network ◽  
Modern Contraception ◽  
Spousal Communication

SummaryIn this paper, longitudinal data from northern Ghana is used to assess the effects of encouragement to use family planning that men receive from their personal network partners on the adoption of modern contraception by their wives. The study tests a conceptual model that, in addition to the effect of men’s network encouragement, incorporates the effect of encouragement to use family planning that women receive from their respective network partners and the effect of spousal communication on reproductive matters and approval of family planning. Results show that encouragement received by men from their social networks significantly increases the likelihood of subsequent contraceptive use by their wives but this effect operates primarily by galvanizing spousal communication on reproductive matters. The effect of encouragement received by women from their respective network partners is largely independent from the effect of male network encouragement but it influences contraceptive adoption both directly and through spousal communication.

scholarly journals A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Susan Ontiri ◽  
Lilian Mutea ◽  
Violet Naanyu ◽  
Mark Kabue ◽  
Regien Biesma ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Peer Influence ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Modern Contraceptive ◽  
Modern Contraception ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background Addressing the unmet need for modern contraception underpins the goal of all family planning and contraception programs. Contraceptive discontinuation among those in need of a method hinders the attainment of the fertility desires of women, which may result in unintended pregnancies. This paper presents experiences of contraceptive use, reasons for discontinuation, and future intentions to use modern contraceptives. Methods Qualitative data were collected in two rural counties in Kenya in 2019 from women with unmet need for contraception who were former modern contraceptive users. Additional data was collected from male partners of some of the women interviewed. In-depth interviews and focus group discussions explored previous experience with contraceptive use, reasons for discontinuation, and future intentionality to use. Following data collection, digitally recorded data were transcribed verbatim, translated, and coded using thematic analysis through an inductive approach. Results Use of modern contraception to prevent pregnancy and plan for family size was a strong motivator for uptake of contraceptives. The contraceptive methods used were mainly sourced from public health facilities though adolescents got them from the private sector. Reasons for discontinued use included side effects, method failure, peer influence, gender-based violence due to covert use of contraceptives, and failure within the health system. Five reasons were provided for those not willing to use in the future: fear of side effects, cost of contraceptive services, family conflicts over the use of modern contraceptives, reduced need, and a shift to traditional methods. Conclusion This study expands the literature by examining reasons for contraceptive discontinuation and future intentionality to use among women in need of contraception. The results underscore the need for family planning interventions that incorporate quality of care in service provision to address contraceptive discontinuation. Engaging men and other social influencers in family planning programs and services will help garner support for contraception, rather than focusing exclusively on women. The results of this study can inform implementation of family planning programs in Kenya and beyond to ensure they address the concerns of former modern contraception users.

scholarly journals Understanding Family Planning Outcomes in Northwestern Nigeria: Analysis and Modeling of Social and Behavior Change Factors

2020 ◽  
Author(s):  
Paul Hutchinson ◽  
Udochisom Anaba ◽  
Dele Abegunde ◽  
Mathew Okoh ◽  
Paul Hewett ◽  
...  
Keyword(s):  
Family Planning ◽  
Behavior Change ◽  
Large Scale ◽  
Contraceptive Use ◽  
Gender Inequalities ◽  
High Fertility ◽  
Partner Communication ◽  
Cross Sectional ◽  
Modern Contraception ◽  
And Behavior

Abstract Background: Northwestern Nigeria faces a situation of high fertility and low contraceptive use, driven in large part by high-fertility norms, pro-natal cultural and religious beliefs, misconceptions about contraceptive methods, and gender inequalities. Social and behavior change (SBC) programs often try to shift drivers of high fertility through multiple channels including mass and social media, community-level group and interpersonal activities. This study seeks to assist SBC programs to better tailor their efforts by assessing the effects of intermediate determinants of contraceptive use/uptake and by demonstrating their potential impacts on contraceptive use, interpersonal communication with partners, and contraceptive approval.Methods: Data for this study come from a cross-sectional household survey, conducted in the states of Kebbi, Sokoto and Zamfara in northwestern Nigeria in September 2019, involving 3,000 women aged 15 to 49 years with a child under 2 years. Using an ideational framework of behavior that highlights psychosocial influences, multivariate regression analyses assess associations between ideational factors and family planning outcomes, and post-estimation simulations with regression coefficients model the magnitude of effects for these intermediate determinants.Results: Knowledge, approval of family planning, and social influences, particularly from husbands, were all associated with improved family planning outcomes. Approval of family planning was critical – women who personally approve of family planning were nearly three times more likely to be currently using modern contraception and nearly six times more likely to intend to start use in the next six months. Husband’s influence was also critical. Women who had ever talked about family planning with their husbands were three times more likely both to be currently using modern contraception and to intend to start in the next six months. Conclusion: SBC programs interested in improving family planning outcomes could potentially achieve large gains in contraceptive use—even without large-scale changes in socio-economic and health services factors—by designing and implementing effective SBC interventions that improve knowledge, encourage spousal/partner communication, and work towards increasing personal approval of family planning. Uncertainty about the time-order of influencers and outcomes however precludes inferences about the existence of causal relationships and the potential for impact from interventions.

scholarly journals Contraceptive prevalence and factors influencing utilization among women in Pakistan: a focus on gender-based violence

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thao Thi Nguyen ◽  
Sarah Neal
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Gender Based Violence ◽  
Contraceptive Methods ◽  
Content Type ◽  
Modern Contraception ◽  
Factors Influencing ◽  
Contraceptive Prevalence ◽  
Gender Based

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.

scholarly journals Applying the Fogg Behavior Model to improve contraceptive social marketing during the COVID-19 lockdown in Nigeria: a case study

2020 ◽  
Vol 4 ◽  
pp. 141
Author(s):  
Dominique Meekers ◽  
Chidinma Onuoha ◽  
Olaniyi Olutola
Keyword(s):  
Family Planning ◽  
Behavior Change ◽  
Social Marketing ◽  
Contraceptive Use ◽  
Current Method ◽  
Behavior Model ◽  
Health Providers ◽  
Change Models ◽  
New Family

The coronavirus pandemic may have harmful effects on use of family planning services. Lockdown regulations make it more difficult for people to visit health providers to obtain information about family planning, to discuss side-effects or problems they are experiencing with their current method, and go out to obtain new family planning supplies (e.g., to renew their contraceptive injection). The inability to earn income during the lockdown may also make family planning products and services unaffordable. As a result, efforts to curb the pandemic may cause unintended interruptions in contraceptive use and may prevent non-users from adopting a contraceptive method. Given these rapidly changing circumstances, it is important that family planning implementers make program adjustments without delay. When a timely programmatic response is of the essence, program implementers need simple behavior change models that can be used to inform programmatic decisions. This paper presents a case study of how DKT/Nigeria applied a behavior change model from persuasive design - the Fogg Behavior Model – to make timely adjustments to their contraceptive social marketing program during the course of the COVID-19 lockdown. Other public health programs, including programs that target health areas other than family planning, may be able to use similar approaches to guide the design of timely and responsive program adjustments.

scholarly journals Would you offer contraception to a 14-year-old girl? Perspectives of health students and professionals in Dar es Salaam, Tanzania

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Dorkasi L. Mwakawanga ◽  
Ever Mkonyi ◽  
Stella E. Mushy ◽  
Maria Trent ◽  
Zobeida Bonilla ◽  
...  
Keyword(s):  
Family Planning ◽  
Sexual Health ◽  
Health Professionals ◽  
Professional Training ◽  
Contraceptive Use ◽  
Health Providers ◽  
African Countries ◽  
Contraceptive Services ◽  
Planning Methods ◽  
Sub Saharan

Abstract Background Rates of unplanned adolescent pregnancy and unsafe induced abortions are very high in Sub-Saharan African countries including Tanzania. Despite their availability and accessibility, modern family planning methods are reported to be critically underutilized by adolescents. This study is part of a broader study that aims to develop a curriculum that will be used in training health professionals by investigating the sexual health training needs of health providers and students in Tanzania. Aim This study describes the perceptions of health professionals and students on the provision of contraceptives to adolescents. Methods Qualitative formative assessment type of research was conducted using 18 focus groups stratified among health professionals and students (midwives, nurses, and medical doctors). Study participants were presented with the theoretical scenario of a 14-year-old girl who sought contraceptive services at a family planning clinic. This theoretical scenario was used to determine how health professionals and students would handle the case. Thematic analysis guided the examination and determination of data results. Results Three main themes emerged from the data, including (1) knowledge about the provision of contraceptives to adolescents, (2) perception of the adolescents’ right to contraceptive use, and (3) barriers to the provision of contraceptives to adolescents. Participants stated that having a baseline knowledge of contraceptive services for adolescents and their rights to contraceptives would trigger their decision on offering the contraceptive. On the other hand, being unaware of the reproductive health rights for adolescents, judgmental behavior of providers, as well as religious and cultural dynamics were all found to be major barriers for providers to offer contraceptive services to the 14-year-old adolescent girl in the theoretical scenario. Conclusion These findings support the need for comprehensive sexual health education in Tanzanian health professional training programs.

ZIKV-Related Ideations and Modern Contraceptive Use: Cross-Sectional Evidence from the Dominican Republic, El Salvador, Honduras, and Guatemala

2021 ◽  
Author(s):  
Julia M. Fleckman ◽  
Martha Silva ◽  
Jeni Stolow ◽  
Kendra LeSar ◽  
Kathryn Spielman ◽  
...  
Keyword(s):  
Family Planning ◽  
Dominican Republic ◽  
El Salvador ◽  
Latin American ◽  
Risk Perceptions ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Modern Contraception ◽  
Modern Contraceptive Use

Zika virus (ZIKV) can be sexually transmitted and can lead to severe neonatal and child health issues. The current study examines whether ZIKV-related ideational factors, including awareness of ZIKV and associated birth defects, are related to modern contraceptive use among women and men with sexual partners in four Latin American and Caribbean (LAC) countries. Data used are from cross-sectional household surveys conducted in 2018 in the Dominican Republic, El Salvador, Guatemala, and Honduras with representative samples of men and women aged 18–49 (N = 1,100). The association between self-reported use of modern contraception and measures of Zika knowledge, risk perceptions and social norms, and contraceptive self-efficacy was examined via sex disaggregated multivariate logistic regression models. Both men (OR 3.70, 95% CI 1.36–10.06, P < 0.05) and women (OR 3.71, 95% CI 2.30–5.99, P < 0.0001), who reported discussing family planning with their partner in the last year were more likely to use modern contraception compared with those who did not. Contrary to our hypothesis, knowledge that ZIKV can affect a fetus was negatively associated with modern contraceptive use for women (OR 0.49, 95% CI 0.29–0.85, P < 0.05). Given the cross-sectional nature of the survey, women not using contraception may be more likely to remember that ZIKV can affect a fetus. In the event of a related outbreak, future health promotion and communication efforts in LAC should focus on known determinants of modern contraceptive use, such as knowledge and partner communication, and knowledge of the health effects of ZIKV if pregnant, to influence family planning decision-making behavior.

scholarly journals Understanding family planning outcomes in northwestern Nigeria: analysis and modeling of social and behavior change factors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paul L. Hutchinson ◽  
Udochisom Anaba ◽  
Dele Abegunde ◽  
Mathew Okoh ◽  
Paul C. Hewett ◽  
...  
Keyword(s):  
Family Planning ◽  
Behavior Change ◽  
Large Scale ◽  
Contraceptive Use ◽  
Gender Inequalities ◽  
High Fertility ◽  
Partner Communication ◽  
Cross Sectional ◽  
Modern Contraception ◽  
And Behavior

Abstract Background Northwestern Nigeria faces a situation of high fertility and low contraceptive use, driven in large part by high-fertility norms, pro-natal cultural and religious beliefs, misconceptions about contraceptive methods, and gender inequalities. Social and behavior change (SBC) programs often try to shift drivers of high fertility through multiple channels including mass and social media, as well as community-level group, and interpersonal activities. This study seeks to assist SBC programs to better tailor their efforts by assessing the effects of intermediate determinants of contraceptive use/uptake and by demonstrating their potential impacts on contraceptive use, interpersonal communication with partners, and contraceptive approval. Methods Data for this study come from a cross-sectional household survey, conducted in the states of Kebbi, Sokoto and Zamfara in northwestern Nigeria in September 2019, involving 3000 women aged 15 to 49 years with a child under 2 years. Using an ideational framework of behavior that highlights psychosocial influences, mixed effects logistic regression analyses assess associations between ideational factors and family planning outcomes, and post-estimation simulations with regression coefficients model the magnitude of effects for these intermediate determinants. Results Knowledge, approval of family planning, and social influences, particularly from husbands, were all associated with improved family planning outcomes. Approval of family planning was critical – women who personally approve of family planning were nearly three times more likely to be currently using modern contraception and nearly six times more likely to intend to start use in the next 6 m. Husband’s influence was also critical. Women who had ever talked about family planning with their husbands were three times more likely both to be currently using modern contraception and to intend to start in the next 6 m. Conclusion SBC programs interested in improving family planning outcomes could potentially achieve large gains in contraceptive use—even without large-scale changes in socio-economic and health services factors—by designing and implementing effective SBC interventions that improve knowledge, encourage spousal/partner communication, and work towards increasing personal approval of family planning. Uncertainty about the time-order of influencers and outcomes however precludes inferences about the existence of causal relationships and the potential for impact from interventions.

scholarly journals Qualitative Study Of Perception And Couples Of Childbearing Age (PUS) Experience Of Modern Contraception In Wirogunan, Mergangsan, Yogyakarta City

2020 ◽  
Vol 8 (3) ◽  
pp. 160
Author(s):  
Susiana Sariyati ◽  
Dyah Pradnya Paramita
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
Development Program ◽  
Primary Data ◽  
Modern Contraceptive ◽  
Childbearing Age ◽  
Traditional Family ◽  
Modern Contraception ◽  
Yogyakarta City

The use of contraceptives is one of the factors that directly affect fertility. Couples of childbearing age (PUS) decisions using contraceptives are influenced by various factors such as demographic, social, economic, legal, political, and environmental conditions. Information on the level of contraceptive use is important to measure the success of the Population, Family Planning, and Family Development Program. Through this strategic goal, the BKKBN seeks to increase the use of modern contraception to control birth rates. The purpose of this study is to determine the perception and experience of PUS regarding the use of modern contraception. The research method used is descriptive qualitative. The subjects in this study were PUS who used traditional family planning, village midwives, cadres in Wirogunan, Mergangsan, Yogyakarta City. Primary data collection on the informant is done by in-depth interviews with PUS using traditional family planning. The results of this study indicate that the PUS perception of the majority of respondents said that modern contraception will fail if it uses an IUD. While most respondents' experiences convey a lot of side effects. This study concludes that PUS perception about modern contraception is a negative perception of fear of failure and experiencing side effects. It is recommended that socialization on modern contraceptive methods by experts from midwives or doctors be trusted by the public regularly

scholarly journals Persisting teen age births, a global challenge

2019 ◽  
pp. 38-45
Author(s):  
Chhabra S
Keyword(s):  
Family Planning ◽  
General Population ◽  
Teenage Pregnancy ◽  
Contraceptive Use ◽  
Risk Behaviour ◽  
Developed Countries ◽  
Cochrane Library ◽  
Health Providers ◽  
Global Challenge ◽  
Teen Births

Introduction: Teen age births, though have reduced, are still common, with a lot of impact on mothers’, babies’, families’, communities’, nations’ health, world at large. Impact can echo throughout girl’s life, carry over to next generations. It has been revealed that globally unmarried adolescents have less access to family planning than general population and sex during adolescence is common with lack of awareness of sequlae in girls, specially in South East Asia. Objectives: To know about teen age births, effects, global challenges in prevention of teen age births, their sequlae. Methodology: Simple review about various studies, health providers views was done by different search engines like Uptodate, Pubmed, Ermed Consortium, Cochrane Library, Delnet, MedIND and self experiences were added. Results: Racial/ethnic geographic disparities in teen births persist, both within, across Countries, States, Districts, Communities, some with low rates and others with high. United States of America (USA) reported much higher teen age births compared to other developed countries though declined after 1991 dramatically between 2007 and 2016 as per published research using National Survey of Family Growth (NSFG) and Youth Risk Behaviour Survey in USA. Change was influenced primarily by increase in contraceptive use, to lesser degree declines in sexual activity. It was also revealed that in all countries, unmarried adolescents appeared to have less access to family planning than general population of. USA Teenage pregnancy has been reported to be associated with number of adverse health outcomes for mother, baby as well as social economic disadvantages for individuals, their future families even next generations. Existing literature suggested that the persistence of teen age births and many other aspects of girls lives reflected range of cultural, socio-economic factors. Conclusion: There is need of Improving adolescents awareness about sexuality, reproduction, sequlae. Access to contraceptives as per need, including emergency conception are essential. Public youth policies must consider the differences in stories of adolescents. Policies programs’ must go around their lives.

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