scholarly journals Why women do not use contraceptives: Exploring the role of male out-migration

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249177
Author(s):  
Saradiya Mukherjee ◽  
Bidhubhusan Mahapatra ◽  
Niranjan Saggurti
Keyword(s):  
Contraceptive Use ◽  
Married Women ◽  
Group Discussions ◽  
Related Factors ◽  
Rural Settings ◽  
Contextual Understanding ◽  
Married Men ◽  
Multiple Levels ◽  
High Migration

Introduction Contextual understanding of reasons for non-use of contraceptives is key to devising family planning (FP) strategies. This study aimed to understand the reasons for non-use of contraceptives among women in the context of male out-migration. Methods Focus Group Discussions (FGDs) were conducted in two high male out-migration districts in Bihar, namely Nawada and Gopalganj. Twenty-five FGDs were conducted with currently married women with migrant husbands, currently married men and Accredited Social Health Activists (ASHAs) during April-June 2019. Data were analysed by using a thematic approach through Atlas.ti-6.2. Results The reasons for contraceptive non-use in areas with high male out-migration were complex, as this included barriers to contraceptive use unique to high-migration areas and reasons commonly found in other rural settings. Non-use of contraceptives among women with migrant husbands was mostly driven by lack of contraceptive preparedness before husband’s arrival, inability to procure contraceptives due to inaccessibility to health facilities and stigma to procure when husband was away. Other migration environment related factors included low ASHA outreach, myths and side effects of contraceptives, community fertility norms and poor spousal communications around FP. Conclusion The reasons for non-use of contraceptives are multifaceted, complex and interlinked. Exploration of these reasons in migration context suggest that FP programs in migration affected areas need to address a range of barriers to contraceptive use at multiple levels.

Young Married Women’s Perceptions On The Maeanings And Motivations For Their Husbands’ Opposition To Their Modern Contraceptive Use In Malawi

2017 ◽  
Vol 14 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Benjamin Kaneka ◽  
Akim J. Mturi
Keyword(s):  
Contraceptive Use ◽  
Health Workers ◽  
Married Women ◽  
Modern Contraceptive ◽  
Group Discussions ◽  
The Family ◽  
Women’S Perceptions ◽  
Modern Contraceptive Use ◽  
Depth Interviews ◽  
Programme Delivery

Abstract The aim of the study was to examine the perceptions of young married women on meanings and motivations of partner opposition to their contraceptive use. Qualitative data was collected from focus group discussions and individual in-depth interviews with young married women and key informant interviews with health workers and traditional leaders in the districts of Ntcheu, Mangochi and Zomba in Malawi. Thematic data analysis was done using ATLAS ti software version 7. The results show that partners’ opposition to young married women’s use of contraceptives was perceived to be principally motivated by their husbands’ quest to control the sexual and reproductive lives of their spouses. Related to this aspect are the fears and misconceptions that use of modern contraceptives would relieve young married women of the fear of engaging in extra marital affairs as they would no longer be afraid of being discovered through pregnancy. Hence, the opposition was perceived to safeguard their marriages from instability and dissolution. The paper asserts that there should be a shift in the family planning programme delivery in the country aimed at reducing or eliminating partner opposition to young married women’s contraceptive use through involvement and inclusion of partners in the designing and implementation of contraceptive information and service provision interventions.

scholarly journals The Religious Teaching and Women’s Sexuality Construction

2016 ◽  
Vol 9 (1) ◽  
pp. 118-118
Author(s):  
Z. Ghorashi ◽  
◽  
E. Merghati Khoe ◽  
Keyword(s):  
Focus Group ◽  
Married Women ◽  
Health Centers ◽  
Reproductive Age ◽  
Sexual Practice ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Religious Teaching ◽  
Role Of Religion

Objective: In Iran, sexual understandings are strongly determined by religious teaching among women in particular. The aim of this study was to determine the role of religion on Iranian women’s sexual practice evolution. our purpose was to detect women’s individual conceptualization of Islamic Shiite principles and their practice upon these conceptualizations. Design and Method: In this qualitative study, 52 married women in their reproductive age were interviewed (n=4) and participated in eight focus group discussions. They were selected from public health centers in Rafsanjan. Emerged data from the interviews and focus group discussions were analyzed using content analysis. Results: Findings are categorized in three major themes: “unconditional obedience”, ”inconsistency between obedience and virtue”, “misunderstandings”. Conclusions: Religious teaching has a basic and comprehensive role in sexual behavior construction and sexual health of women. However, occasional inconsistency between believes, learning and sexual expectations, practices and situations would lead to jeopardize the psychological and somatic health of women. Misunderstandings have essential role in making such problems.

Side effects and discontinuation of oral contraceptive use in southern Brazil

1986 ◽  
Vol 18 (3) ◽  
pp. 261-271 ◽  
Author(s):  
Barbara Janowitz ◽  
Thomas T. Kane ◽  
Jose Maria Arruda ◽  
Deborah L. Covington ◽  
Leo Morris
Keyword(s):  
Oral Contraceptive ◽  
Side Effects ◽  
Oral Contraceptives ◽  
Contraceptive Use ◽  
Married Women ◽  
Medical Attention ◽  
Southern Brazil ◽  
Oral Contraceptive Use ◽  
Contraceptive Prevalence

SummaryThe subsequent contraceptive behaviour following reported side effects in users of oral contraceptives in the southern region of Brazil is examined in relation to discontinuation of pill use, changing to other methods, termination of contraceptive use, the role of the physician in influencing a woman's decision to discontinue pill use, and discontinuation according to the type of problem experienced.In 2904 currently married women, aged 15–44, almost 75% reported that they had used the pill at some time, and of these 45.6% were still doing so. Women who reported problems with the pill were less likely to be current users (25%) than the women who did not (65%). However, overall contraceptive prevalence was about the same in both groups. Women who stop using oral contraceptives are more likely to be using traditional methods than women in the general population, especially if they want more children. Termination of pill use varies little according to the type of problem reported. Women with problems who sought medical attention were more likely to stop using the pill and so were women advised to stop by their physician, but the major factor affecting discontinuation was the reported experience of a problem.

scholarly journals FACTORS INFLUENCING CONTRACEPTIVE USE AMONG MARRIED WOMEN OF PRODUCTIVE AGE IN INDONESIA

2021 ◽  
Vol 21 (2) ◽  
pp. 38-44
Author(s):  
Rahmah Hida Nurrizka ◽  
Feda Anisah Makiyah ◽  
Agustina
Keyword(s):  
Rural Areas ◽  
Contraceptive Use ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Related Factors ◽  
Cross Sectional ◽  
Modern Contraceptive Use

Indonesia is facing a serious health issue as the total fertility rate (TFR) has significantly  increased in the period of 2000-2017. Contraceptive Prevalence Rate (CPR) is stagnant in the same period. This study aims to assess the use of contraception in reproductive age-married women in Indonesia focusing on Contraceptive Use Mix (CUM) and other related factors. This cross-sectional study used raw data from the Indonesian National Socio-Economic Survey (INSES). The sample was 15-49 years married women with contraceptive use in 34 provinces in Indonesia. Total sample were 19,991 women. The results show that modern contraceptive use was 97.2% as opposed to traditional methods (2.8%). The Short-Acting Reversible Contraceptive (SARC) preferred was injectable methods (55.2%) and pills (21.0%). Factors influenced the use of modern contraceptive use was the number of children with OR = 1.864 (50%CI: 1.534-2.266). This research argues that contraceptive use among married women of productive age is still low in Indonesia, especially rural areas. Therefore, government must increase contraceptive financing and the village midwife program.

scholarly journals Reducing unmet need for contraceptive services among youth in Homabay and Narok counties, Kenya: the role of community health volunteers – a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hermen Ormel ◽  
George Oele ◽  
Maryse Kok ◽  
Happiness Oruko ◽  
Beatrice Oluoch ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Community Health ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Married Couples ◽  
Well Being ◽  
Related Factors ◽  
Community Health Volunteers ◽  
Contraceptive Services

Abstract Background Access to contraceptive services is a cornerstone of human well-being. While Community Health Volunteers (CHVs) promote family planning in Kenya, the unmet need for contraceptives among youth remains high. CHVs seem to pay little specific attention to the contraceptive needs of the youth. Methods We conducted a qualitative study exploring the role of CHVs in increasing access and uptake of contraceptive services among youth aged 18–24 years in Narok and Homabay Counties, Kenya. We undertook 37 interviews and 15 focus group discussions involving CHVs, youth, community members, community leaders, youth leaders and health programme managers. Data were recorded, transcribed, translated, coded and thematically analysed, according to a framework that included community, CHV and health system-related factors. Results CHVs often operated in traditional contexts that challenge contraceptive use among unmarried female and male youth and young married couples. Yet many CHVs seemed to have overcome this potential ‘barrier’ as well as reigning misconceptions about contraceptives. While private and facility-based public contraceptive services were somehow available, CHVs were the preferred service provider for many youth due to ease of access and saving time and transport costs. This was influenced by varied perceptions among youth of CHVs’ knowledge, skills and attitudes regarding contraceptives and provider-client interaction, and specifically their commitment to maintain confidentiality. Conclusions CHVs have the potential to increase access to contraceptives for young people, reducing unmet need for contraceptives. Their knowledge, skills and attitudes need strengthening through training and supervision, while incentives to motivate them and broadening the range of contraceptives they are allowed to offer should be considered.

scholarly journals Females’ Voice through Oral Poetry among Limmuu Oromo, Ethiopia

2017 ◽  
Vol 4 (2) ◽  
pp. 28
Author(s):  
Megersa Regassa Tolasa
Keyword(s):  
Focus Group ◽  
Social Life ◽  
Structured Interview ◽  
Married Women ◽  
Work Place ◽  
Oral Poetry ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Marriage Ceremony

This article discusses about the role of Oromo oral poetry in helping girls[1] and women[2]to express their idea in their social life. It also aims to illustrate the talent of girls and women in creating and poeticizing oral poetry to display their opinion on social occurrences such as marriage ceremony, birth rite and at work place. During data collection, ethnographic methods such as observation, focus group discussions and semi-structured interview were employed. I interpreted data collected from the field through these methods. The analyzed data shows that oral poetry has a crucial role to help girls and women to express their idea in pre and post marriage respectively. Before marriage, it helps girls to display their feeling, thought and emotion concerning their future life and their friend’s social life. By using oral poetry, they advise their friends and show their devotion for each other. In post marriage, through oral poetry, women pray Waaqaa (Oromo God) for a woman who unable to bear child. The paper concludes that, oral poetry helps girls and women to express their opinion in every aspect of their life such as marriage, spiritual, and reproduction issues. Therefore, it helps them to make their voice heard in the community and enhances their creativity.[1] Is durba in Oromo and are unmarried virgin girl.[2] Is dubartii in Oromo and are married women.

Intimate Partner Violence and its Association With Contraceptive Use Among Women in Pakistan

2019 ◽  
Vol 34 (Spring 2019) ◽  
pp. 157-173
Author(s):  
Kashif Siddique ◽  
Rubeena Zakar ◽  
Ra’ana Malik ◽  
Naveeda Farhat ◽  
Farah Deeba
Keyword(s):  
Intimate Partner Violence ◽  
Logistic Regression ◽  
Partner Violence ◽  
Contraceptive Use ◽  
Binary Logistic Regression ◽  
Intimate Partner ◽  
Married Women ◽  
Reproductive Age ◽  
Outcome Variable ◽  
Odds Ratios

The aim of this study is to find the association between Intimate Partner Violence (IPV) and contraceptive use among married women in Pakistan. The analysis was conducted by using cross sectional secondary data from every married women of reproductive age 15-49 years who responded to domestic violence module (N = 3687) of the 2012-13 Pakistan Demographic and Health Survey. The association between contraceptive use (outcome variable) and IPV was measured by calculating unadjusted odds ratios and adjusted odds ratios with 95% confidence intervals using simple binary logistic regression and multivariable binary logistic regression. The result showed that out of 3687 women, majority of women 2126 (57.7%) were using contraceptive in their marital relationship. Among total, 1154 (31.3%) women experienced emotional IPV, 1045 (28.3%) women experienced physical IPV and 1402 (38%) women experienced both physical and emotional IPV together respectively. All types of IPV was significantly associated with contraceptive use and women who reported emotional IPV (AOR 1.44; 95% CI 1.23, 1.67), physical IPV (AOR 1.41; 95% CI 1.20, 1.65) and both emotional and physical IPV together (AOR 1.49; 95% CI 1.24, 1.72) were more likely to use contraceptives respectively. The study revealed that women who were living in violent relationship were more likely to use contraceptive in Pakistan. Still there is a need for women reproductive health services and government should take initiatives to promote family planning services, awareness and access to contraceptive method options for women to reduce unintended or mistimed pregnancies that occurred in violent relationships.

scholarly journals Investigating the status of marital burnout and related factors in married women referred to health centers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahbobeh Nejatian ◽  
Ali Alami ◽  
Vahideh Momeniyan ◽  
Ali Delshad Noghabi ◽  
Alireza Jafari
Keyword(s):  
Marital Satisfaction ◽  
Significant Relationship ◽  
Married Couples ◽  
Married Women ◽  
Health Centers ◽  
Related Factors ◽  
Factors Affecting ◽  
The Status ◽  
Multistage Sampling ◽  
Emotional Burnout

Abstract Background Marital burnout is an important issue in marriage and many factors play an important role in this phenomenon. The aim of this study was to determine the status of marital burnout and the factors affecting married women who were referred to health centers because of it. Methods In this study, 936 women were selected by multistage sampling and data collection was performed using questionnaires of demographic and couple burnout. Data analysis was performed using SPSS software version 24. Results The mean (± SD) of marital burnout, in this study, was 55.46 (± 18.03) (out of 147 score). There was a significant relationship between the level of women's education with total marital burnout, and the subscales of somatic and emotional burnout (P < 0.05). A significant relationship was also observed between mandatory marriage and total marital burnout, as well as subscales of somatic, emotional, and psychological burnout (P < 0.05). A significant relationship was detected and observed between women's participation in training courses of communication skills and total marital burnout, inclusive of the subscales regarding psychological burnout (P < 0.05). The results of linear regression showed a significant relationship between mandatory in marriage, marital satisfaction, marriage duration, and husband's level of education with women's marital burnout. The variables were finally able to predict 12% of marital burnout variance. It should be noted that marital satisfaction had a higher effect on predicting marital burnout (P < 0.001). Conclusions Marital satisfaction was one of the effective factors in predicting marital burnout, so it can be concluded that it is necessary to pay more attention to this issue. Educational programs and examining the factors that enhance marital satisfaction are needed to prevent and reduce marital burnout in married couples.

Fostering climate change consensus: The role of intimacy in group discussions

2021 ◽  
pp. 096366252110206
Author(s):  
Lyn M. van Swol ◽  
Emma Frances Bloomfield ◽  
Chen-Ting Chang ◽  
Stephanie Willes
Keyword(s):  
Climate Change ◽  
Group Discussion ◽  
Group Consensus ◽  
Group Discussions ◽  
Self Disclosure ◽  
Group Attraction ◽  
Climate Change Information ◽  
To Come ◽  
Collective Engagement

This study examined if creating intimacy in a group discussion is more effective toward reaching consensus about climate change than a focus on information. Participants were randomly assigned to either a group that spent the first part of an online discussion engaging in self-disclosure and focusing on shared values (intimacy condition) or discussing information from an article about climate change (information condition). Afterward, all groups were given the same instructions to try to come to group consensus on their opinions about climate change. Participants in the intimacy condition had higher ratings of social cohesion, group attraction, task interdependence, and collective engagement and lower ratings of ostracism than the information condition. Intimacy groups were more likely to reach consensus, with ostracism and the emotional tone of discussion mediating this effect. Participants were more likely to change their opinion to reflect that climate change is real in the intimacy than information condition.

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