What Does Family Building Mean? A Qualitative Exploration and a New Definition: a Uk-based Study.

2021 ◽  
Author(s):  
Bola Grace ◽  
Jill Shawe ◽  
Geraldine Barrett ◽  
Nafisat Ohunene Usman ◽  
Judith Stephenson
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Pregnancy Prevention ◽  
Global Public Health ◽  
Framework Analysis ◽  
Cross Sectional Survey ◽  
Fertility Awareness ◽  
Pregnancy Planning ◽  
Number Of Children ◽  
Family Building

Abstract Introduction The importance of improving men’s and women’s knowledge of sexual and reproductive health has been emphasised in numerous global health policies. Fertility awareness literature highlights a disproportionately higher number of articles related to pregnancy-prevention compared to pregnancy-planning, which is justifiable in many contexts. However, the recent concerted effort to improve fertility awareness warrants a closer investigation of basic terminologies in the field. For example, although the term family planning encompasses attaining the desired number of children and spacing pregnancies, it is typically attributed to the practice of limiting the number of children.MethodsWe conducted 35 qualitative in-depth interviews on men, women and healthcare professionals who were sampled from a UK cross-sectional survey. We asked participants about terms such as ‘family planning’ and ‘family building’ to elicit views and explored the appropriateness of the term “family building.” Data were transcribed and analysed via Framework analysis. Results When asked what ‘family planning’ meant to them, study participants stated that the term meant the avoidance of pregnancy. They viewed it as an “umbrella term for the use of contraception methods,” that “paradoxically, the term family planning almost has a negative connotation regarding having a family,” but could not state similar terminology for planning a family. Reasons cited for this perspective include the focus of school education and usage in clinical settings. Conclusions In the absence of an explicit definition in literature, we generated a new definition for family building as follows: “Family building refers to the construction or formation of a family, which can include steps or actions taken by an individual towards having children. In contrast to family planning, the intent focuses on pregnancy planning and childbearing rather than pregnancy prevention. However, it can also include actions taken to space the number of children one has.” Some balance in the global public health messages, including bridging the gap in reproductive health literature, may contribute to the effort to improve fertility knowledge. Additionally, this has implications for promotion of preconception and optimising reproductive health in order to enable men and women achieve their desired fertility intentions, whatever they may be.

Knowledge, attitude and practices regarding implants among women of childbearing age

2021 ◽  
pp. 1-9
Author(s):  
Irshad Begum Shaikh ◽  
Syed Imtiaz Ahmed Jafry ◽  
Syed Muhammad Zulfiqar Hyder Naqvi ◽  
Syeda Nadia Firdous ◽  
Admin
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Contraceptive Method ◽  
Women Of Childbearing Age ◽  
Reproductive Health Services ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Child Bearing

Abstract A cross-sectional survey was conducted from February 2016 to September 2016 to assess knowledge, attitude and practices regarding implants among women of childbearing age visiting Reproductive Health Services Center, Civil Hospital,Karachi. A total of 396 adult non-pregnant married females of child bearing age, from 18 to 49 years old, were interviewed using a structured questionnaire.Only153 (38.6%) of therespondentshad knowledge about implants whereas out of them 122 (79.7%) acquired it from family planning clinics. Almost two third of them (n=267, 67.4%) were in favor of using implants as a contraceptive method. Moreover, 244 (61.6%) of them were of the opinion that if given the choice, they will use implanon though out of total 316 (79.8%) respondents who ever used contraceptives, only 3 (0.9%) used implants.Despiteafavorable attitude, limited knowledge and poor practices of the respondents highlighted the study findings. Keywords: Knowledge, Attitude, Contraception, Progestins, Continuous...

scholarly journals Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Kim Jonas ◽  
Moira Kalichman ◽  
Seth Kalichman ◽  
Chelsea Morroni ◽  
Catherine Mathews
Keyword(s):  
South Africa ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Clinic ◽  
Intimate Partners ◽  
Cross Sectional Survey ◽  
Factors Affecting ◽  
Contraception Use ◽  
Contraceptive Implant ◽  
Men’S Knowledge

Abstract Background Family planning services have been available at no cost in the public health settings of South Africa since 1994, and now include the long-acting reversible contraceptives (LARCs) namely, the contraceptive implant and intra-uterine device (IUD). However, the uptake of LARCs has been declining in the recent years and little is known about the cause of the decline. In many relationships, men may influence their female intimate partner’s contraceptive choices. Thus, men’s involvement in reproductive health decisions and family programming may improve their support for contraceptive use, including the LARC use by their female intimate partners. This study investigated factors affecting men’s support for the use of contraceptive implant by their female intimate partners. Methods A quantitative, cross-sectional survey was conducted among adult men attending a public, primary health clinic in Cape Town, South Africa. Using a structured questionnaire, we measured men’s knowledge, awareness and support of, and attitudes towards use of the contraceptive implant by their female intimate partners. Data were analyzed using SPSS version 25. Results The sample included 65 men with a mean age of 31.2 years. Most (76.6%) believed that both men and women should be responsible for family planning. Support for general contraception use by their female intimate partners was prevalent at 80.0%, but only 33.9% reported that they would like their partners to use the implant in the future, while 35.6% were unsure and 30.5% did not support their partner’s use of the implant. Factors significantly associated with men’s support of their partner’s future use of the contraceptive implant included men’s reports that their partner wished to have another child in future, knowledge that the implant is safe for use by women who have not had children, knowledge that the implant can effectively prevent pregnancy for 3 years, and a positive attitude towards the implant’s long-lasting effectiveness. Conclusion Improving men’s knowledge of, and attitudes toward the contraceptive implant might increase their support for their partner’s use of the implant, which in turn might promote uptake of the implant among women. The findings of our study suggest the importance of actively engaging men in reproductive health and family planning programs.

scholarly journals REPRODUCTIVE HEALTH

2015 ◽  
Vol 22 (01) ◽  
pp. 081-099
Author(s):  
Muhammad Ali Tarar ◽  
Saira Akhtar ◽  
Muhammad Iqbal Zafar ◽  
Sher Muhammad
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Sampling Technique ◽  
Health State ◽  
Reproductive Health Services ◽  
Chi Square ◽  
Number Of Children ◽  
Rural And Urban ◽  
Multistage Sampling ◽  
Rural And Urban Area

Reproductive health is concerned with the people’s ability to have a satisfyingand safe sex life ensuring their capability to reproduce with a liberty of making a decision thatif, when and how often they have to do so. Objective: (1) To examine the females perceptions,attitude and practices about reproductive health services. (2) To determine the level of theirempowerment to take decisions and make choices regarding their own reproductive health. (3)To determine the level of the quality, availability and accessibility of reproductive health servicesand to suggest some measures for policy makers to improve the reproductive health state ofyoung mothers in district Faisalabad. Study Design: A sample of 600 young married females ofage 15-32 years were selected through multistage sampling technique. Period: 2009. SettingArea: Rural and urban area of District Faisalabad. Material and Method: Uni-variate (frequencydistribution and percentage) and Bi-variate analysis (Chi square and Gamma Statistics) wascarried out. Results: Most (44.0%) of the respondents belonged to age category of 26-30years; 35.5% were married up to 18 years; 39.3% had passed up to 5 years marriage duration;71.8% had primary and above level of education. Majority (65.9%) had up to Rs.10,000 permonth income, 49.2% possessed 6-10 family members, 73.5% beard at least 2 and abovelive children, 74.0 % perceived family planning good,79.7% had knowledge of FP and 26.0%practiced FPM (Family Planning Method). The most common FPMs were condom (33.3%) andtubectomy (21.8%) while 41.0% faced side effect because of FPM during their reproductive life.A huge majority (79.8%) of the respondents received ANC, 87.8% made regular visits for medicalcheckup and 48.8% got ANC from Pvt. Hospital during last pregnancy. Bi-variate analysisshowed highly significant relation among age at marriage, awareness level, monthly income,education, number of pregnancies, number of children, number of visits to medical centre,availability of RH services, cultural hindrance and age of respondents vs. their reproductivehealth. Conclusions: Although most of the females were young & educated mothers with goodreproductive health experience and perceived FM good but still lacking in practicing FMPswhich indicates that we need to pay more attention towards female empowerment and decisionmaking authority status at domestic level.

scholarly journals Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

2019 ◽  
Author(s):  
JULIET NABIRYE ◽  
Joseph KB Matovu ◽  
John Baptist Bwanika ◽  
Fredrick Makumbi ◽  
Rhoda K. Wanyenze
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Critical Time ◽  
Hiv Care ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Time Points ◽  
Modern Contraception ◽  
Unintended Pregnancies ◽  
Hiv Positive Women

Abstract Introduction HIV-positive women who are still in the reproductive years need adequate sexual and reproductive health information to make informed reproductive health choices. However, many HIV-positive women who interface with the health system continue to miss out on this information. We sought to: a) determine the proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if any association existed between FP counseling and current use of modern contraception to inform programming.Methods Data were drawn from a quantitative national cross-sectional survey of 5,198 HIV-positive women receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning counseling was defined as receipt of FP information by an HIV-positive woman during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP counseling were done on 2,760 HIV-positive women aged 15-49 years who were not currently pregnant and did not intend to have children in the future. We used a modified Poisson regression model to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders. Analyses were performed using STATA statistical software, version 14.1.Results Overall, 2,104 (76.2%) HIV-positive women reported that they received FP counseling at any of the three critical time-points. Of the 24% ( n =656) who did not, 37.9% missed FP counseling at ANC; 41% missed FP counseling during delivery; while 54% missed FP counseling at the post-natal care visit. HIV-positive women who received any FP counseling were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33).Conclusion Nearly one-quarter of HIV-positive women did not receive any form of FP counseling when they interfaced with the healthcare system. This presents a missed opportunity for prevention of unintended pregnancies, and suggests a need for the integration of FP counseling into HIV care at all critical time-points.

scholarly journals Batak Women's Reproductive Health Rights in Determining the Number of Children and Joining the KB Program

2020 ◽  
Vol 2 (2) ◽  
pp. 412-420
Author(s):  
Esra Simanjuntak ◽  
Sri Rahayu Sanusi ◽  
Asfriyati
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Local Community ◽  
Health Workers ◽  
Sampling Technique ◽  
Number Of Children ◽  
Women’S Reproductive Health ◽  
The Right ◽  
Women's Reproductive Health ◽  
Health Rights

Women's rights based on a patriarchal system which questioned the different biological conditions of women and men are the will of nature (nature), so things such as destiny and nature cannot be changed. Reproductive health is a state of perfect health both physically, mentally and socially and is not merely free from disease or disability in all aspects related to the reproductive system, its functions and processes. Reproductive health problems that occurred in Muara District in 2018, the total coverage of Ante Natal Care visits was 91 out of 299 pregnant women (30.43%). The achievement of use of contraception in 2018 out of 3476 the number of fertile age couples was 1150 people (33.08%) who used family planning and the choice of delivery assistance chosen by the community by a dukun berakak (sibaso). This study aims to explore in depth the perceptions of women's experiences in obtaining the right to determine the number of children and the right to attend the family planning program. This research is a qualitative research with a phenomenological approach. Sampling in this study was conducted by purposive sampling technique. From the suitability and adequacy of the data obtained, there were six informants who participated in this study. The main informant was a Batak woman. Data was obtained through in-depth interviews supplemented with field notes. The results showed that there were a number of women's reproductive health rights that had not yet been fulfilled, namely the right to determine the number of children and birth spacing and the right to attend the KB program. Patriarchal culture influences the position of women in society, women do not know their reproductive health rights. Researcher's suggestion in this study is that health workers have an important role in improving the degree of reproductive health, it is necessary to conduct cross-program and cross-sectoral collaboration with local community leaders to promote women's reproductive rights, because the community is easier to accept input and opinions given by the king custom.

scholarly journals Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

2020 ◽  
Author(s):  
JULIET NABIRYE ◽  
Joseph KB Matovu ◽  
John Baptist Bwanika ◽  
Fredrick Makumbi ◽  
Rhoda K. Wanyenze
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Critical Time ◽  
Hiv Care ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Time Points ◽  
Modern Contraception ◽  
Unintended Pregnancies ◽  
Hiv Positive Women

Abstract Introduction HIV-positive women who are still in the reproductive years need adequate sexual and reproductive health information to make informed reproductive health choices. However, many HIV-positive women who interface with the health system continue to miss out on this information. We sought to: a) determine the proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if any association existed between FP counseling and current use of modern contraception to inform programming. Methods Data were drawn from a quantitative national cross-sectional survey of 5,198 HIV-positive women receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning counseling was defined as receipt of FP information by an HIV-positive woman during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP counseling were done on 2,760 HIV-positive women aged 15-49 years who were not currently pregnant and did not intend to have children in the future. We used a modified Poisson regression model to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders. Analyses were performed using STATA statistical software, version 14.1. Results Overall, 2,104 (76.2%) HIV-positive women reported that they received FP counseling at any of the three critical time-points. Of the 24% ( n =656) who did not, 37.9% missed FP counseling at ANC; 41% missed FP counseling during delivery; while 54% missed FP counseling at the post-natal care visit. HIV-positive women who received any FP counseling were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33). Conclusion Nearly one-quarter of HIV-positive women did not receive any form of FP counseling when they interfaced with the healthcare system. This presents a missed opportunity for prevention of unintended pregnancies, and suggests a need for the integration of FP counseling into HIV care at all critical time-points.

scholarly journals Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

2020 ◽  
Author(s):  
JULIET NABIRYE(Former Corresponding Author) ◽  
Joseph KB Matovu(New Corresponding Author) ◽  
John Baptist Bwanika ◽  
Fredrick Makumbi ◽  
Rhoda K. Wanyenze
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Critical Time ◽  
Hiv Care ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Time Points ◽  
Modern Contraception ◽  
Unintended Pregnancies ◽  
Hiv Positive Women

Abstract Introduction HIV-positive women who are still in the reproductive years need adequate sexual and reproductive health information to make informed reproductive health choices. However, many HIV-positive women who interface with the health system continue to miss out on this information. We sought to: a) determine the proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if any association existed between FP counseling and current use of modern contraception to inform programming. Methods Data were drawn from a quantitative national cross-sectional survey of 5,198 HIV-positive women receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning counseling was defined as receipt of FP information by an HIV-positive woman during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP counseling were done on 2,760 HIV-positive women aged 15-49 years who were not currently pregnant and did not intend to have children in the future. We used a modified Poisson regression model to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders. Analyses were performed using STATA statistical software, version 14.1. Results Overall, 2,104 (76.2%) HIV-positive women reported that they received FP counseling at any of the three critical time-points. Of the 24% ( n =656) who did not, 37.9% missed FP counseling at ANC; 41% missed FP counseling during delivery; while 54% missed FP counseling at the post-natal care visit. HIV-positive women who received any FP counseling were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33). Conclusion Nearly one-quarter of HIV-positive women did not receive any form of FP counseling when they interfaced with the healthcare system. This presents a missed opportunity for prevention of unintended pregnancies, and suggests a need for the integration of FP counseling into HIV care at all critical time-points.

scholarly journals Keluarga Berencana Perspektif Ulama Hadis

2019 ◽  
Vol 6 (1) ◽  
pp. 55-70
Author(s):  
Emilia Sari
Keyword(s):  
Family Planning ◽  
Medical Technology ◽  
Family Planning Program ◽  
Pregnancy Prevention ◽  
Planning Program ◽  
Community Members ◽  
Number Of Children ◽  
Family Behavior ◽  
Islamic Jurisprudence ◽  
Modern Era

Abstract:Family planning is a slogan in the modern era that dictates community members to plan the number of children to be born in a household. For this reason, pregnancy prevention is carried out with this family planning program. This program is carried out with medical technology tools that are modern and traditional. In the study of Islamic jurisprudence itself, there has been a way to prevent pregnancy behavior by way of Azl, even though it has drawn controversy and differences in views from the jurists. This behavior is considered by some experts as natural family behavior that is permissible. Further discussion will be explained in this paper.Keywords: Family Planning, Hadith, Law Abstrak: Keluarga berencana merupakan suatu slogan di era modern yang mendoktrin anggota masyarakat untuk melakukan perencanaan jumlah anak yang akan dilahirkan dalam suatu rumah tangga. Untuk itu dilakukan penanggulangan kehamilan dengan Program KB ini. Program ini dilakukan dengan alat teknologi kedokteran yang modern maupun dengan cara tradisional. Dalam kajian fiqih Islam sendiri pernah terjadi bagaimana perilaku pencegahan kehamilan dengan cara Azl, walaupun hal tersebut menuai kontroversi dan perbedaan pandangan dari para ahli fikih. Perilaku ini dianggap oleh sebagian ahli sebagai perilaku KB alami yang dibolehkan. Pembahasan lebih lanjut akan dijelaskan dalam makalah ini.Kata Kunci: Keluarga Berencana, Hadis, Hukum

ROLE OF FAMILY TYPE IN THE IDEALIZATION OF A LARGER NUMBER OF CHILDREN BY HUSBANDS IN PAKISTAN

2005 ◽  
Vol 38 (2) ◽  
pp. 203-220 ◽  
Author(s):  
BILAL IQBAL AVAN ◽  
SAIMA AKHUND
Keyword(s):  
Family Planning ◽  
Family Structure ◽  
Health Knowledge ◽  
Extended Family ◽  
Population Control ◽  
Family Type ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Number Of Children ◽  
Ideal Number

This study focuses on determining the number of children considered ideal by Pakistani husbands and identifying the factors associated with this, with a special emphasis on family type. A cross-sectional survey was conducted among married males residing in four areas of Khairpur district. An equal number of study participants were selected systematically from each field site to achieve the required sample size of 500. Interviews were conducted by trained fieldworkers using a structured questionnaire to obtain information on background socioeconomic characteristics, family structure and reproductive health knowledge and practices, in particular family planning. Multivariate logistic regression analyses were used to assess the hypothesis that family type has an independent association with husbands’ idealization of a larger number of children. The mean ideal number of children perceived by husbands was four. Living in an extended family (AOR=1·81; 95%CI: 1·11, 3·35) and being illiterate (AOR=2·13, 95%CI; 1·33, 3·42) are significantly associated with idealization of a larger number of children by the husband, while adjusting for socioeconomic status, family structure and family planning information. Understanding the dynamics of family type and its effects on husbands’ opinions regarding ideal number of children can help strengthen population control efforts in Pakistan.

P–483 “It’s a bigger deal for her”: Understanding differences in partner involvement in reproductive health decision-making

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
B Grace ◽  
J Shawe ◽  
J Stephenson
Keyword(s):  
Decision Making ◽  
Reproductive Health ◽  
Decision Makers ◽  
Fertility Awareness ◽  
Female Age ◽  
Men And Women ◽  
Level Of Involvement ◽  
Family Building ◽  
The Right ◽  
Partner Involvement

Abstract Study question What is the level of partners involvement in family-building and reproductive health decisions? Summary answer Level of Involvement ranges from active decision-makers and equal-partnerships to indifferent or no partners. Fertility education needs to be tailored according to level of involvement. What is known already Partner involvement is very important in alleviating stress associated with fertility and reproductive health decisions. Recent global health policies have recognised the importance of improving knowledge and awareness of fertility and reproductive health among couples, additionally there has been a concerted effort among reproductive health groups, to improve fertility awareness. Understanding the role partners play in decision-making is therefore important in order to ensure that men and women achieve their family building intentions. In this study, we interviewed men and women, to understand partners involvement in decision-making. Study design, size, duration The study was a qualitative component of a wider mixed methods study. We carried out 35 in-depth interviews with 15 men and 20 women. Interviewees were purposively sampled to include men and women from the reproductive age range (18–45 years) and of varying ethnic and educational backgrounds. Participants/materials, setting, methods Interviewees were sampled from a UK cross-sectional survey on Fertility Awareness. Survey participants were recruited nationwide via online newspaper and social media adverts and of those who agreed to a follow-up interview, 35 were included this study. Interviews lasted an hour on average. Data was transcribed and analysed via framework analysis. Favourable ethical opinion was given by University College London Research Ethics Committee. Main results and the role of chance We identified four kinds of partner involvement and impact, as follows: Drivers: These are active decision-makers who play a bigger role. The decision is usually clear and directive and are typically women. Quotes describing drives include: “Her body her rights”, “I just went with her [views]”, MP5 - Male, Age 38. “She carries the pregnancy, and it’s a bigger deal for her so it’s important for her to choose.” MP1 - Male, Age 45. Sharers: In these equal partnerships, joint decisions are important. Being similarly minded and aligned is key to achieving desired family building decisions. . “It was very mutual because he’d actually been talking about it for a long time… so we were both completely ready.” Female, Age 31. Neutrals: general indifference to family-building decision-making and are not as proactive as the drivers. Solo: includes individuals with no partners or those who haven’t met a suitable partner at the right time or until later in life, or those for whom singleness by choice is key to their decision-making. “If I did meet the right person yeah, I would love one more child, because I’ve always wanted two” Female, Age 36. Limitations, reasons for caution One of the main methodological limitations of this study is that the interviewees were self-selected, which has implications for generalisability. The results necessarily reflect the views of those who were willing to participate. Online recruitment method could result in potential bias towards respondents of higher socioeconomic status. Wider implications of the findings: To improve fertility awareness, current initiatives need to further explore the impact of partners in family-building decision-making in order to have effective campaigns which can help men and women achieve their desired fertility intentions. Trial registration number Not applicable

Sign in / Sign up

Export Citation Format

Share Document