scholarly journals Motivation and Involvement of Men in Family Planning in Pakistan

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.

Author(s):  
Muluken Dessalegn Muluneh ◽  
Lyn Francis ◽  
Mhiret Ayele ◽  
Sintayehu Abebe ◽  
Misrak Makonnen ◽  
...  

This study examines the associations between women’s empowerment and family planning use in Jimma Zone, Western Ethiopia. A total of 746 randomly selected married women of reproductive age were interviewed. The data were employed by structural equation modelling (SEM) to investigate the complex and multidimensional pathways to show women’s empowerment domains in family planning utilisation. Results of the study revealed that 72% of married women had used family planning. Younger women, having access to information, having access to health facilities and being aware about family planning methods, living in a rural area, having an older partner and increased household decision-making power were associated with using family planning methods. Women’s empowerment is an important determinant of contraceptive use. Women’s empowerment dimensions included increased household decision-making power, socio-demographic variables and having access to information about family planning and accessible health facilities. These were found to be important determinants of contraceptive use. Future interventions should focus on integrating women’s empowerment into family planning programming, particularly in enhancing women’s autonomy in decision making. Further research is warranted on the socio-cultural context of women that influences women’s empowerment and family planning use to establish an in-depth understanding and equity of women in society.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Muhammed S. A. Masood ◽  
Nabila A. A. Alsonini

Background. The Yemeni government is focusing more attention on the needs of youth to ensure a healthy transition to adulthood. This is critical because adolescent population (ages 15–24) of 3.35 million will double in just 20 years. Young adults often lack basic knowledge about reproductive health and family planning. Objectives. To determine reproductive health and family planning knowledge and attitude among young adults aged 15 to 25+ years. Method. Sample study was taken from Marie Stopes International in Yemen which was conducted from March to July 2013 on the reproductive health age 15–49 years. Descriptive, bivariate, and multivariate analyses were employed. Results. Majority had heard about reproductive health and family planning and encouraged its methods. Television, relatives, and radio were major sources of information. Adults with higher education tend to have more awareness about health services. Knowledge about health services and family planning methods among older adults was significant, and adults in Belqees Club were more likely to have high empowerment scores for family planning methods. Conclusion. The level of knowledge about health services for reproductive health and family planning and its methods was low to moderate. The introduction of contraceptives remains a challenge in Yemen because the educational reproductive health is weak in Yemeni schools or health institutes or universities. Information about reproductive health and family planning should be provided to adolescents through medical schools curricula.


2018 ◽  
Vol 2 ◽  
pp. 20
Author(s):  
Elena Bertozzi ◽  
Amelia Bertozzi-Villa ◽  
Praveen Kulkarni ◽  
Aparna Sridhar

Background: In response to a Grand Challenges in Global Health call for action to collect data about family planning intentions and increase the uptake of family planning methods in India, our team designed, developed, and piloted the My Future Family video game in Karnataka Province. The game educates adolescents about human sexuality and reproduction while asking players when they would like to achieve five important family planning milestones.  Participants were also asked to report who influences them the most when making family planning decisions. Methods: Focus groups were conducted and the resulting data used to design the game which was iteratively tested and then piloted in 11 schools in rural and urban areas of southern India. Data was collected throughout gameplay and cross-checked with paper questionnaires.  Results: In August 2018, we successfully piloted the game with 382 adolescents and validated its efficacy both as an educational tool and as an innovative means of accurate data collection.  Conclusion: It has historically been problematic to gather accurate data about adolescents in India on this culturally sensitive topic for a variety of reasons. These include difficulties obtaining consent, developing appropriate survey methods, and framing questions in language that young people can understand. Our game met these challenges by working within a single school system with approval from senior administration, delivering information via a game environment, which freed players from societal constraints, and communicating information via images and audio in addition to text in both English and Kannada (the local language).


Author(s):  
Rakesh Patel ◽  
Runoo Ghosh

Background: Lack of awareness, knowledge and education, religious beliefs and fear of side effects are the main causes why women do not use family planning methods. To study the knowledge, attitude and practice of contraception among clients undergoing to Medical termination of pregnancy (MTP) and sterilization.Methods: This prospective study was done among 400 indoor cases at Department of Obstetrics and Gynecology in B.J. Medical college, Ahmedabad during July 2002 to October 2003. All the clients undergoing MTP and sterilization were explained and counseled about contraception with GATHER approach of family planning. After taking detail history, a thorough clinical examination of the clients was carried out with preliminary investigations.Results: Almost 58% clients were willing to accept TL method as contraceptive option, 39.5% IUCD, 1.75% OC pill method of contraception. Regarding history of side effect of contraceptive use, 17.3% condom users, 68.5% OC pill users, 63% CuT users have felt side effect. Almost 42.5% clients were operated by MTP + Lap TL, 39.5% by MTP + CuT and 14.5% by plain Lap TL.Conclusions: Efforts should be made to promote information, education and communication regarding emergency contraception targeted to all women of reproductive age group. It is important that unwanted pregnancy be prevented through effective contraceptive practice rather than abortion.


2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Idesi T. Chilinda ◽  
Alison Cooke ◽  
Dame T. Lavender

Background: The importance of modern contraceptive methods in averting unwanted pregnancies has been acknowledged in Malawi. Currently, the country has registered the highest rates of unsafe abortions, unmet needs for contraception and a low contraceptive prevalence rate. Understanding why these rates exist is important. However, women’s views and experiences regarding uptake of family planning methods in Malawi have not been explored.Methods: A grounded theory methodology was used. Data were gathered through in-depth interviews with women (n = 18), men (n = 10), healthcare workers (n = 10) and non-participant observations of family planning clinic consultations (n = 10). Data were analysed using constant comparative technique. Methods of open, axial and selective coding enabled subsequent conceptualisations until theoretical saturation occurred.Results: The core category ‘disenabling environment prevents women’s family planning needs from being met’ provides an understanding of women’s, men’s and healthcare workers’ experiences of contraceptive use and non-use. The disenabling environment contributed to shaping women’s family planning experiences. This was supported by three main categories: navigating the processes, disempowerment of women and learning by chance.Conclusion: Findings from this study illuminate contextual issues into how women, men and healthcare workers experience family planning use and non-use in Malawi. A multifaceted strategy is required to support a woman’s family planning needs. At community level, awareness and education of family planning methods is required to actively inform all people in society so that they support a woman’s family planning needs. At national level, laws that would empower women with decision-making ought to be developed and enforced.


2017 ◽  
Vol 2 (1) ◽  
pp. 20
Author(s):  
Tisnilawati Tisnilawati

Up to now, male participation in Family Planning in Indonesia has been very low. The achievement of active condom acceptor program in North Sumatera Province in 201I was 18.7% and active acceptors of MOP (Male Operation Method) were 53.2%. The achievement of condom Family Planning acceptors in Serdang Bedagai District was I3.l%, while the achievement of MOP acceptors was 55.2%. Celawan Village is one of the villages in Pantai Cermin Subdistrict, Serdang Bedagai District, which has high male participation in Family Planning: condom was 5.5% and MOP was 1.0%.The objective of the research was to reduce some factors which influenced male participation in Family Planning program which included predisposition factors (knowledge and attitude), support (access to service and facilities), and motivation (wife's support, family support, and peer group support) at Celawan Village, Pantai Cermin Subdistrict, Serdang Bedagai District. The research was  survey with cross sectional design. It was conducted from August to November, 2014. The population was 60 husbands of fertile age couples who participated in Family Planning, and all of them were used as the samples. The data were collected by conducting interviews with questionnaires and analyzed by using exploratory method factor analysis.The result showed that statistically the factors that influenced the participation of male in family Planning, were (1) facility factors included family planning facilities, consultation and guidance of family planning officers, the availability of referral transport, (2) participation factors included motivation, understanding of the types of contraception, support for family planning programs, and understanding of the reproductive organs, (3)response factors included  access to family planning methods, side effects, cost of short and long term family planning, (4) the location factors included ease to the health facility, the presence of officers, access to information, and the availability of contraceptives, and (5) supporting factors included  wife support, support for becoming family planning cadres in choosing family planning methods. All five of these factors has the power of 69,5% able to explain the influence of the participation of male in family planning.Keywords: Factor Analysis, Male Participation, Family Planning


2019 ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  

Abstract Background: Despite availability of modern family planning methods and a desire for smaller families, many women decide to forgo modern methods due to anticipated side effects. The goal of this study was to examine the use of modern family planning in one district in rural Ghana, and to understand the role that side effects play in women’s decisions to start or continue use. Methods: This exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old from the Amansie West District of Ghana. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects. Results: The prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n=135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Conclusion: As programs have improved women’s ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women’s needs in low-income countries.


Author(s):  
Vidhya Rajan ◽  
Saraswathi Kandasamy

Background: According to WHO, the ideal interval between two pregnancies is 24 months. In India the contraceptive needs of young couples especially in the area of spacing pregnancies is largely unmet. Hence this study is undertaken to know the pre-existing knowledge of our antenatal population regarding contraceptive methods available for birth spacing. Aim of the study was to the knowledge and attitude regarding birth spacing family planning methods among antenatal mothers.Methods: It was a cross sectional study. Antenatal mothers attending the antenatal outpatient department of SBMCH, who are intending to have another child are invited to participate in this study. With informed consent, they are asked to fill a questionnaire, with questions regarding their knowledge and attitude towards the advantages and disadvantages of various contraceptive methods for birth spacing. The results of the study were analyzed by statistical analysis inrespect to various demographic factors of the population.Results: Total 92%of antenatal mothers were aware of health benefits associated with birth spacing. Yet only 45% were willing to adopt a method of contraception. Condoms is the most commonly preferred method for contraception (33.3%) and fear for side effects (43%) is the most common reason for not accepting a particular method of contraception.Conclusions: Though the awareness regarding the need and methods available for birth spacing methods of are widely prevalent in our urban based population, there is still a high percentage of mothers with misconceptions regarding the side effects associated with the birth spacing methods. Hence health education and counselling would improve the acceptance of contraceptive methods for birth spacing.


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.


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