Femininity, masculinity and family planning decision-making among married men and women in rural Ethiopia: A qualitative study

Although Kenya’s fertility rate has declined from 6·7 births per woman in the mid-1980s to 5·4 births per woman in 1993 (NCPD, 1994), population growth is still high, yielding a doubling time of 35 years. This study uses the 1993 Kenya Demographic Health Survey data collected from 1257 couples to examine the socioeconomic and sociodemographic characteristics of married men and women and their communication with their spouses over fertility and family planning decision-making practices. The logistic regression analysis shows that education for both men and women, discussion of fertility and family planning between spouses, male approval of use of contraception and male family size desires are important factors that influence ever-use of family planning.

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Men’s and Women’s Approaches to Disclosure About BRCA-Related Cancer Risks and Family Planning Decision-Making

Qualitative Health Research ◽

10.1177/1049732318788377 ◽

2018 ◽

Vol 28 (14) ◽

pp. 2155-2168 ◽

Cited By ~ 2

Author(s):

Marleah Dean ◽

Emily A. Rauscher

Keyword(s):

Decision Making ◽

Family Planning ◽

Brca Mutation ◽

Cancer Risks ◽

Men And Women ◽

Disclosure Decisions ◽

History Of ◽

Planning Decision ◽

Decision Making Model ◽

Practical Implications

Little is known about how men and women who test positive for a BRCA gene mutation or have a strong family history of carrying a BRCA mutation manage disclosures about their BRCA-related cancer risks and family planning decision-making. By conducting interviews with 25 men and 20 women, this study investigated men’s and women’s approaches to disclosing their BRCA-related cancer risks and family planning decision-making. Guided by the Disclosure Decision-Making Model (DD-MM), this study demonstrates that men and women assess both information and the recipients of disclosures when making disclosure decisions. Theoretical implications for the DD-MM are discussed along with practical implications for hereditary cancer risk and family planning.

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Gender norms and family planning decision-making in Tanzania: a qualitative study

Journal of Public Health in Africa ◽

10.4081/jphia.2011.e25 ◽

2011 ◽

Vol 2 (2) ◽

pp. 25 ◽

Cited By ~ 9

Author(s):

Sidney R. Schuler ◽

Elisabeth Rottach ◽

Peninah Mukiri

Keyword(s):

Decision Making ◽

Family Planning ◽

Qualitative Study ◽

Gender Norms ◽

Planning Decision

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Family Planning Decision-making: A Comparison and Analysis of Parents' Considerations

Journal of Comparative Family Studies ◽

10.3138/jcfs.8.1.79 ◽

1977 ◽

Vol 8 (1) ◽

pp. 79-98 ◽

Cited By ~ 8

Author(s):

Diane Vinokur-Kaplan

Keyword(s):

Decision Making ◽

Family Planning ◽

Planning Decision ◽

Comparison And Analysis

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Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study

Reproductive Health ◽

10.1186/s12978-021-01087-x ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Heera KC ◽

Mangala Shrestha ◽

Nirmala Pokharel ◽

Surya Raj Niraula ◽

Prajjwal Pyakurel ◽

...

Keyword(s):

Decision Making ◽

Family Planning ◽

Mixed Method ◽

Women's Empowerment ◽

Women’S Empowerment ◽

Key Informants ◽

Marginalized Communities ◽

Modern Contraceptives ◽

Marginalized Women ◽

Planning Decision

Abstract Background Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women empowerment and gender equality, which directly affects the reproductive health issues. This can be achieved by addressing the issues of the poor and marginalized communities. In this context, we aimed to find the association of women’s empowerment with abortion and family planning decision making among marginalized women in Nepal. Methods A cross sectional study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. A mixed method approach was used, where 316 married marginalized women of reproductive age (15–49 years) and 15 key informant interviews from representative healthcare providers and local leaders were taken. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. Results Women’s empowerment was above average, at 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36–0.98). We could not find any statistically significant differences among levels of women’s empowerment, including those women with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s decision for future use of modern contraceptives (p 0.977). Most key informants reported that unsafe abortion was practiced. Conclusions Women’s empowerment has no direct role for family planning and abortion decision making at marginalized communities of Morang district of Nepal. However, different governmental and non-governmental organizations influence woman for seeking health care services and family planning in rural community of Nepal irrespective of empowerment status.

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

Journal of Social and Personal Relationships ◽

10.1177/0265407519865619 ◽

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.

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Men, the Missing Link in Gender-equitable Family Planning

10.21203/rs.3.rs-362090/v1 ◽

2021 ◽

Author(s):

Kuhika Seth ◽

Sharmishtha Nanda ◽

Aishwarya Sahay ◽

Ravi Verma ◽

Pranita Achyut

Keyword(s):

Decision Making ◽

Family Planning ◽

Data Extraction ◽

Married Couples ◽

Middle Income ◽

Male Engagement ◽

Married Men ◽

Couple Dynamics ◽

Almost All ◽

Study Participants

Abstract Background: Across societies, gender norms often allow men to hold key decision-making power within relationships, households and communities. This extends to almost all domains, consisting of family planning (FP) as well. FP programmes have largely engaged men as clients and rarely as equal partners or influencers although across lower and middle income countries (LMICs), and especially in South Asia, men hold key decision-making power on the domain of family planning. The objective of this article is to explore couple dynamics through the lens of spousal communication and decision-making and unpacking male engagement and spousal dynamics in family planning.Methods: This review presents a synthesis of evidence from two peer-reviewed databases, PubMed and Jstor, and and insights from programmatic documents to shed light on gender equitable engagement of young married men in family planning. Inclusion and exclusion criteria for both these databases was set and search strategies were finalized. This was followed by title and abstract screening, data extraction, synthesis and analysis.Results: Study participants included unmarried men (16%, n= 8), married men (19%, n= 9), married women (19%, n=9), married couples (25%, n =12) or more than two respondent categories (21%, n= 10). Almost three-fourth (71%, n=34) of the studies selected had FP as the primary area of inquiry. Other prominent thematics on which the studies reported were around norms (n=9, 16%), couple dynamics and intimacies (n=12, 22%).Conclusion: The evidence presented provides sufficient impetus to expand on gender-equitable male engagement, viewing men as equal and supportive partners for informed, equitable and collaborative contraceptive uptake and FP choices by couples.

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