Context-specific Factors and Contraceptive Use: A Mixed Method Study among Women,
            Men and Health Providers in a Rural Ghanaian District

Ayanore, Martin Amogre; Pavlova, Milena; Groot, Wim

doi:10.29063/ajrh2017/v21i2.10

Cited by 8 publications

(8 citation statements)

References 36 publications

(49 reference statements)

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“…For women perception of male enrolment in family planning they consider gender-equitable norms [14] and male partner support can increase the prevalence of modern contraceptive use [13]. This review also pointed some measures to increase use and communication of family planning among men.…”

Section: Discussionmentioning

confidence: 94%

“…Review articles show that law percentage of men involved in family planning practices [6]. From women perspectives men were seen as an obstacle and never enabled them to plan their next pregnancy [13]. Men engagement in family is affected by different factors [7] [8] [9] [10].…”

Section: Resultsmentioning

confidence: 99%

“…In India, men's (n = 69,751) attitude about family planning revealed that they think contraception is women's business, and men should not have to worry about it, by using contraception, women may become promiscuous and lactating woman, can't become pregnant [16]. Women (n = 720) considered male partner support can drive cultural sensitivities towards accepting use of contraception [13]. For women in Nigeria (n = 16,118) gender-equitable norms have the potential to increase the prevalence of modern contraceptive use [14].…”

Section: Resultsmentioning

confidence: 99%

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Male Involvement in Family Planning: An Integrative Review

Eqtait¹,

Abushaikha²

2019

OJN

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Purpose: The purpose of this review was to identify evidence about determinants of male engagement in family planning. Methods: An integrative review was used to assess the determinants of male engagement in family planning. Data search was between 2014 and 2019 using Google Scholar, Scopus, Web of Science, Science Direct, Pub Med, Medline, CINAHL, EBSCO, Cochrane, and EBSCO host. A total of 14 articles met the eligibility criteria. Results: The fourteen reviewed articles were adopted with mixed method designs, randomized controlled trial, quazi-experimental, and survey. Themes were: determinant of male engagement in family planning, women perception of male enrolment in family planning, and methods to enhance male use of family planning. Conclusion: Religion, large family size, culture, fear of side effect, access and exposure to information, attitudes, norms and self-efficacy and interaction with a health care provider are determinants of male involvement in family planning use. Interventional programs by health care providers and intensive education to men will positively increase prevalence of family planning use. It's recommended to involve religious leaders in education. Implication: More attention is needed at community and governmental level to identify strategies to promote gender equity, shared decision making, shared responsibility and positive participation of men, empowering women, and to increase effectiveness of male participation.

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Section: Discussionmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Male Involvement in Family Planning: An Integrative Review

Eqtait¹,

Abushaikha²

2019

OJN

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“…When couples negotiate reproductive outcomes, this is done against the backdrop of normative values, and if they disagree, whether this is real or perceived, there needs to be some form of conflict resolution [6]. As a result of the outcome of couple communication, or the absence of any communication, women may decide on their own to use a family planning method, even if this means using a method covertly [2,5,[8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Such suspicions, and the tension they cause may lead to disclosure by some women, ultimately bringing about improvement in communication between partners [10]. On the other hand, it has been reported that if a male partner discovers on his own that a woman is using a method without his approval, he may feel betrayed [5,10] and could report her to her parents, accuse her of infidelity, stop having sex with her, start an extramarital affair, physically abuse her, marry another wife, withdraw economic support, or even divorce her, all in a bid to "punish" and "disgrace" her for her actions [5,[8][9][10]12,13].…”

Section: Introductionmentioning

confidence: 99%

From non-use to covert and overt use of contraception: Identifying community and individual factors informing Nigerian women’s degree of contraceptive empowerment

OlaOlorun

Anglewicz

2020

PLoS ONE

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Objective In Nigeria, unmet need for contraception is high despite improved access to modern contraception. To identify factors that support Nigerian women’s contraceptive decisions to achieve their reproductive goals, in the presence or absence of their partner’s support, we seek to identify individual/couple and community level determinants of a spectrum of contraceptive practices, from non-use to covert and overt use of contraception. Methods Data were drawn from a national probability survey conducted by Performance Monitoring and Accountability 2020 in Nigeria in 2017–2018. A sample of 12,948 women 15–49 years was included, 6433 of whom were in need of contraception at the time of the survey. We conducted bivariate and multivariate analysis to identify individual/couple and community level factors associated with covert use relative to non-use and to overt use of contraception. Results Altogether, 58.0% of women in need of contraception were non-users, 4.5% were covert users and 37.5% used contraception overtly. Covert users were more educated and wealthier than non-users, but less educated and less wealthy than overt users. Covert users were less likely to cohabitate with their partner compared to non-users [AOR = 4.60 (95%CI: 3.06–6.93)] and overt users [AOR = 5.01 (95%CI: 3.24–7.76)] and more likely to reside in urban areas. At the community level, covert users were more likely to live in communities with higher contraceptive prevalence and higher levels of female education relative to non-users. They were also more likely to live in communities with higher female employment [AOR = 1.62, (95%CI: 0.96–2.73)] compared to overt users. Conclusion By identifying individual and community level factors associated with the spectrum from non-use to covert use and overt use of contraception, this study highlights the importance of integrating individual and community interventions to support women’s realization of their reproductive goals.

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Understanding ‘missed appointments’ for pills and injectables: a mixed methods study in Senegal

et al. 2018

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IntroductionHigh discontinuation rates of contraceptive methods have been documented in sub-Saharan Africa. However, little is known about gaps within individual episodes of method use, despite their implications for unintended pregnancies. The objective of this mixed methods study was to examine the prevalence of, and explore the factors contributing to, delays in repeat appointments for pills and injectables in Senegal.MethodsFirst, we constructed a longitudinal data set of women’s contraceptive consultations using routine records from 67 facilities in Senegal. Consultations for pills and injectables were classified as on time, delayed or with unknown delay status based on time since previous appointment. We described the prevalence of delayed appointments and used backward stepwise regression to build a mixed-effects model to investigate risk factors for delay. Second, we conducted workshops with family planning (FP) providers, and indepth interviews and focus group discussions with women of reproductive age, to explore factors contributing to delays.ResultsAlmost one-third (30%) of appointments for pills and injectables were delayed, resulting in risk of pregnancy. Previous delay, pill use, lower educational level, higher parity, third and subsequent visits, and Islamic faith were independently predictive of delays (p<0.04 for all). Although women’s ‘forgetfulness’ was initially mentioned as the main reason for delays by women and providers, examining the routines around appointment attendance revealed broader contextual barriers to timely refills—particularly widespread covert use, illiteracy, financial cost of FP services and limited availability of FP services.ConclusionDelays in obtaining repeat pills and injections are common among contraceptive users in Senegal, exposing women to unintended pregnancies. Strategies to reduce such delays should move beyond a narrow focus on individual women to consider contraceptive behaviour within the broader socioeconomic and health systems context. In particular, effective interventions addressing low acceptability of contraception and appointment reminder strategies in high illiteracy contexts are needed.

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Context-specific Factors and Contraceptive Use: A Mixed Method Study among Women, Men and Health Providers in a Rural Ghanaian District

Cited by 8 publications

References 36 publications

Male Involvement in Family Planning: An Integrative Review

Male Involvement in Family Planning: An Integrative Review

From non-use to covert and overt use of contraception: Identifying community and individual factors informing Nigerian women’s degree of contraceptive empowerment

Understanding ‘missed appointments’ for pills and injectables: a mixed methods study in Senegal

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