Evaluate Use and Barriers to Accessing Family Planning Services among Reproductive Age Women in the White Nile, Rural Districts, Sudan

Abdalla, Afaf Abdalla Adam; Ahmmed, Ensaf Hassan

doi:10.21767/1791-809x.1000531

Cited by 6 publications

(10 citation statements)

References 7 publications

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“…In many instances, these side effects are also misconstrued especially by religious actors as ‘payment for the sin of using family planning’ and discontinuing it would be the only way to relief and freedom. This belief is held in other African communities and has been captured by academic literature [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 97%

“…In many instances, these side effects are also misconstrued especially by religious actors as 'payment for the sin of using family planning' and discontinuing it would be the only way to relief and freedom. This belief is held in other African communities and has been captured by academic literature [17,18]. Spousal miscommunication, unbalanced power and gender roles and non-involvement of male in family planning awareness program hinder the success of family planning interventions in conservative communities.…”

Section: Discussionmentioning

confidence: 99%

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Beyond knowledge acquisition: factors influencing family planning utilization among women in conservative communities in Rural Burundi

Hakizimana

Odjidja

2021

Reprod Health

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Background With a fertility rate of 5.4 children per woman, Burundi ranked as seventh country with the highest fertility rate in the world. Family planning is an effective way of achieving desirable family size, appropriate birth spacing and significant reduction in unintended pregnancies. Furthermore, family planning has been linked to improvements in maternal health outcomes. Yet, in spite of the overwhelming evidence on the benefits of family planning and despite high knowledge and free services, utilisation is low especially in rural communities with conservative people. Employing a mixed methods approach, this study first quantifies contraceptive prevalence and second, explores the contextual multilevel factors associated with low family planning utilisation among community members. Methods An explanatory sequential mixed study was conducted. Five hundred and thirty women in union were interviewed using structured and pre-tested questionnaire. Next, 11 focus group discussions were held with community members composed of married men and women, administrative and religious leaders (n = 132). The study was conducted in eighteen collines of two health districts of Vyanda and Rumonge in Bururi and Rumonge provinces in Burundi. Quantitative data was analysed with SPSS and qualitative data was coded and deductive thematic methods were applied to find themes and codes. Results The overall contraceptive prevalence was 22.6%. From logistic modelling analysis, it was found that women aged 25 to 29 (aOR 5.04 (95% CI 2.09–10.27 p = 0.038), those that have completed secondary school and having four or less children were significantly associated with use of family planning (aOR 1.72 (95%1.35–2.01) p = 0.002). Among factors why family planning was unused included experience with side effects and costs associated with its management in the health system. Religious conceptualisation and ancestral negative beliefs of family planning had also shaped how people perceived it. Furthermore, at the household level, gender imbalances between spouses had resulted in break in communication, also serving as a factor for non-use of family planning. Conclusion Given that use of family planning is rooted in negative beliefs emanating mainly from religious and cultural practices, engaging local religious leaders and community actors may trigger positive behaviours change needed to increase its use.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Beyond knowledge acquisition: factors influencing family planning utilization among women in conservative communities in Rural Burundi

Hakizimana

Odjidja

2021

Reprod Health

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“…23 The link between husband's approval and presence of motherin-law in the household and lower uptake of contraception was reported by Pasha Omrana et al 24 in Pakistan. 23 An opposition of husband's and in-laws to use contraceptives which deterred from adopting family planning methods. Spousal communication on these issues and joint participation in family planning education is required.…”

Section: Barriers For Non-utilization Of Contraceptivesmentioning

confidence: 88%

Contraceptives utilization and barriers in Karnataka, Southern India: A survey on women residing in slums

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Ansuya

Vinish

2020

Clinical Epidemiology and Global Health

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Background: Population explosion remains a major cause of concern in India. Although, the country became the first to implement a national population control programme in 1952, it is yet to effectively control its population growth. Methods: A community-based cross-sectional survey was conducted to assess the utilization and barriers for nonutilization of contraceptives among slum resident married women of Udupi district, Karnataka, India between October 2017 to July 2018 The survey involved 323 married women aged 18-45 years. Data were generated using self-developed and validated questionnaire. Generated data were analyzed using descriptive analysis. Results: The result of the study showed low utilization of contraceptives at 38.7%. Leading barriers for nonutilization are fear of side effects (65.2%), followed by desire for girl/boy child (31.3%), husbands' disapproval (25.8%), followed by 17.7% no family support (in-laws), lack of knowledge about contraceptive methods (25.3%), and lack of personal interest to use contraceptives (23.2%). The most frequently used method was tubectomy (73.6%). Copper T (14.4%) and male condom (8.0%) were predominant method among the temporary family planning methods used by the study population. Conclusions: The low contraceptive rate might be attributed by fear of side effects, desire for girl/boy child, husbands' and family (in-law) disapproval, lack of knowledge about contraceptive methods and lack of motivation to use. Education, encouragement of health education programs and involvement of the spouse and inlaws might promote contraceptive utilization in slum dwellers.

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“…The refusal of husbands to actively participate in contraceptive usage was highlighted in previous studies which had evaluated the presence of family planning in Sudan. 22,23 Furthermore, the primary reason due to which condoms were not used was attributed to the respondent's lack of preference (46.1%). Only 15.1% of the respondents regarded condoms to be useful in family planning and gave it significant importance.…”

Section: Discussionmentioning

confidence: 99%

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Abdulmageed

Elnimeri²

2018

Int J Community Med Public Health

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Background: About 214 million women in the reproductive age in the developing countries who need to prevent and plan for their pregnancy are not using methods of modern contraceptives. The aim of this study was to investigate the socio-demographic and cultural elements that inform the health-seeking behavior towards family planning among Sudanese women in Sharq-Alneel locality in the Sudan-Africa. Furthermore, the study aimed to identify individuals within Sudanese families, who predominantly interfered with the decision of the women in using of contraceptives for family planning.Methods: A cross-sectional community based study was conducted in September-2017 to February-2018 using structured questionnaire to 576 Sudanese women age of 15-49 years from 4 administrative units. A multistage cluster sampling technique was adopted. Binary and multinomial logistic regression models were used to analyze the results using SPSS version 22.Results: Women respondents were (57.1%), and (42.9%) from rural and urban areas respectively. Women (89.3%) of respondents were married for more than five years. A 381 (66%) women respondents were not using contraception at the time of the study. Women in rural areas were 0.9 less likely to obtain information from other sources than from PHC. There was significant association (p<0.001) between women’s educational level and awareness about contraception.Conclusions: Women use of contraception in Sharq-Alneel was low. Barrier to contraception use for majority of women was that they believe their healths are at risk for using modern contraceptives. There was also high prevalence of respondents’ husbands refused the use of contraceptives.

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Evaluate Use and Barriers to Accessing Family Planning Services among Reproductive Age Women in the White Nile, Rural Districts, Sudan

Abstract: Introduction: Now a day and due to increased use of family planning methods, the fertility rate becomes decreased. The use of family planning will assist individuals and couples to maintain certain objectives like to avoid unwanted pregnancy and births.

Cited by 6 publications

References 7 publications

Beyond knowledge acquisition: factors influencing family planning utilization among women in conservative communities in Rural Burundi

Beyond knowledge acquisition: factors influencing family planning utilization among women in conservative communities in Rural Burundi

Contraceptives utilization and barriers in Karnataka, Southern India: A survey on women residing in slums

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

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