Factors associated with modern contraceptive use among men in Pakistan: Evidence from Pakistan demographic and health survey 2017-18

Ali, Ahmad; Zar, Abu; Wadood, Ayesha

doi:10.1371/journal.pone.0273907

Cited by 10 publications

(11 citation statements)

References 29 publications

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“…Married couples may have varying intentions and desires about family size; a lack of alignment between partners may lead to unintended pregnancies and affect uptake and use of contraception. The uptake of contraceptives among couples is affected by various factors, which include socioeconomic status, education, religion and wrong perceptions about family planning determine the utilization of modern contraception among Pakistani women [ 17 ]. An analysis of the PDHS 2017–18 also established that the perception that contraception is women’s business and discussion of family planning with health workers were significant predictors of modern contraceptive usage in Pakistani men [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

‘The wife should do as her husband advises’: Understanding factors influencing contraceptive use decision making among married Pakistani couples—Qualitative study

et al. 2023

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This paper explores the perceptions and attitudes of married couples which prevent them from using modern contraceptive for purpose of family planning, based on semi-structured interviews with 16 married couples from rural Pakistan. This study, with married couples, not using any modern contraceptives, discussed issues of spousal communication and religious norms using qualitative methods. Despite near universal knowledge of modern contraceptives among married Pakistani women, the use continues to be low, with high unmet need. Understanding the couple context about reproductive decision making, pregnancy and family planning intentions is imperative to helping individuals fulfil their reproductive desires. Married couples may have varying intentions and desires about family size; a lack of alignment between partners may lead to unintended pregnancies and affect uptake and use of contraception. This study specifically explored the factors which prevent married couples from using LARCs for family planning, despite their availability, at affordable prices in the study area of rural Islamabad, Pakistan. Findings show differences between concordant and discordant couples regarding desired family size, contraceptive communication and influence of religious beliefs. Understanding the role that male partners play in family planning and use of contraceptives is important in preventing unintended pregnancies and improving service delivery programmes. This study also helped identify the challenges married couples, particularly men have in understanding family planning and contraceptive use. The results also show that while men’s participation in family planning decision making is limited, there is also a lack of programs and interventions for Pakistani men. The study findings can support development of appropriate strategies and implementation plans.

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Section: Introductionmentioning

confidence: 99%

‘The wife should do as her husband advises’: Understanding factors influencing contraceptive use decision making among married Pakistani couples—Qualitative study

et al. 2023

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“…Factors such as educational level, socioeconomic status, fertility preferences, and the belief that contraception as a woman's responsibility are some predictors of modern contraceptive use among men. Engaging men in discussions about family planning with healthcare providers has shown to have an impact on their contraceptive use, as reported in other studies [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 52%

“…The type of contraception used varies according to the age of women [ 5 ]. It has been reported that in sub-Sharan African short-acting contraceptives are commonly used among women who want to limit childbearing, as well as older and married women; compared with long-acting reversible contraceptive (LARC) methods which have long duration of protection and low failure rate [ 6 – 10 , 11 ]. The use of traditional contraceptive methods (TCMs) among older women could be due to a low perceived risk of pregnancy, as well as unstable relationships [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Factors that influence modern contraceptive use among women aged 35 to 49 years and their male partners in Gomoa West District, Ghana: a qualitative study

Takyi

Sato

Adjabeng³

et al. 2023

Trop Med Health

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Background Fertility declines with age, but it remains important to protect women from unplanned pregnancies throughout their reproductive lives. The objective of this study was to describe factors that influence modern contraceptive use among women aged 35 to 49 years and their male partners in Gomoa West District of Ghana. Methods In-depth interviews were conducted remotely for 22 women, 15 male partners of the women interviewed and seven family planning (FP) providers. In all, a total of 44 participants took part in the study. Seven refusals were recorded, four females and three males. Four focus group discussions were organized for 21 participants who took part in the in-depth interviews. Data collected were transcribed and coded after exporting to Nvivo12 qualitative analysis software. Thematic analysis was undertaken using an abductive approach. Results Factors that influenced the use of modern contraceptives included: achieved desired family size, providing for the family, counselling by health professionals, influence of the male partner, and health reasons. Barriers cited included: religious or socio-cultural reasons, experience or fear of side effects, rumors or misconceptions, declining fertility, and the belief that contraceptive use is a matter for women. Within the study group, roughly half of women used modern contraceptives, while the majority of male partners were non-users. Conclusion Contraception among women aged 35 to 49 years and their male partners is influenced by several factors such as achieved desired family size, influence of the male partner, rumors or misconceptions, and declining fertility. Strengthening male involvement in family planning activities and health educational activities could alleviate fear and reduce misconceptions about using modern contraceptives.

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“…Despite its limitations, the review was able to pinpoint and compile a wide range of contributing factors, barriers, and links that are related to mothers' underuse of health care in Pakistan. The studies provide the most recent information that is currently accessible in terms of time, giving important insight into contemporary practice 15 .…”

Section: Discussionmentioning

confidence: 99%

“…This research is particularly instructive to empowerment studies because previous research in Pakistan found a positive relationship between educational attainment and maternal healthcare use in particular, with Pakistani women who lived in areas with high levels of secondary education being 74% more likely to give birth in a health facility than Pakistani women who lived in areas with lower levels of community education attainment 14 . Moreover, cultural restrictions on male-female relations are linked to maternal mortality; women who encounter issues during labour and delivery might not be able to seek medical help unless a male family member is present 15 .…”

Section: Introductionmentioning

confidence: 99%

Maternal Health Services in Pakistan

Ilyas¹

2023

PJMHS

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Background: Women must be provided with necessary health services for a child's good health and future during pregnancy. Women's health has experienced a considerable epidemiological change during the past several decades. Maternal well-being and health affect not only the developed world but predominantly the developing nations. Differences in resource allocation between industrialized and developing countries ultimately led to notable differences in pregnancy complications and deaths. Aim: To investigate these barriers. A literature review was carried out to address this research topic. Methodology: Six online databases AMED, CINAHL PLUS, PUBMED, MEDLINE, COCHRANE LIBRARY and SCIENCE DIRECT were used for a preliminary search that yielded 6353 articles. No grey literature was discovered due to time restrictions. Seven publications were discovered to be eligible for inclusion in the literature review after carefully reading, analysing, and evaluating them with the help of critical appraisal techniques. After the initially searched articles were filtered using robust inclusion and exclusion criteria. Findings: Data were taken from different sources like the Pakistan Demographic and Health Surveys (PDHSs), WHO, and a comparison was made with the findings from different factors. The analysis concentrates on women of Pakistan having maternal health issues and maternal health services. The Critical Appraisal Skills Program (CASP) is used for the assessment and qualitative analysisof this study. Practical implications: By addressing the issues highlighted in this paper there appears to be substantial room for improvements in Pakistan’s pregnancy outcomes. This review provides a better understanding of the risk factors determining maternal mortality in Pakistan.Public awareness is important as this paper almost covered the different platforms which are working on maternal health servicesto aware the society. To promote maternal health messages and encourage pregnant women to receive maternal healthcare services, policymakers, healthcare professionals, and health organizations can adopt a variety of campaigns. Results: This study discussed the impact of different factorswhich effect on maternal health. Different factors are associated with utilizing maternal healthcare services at antenatal care and delivery stages of pregnancy in Pakistan. This review concentrated on the economic and social vulnerability of pregnant women and emphasized the importance of parallel, more all-encompassing initiatives, like poverty reduction and women's empowerment. Poor maternal health in Pakistan has many root causes, including undernourishment of young girls, early marriage, high fertility rates, and unmet contraceptive needs. Conclusion: The key factors influencing women's hesitation and refusal to use the health facilities in Pakistan include structural hurdles, maternal knowledge and education levels, and men's dominance in decision-making, according to the themes drawn from the literature. Keywords: Pregnant women, Maternal health, Ante-natal care, Pakistan,Demographic and health surveys,

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Factors associated with modern contraceptive use among men in Pakistan: Evidence from Pakistan demographic and health survey 2017-18

Cited by 10 publications

References 29 publications

‘The wife should do as her husband advises’: Understanding factors influencing contraceptive use decision making among married Pakistani couples—Qualitative study

‘The wife should do as her husband advises’: Understanding factors influencing contraceptive use decision making among married Pakistani couples—Qualitative study

Factors that influence modern contraceptive use among women aged 35 to 49 years and their male partners in Gomoa West District, Ghana: a qualitative study

Maternal Health Services in Pakistan

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