Factors That Influence Contraceptive Use Among Women Aged 35 - 49 Years and Their Male Partners in Gomoa West District, Ghana: A Qualitative Study

Takyi, Amy; Sato, Miho; Adjabeng, Michael; Smith, Chris

doi:10.21203/rs.3.rs-951360/v1

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…"As a man, I cannot allow my wife to use a long-acting family planning method except when we have nished producing" (FGD K6). Several studies conducted in different countries indicate the need to attain a family size before using LARCs was a priority as expressed by NazmulHoq [53]; [54], [22] in which both women and men alluded to having a modest family before using a contraceptive method. The need for desired children is also supported by studies [55]; [51] which found that socio-cultural expectations require a woman to produce both boys and girls.…”

Section: Complications In Subsequentmentioning

confidence: 99%

Strategies to enhance indigenous Ugandan men’s support for the utilisation of LARCs amongst rural women in Uganda: A qualitative study

Ditaba¹,

Kibonire²

2023

Preprint

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Globally, many women die due to complications related to childbirth either during pregnancy, childbirth or after birth. The use of contraceptives, especially for long-term reversible methods (LARCs), is one of the best interventions to reduce maternal death. LARCs help the mother to delay pregnancy and allow for longer intervals in childbirth spacing. However, the utilisation of LARCs globally and in Uganda remains low because of limited male partner support. The purpose of this phenomenological qualitative research study was to elicit an understanding of perceptions and beliefs of rural indigenous Ugandan men towards the use of LARCs by rural women. Ultimately the study designed strategies to enhance the uptake of those methods. Purposive sampling was used to identify 65 participants for focus group interviews and 30 for individual interviews comprising married men aged 20 to 49 years. The study was conducted in Rubanda and Kiboga districts of Uganda. The researcher used semi-structured questions for individual and focus group interviews. The data analysis was done by transcribing the interviews, sorting the field notes, organising, and storing the data, listening to recordings, and reading field notes and interviews and then coding and categorising the data to build themes emerging on the phenomenon. The study established that there were perceptions and belief systems among rural indigenous Ugandan men regarding the use of LARCs by their rural women, and these acted as barriers to utilisation. These perceptions included side effects, fears, and desires, in addition to cultural and religious beliefs. The study recommends the strengthening of social, behavioural change communication, strengthening of service provision for LARCs and monitoring and evaluation systems for LARCs. Additionally, policymakers should provide a conducive environment for LARCs services provision and the Ministry of Education and Sports, through health training institutions and universities, should prepare pre-service and in-service healthcare workers to provide LARC services.

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Section: Complications In Subsequentmentioning

confidence: 99%

Strategies to enhance indigenous Ugandan men’s support for the utilisation of LARCs amongst rural women in Uganda: A qualitative study

Ditaba¹,

Kibonire²

2023

Preprint

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“…Several studies conducted in different countries indicate the need to attain a family size before using LARCs was a priority as expressed in different studies [69, 70,40] in which both women and men alluded to having a modest family before using a contraceptive method. The need for desired children is also supported by studies [71,52] which found that socio-cultural expectations require a woman to produce both boys and girls.…”

Section: Getting Desired Number Of Childrenmentioning

confidence: 99%

Strategies to enhance indigenous men’s support for utilisation of LARCs among women in Kiboga and Rubanda districts in Uganda

Arineitwe,

Mphuthi

2023

Preprint

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Globally, unintended pregnancies pose a significant public health concern, affecting several women in low- and middle-income nations, with an estimated annual incidence of 74 million. The African continent is responsible for around 25% of unwanted pregnancies worldwide. Unintended pregnancies may result in many health-related issues for both mothers and children including deaths. The use of family planning methods, especially long-acting reversible contraceptives (LARCs), is one of the effective approaches to mitigating maternal mortality, especially those resulting from effects of unplanned pregnancies. The LARCs help women delay pregnancies and enable them to have longer birth intervals between childbirths but the uptake of those methods in Uganda, is hindered by the lack of men’s support. The aim of this qualitative research study was to gain insight into the perceptions and belief systems of indigenous Ugandan men living in the Rubanda and Kiboga districts of Uganda on the use of LARCs to develop appropriate strategies for increasing male support of methods. Purposive sampling was used to select 50 participants for focus group interviews and individual interviews and 25 participants for individual interviews. The participants were exclusively married men or those in with female sexual partners between the ages of 20 and 49 years. Semi-structured interview guide for both in-depth individual and focus group interviews were used. Data analysis was done by transcribing the interviews, sorting the field notes, organizing, and storing the data, listening to recordings, and reading field notes for patterns related to the perceptions. The patterns were coded and categorised to build the theme emerging on the phenomenon. The study established negative perceptions and belief systems among rural indigenous Ugandan men regarding the use of LARCs by their wives, which acted as barriers to utilisation. These included fear of side effects, desires, and cultural and religious beliefs. The study recommended four strategies to address negative perceptions and belief systems. They include strengthening Social Behavioural Change Communication (SBCC)and LARCs service delivery to address the perception and beliefs resulting from limited knowledge and poor service delivery for LARCs.

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“…Couples who choose FP freely space, and time, and limit the number of children they want [6]. It has been reported [7] that about 50% of pregnancies are unintended, with 50% of undesirable outcomes such as risky abortions, deaths, and unwanted children who bear the burden of poverty and neglect. Nigeria utilizes only 16% of contraceptives when compared to what is obtainable globally [7].…”

Section: Introductionmentioning

confidence: 99%

“…It has been reported [7] that about 50% of pregnancies are unintended, with 50% of undesirable outcomes such as risky abortions, deaths, and unwanted children who bear the burden of poverty and neglect. Nigeria utilizes only 16% of contraceptives when compared to what is obtainable globally [7]. Even though contraceptives provide many benefits, some contraceptive methods are associated with undesirable side effects, including heart attacks, hypertension, migraines, strokes, blood clots, headaches, depression, obesity, increased risk of breast cancer, cervical cancers, and suicide attempts [8].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Perception of Nigerians Towards Herbal Contraception: A Questionnaire- Based Study

Judith,

Simisola,

Kokonne

et al. 2023

JOCAMR

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Aims: With a population of about 222 million, which is expected to rise to 377 million making Nigeria the 3rd largest country in the world by 2050, a well-planned family will improve the quality of life of mother and child. Methodology: A non-probability online survey was conducted (October 2021 and November 2021), recruiting 1113 participants across Nigeria. Socio-demographic data and information on contraceptives were obtained, and Pearson’s chi-squared test of independence at a 95% confidence interval (CI) was computed using R 4.2.1. Results: Significant associations (P < .001) were found between age, marital status, education, and profession of respondents. About 44.65% were 15-29 years, while 41.2% were 30-34 years. No significant association was observed between the age group, gender, and the need for population control. Females (50.04%), 15-29 years old (66.48%) are more likely to approve of the need for population control. Likewise, females (22.01%), with tertiary education (18.78%) are well-informed about contraceptive use (P < .001). Only 19.38% (n = 184; P < .001) of participants used herbal contraceptives, in the form of liquid mixtures (55.98%), teas (17.93%), pills (12.50%), and powders (10.87%), with 26.63% > 7.61% > 6.52% > 5.98% = 5.98% = 5.98% > 4.89% > 3.80% who took Moringa, Alligator Pepper, Neem Plant, Castor Beans, African Star apple Momordica, Rosary Pea, and Horse-eye Bean respectively as contraceptives. Aged parents (32.07%), friends (31.52%), doctors (15.76%), herbalists (5.98%), pharmacists (5.43%), and nurses (3.80%) played a significant (P < .001) role in recommending these herbs. Furthermore, 76.37% recommended the development of indigenous herbal contraceptives in Nigeria, while 23.63% did not. Conclusion: Although participants have expressed a preference for herbal contraceptives, knowledge of them is lacking, which calls for more awareness campaigns and policy formulations for their promotion, development, and adoption in Nigeria.

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Factors That Influence Contraceptive Use Among Women Aged 35 - 49 Years and Their Male Partners in Gomoa West District, Ghana: A Qualitative Study

Cited by 3 publications

References 25 publications

Strategies to enhance indigenous Ugandan men’s support for the utilisation of LARCs amongst rural women in Uganda: A qualitative study

Strategies to enhance indigenous Ugandan men’s support for the utilisation of LARCs amongst rural women in Uganda: A qualitative study

Strategies to enhance indigenous men’s support for utilisation of LARCs among women in Kiboga and Rubanda districts in Uganda

Knowledge, Attitude, and Perception of Nigerians Towards Herbal Contraception: A Questionnaire- Based Study

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