Young Married Women’s Perceptions On The Maeanings And Motivations For Their Husbands’ Opposition To Their Modern Contraceptive Use In Malawi

Kaneka, Benjamin; Mturi, Akim J.

doi:10.1515/pophzn-2017-0004

Cited by 2 publications

(4 citation statements)

References 17 publications

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“…Kaneka and Mturi (2017), in their further analysis regarding the abovementioned study, found that husbands' resistance to contraceptive use was related to their desire to exert control over the sexual and reproductive lives of their wives. Non-use of contraceptives would reduce women's extramarital sexual activities and make them less attractive to other men because of frequent child bearing [13].…”

Section: Discussionmentioning

confidence: 98%

“…A qualitative study in Ntcheu, Mangochi and Zomba districts found that unsupportive husbands made women to use contraceptive secretly [12]. Husbands' resistance was related to their desire to exert control over the sexual and reproductive lives of their wives [13]. Yeatman and Trinitapoli (2008) found that contraceptive acceptance differed per denomination in Malawi, with Catholic leaders showing least and Muslim and Pentecostal leaders showing most acceptance of contraceptives.…”

Section: Introductionmentioning

confidence: 99%

“…Figure 1 provides a conceptual framework on the factors that could influence HSAs' ability to conduct their roles and tasks in the provision of contraceptive services in Malawi. The framework is based on general frameworks on CHW performance [18][19][20], access to care [21] and the above presented evidence on communities' preferences and perceived needs in relation to sexual and reproductive health [11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Enabling and hindering factors of health surveillance assistants’ roles in the provision of contraceptive services in Mangochi, Malawi

Kok

Tolani²,

Mtonga³

et al. 2020

Reprod Health

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Background: Contraceptive services are essential for promoting people's health, and economic and social wellbeing. Despite increased contraceptive use over the past decades, unmet need is still high in Malawi. As a result of task shifting, health surveillance assistants (HSAs), Malawi's paid community health worker cadre, provide an expanded range of contraceptive services, aimed at increasing access at community level. We conducted a qualitative study to explore enabling and hindering factors of HSAs' roles in the provision of modern contraceptive services in Mangochi district, Malawi. Methods:The study involved HSAs and their supervisors, a variety of community members, health workers and policy makers using 34 interviews and 12 focus group discussions. Data were recorded, transcribed, translated, coded and thematically analysed according to a framework that included community-, HSA-and health systemrelated factors. Results: HSAs were found to be trusted providers of contraceptive services. At community level, gender norms, decision-making and beliefs about contraceptives were intertwined. They resulted in women using contraceptive services, including those offered by HSAs, in secret. There were misconceptions about contraceptives among both men and women, which were insufficiently addressed by HSAs. Residence and age of HSAs influenced their role in the provision of contraceptive services to (young) community members, whereas sex was not regarded as an enabling or hindering factor. While most community members reported to be satisfied with the quality of HSAs' services, quality was compromised by a lack of contraceptive supplies and other resources, and limited supportive supervision and training.(Continued on next page) Conclusions: HSAs in Mangochi are important contraceptive service providers. Their ability to ensure male involvement, increase access to services for youth and address misconceptions about contraceptives needs improvement. This requires a thorough understanding of socio-cultural norms and improved behavioural change communication competencies, which need to be incorporated in future training under Malawi's Community Health Strategy.Contraceptive services are essential for promoting people's health, and economic and social well-being. Despite increased contraceptive use over the past decades, unmet need is still high in Malawi. Health surveillance assistants (HSAs), Malawi's paid community health worker cadre, provide a range of contraceptive services at community level. We conducted a qualitative study to explore enabling and hindering factors of HSAs' roles in the provision of modern contraceptive services in Mangochi district. The study involved HSAs and their supervisors, a variety of community members, health workers and policy makers using 34 interviews and 12 focus group discussions. HSAs were found to be trusted providers of contraceptive services. At community level, gender norms, decision-making and beliefs about contraceptives were intertwined. They resulted in women using contracep...

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Enabling and hindering factors of health surveillance assistants’ roles in the provision of contraceptive services in Mangochi, Malawi

Kok

Tolani²,

Mtonga³

et al. 2020

Reprod Health

View full text Add to dashboard Cite

show abstract

“…Male and female respondents frequently cited that men were the sole decision-makers of the household and women did not have much say in their choice for contraceptive use, despite family planning and child upbringing being seen as women's issues and responsibilities. This was reported in Malawi, Nigeria, Tanzania, Uganda and among Somali refugees in Ethiopia (Aristide, et al Other reported reasons for resistance were the desire for men to exert power and control over the sexual and reproductive lives of their wives, and to prevent wives from engaging in extramarital sexual activities (Kaneka & Mturi, 2017). In Uganda, women who use modern contraception are mocked for having few children and referred to as prostitutes or adulterers (Kabagenyi, et al, 2016).…”

Section: Gender Attitudesmentioning

confidence: 99%

Influence of Religion and Religiosity on Fertility and Contraceptive Use in Continental Sub-Saharan Africa: A Comprehensive Review

Turner¹

2021

Preprint

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The global human population has been increasing at an alarming rate over the last 100 years and is projected by the United Nations (UN) to continue to increase and reach 10 billion by 2057, despite a declining growth rate. Although some countries and regions, primarily Japan and Europe, have stabilised or declining populations, Sub-Saharan Africa is dramatically growing at an annual rate of 2.7% as of 2019, and is projected to sustain a rapid population growth up to 2100. Addressing the subject of population growth and overpopulation is an important but unfortunately neglected task. The consequences of a large, growing human population are already having distressing impacts on the planet, both on the natural environment and on humans, especially women and children. Until recently, there have been few studies on the effects of religion and religiosity on fertility and contraceptive use, and these factors are often overlooked as possible determinants. The aim of this review is to explore and seek to clarify the role of religion and religiosity on fertility and contraceptive use in continental Sub-Saharan African countries. The review of quantitative publications supported by insights and opinions from actual quotes of respondents from qualitative studies shows that followers of African Indigenous Religions and Islam have higher fertility rates than followers of Christianity. Across Christian denominations, Catholics generally had higher fertility than Protestants although the difference is small. Followers of the Apostolic Church exhibited the highest fertility among Christian groups. Focus group discussions and in-depth interviews from the qualitative studies found that religious beliefs were frequently cited as a barrier to contraceptive uptake. The findings clearly suggest that religion influences fertility and contraceptive use, although countries differ in this respect. Few studies mentioned religiosity; existing results show a positive relationship across Sub-Saharan Africa between degree of religiosity and fertility, and a negative relationship with contraceptive use. These relationships are stronger in Islamic and Indigenous religions compared with Christianity. Religious leaders across all religions were found to be highly influential and many participants were inclined to follow the recommendations of religious leaders regarding fertility and contraceptive use. The implication of this finding is that educating religious leaders about rights-based family planning and its benefits should be part of a comprehensive strategy to increase contraceptive uptake and reduce fertility. With knowledge of its benefits, religious leaders could spread accurate messages about family planning to their followers and promote higher contraceptive use and low fertility. In addition, other important socioeconomic and cultural factors influence fertility and contraceptive use. Education, economy and access to family planning have a negative relationship with religiosity, but the strength of this relationship varies depending on religion, residence and region, with Muslims generally reported as the most disadvantaged in terms of education and wealth across Sub-Saharan Africa. Polygyny, gender attitudes, social status and misconceptions about family planning were additional influences on fertility and contraceptive use mentioned in focus group discussions and in-depth interviews from the qualitative studies. Religion and religiosity have an important role to play in relation to fertility and contraceptive use, but they also depend on other factors, their interactions and their relative influences. They have variable relationships to education, economy, gender equality, residence (rural/urban) and access to family planning, due to the different levels of these factors among and within countries in Sub-Saharan Africa. The review suggests that with a more religiously open stance towards family planning, population policies can be more easily implemented. Religion and religiosity need to be considered in surveys and studies on fertility and contraceptive use to inform and help policymakers, economic planners, program managers, researchers and survey specialists. In addition, this has the potential to improve environmental conditions in Sub-Saharan Africa.

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Young Married Women’s Perceptions On The Maeanings And Motivations For Their Husbands’ Opposition To Their Modern Contraceptive Use In Malawi

Cited by 2 publications

References 17 publications

Enabling and hindering factors of health surveillance assistants’ roles in the provision of contraceptive services in Mangochi, Malawi

Enabling and hindering factors of health surveillance assistants’ roles in the provision of contraceptive services in Mangochi, Malawi

Influence of Religion and Religiosity on Fertility and Contraceptive Use in Continental Sub-Saharan Africa: A Comprehensive Review

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