Messages around contraceptive use and implications in rural Malawi

Dados Bibliográficos

ID15099211
AutoresM Bornstein (0000-0002-5200-8181, Department of Community Health Sciences, Fielding School of Public Health and the California Center for Population Research, University of California, Los Angeles, USA), Sarah Huber‐krum (0000-0003-0938-252X, The Ohio State University, autor correspondente), Sarah Huber-Krum (The Ohio State University), Marissa Kaloga (0000-0001-5897-6952, University of Otago), Alison Holt Norris (0000-0002-1864-9583, The Ohio State University), Alison Norris (The Ohio State University)
Ano2021
Volume23
Fascículo8
Páginas1126-1141
Data de publicação2021-08-02
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2020.1764625
PMID32619393
OpenAlexW3038680003
IdiomaEN
Citações recebidas9
Referências citadas21

The unmet need for contraception in Malawi remains high, despite progress increasing knowledge and access over the past two decades. Understanding the reasons for this unmet need is critical to programme planning and service delivery. In this study, we conducted 30 in-depth interviews and 13 focus group discussions with women and men in rural Malawi to understand social, cultural and relational barriers and facilitators to contraceptive use. We found that contraceptive decisions were influenced by complex, often conflicting messages with varying implications based on individual and contextual factors. Common factors that influence contraceptive use, such as spousal support, side effects and social norms that dictated acceptable users of contraception could act as both barriers and facilitators to use depending on context. While strides have been made in increasing access to contraception, findings indicate a need for public health programmes to take a nuanced approach to increasing contraceptive use that does not presume particular factors will be a barrier or facilitator across groups. Instead, programmes should seek to understand how social, cultural and relational factors influencing contraceptive use differ across groups

Business · Context (archaeology · Environmental health · Facilitator · Family planning · Focus group · Geography · Political science · Population · Public relations · Research methodology · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Psychology · Reproductive Health and Contraception · Social Psychology · Marketing