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Men’s needs and women’s fears

Gender-related power dynamics in contraceptive use and coping with consequences in a rural setting in Kenya

Bibliographic Data

ID15098076
AuthorsFrancis Obare (0000-0002-2353-8124, Population Council, Nairobi, Kenya, corresponding author), George Odwe (0000-0002-5330-2366, Population Council, Nairobi, Kenya), John G F Cleland (0000-0002-1471-7016, London School of Hygiene & Tropical Medicine), John Cleland (London School of Hygiene & Tropical Medicine)
Year2021
Volume23
Issue12
Pages1748-1762
Publication date2021-12-01
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2020.1807605
PMID32795154
OpenAlexW3049502693
LanguageEN
Citations received4
References cited22

This paper examines gender-related power influences on contraceptive use and coping with consequences in a rural setting in Kenya. Data come from in-depth interviews conducted in 2018 with 42 women who participated in a longitudinal study implemented in Homa Bay County. Data were analysed using an exploratory inductive content analytic approach. The findings show that the key drivers of gender-related power influence on contraceptive use and coping with consequences included: 1) the extent to which the women managed to provide sex and sexual pleasure to their partners when they were using contraception; 2) men's readiness to provide permission and resources that women needed and the latter's ability to overcome challenges in obtaining the same from their partners; and 3) women's fears concerning infidelity and partner violence, which influenced the actions they took to reduce instances that could make their partners suspect them of engaging in extra-marital affairs, drive their partners into such affairs, or encourage their partners to direct emotional or physical violence on them. Findings suggest the need for gender-transformative actions combining empowerment programmes for women with information, education and communications activities targeting both men and women

Coping (psychology · Domestic violence · Empowerment · Environmental health · Exploratory research · Pleasure · Poison control · Political science · Sociology · Suicide prevention · Adolescent Sexual and Reproductive Health · Clinical Psychology · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Psychology · Social Psychology

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  • Factors influencing satisfaction with oral contraceptive pills and injectables among past users in Kenya

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  • Factors Influencing Contraceptive Use in Sub-Saharan Africa

    Open Access•Sarah R Blackstone, Ucheoma Nwaozuru et al.•International Quarterly of…•2017

  • Reducing Unmet Need by Supporting Women with Met Need

    Anrudh K Jain, Francis Obare et al.•International Perspectives on…•2013

  • Sexual Pleasure, Partner Dynamics And Contraceptive Use in Malawi

    Neetu A John, John John et al.•International Perspectives on…•2015

  • Cultural practices, gender inequality and inconsistent condom use increase vulnerability to HIV infection

    Open Access•Sphiwe Madiba, Nomsa Ngwenya•Global Health Action•2017

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    Open Access•P S M Ndimande, P S M Ndimande P S M Ndimande•African Sociological Review /…•2001

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Citations per year2
Citation span2024 - 2025 (2)
Highly citedNo

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