Gender norms and family planning decision-making in Tanzania: a qualitative study - PubMed (original) (raw)
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Gender norms and family planning decision-making in Tanzania: a qualitative study
Sidney R Schuler et al. J Public Health Afr. 2011.
Abstract
Experience suggests that the incorporation of gender approaches into family planning (FP) and reproductive health (RH) programs may increase their impact and sustainability, but further work is needed to examine the interactions between gender norms and family planning and to incorporate this understanding into behavior change communication (BCC) in specific social contexts. We conducted open-ended, in-depth interviews with 30 young currently married men, 30 young married women and 12 older people who influenced FP decisions. Six focus group interviews were also conducted. The interviews focused on the role of gender norms in reproductive decision-making and contraceptive use among young married men and women in Tanzania. The findings suggest that gender factors, such as men's dominance in decision-making do function as barriers to the use of modern contraceptives, but that fear of side effects, by both men and women, may be even more important deterrents. Results from this research will inform the development of BCC interventions to be tested in a subsequent intervention study in which gender factors and poor information about contraceptive methods will be addressed.
Keywords: Tanzania.; family planning; gender norms.
Conflict of interest statement
Conflict of interest: the authors report no conflicts of interest.
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References
- Schuler SR, Hashemi SM, Cullum A, Hassan M. The advent of family planning as a social norm in Bangladesh: womens' experiences. Reprode Health Matter. 1996;7:66–78.
- Isiugo-Abanihe UC. Reproductive motivation and family-size preferences among Nigerian men. Stud Fam Plann. 1994;25:149–61. - PubMed
- Pulerwitz J, Barrer G, Segundo M, Nascimento M. Horizons Final Report. Population Council; Washington DC, USA: 2006. Promoting more gender-equitable norms and behaviors among young men as an HIV/AIDS prevention strategy.
- George A, Jaswal S. International Center for Research on Women; Washington DC, USA: 1995. Understanding sexuality: an ethnographic study of poor women in Bombay.
- Jenkins C The National Sex and Reproduction Research Team. International Center for Research on Women; Washington DC, USA: 1995. Women and the risk of AIDS: a study of sexual and reproductive knowledge and behavior in Papua New Guinea.
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