Male involvement in family planning: a case study spanning five generations of a south Indian family.
ABSTRACT Family planning program planners often view men as gatekeepers who, if involved in reproductive decisionmaking, will thwart women's efforts to regulate fertility. This study examines fertility decisions made by five generations of one South Indian family and the factors affecting its sudden observed fertility decline. Male involvement in family planning and use of male methods are associated with the fertility decline and resulted in long-term benefits for women. Traditional notions about gender roles and family, in addition to economic concerns, shaped fertility decisionmaking. Individual motivation rather than choice of methods was more important for positive male participation in family planning.
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ABSTRACT: This paper employs the Bangladesh Demographic and Health Survey (2004) to explore the relationship between participation in microcredit programs and women’s empowerment using a structural equation model with categorical observed variables. A MCMC-based Bayesian approach is adopted for estimation. Along with participation in microcredit, we consider a variety of sociocultural aspects as potential predictors of empowerment in the Bangladeshi context including men’s perceptions about women’s status. We conclude that gender community norms are strongly rooted in women’s minds regardless of the partners’ perceptions of women’s status, and microcredit interventions may actually contribute to change gender beliefs and social attitudes.DISCE - Quaderni del Dipartimento di Scienze Economiche e Sociali; 12/2013
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ABSTRACT: Abstract Background: Male involvement in contraceptive use is increasingly becoming a global reproductive health issue. Vasectomy is one of the two male modern contraceptive methods espoused by the National Family Planning Policy in Ghana. Despite these advocacies, there are reports of low patronage of this method in Ghana. This study adhering to RATS guidelines on qualitative research therefore explored the social and cultural factors that may be affecting the low vasectomy uptake in Southern Ghana. Methods: The study was conducted in Sefwi Bibiani-Ahwiaso Bekwai (SBAB) District and Komenda-Edina-Eguafo-Abrem (KEEA) Municipal area in the Western and Central regions of Ghana respectively. Twelve Focus Group Discussions were held with both male and female community members. In-depth interviews were also carried out with Community Health Officers (CHOs), Community Health Volunteers (CHVs) and health managers at both the district and regional levels. The discussions and interviews were recorded, transcribed verbatim and analysed using Nvivo 10. Results: The study revealed that vasectomy was perceived as an act against God, which was punishable either by death or answerable on judgement day. Vasectomy was also perceived to be a form of castration, which can make men weak and incapable, thereby unable to satisfy their wives sexually, leading to marital conflicts. Women were more concerned about the negative effects of vasectomy on men. Cafalgin and panacin which are locally manufactured analgesics were perceived to have contraceptive abilities and therefore used by men as an alternative to modern contraceptive methods. Conclusions: Stigma and the misconceptions in the community may be accounting for the low vasectomy uptake in Ghana despite several advocacy strategies. Women were highly influential in a man's decision on vasectomy. This calls for the need to increase health education to demystify the misconceptions about vasectomy. Vasectomy-related campaign messages should target both men and women. Keywords: Vasectomy, Pregnancy, Family Planning, Male involvement, Southern GhanaBMC International Health and Human Rights 05/2014; 14(14). · 1.44 Impact Factor
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ABSTRACT: Traditionally, women have been the chief respondents in most demographic and health surveys focusing on family planning; the role of men has been limited. However, in recent years there has been realization of the importance of men's role in family planning. To assess the levels of agreement and concordance between husbands and wives regarding reproductive intentions and contraception. A cross-sectional survey was carried out in 200 randomly selected married couples (in the age range of 15-44 years) in village Dayalpur, Haryana. Data pertaining to reproductive intentions and contraception was collected and the level of agreement (kappa statistics) between husbands and wives was calculated. The observed concordance was 67.5% for ideal family size, 84.5% for contraceptive attitude, 88.5% for fertility desire, 93.5% for unmet need, and 97% for report of number of currently living children. The adjusted kappa statistic varied from a low of 0.43 (P </= 0.001) (ideal family size) to a high of 0.96 (P </= 0.001) (number of living children) with contraceptive attitude (0.7) (P </= 0.001), unmet need (0.88) (P </= 0.001), and current use of contraception (0.93) (P </= 0.001) having kappa values in between. Overall, a greater degree of agreement was observed for reproductive health events as compared to family planning attitudes and intentions. An in-depth analysis of the responses in the current study provides further evidence of male domination in decision making. In surveys pertaining to reproductive health events, the wife's response can be taken as proxy for the couple's response, but for assessing family planning attitudes and intentions, there is a need to collect information from husbands and wives separately.Indian Journal of Community Medicine 01/2010; 35(1):19-23.