Women's perceptions and reflections of male partners and couple dynamics in family planning adoption in selected urban slums in Nigeria: a qualitative exploration.

Women's perceptions and reflections of male partners and couple dynamics in family planning adoption in selected urban slums in Nigeria: a qualitative exploration.
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在尼日利亚选定的城市贫民窟中,男性伴侣对男性伴侣的看法和反思和情侣动态:一种定性探索。

DOI:
10.1186/1471-2458-14-869
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发表时间:
2014-08-23
期刊:
影响因子:
4.5
通讯作者:
Fatusi AO
Fatusi AO
中科院分区:
医学2区
文献类型:
--
作者:
Aransiola JO;Akinyemi AI;Fatusi AO

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尼日利亚是尽管实施了几十年的计划生育方案,但在避孕药具使用方面没有取得重大进展的国家之一,同时有迹象表明,贫民窟居民在性行为和生殖行为,包括计划生育使用方面可能与其他城市居民有很大不同。因此,本研究审查了当地的观念,男性伴侣参与计划生育(FP)通过妇女在两个选定的城市贫民窟地区在尼日利亚-伊巴丹(西南地区)和卡杜纳(西北地区)。具体而言,该研究调查了妇女的叙述FP,从男性合作伙伴对FP采用的妇女和妇女如何谈判的男性合作伙伴的合作FP使用的感知障碍。与选定的男性和女性群体进行了16次FGD会议,按性别、年龄组和FP经验分层,使用小插曲进行讨论。会议由经验丰富的社会科学家主持,并进行了录音,记录员也在场。用Atlas.ti软件版本7分析转录的数据。采用归纳法对数据进行分析。研究者以网络的形式呈现了人们对计划生育的态度和使用的原因,同时也使用了批评性话语分析来生成相关的表格。调查结果显示,选定社区的妇女表达了采用FP的愿望。三个主要原因在很大程度上解释了使用计划生育的愿望:认为需要间隔生育,家庭的经济状况和高生育率对妇女健康的潜在不利影响。男性伴侣对妇女使用计划生育的支持被认为是低的,这是由于对计划生育的误解和传统的亲生育观念和倾向。妇女就其男性伴侣是否合作收养计划生育进行谈判的机制包括寻求伴侣的重要他人的支持和老年妇女的建议。为了显著提高尼日利亚城市贫民窟居民的计划生育采用率,有必要特别针对男性及其女性伴侣以及在家庭和社区一级有重大影响的其他利益攸关方。本文的在线版本(doi:10.1186/1471-2458-14-869)包含补充材料,可供授权用户使用。
Nigeria is one of the countries where significant progress has not been recorded in contraceptive uptake despite decades of family planning programs while there are indications that slum dwellers may differ significantly from other urban dwellers in their sexual and reproductive behavior, including family planning uptake. This study therefore examined local notions regarding male partners’ involvement in family planning (FP) adoption by women in two selected urban slums areas in Nigeria – Ibadan (Southwest region) and Kaduna (Northwest region). Specifically, the study investigated women’s narratives about FP, perceived barriers from male partners regarding FP adoption by the women and how women negotiate male partners' cooperation for FP use. Sixteen FGD sessions were conducted with selected groups of men and women, stratified by sex, age group, and FP experience using a vignette to generate discussions. Sessions were facilitated by experienced social scientists and audio-taped, with note-taker also present. The transcribed data were analyzed with Atlas.ti software version 7. Inductive approach was employed to analyze the data. Reasons given for FP attitudes and use are presented in a network format while critical discourse analysis was also used in generating relevant tables. The finding shows that women in the selected communities expressed desire for FP adoption. Three main reasons largely accounted for the desire to use FP: perceived need to space childbirth, family’s financial condition and the potential adverse effect of high fertility on the woman’s health. Male partners’ support for the use of FP by women was perceived to be low, which is due to misconceptions about FP and traditional pro-natalistic beliefs and tendencies. Mechanisms by which women negotiate their male-partner’s cooperation for FP adoption include seeking the support of the partner’s significant others and advice from older women. To significantly improve family planning adoption rates among urban slum dwellers in Nigeria, there is the need to specifically and specially target men alongside their female partners as well as other stakeholders who have significant influences at family and community level. The online version of this article (doi:10.1186/1471-2458-14-869) contains supplementary material, which is available to authorized users.
DOI: 10.1177/08912430222104903
发表时间: 2002-04-01
期刊: GENDER & SOCIETY
影响因子: 5.5
作者:
Agadjanian, V
通讯作者: Agadjanian, V
DOI: 10.1016/j.contraception.2003.12.013
发表时间: 2004-05-01
期刊: CONTRACEPTION
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发表时间: 2005-05-01
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DOI: 10.2307/2137941
发表时间: 1994-05-01
影响因子: 2.1
作者:
ISIUGOABANIHE, UC
通讯作者: ISIUGOABANIHE, UC