Cultural factors constraining the introduction of family planning among the Kassena-Nankana of northern Ghana
Cultural factors constraining the introduction of family planning among the Kassena-Nankana of northern Ghana
复制标题
DOI：
10.1016/s0277-9536(97)00110-x
复制
发表时间：
1997-12-01
影响因子：
5.4
通讯作者：
Binka, FN
中科院分区：
文献类型：
--
作者：
Adongo, PB;Phillips, JF;Binka, FN
这项研究对萨赫勒农村社区的妇女为什么即使在免费提供便利服务的情况下也不愿采用计划生育的原因进行了焦点小组调查。首先，选择避孕的妇女必须冒着相当大的社会排斥或家庭冲突的风险这样做。实施个人偏好是一件必须在没有他人支持的情况下完成的事情。其次，很少有女性将避孕措施视为自己的个人决定。妇女和儿童是公司、家庭、亲属和社区的财产，不利于生殖控制。第三，尽管出于各种经济、社会和文化原因，儿童受到高度重视，但死亡风险仍然非常高。低生育率带来了不可接受的风险，即妇女在其生殖生命结束时将没有幸存的孩子。综上所述，这些发现证明了注重分配、个别机构或个人选择的贡献的服务策略的不足。外展还应该为该计划、集体卫生行动和传统领导对计划生育行为的支持建立一种社区正当感。(C)1997爱思唯尔科学有限公司。保留所有权利。
This study presents a focus group investigation of reasons why women in a rural, Sahelian community are reluctant to adopt family planning even when convenient services are made freely available. First, women opting to practice contraception must do so at considerable risk of social ostracism or familial conflict. Implementing individual preference is something that must be done without the support of others. Second, few women view personal decisions about contraceptives as theirs to make. Women and children are the property of the corporate Family-kin and community militate against reproductive control. Third, although children are highly valued for a variety of economic, social, and cultural reasons, mortality risks remain extremely high. Low fertility imposes the unacceptable risk that a woman will have no surviving children at the end of her reproductive life. Taken together, these findings attest to the inadequacy of service strategies focused on the contribution of distribution, individual agency, or personal choice. Outreach should also build a sense of community legitimacy for the program, collective health action, and traditional leadership support for Family planning behavior. (C) 1997 Elsevier Science Ltd. All rights reserved.