Barriers to use contraceptive methods among rural young married couples in Maharashtra, India: Qualitative findings.
Barriers to use contraceptive methods among rural young married couples in Maharashtra, India: Qualitative findings.
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DOI：
10.5958/2249-7315.2015.00132.x
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发表时间：
2015-01-01
期刊：
影响因子：
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通讯作者：
Balaiah, Donta
中科院分区：
文献类型：
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作者：
Ghule, Mohan;Raj, Anita;Balaiah, Donta
导言：在印度农村，新婚夫妇中避孕药具的使用仍然不常见。方法：对马哈拉施特拉邦农村已婚青年夫妇进行深入访谈，调查对象为丈夫（N=30）、妻子（N=20）和乡村卫生服务提供者（N=12）;此外，与丈夫的母亲（N= 42）进行了3个重点小组，重点是了解避孕药具的使用和障碍。访谈和焦点小组的时间从90分钟到120分钟不等。在访谈过程中采取的详细说明进行了分析，使用扎根理论的方法和数据进行了分析，使用atlas-ti software.RESULTS：间隔避孕的主要障碍是：产前社会规范、结婚初期怀孕期望、生多个儿子、获得现代间隔避孕药具的机会有限、家庭抵制采用避孕药具、丈夫不参与计划生育问题、神话、误解，感知的副作用和消极的态度，对特定的避孕药具。结论：研究结果强调的交叉规范，对间隔避孕，传统的性别意识形态和缺乏男性参与的主要障碍，使用避孕。面向男性的计划生育外联方案。应通过实施保健方案促进两性平等，特别注重农村地区。
INTRODUCTION: In rural India contraceptive use remains uncommon among newly married couples. non-use in rural young couples contributes to higher fertility rates.OBJECTIVES: To identify barriers of spacing contraceptive use among young married couples in rural Maharashtra.METHODS: In-depth interviews were conducted with husbands (N=30), wives (N=20), and village health providers (N=12); additionally, 3 focus groups were conducted with mothers of husbands (N= 42 focused on understanding contraceptive use and barriers. Interviews and focus groups ranged in length from 90-120 minutes. Detailed notes taken during interviews were analysed using a grounded theory approach and the data was analysed using atlas-ti software.RESULTS: Major barriers to spacing contraception are: pro-natal social norms, pregnancy expectations early in marriage, to produce multiple sons, limited access to modern spacing contraceptives, family resistance to adopt contraceptives, lack of husband's involvement on family planning issues, myths, misconceptions, perceived side effects and negative attitudes toward specific contraceptives.CONCLUSION: Findings highlight the intersection of norms against spacing contraception, traditional gender ideologies and lack of male involvement as major barriers to the use of contraception. Male oriented outreach programmes on family planning. Promoting gender equity should be made through health programme deliveries with special focus in rural areas.