Married Adolescents and Family Planning in Rural Ethiopia: Understanding Barriers and Opportunities
Married Adolescents and Family Planning in Rural Ethiopia: Understanding Barriers and Opportunities
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DOI：
10.29063/ajrh2018/v22i4.3
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发表时间：
2018-12-01
影响因子：
1
通讯作者：
Erulkar, Annabel
中科院分区：
文献类型：
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作者：
Ketema, Helen;Erulkar, Annabel
发展中国家有大量女孩在 18 岁之前结婚，预计未来十年将有 1 亿女孩。人们认为，新婚女孩面临着早婚生子的压力。然而，越来越多的证据表明，已婚少女的计划生育 (FP) 需求未得到满足。这项定性研究探讨了已婚女孩对 FP 的知识和需求，以及障碍和支持。定性数据是从埃塞俄比亚农村儿童时期结婚的女孩中获得的。受访者对计划生育表现出浓厚的兴趣，而包办婚姻中的权力动态是影响计划生育使用的最大因素。姻亲和社区成员对使用 FP 持强烈反对态度；然而，伴侣的认可是女孩使用计划生育的主要决定因素。据报道，一些服务提供商强化了这种动态；一些女孩报告说，她们要求确认丈夫是否批准使用计划生育。研究结果表明，应进一步投资解决与女孩地位和声音相关的社会规范。
Large numbers of girls in the developing world are married before age 18, an estimated 100 million girls in the next decade. It is assumed that newly married girls are under pressure to have children early in marriage. However, there is increasing evidence that married adolescent girls have significant levels of unmet need for family planning (FP). This qualitative study explores married girls' knowledge and demand for FP, as well as barriers and support. Qualitative data was obtained from girls who married as children in rural Ethiopia. Respondents demonstrated a high interest in FP, while the power dynamics within arranged marriages were the biggest factor influencing FP use. Disapproval of FP use was considerable among in-laws and community members; however, partner approval was the main determining factor in girls' FP use. Some service providers reportedly reinforced this dynamic; some girls reported that they requested confirmation of the husbands' approval of FP use. The findings suggest further investment in addressing social norms related to girls' status and voice.