Cultural eactors constraining the introduction of family planning among the Kassena-Nankana of Northern Ghana

Adongo, Philip Baba; Phillips, James F.; Kajihara, Beverly; Fayorsey, Clara K.; Debpuur, Cornelius; Binka, Fred

doi:10.1016/s0277-9536(97)00110-x

Cited by 91 publications

(87 citation statements)

References 20 publications

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“…Even within a context where premarital childbearing is highly stigmatised, parents and their teenage daughters may still decide to have children outside marriage. This highlights two conflicting moral standards: while patriarchal beliefs in African traditional religion can accept sex outside marriage when it is to provide the family with a baby boy, Christian or Islamic faith beliefs are often against pre-marital sex of any kind (Adongo et al 1997;Macleod and Tracey 2010). Our findings confirm this and suggest that success in preventing teenage pregnancy could be challenging in contexts where the socio-cultural beliefs surrounding fertility remain high.…”

Section: Discussionsupporting

confidence: 64%

Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana

Krugu

Mevissen

Münkel

et al. 2016

Culture, Health & Sexuality

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Globally, an estimated 16 million young women aged 15 to 19 years give birth every year. Most teenage pregnancies are unintended and being pregnant or delivering a baby as a teenager can have serious adverse consequences. Knowledge of the environmental factors and social cognitive determinants influencing young women's failure to protect against unintended pregnancy is necessary to address the high rate of teenage pregnancies. We conducted semi-structured in-depth interviews with 21 young women, who had experience of pregnancy, in Bolgatanga, Ghana. The interview protocol included themes (relationships, sex, pregnancy, family planning) and determinants (knowledge, attitudes, self-efficacy, norms, risk perceptions) derived from empirical studies and theories related to sexuality behaviour. Findings show that young women's motivations for sexual relationships are mostly 'beyond love' and seem to focus on economic factors. The main means of sexual protection seems to be condom use. Other forms of contraception were believed to be linked to infertility. Sexuality remains a largely taboo topic for open discussion and sex education in schools seems limited to abstinence-only messages. The need for more open communication on matters of sexuality with young people and the provision of a more comprehensive sexuality education in school to address teenage pregnancies in Ghana, is discussed.

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Section: Discussionsupporting

confidence: 64%

Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana

Krugu

Mevissen

Münkel

et al. 2016

Culture, Health & Sexuality

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“…In some parts of Ghana, men, as the heads of their families, hold the most important roles and responsibilities, and have unlimited decision-making power [13,14]. These men make important decisions, including those concerning whether their wives seek skilled care [12–16].…”

Section: Discussionmentioning

confidence: 99%

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

Sakeah

Okawa

Oduro

et al. 2017

Global Health Action

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Background: Improving maternal health is a global challenge. In Ghana, maternal morbidity and mortality rates remain high, particularly in rural areas. Antenatal care (ANC) attendance is known to improve maternal health. However, few studies have updated current knowledge regarding determinants of ANC attendance. Objective: This study examined factors associated with ANC attendance in predominantly rural Ghana. Methods: We conducted a cross-sectional study at three sites (i.e. Navrongo, Kintampo, and Dodowa) in Ghana between August and September 2013. We selected 1500 women who had delivered within the two years preceding the survey (500 from each site) using two-stage random sampling. Data concerning 1497 women’s sociodemographic characteristics and antenatal care attendance were collected and analyzed, and factors associated with attending ANC at least four times were identified using logistic regression analysis. Results: Of the 1497 participants, 86% reported attending ANC at least four times, which was positively associated with possession of national health insurance (AOR 1.64, 95% CI: 1.14–2.38) and having a partner with a high educational level (AOR 1.64, 95% CI: 1.02–2.64) and negatively associated with being single (AOR 0.39, 95% CI: 0.22–0.69) and cohabiting (AOR 0.57, 95% CI: 0.34–0.97). In site-specific analyses, factors associated with ANC attendance included marital status in Navrongo; marital status, possession of national health insurance, partners’ educational level, and wealth in Kintampo; and preferred pregnancy timing in Dodowa. In the youngest, least educated, and poorest women and women whose partners were uneducated, those with health insurance were more likely to report at least four ANC attendances relative to those who did not have insurance. Conclusions: Ghanaian women with low socioeconomic status were less likely to report at least four ANC attendances during pregnancy if they did not possess health insurance. The national health insurance scheme should include a higher number of deprived women in predominantly rural communities.

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“…Social pressures can also affect a woman's decision about when and how many children to have (Adongo et al, 1997). In patrilineal populations, a husband and his family often desire a wife to bear many children, particularly sons, to increase the size of their patriline.…”

Section: Discussionmentioning

confidence: 99%

The effects of kin on female fertility in rural Gambia

Sear

Mace

McGregor

2003

Evolution and Human Behavior

117

126

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This is an electronic version of an Article published in Evolution and AbstractHuman females reproduce relatively rapidly throughout their reproductive years compared to the other great apes. It has been suggested that women are able to sustain this rapid pace by co-opting family members to help raise their children. We tested the hypothesis that the presence of kin will increase the reproductive rates of women using a longitudinal database collected from rural Gambia. We found that both the husband's mother and, to a lesser extent, the husband's father increased the probability that a woman would give birth. A woman's parents, however, had no effect on her fertility rate, nor did her elder sisters or co-wives. The presence of a woman's elder brothers even decreased her probability of giving birth. There was no evidence that elder children acted as 'helpers at the nest', as the existence of living elder children slowed down rather than increased birth rates. We suggest that the increased fertility in the presence of mothers-in-law may be due to these women helping out their daughters-in-law with domestic and subsistence duties. Given that it is paternal, rather than maternal, relatives who increase fertility, social pressures on women from older kin to bear many children may also be important.

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Cultural eactors constraining the introduction of family planning among the Kassena-Nankana of Northern Ghana

Cited by 91 publications

References 20 publications

Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana

Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

The effects of kin on female fertility in rural Gambia

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