Gender attitude to the empowerment of women: An independent right to contraceptive acceptance, choice and practice

Bukar, Mohammed; Audu, BM; Usman, Hadiza Abdullahi; El-Nafaty, Aliyu Usman; Massa, AA; Melah, GS

doi:10.3109/01443615.2012.737052

Cited by 10 publications

(10 citation statements)

References 15 publications

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“…Overall, rates of awareness of modern contraceptives were high, ranging from 85% 33 to 98%. 18 Approval of contraceptive use and the rate of joint decision on modern contraceptive use between partners ranged from 54% to 89%, 28 and 37% to 54%, 25 respectively. The location from which women obtained contraceptives varied by study, ranging from government facilities, public and private clinics or pharmacies, local church, or family and friends.…”

Section: Resultsmentioning

confidence: 99%

Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review

Blackstone

Nwaozuru

Iwelunmor

2017

Int Q Community Health Educ

196

165

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The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women's misconceptions of contraceptive side-effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.

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Section: Resultsmentioning

confidence: 99%

Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review

Blackstone

Nwaozuru

Iwelunmor

2017

Int Q Community Health Educ

196

165

View full text Add to dashboard Cite

show abstract

“…Comprehensive sexuality education therefore “must talk about parenthood and make the link between sexuality and fatherhood more explicit” (P. 139) [21]. Many adolescent pregnancy prevention programs reinforce gender inequality by reinforcing the notion that girls are the only ones responsible for preventing an unintended pregnancy [12]. Almost nothing is known about the impact of early, unintended and unwanted pregnancy on the lives of adolescent boys [77].…”

Section: Resultsmentioning

confidence: 99%

Are men well served by family planning programs?

Hardee

Croce-Galis²

2017

Reprod Health

103

125

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Although the range of contraceptives includes methods for men, namely condoms, vasectomy and withdrawal that men use directly, and the Standard Days Method (SDM) that requires their participation, family planning programming has primarily focused on women. What is known about reaching men as contraceptive users? This paper draws from a review of 47 interventions that reached men and proposes 10 key considerations for strengthening programming for men as contraceptive users. A review of programming shows that men and boys are not particularly well served by programs. Most programs operate from the perspective that women are contraceptive users and that men should support their partners, with insufficient attention to reaching men as contraceptive users in their own right. The notion that family planning is women’s business only is outdated. There is sufficient evidence demonstrating men’s desire for information and services, as well as men’s positive response to existing programming to warrant further programming for men as FP users. The key considerations focus on getting information and services where men and boys need it; addressing gender norms that affect men’s attitudes and use while respecting women’s autonomy; reaching adolescent boys; including men as users in policies and guidelines; scaling up successful programming; filling gaps with implementation research and monitoring & evaluation; and creating more contraceptive options for men.

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“…The attitudes towards wife beating and attitudes towards couples’ family planning decisions were included in this study to reflect inequalities under the division of power. A recent study in southern Nigeria found that about two-thirds of their respondents did not support women having independent rights to contraceptive method choice, adoption, and use [ 33 ]. Without such rights, women were less likely to practice family planning.…”

Section: Introductionmentioning

confidence: 99%

Gender norms and modern contraceptive use in urban Nigeria: a multilevel longitudinal study

et al. 2018

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BackgroundEvidence suggests that gender equality positively influences family planning. However, the evidence from urban Africa is sparse. This study aimed to examine the association between changes in gender norms and modern contraceptive use over time among women in urban Nigeria.MethodsData were collected in 2010/2011 from 16,118 women aged 15–49 living in six cities in Nigeria (Abuja, Benin, Ibadan, Ilorin, Kaduna, and Zaria) and again in 2014 from 10,672 of the same women (34% attrition rate). The analytical sample included 9933 women living in 480 neighborhoods. A four-category outcome variable measured their change in modern contraceptive use within the study period. The exposure variables measured the changes in the level of gender-equitable attitudes towards: a) wife beating; b) household decision-making; c) couples’ family planning decisions; and d) family planning self-efficacy. Multilevel multinomial logistic regression models estimated the associations between the exposure variables at the individual and neighborhood levels and modern contraceptive use controlling for the women’s age, education, marital status, religion, parity, household wealth, and city of residence.ResultsThe proportion of women who reported current use of modern contraceptive methods increased from 21 to 32% during the four-year study period. At both surveys, 58% of the women did not report using modern contraceptives while 11% reported using modern contraceptives; 21% did not use in 2010/2011 but started using by 2014 while 10% used in 2010/2011 but discontinued use by 2014. A positive change in the gender-equitable attitudes towards household decision-making, couples’ family planning decisions, and family planning self-efficacy at the individual and neighborhood levels were associated with increased relative probability of modern contraceptive use (adoption and continued use) and decreased relative probability of modern contraceptive discontinuation by 2014. No such associations were found between the individual and neighborhood attitudes towards wife beating and modern contraceptive use. Accounting for the individual and neighborhood gender-equitable attitudes and controlling for the women’s demographic characteristics accounted for 55–61% of the variation between neighborhoods in the change in modern contraceptive use during the study period.ConclusionInterventions that promote gender equality have the potential to increase modern contraceptive use in Nigerian cities.Electronic supplementary materialThe online version of this article (10.1186/s12905-018-0664-3) contains supplementary material, which is available to authorized users.

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Gender attitude to the empowerment of women: An independent right to contraceptive acceptance, choice and practice

Cited by 10 publications

References 15 publications

Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review

Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review

Are men well served by family planning programs?

Gender norms and modern contraceptive use in urban Nigeria: a multilevel longitudinal study

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