Gender, Social Networks, and Contraceptive Use in Kenya

Musalia, John

doi:10.1007/s11199-005-8296-0

Cited by 20 publications

(24 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Instead, the strongest correlation between respondents and their alters on FP use seems to be with in-laws, and with sisters. This is consistent with some prior research that has identified kin networks as important influences on FP use, as kin are the ones with the highest stake in fertility outcomes (Musalia, 2005).…”

Section: Discussionsupporting

confidence: 92%

Social network and social normative characteristics of married female adolescents in Dosso, Niger: Associations with modern contraceptive use

Shakya

Challa

Nouhou

et al. 2020

Global Public Health

View full text Add to dashboard Cite

In this study we analysed the social networks of a sample of married adolescent girls (ages 13-19 years) residing in Dosso, Niger (N = 322); data were collected for evaluation of a family planning (FP) intervention. Participants were asked to name individuals important in their lives (alters) using three name generating questions as part of a larger survey on reproductive health, social norms, and FP. One alter per girl was then recruited to be separately interviewed (N = 250). This provided us with two separate datasets: one with data from each respondent regarding each person that they nominated, and one with the interviewed alters matched with the respondent who nominated them. We found that married adolescent girls who were nulliparous were more likely to have no alters and that those in the intervention had the most alters. Alters of treatment participants were more likely to have used FP. Respondents were more likely to have used FP when their sisters or in-laws had, but there was no correlation with use by friends. Our results provide evidence of diffusion of the FP program to those close to intervention participants. Future research should study these dynamics, crucial to understanding intervention costing, impact, and normative change.

show abstract

Section: Discussionsupporting

confidence: 92%

Social network and social normative characteristics of married female adolescents in Dosso, Niger: Associations with modern contraceptive use

Shakya

Challa

Nouhou

et al. 2020

Global Public Health

View full text Add to dashboard Cite

show abstract

“…These results also established the influential role male partners and others, such as peers, relatives, or healthcare providers, play in decision making with regard to contraceptive use and choice in Africa [12,[48][49][50][51]. Power imbalances as a result of traditional socio-cultural norms, economic differences, and age disparities allow male partners to influence reproductive health decision making in patriarchal societies that exist in many Africa countries [52,53].…”

Section: Plos Onementioning

confidence: 85%

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

et al. 2020

View full text Add to dashboard Cite

Background Female permanent contraception is a cost-effective contraceptive method that can help clients with the desire to limit childbearing achieve their reproductive intention. However, despite its benefits, the use of FPC remains low in sub-Saharan Africa (SSA), and limited studies have examined the correlates of its uptake. In this study, we assessed the individual- and country-level factors associated with the use of FPC among married or in-union women using modern contraceptive methods to limit childbearing in SSA. Methods This study was a secondary data analysis of individual- and country-level data obtained from the Demographic and Health Surveys (DHS) Program and three open data repositories. The study included 29,777 married or in-union women aged 15–49 years using modern contraceptive methods to limit childbearing from DHS conducted in 33 sub-Sahara African countries between 2010 and 2018. We performed descriptive statistics and fitted multilevel logistic regression models to determine the predisposing, enabling, and need factors associated with the use of FPC. Results Approximately 13% of the women used FPC. About 20% of the variance in the odds of using FPC was attributable to between-country differences. In the full model, the significant individual-level factors associated with the use of FPC compared with other modern contraceptive methods were: age (odds ratio [OR] = 1.10; 95%CI = 1.08–1.12), living children (OR = 1.11, 95%CI = 1.04–1.16), high household wealth (OR = 1.39, 95%CI = 1.18–1.64), rural residence (OR = 0.83, 95% CI = 0.71–0.97), joint contraceptive decision with partner (OR = 1.68, 95% = 1.43–1.99), contraceptive decision by partner and others (OR = 2.46, 95% = 1.97–3.07), and the number of living children less than the ideal number of children (OR = 1.40, 95%CI = 1.21–1.62). The significantly associated country-level factors were births attended by skilled health providers (OR = 1.03, 95%CI = 1.00–1.05) and density of medical doctors (OR = 1.37, 95%CI = 1.01–1.85). Conclusions Our results suggest that both individual- and country-level factors affect uptake of FPC in SSA. Increasing geographic, economic, and psychosocial access to FPC may improve its uptake in SSA.

show abstract

“…Social influence, like other mechanisms, can potentially hinder or help the adoption of positive reproductive behaviors [26]. Social influence may operate more powerfully within more homogeneous, dense, closed networks [13].…”

Section: Resultsmentioning

confidence: 99%

Social networks and female reproductive choices in the developing world: a systematized review

Lowe

Moore

2014

Reprod Health

View full text Add to dashboard Cite

Continuing high global maternal mortality and morbidity rates in developing countries have resulted in an increasing push to improve reproductive health services for women. Seeking innovative ways for assessing how positive health knowledge and behaviors spread to this vulnerable population has increased the use of social network theories and analysis in health promotion research. Despite the increased research on social networks and health, no overarching review on social networks and maternal health literature in developing countries has been conducted. This paper attempts to synthesize this literature by identifying both published and unpublished studies in major databases on social networks and maternal and child health. This review examined a range of study types for inclusion, including experimental and non-experimental study designs including randomized controlled trials, non-randomized controlled trials, quasi-experimental, cohort studies, case control studies, longitudinal studies, and cross-sectional observational studies. Only those that occurred in developing countries were included in the review. Eighteen eligible articles were identified; these were published between 1997 and 2012. The findings indicated that the most common social network mechanisms studied within the literature were social learning and social influence. The main outcomes studied were contraceptive use and fertility decisions. Findings suggest the need for continuing research on social networks and maternal health, particularly through the examination of the range of social mechanisms through which networks may influence health behaviors and knowledge, and the analysis of a larger variety of reproductive outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/1742-4755-11-85) contains supplementary material, which is available to authorized users.

show abstract

Gender, Social Networks, and Contraceptive Use in Kenya

Cited by 20 publications

References 29 publications

Social network and social normative characteristics of married female adolescents in Dosso, Niger: Associations with modern contraceptive use

Social network and social normative characteristics of married female adolescents in Dosso, Niger: Associations with modern contraceptive use

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

Social networks and female reproductive choices in the developing world: a systematized review

Contact Info

Product

Resources

About