Negotiating Collective and Individual Agency

Klingberg-Allvin

Global Qualitative Nursing Research

et al. 2016

Self Cite

The aim of this study is to explore women’s experiences and perceptions of home use of misoprostol and of the self-assessment of the outcome of early medical abortion in a low-resource setting in India. In-depth interviews were conducted with 20 women seeking early medical abortion, who administered misoprostol at home and assessed their own outcome of abortion using a low-sensitivity pregnancy test. With home use of misoprostol, women were able to avoid inconvenience of travel, child care, and housework, and maintain confidentiality. The use of a low-sensitivity pregnancy test alleviated women’s anxieties about retained products. Majority said they would prefer medical abortion involving a single visit in future. This study provides nuanced understanding of how women manage a simplified medical abortion in the context of low literacy and limited communication facilities. Service delivery guidelines should be revised to allow women to have medical abortion with fewer visits.

Section: Discussionsupporting

confidence: 88%

“Who Wants to Go Repeatedly to the Hospital?” Perceptions and Experiences of Simplified Medical Abortion in Rajasthan, India

Klingberg-Allvin

Global Qualitative Nursing Research

et al. 2016

Self Cite

Sexual & Reproductive Healthcare

“…Modern contraception use is still perceived as unfeasible as privacy in family settings do not allow for sereptious use among tribal communities. Changing social norms provides the opportunity for contraceptive uptake earlier in life for the purpose of delaying child birth and spacing between children [5]. These results suggest that efforts to improve SCU for tribals will require supporting social equity issues (e.g., education), fertility (social) norms, and gender issues (son preference).…”

Section: Discussionmentioning

confidence: 99%

Association between tribal status and spacing contraceptive use in rural Maharashtra, India

Battala

Raj

Ghule

et al. 2016

This study examines associations between tribal status and spacing contraception use (SCU) in rural Maharashtra, India. Cross-sectional analyses were conducted on baseline survey data from non-sterilized married couples (n=867) participating in the CHARM family planning evaluation study. Participants were aged 18-30 years and 67.6% tribal; 27.7% reported current SCU. Crude regression analyses indicated tribals were less likely to use contraception (AOR=0.04, 95% CI=0.29, 0.54); the association was lost after adjusting for education, higher parity and desire for pregnancy, factors associated with tribal status. Findings suggest that lower SCU among tribals is driven by social vulnerabilities and higher fertility preferences.

“…Rural women, who have much-reduced levels of autonomy, are subject to more strictly traditional, patriarchal social norms that define desirably traits of good wives and mothers. 55 Thus, while gendered socialization occurs among the urban poor as well, 56 our urban participants were less likely to endorse traditional social norms and had greater autonomy. Similarly, various forms of greater autonomy among urban women have been noted in the literature, including increased mobility, dowry autonomy (women’s autonomy to use their dowry), freedom to seek paid work, and having a voice in family decisions.…”

Section: Discussionmentioning

confidence: 82%

Perinatal Grief Among Poor Rural and Urban Women in Central India

Roberts

Renati

Solomon

et al. 2021

IJWH

Purpose Given the pressures surrounding women’s reproductive role in India, and persistent high rates of perinatal death, the purpose of this study is to describe and compare poor rural and urban Indian women’s experiences of perinatal grief. Participants and Methods Two cross-sectional studies were compared on shared quantitative variables. Poor rural (N = 217) and urban, slum-dwelling (N = 149) Central Indian women with a history of stillbirth, and/or infant death were recruited with the aid of local community health workers. Trained, local, gender, and linguistically matched research assistants conducted the structured interviews. Shared quantitative variables include demographics, Social Provision Scale, Shortened Ways of Coping-Revised, Perinatal Grief Scale, social norms and autonomy. Results While similar with respect to SES, age, number of living sons and perinatal loss experiences, these samples of poor women differed significantly across many variables, most notably women’s household position, joint family living, number of live daughters, religious coping, autonomy, and degrees of perinatal grief. While perinatal grief was significantly associated with many variables bi-variably, most lost their relative influence in our stepwise multivariable modeling within site (rural/urban), with only social norms and social support remaining significant for rural (31% of variance) and wishful thinking and social norms for urban participants (38.4% of variance). In the combined sample household position, social support and social norms remained significant and explained 53.6% of the adjusted variance. Conclusion In both samples, perinatal grief was high following perinatal loss. Both groups of women with perinatal loss have increased risk of mental health sequelae. Notably, the context affected how they experienced perinatal grief, with rural women’s grief being higher and more affected by their societal pressures and isolation. Such nuances are important considerations for much-needed tailored approaches to future interventions.