Negotiating Reproductive Outcomes in Uganda.

Blanc, Ann K.; Wolff, Brent; Gage, Anastasia J.; Ezeh, Alex; Neema, Stella; Ssekamatte-Ssebuliba, John

doi:10.2307/2137897

Cited by 71 publications

(87 citation statements)

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“…Agreement of partners and male involvement are important in various aspects of reproductive health, including abortion, family planning, sexually transmitted diseases, and breastfeeding (18)(19)(20)(21)(22)(23)(24)(25)(26)(27). Spousal communication about reproductive health is important in decisions about accessing maternal health services in both developed and developing countries (7,9,(27)(28)(29)(30)(31).…”

Section: Discussionmentioning

confidence: 99%

“…A study in Uganda found that communication rates varied widely by reproductive health topic and that significant bargaining and cost-benefit analysis occurred in these interactions. Communication was also frequently non-verbal and used sociocultural pathways, such as hints, discussions with others, and behaviour to convey messages (29). In making decision relating to fertility, larger cultural preferences have been shown to influence the number of children a family has when there is disagreement between partners regarding 'ideal' family size (37).…”

Section: Sd=standard Deviationmentioning

confidence: 99%

“…In making decision relating to fertility, larger cultural preferences have been shown to influence the number of children a family has when there is disagreement between partners regarding 'ideal' family size (37). Additionally, communication models and strategies may be very different from Western models of discussion and negotiation, and quantitatively more communication may not lead to more agreement with regard to reproductive health (29). However, there is evidence that the inclusion of men in reproductive health strategies and education can be successful in improving women's use of family-planning and other health services.…”

Section: Sd=standard Deviationmentioning

confidence: 99%

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Household Decision-making about Delivery in Health Facilities: Evidence from Tanzania

Danforth

Kruk

Rockers

et al. 2009

J Health Popul Nutr

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This study investigated how partners' perceptions of the healthcare system influence decisions about delivery-location in low-resource settings. A multistage population-representative sample was used in Kasulu district, Tanzania, to identify women who had given birth in the last five years and their partners. Of 826 couples in analysis, 506 (61.3%) of the women delivered in the home. In multivariate analysis, factors associated with delivery in a health facility were agreement of partners on the importance of delivering in a health facility and agreement that skills of doctors are better than those of traditional birth attendants. When partners disagreed, the opinion of the woman was more influential in determining delivery-location. Agreement of partners regarding perceptions about the healthcare system appeared to be an important driver of decisions about delivery-location. These findings suggest that both partners should be included in the decision-making process regarding delivery to raise rates of delivery at facility.

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Section: Discussionmentioning

confidence: 99%

Section: Sd=standard Deviationmentioning

confidence: 99%

Section: Sd=standard Deviationmentioning

confidence: 99%

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Household Decision-making about Delivery in Health Facilities: Evidence from Tanzania

Danforth

Kruk

Rockers

et al. 2009

J Health Popul Nutr

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“…27 When husbands find out about an abortion, they may abandon their wife because they suspect infidelity. 27,28 These circumstances may force married women to suffer the consequences of their unsafe abortions in silence and in secret. Abortion is viewed more leniently in Uganda if the woman is unmarried, and especially if she is a schoolgirl; 27 unmarried women, who tend to be younger and are often childless, may also have fewer familial obligations than other women, which may reduce the impact of abortion morbidity on their lives.…”

Section: Multivariate Analysesmentioning

confidence: 99%

Documenting the Individual- and Household-Level Cost of Unsafe Abortion in Uganda

Sundaram¹,

Vlassoff²,

Mugisha³

et al. 2013

IPSRH

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Induced abortion is common in Uganda. In 2003, the estimated rate was 54 abortions per 1,000 women aged 15-49; 1 although the rate may have changed somewhat since then, it is nonetheless likely among the highest in the world. 2 Uganda's abortion laws and policies are overall very restrictive, but contain inconsistencies that make it difficult for the medical community and women themselves to understand what is permitted (see Appendix A). As a result, almost all abortions are clandestine, and a large proportion are performed under dangerous conditions. 3As a result, unsafe abortion is one of the leading causes of maternal morbidity and mortality in the country. A study carried out in 1993 in three Kampala hospitals found that one in five maternal deaths were attributable to unsafe abortion; 4 more recently, a 2010 government document estimated that unsafe abortion is the cause of 8% of maternal deaths. 5 In 2011, Uganda had a maternal mortality ratio of 438 maternal deaths per 100,000 live births-well above the average of 240 per 100,000 among all developing countries-and unsafe abortion is likely an important contributor to these deaths. 6,7 Uganda also has a very high unmet need for contraception. The 2011 Uganda Demographic and Health Survey found that 34% of married women and 35% of sexually active unmarried women had an unmet need for contraception. 6 This high level of unmet need leads to a high incidence of unintended pregnancy; the rate of such pregnancies was 141 per 1,000 women aged 15-49 in 2003. 1 Because of Uganda's restrictive abortion law, many women with unintended pregnancies seek clandestine, unsafe abortions to meet their fertility goals. One of the consequences of unsafe abortion was documented by a nationally representative survey of health facilities, the results of which suggest that almost 85,000 women in Uganda were treated for complications of unsafe abortions in 2003.1 Furthermore, this estimate represents only a portion of the number of women with such complications, as many others do not obtain care at health facilities. The most frequent complications of unsafe abortion are incomplete abortion and hemorrhage; less common but more severe complications include trauma (such as punctures or tearing of the uterus) and sepsis. In addition, some women experience long-term health problems, including chronic pain, pelvic inflammatory disease and infertility. 8,9 Health complications resulting from unsafe abortion clearly constitute a serious burden for both women and the health care system. Less well understood, however, is the social and finan-

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“…Thus, fear of violence may be affecting women's decision-making related to RH/FP services (Heise et al, 1995;Blanc et al, 1996;Bawah et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

La Relación entre Violencia Doméstica y los Servicios de Salud Reproductiva y Planificación Familiar en Bolivia, 2003

Aguirre

Kincaid

Gutiérrez

2010

PSM

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The main purpose of this paper is to understand the relationship existing between Gender-Based Violence (GVB) and the Use of Reproductive Health and Family Planning services. To carry out this task, we use multivariate logit regression models to explore the direction and strength of the relationship, using a population-based sample for Bolivian women during [2003][2004]. Results show a strong, negative and significant relationship between GVB and use of RH/FP services at the population-level, after adjusting for respondent's and partner's individual and household characteristics. That is, GBV is strongly and significantly associated with the use of RH/FP services, in a way that women experiencing domestic violence are less likely to use those services. Keywords: Domestic Violence, Family Planning Services, Reproductive Health RESUMENEl propósito principal del presente documento es la comprensión de la relación que existe entre la Violencia Basada en Genero (VBG) y el uso de servicios de Salud Reproductiva y Planificación Familiar (SR/PF). Para implementar esta tarea, se utilizaron modelos de reagresión logística a fin de explorar la dirección y fuerza de la relación, utilizando una muestra de mujeres a nivel poblacional para el [2003][2004]. Los resultados muestran que existe una relación inversa y significativa entre el VBG y el uso de servicios de SR/PF, a nivel poblacional, después de controlar por las características individuales y de los hogares de las mujeres entrevistadas y de sus esposos/convivientes. Es decir, aquellas mujeres que experimentan violencia domestica tienen una probabilidad menor de usar los servicios mencionados.

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Negotiating Reproductive Outcomes in Uganda.

Cited by 71 publications

References 1 publication

Household Decision-making about Delivery in Health Facilities: Evidence from Tanzania

Household Decision-making about Delivery in Health Facilities: Evidence from Tanzania

Documenting the Individual- and Household-Level Cost of Unsafe Abortion in Uganda

La Relación entre Violencia Doméstica y los Servicios de Salud Reproductiva y Planificación Familiar en Bolivia, 2003

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