Rural mothers' beliefs and practices about diagnosis, treatment, and management of children health problems: A qualitative study in marginalized Southern Pakistan

Issue Biomedical approaches want to change locals’ behaviors without understanding the sociocultural rationales and contextualizing the cultural and structural backdrop of women’s agency. Objectives This study explored the perceptions and practices of rural mothers about fertility and reproductive health and further examine the lack of preference for contraception and birth spacing in Southern Pakistan. Methodology Using purposive sampling we recruited 15 healthcare providers and 20 mothers from Southern Punjab. Key informants and in-depth interviews were used for data collection. We extracted themes and sub themes to analyse qualitative data. Findings Five major themes identified preventing birth spacing and contraceptive use: (1) cultural barriers (2) economic difficulties and demographic factors; (3) gender-related hurdles; (4) spiritual and religious obstacles, and (5) medico-ethical complications. Nearly, ten sub-themes contributing to these major themes were: custom of girls’ early marriages, in-laws’ permission for contraception, women’s concern for medical complications and preference for safer methods, misuse of contraceptive methods by the medical community, mothers’ perception of contraception as sinful act and controlling birth is against faith, economic and rural-ethnic factors for high fertility, masculine disapproval of condom use, and wishing to give birth to male children. Suggestions We advocate for understanding the sociocultural explanations for low contraceptive use and urge practice of more natural methods of birth spacing over commercial solutions. The study suggests socio-economic development of less developed communities and empowerment of poor, illiterate, and rural women along with behavior change communication strategies. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-024-19484-9.

show abstract

“An obedient wife never says "no" to her virtual god.” High fertility conceptions and barriers to contraceptive use among mothers of Southern Pakistan: a qualitative study

Ahmed,

Malik,

Akhtar

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Background: In this study, we explore the perceptions and practices of rural mothers about fertility and reproductive health and further examine the lack of preference for contraception and birth spacing in Southern Pakistan. Methods: The qualitative data are collected from 15 healthcare providers and 20 mothers using semi-structured interviews. Results: Our findings reveal that economic, religious, and ethnic barriers cause low birth spacing among mothers. The husband and his family control the women’s bodies because sociocultural constructs normalize this exploitation. In mothers' opinion, contraception brings side effects that are dangerous for women’s bodies. Poverty, masculinity, social disapproval of contraception and admiration for more male children are other significant factors behind high fertility. Some mothers state that they experience malnutrition soon after giving birth to their sons because more care from mothers is required. Frequent births and low-quality care cause low breastfeeding and hidden hunger. Engagement in economic activities, serving the husband and his family, domestic chores, and working in agricultural fields are the predominant reasons that overburden the lives of mothers. Conclusions: The study urges a comprehensive understanding of sociocultural rationales and more natural ways of birth spacing instead of commercial solutions.

show abstract

Rural mothers' beliefs and practices about diagnosis, treatment, and management of children health problems: A qualitative study in marginalized Southern Pakistan

Cited by 4 publications

References 34 publications

Strength in silence: the journey of mothers raising children with hydrocephalus

Strength in silence: the journey of mothers raising children with hydrocephalus

“An obedient wife never says “no” to her virtual god.” High fertility conceptions and barriers to contraceptive use among mothers of Southern Pakistan: a qualitative study

“An obedient wife never says "no" to her virtual god.” High fertility conceptions and barriers to contraceptive use among mothers of Southern Pakistan: a qualitative study

Contact Info

Product

Resources

About