The impact of intimate partner violence on women's contraceptive use: Evidence from the Rakai Community Cohort Study in Rakai, Uganda

Maxwell, Lauren; Brahmbhatt, Heena; Ndyanabo, Anthony; Wagman, Jennifer A.; Nakigozi, Gertrude; Kaufman, Jay S.; Nalugoda, Fred; Serwadda, David; Nandi, Arijit

doi:10.1016/j.socscimed.2018.04.050

Cited by 15 publications

(14 citation statements)

References 44 publications

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“…These can be explained by the fact that the partners of males who experience IPV will most likely practice contraception to avoid unwanted pregnancies and thus empower themselves since sexual IPV was the most common form of IPV perpetrated by the males in this current study. Contrary to our research, Maxwell et al 2018, discovered that in Uganda, perpetration of IPV resulted in reduced odds of using methods of contraception that require the cooperation of both partners like condoms. This due to the inability of the spouses of the males to negotiate the use of such methods (e.g.…”

Section: Discussioncontrasting

confidence: 99%

Male Characteristics and Contraception In Four Districts Of The Central Region, Ghana

Longla

Alangea

Addo-Lartey

et al. 2021

Preprint

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Introduction: A lack of male involvement in contraception can negatively affect its practice. This study focuses on the male characteristics that influence the practice of both traditional and modern methods of contraception. Methods: This study is a secondary analysis of quantitative data obtained from the baseline assessment of the Ghana Community-Based Action Teams Study that aimed to prevent violence against women in the Central Region of Ghana in 2016. The analysis included 1742 partnered males aged 18-60 years. Chi-square test, t-test and logistic regression analyses were used to assess the association between male characteristics and the practice of contraception (significance level=0.05). Results: The prevalence of contraception was 24.4% (95% CI=20.8-28.5). Significant male characteristics that predicted the practice of contraception in adjusted models were: post-primary education (AOR=1.44, 95% CI=0.92-2.25), male controlling behaviour (AOR=0.7, 95% CI=0.49-0.99); perpetration of Intimate Partner Violence (AOR=1.83, 95% CI=1.49-2.26); number of main sexual partners (AOR=1.78, 95% CI=1.15-2.75); and whether the first child was wanted (AOR=0.71, 95% CI=0.54-0.94).Conclusion: Adequate measures need to be taken to actively involve men in family planning programs to promote the practice of contraception. Family planning sensitization and education programs should target males who are less likely to practice contraception.

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Section: Discussioncontrasting

confidence: 99%

Male Characteristics and Contraception In Four Districts Of The Central Region, Ghana

Longla

Alangea

Addo-Lartey

et al. 2021

Preprint

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“…While some women may prefer other options, their range is limited to those methods that have clandestine use abilities. Previous research has shown that women in relationships where intimate partner violence prevails are unlikely to use and continue use of their preferred methods [48,49].…”

Section: Discussionmentioning

confidence: 99%

Covert use of contraception in three sub-Saharan African countries: a qualitative exploration of motivations and challenges

et al. 2020

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Background: The balance between increasing men's participation in family planning and rights-based initiatives favoring women's empowerment is highlighted with the issue of covert use of contraception. While covert use has been documented in low-and middle-income countries as a way for women to obtain contraception in light of partner opposition, little is known about women's decision-making processes, actions, and potential consequences of discreet contraceptive use. We aimed to understand women's choices to use contraception covertly and the challenges they faced in concealing their use across three sub-Saharan African countries. Methods: Women aged 15-49 and their male partners were purposively sampled from urban and rural sites in Ethiopia, Northern and Southern Nigeria, and Uganda for 120 in-depth interviews and 38 focus group discussions. Semi-structured interviews explored women's and girls' empowerment surrounding sex, childbearing, and contraception. Interviews were conducted in local languages, audio-recorded, and transcribed verbatim into English. Inductive thematic analysis was used to analyze data; covert use codes were reviewed and matrices were created based on themes and sub-themes. Results: Findings comprised three thematic areas: the practice of covert contraceptive use and reasons for using covertly; challenges for women who use contraception covertly; and consequences of disclosure or being discovered. While some women initiated using contraception covertly due to tensions within relationships or to keep peace within the home due to known partner opposition, others did not consider family planning to be a male responsibility. Though covert use was commonly discussed, it was also socially sanctioned, and portrayed as an act of female disobedience that questioned the social order of patriarchy. Further challenges of using covertly included lack of financial and social support, and suspicions surrounding delayed fertility and contraceptive-related side effects. Repercussions comprised increased suspicion, threats, or violence, though some women reported improved couple communication with disclosure.

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“…2014), Sexual Relationship Power Scale (Pulerwitz, Gortmaker, and DeJong 2000), and the influence of IPV on contraceptive use (Macquarrie, Mallick, and Kishor 2016; Maxwell et al. 2018). Further, qualitative research highlights the occurrence of pregnancy pressures in high fertility LMIC settings (Grace and Fleming 2016).…”

Section: Introductionmentioning

confidence: 99%

Reproductive Coercion among Intimate Partner Violence Survivors in Nairobi

Wood

Kennedy

Akumu³

et al. 2020

Studies in Family Planning

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Reproductive coercion (RC), or partner interference in reproductive decisions, limits women's autonomy. Little is known about RC behaviors and measurement in low‐ and middle‐income countries (LMICs). In this mixed‐methods study, we examined the transferability of the US‐developed RC Scale to the Kenyan context. Through community‐based sampling, recent intimate partner violence (IPV) survivors were recruited from Nairobi's informal settlements. We conducted quantitative analyses (n = 327) to assess the transferability of RC measures via exploratory factor analysis and used descriptive statistics to examine prevalence and continuous metrics. We conducted in‐depth interviews (IDIs; n = 30) to contextualize results. Psychometric analyses indicated a two‐factor solution comprising pregnancy coercion and condom manipulation (alpha = 0.86). Eighty‐two percent of IPV survivors reported experiencing RC (pregnancy coercion = 76.6 percent; condom manipulation = 59.5 percent). IDIs highlighted women's multiple, severe RC experiences; experiences described in IDIs were largely consistent with quantitative findings. We found the RC Scale was transferable to this LMIC context, where IPV survivors face prevalent, severe RC and would benefit from linkage to woman‐centered support services.

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The impact of intimate partner violence on women's contraceptive use: Evidence from the Rakai Community Cohort Study in Rakai, Uganda

Cited by 15 publications

References 44 publications

Male Characteristics and Contraception In Four Districts Of The Central Region, Ghana

Male Characteristics and Contraception In Four Districts Of The Central Region, Ghana

Covert use of contraception in three sub-Saharan African countries: a qualitative exploration of motivations and challenges

Reproductive Coercion among Intimate Partner Violence Survivors in Nairobi

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