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Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan

OBJECTIVES: To explore perspectives of three modern contraceptive objects, using an emic approach, among women in a low-income community in Karachi, Pakistan. DESIGN: A qualitative interview study design was employed, using qualitative content analysis with an inductive approach and manual thematic...

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Autores principales: Marvi, Kamyla, Howard, Natasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733316/
https://www.ncbi.nlm.nih.gov/pubmed/23906959
http://dx.doi.org/10.1136/bmjopen-2013-003279
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author Marvi, Kamyla
Howard, Natasha
author_facet Marvi, Kamyla
Howard, Natasha
author_sort Marvi, Kamyla
collection PubMed
description OBJECTIVES: To explore perspectives of three modern contraceptive objects, using an emic approach, among women in a low-income community in Karachi, Pakistan. DESIGN: A qualitative interview study design was employed, using qualitative content analysis with an inductive approach and manual thematic coding. SETTING: Shah Faisal Colony, Karachi. PARTICIPANTS: 20 women, potential contraceptive users of reproductive age and living within a health centre catchment, were purposively selected to provide a similar number of non-users (n=5), contraceptive injection users (n=7), pill users (n=4), and intrauterine device users (n=4). One interview was excluded because it was not recorded. No other exclusion criteria were used. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was interpretation of potency and effects of selected family planning objects. Secondary outcome measures were knowledge of family planning and description of therapeutic approaches used and preferred. RESULTS: Awareness of family planning was high. Women described different therapeutic approaches, stating they generally preferred modern medicine for contraception as it was fastest and most powerful. They reported that fear of some contraceptive objects, particularly injections and intrauterine contraceptive devices, influenced their choices. Women explained their perceptions of how the heating effects of contraceptives could cause unwanted side effects including menstrual irregularities, weight gain and weakness, leading to disease. CONCLUSIONS: Most women wanted family planning, but remained dissatisfied with the available contraceptives and their effects. While women reported that they relied on modern medicine for contraception, their descriptions of how contraceptives affected their health relied on the hot–cold explanatory idiom of traditional medicine.
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spelling pubmed-37333162013-08-05 Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan Marvi, Kamyla Howard, Natasha BMJ Open Qualitative Research OBJECTIVES: To explore perspectives of three modern contraceptive objects, using an emic approach, among women in a low-income community in Karachi, Pakistan. DESIGN: A qualitative interview study design was employed, using qualitative content analysis with an inductive approach and manual thematic coding. SETTING: Shah Faisal Colony, Karachi. PARTICIPANTS: 20 women, potential contraceptive users of reproductive age and living within a health centre catchment, were purposively selected to provide a similar number of non-users (n=5), contraceptive injection users (n=7), pill users (n=4), and intrauterine device users (n=4). One interview was excluded because it was not recorded. No other exclusion criteria were used. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was interpretation of potency and effects of selected family planning objects. Secondary outcome measures were knowledge of family planning and description of therapeutic approaches used and preferred. RESULTS: Awareness of family planning was high. Women described different therapeutic approaches, stating they generally preferred modern medicine for contraception as it was fastest and most powerful. They reported that fear of some contraceptive objects, particularly injections and intrauterine contraceptive devices, influenced their choices. Women explained their perceptions of how the heating effects of contraceptives could cause unwanted side effects including menstrual irregularities, weight gain and weakness, leading to disease. CONCLUSIONS: Most women wanted family planning, but remained dissatisfied with the available contraceptives and their effects. While women reported that they relied on modern medicine for contraception, their descriptions of how contraceptives affected their health relied on the hot–cold explanatory idiom of traditional medicine. BMJ Publishing Group 2013-08-01 /pmc/articles/PMC3733316/ /pubmed/23906959 http://dx.doi.org/10.1136/bmjopen-2013-003279 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/
spellingShingle Qualitative Research
Marvi, Kamyla
Howard, Natasha
Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan
title Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan
title_full Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan
title_fullStr Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan
title_full_unstemmed Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan
title_short Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan
title_sort objects of temporary contraception: an exploratory study of women's perspectives in karachi, pakistan
topic Qualitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733316/
https://www.ncbi.nlm.nih.gov/pubmed/23906959
http://dx.doi.org/10.1136/bmjopen-2013-003279
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