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Why women do not use contraceptives: Exploring the role of male out-migration

INTRODUCTION: Contextual understanding of reasons for non-use of contraceptives is key to devising family planning (FP) strategies. This study aimed to understand the reasons for non-use of contraceptives among women in the context of male out-migration. METHODS: Focus Group Discussions (FGDs) were...

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Autores principales: Mukherjee, Saradiya, Mahapatra, Bidhubhusan, Saggurti, Niranjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009410/
https://www.ncbi.nlm.nih.gov/pubmed/33784370
http://dx.doi.org/10.1371/journal.pone.0249177
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author Mukherjee, Saradiya
Mahapatra, Bidhubhusan
Saggurti, Niranjan
author_facet Mukherjee, Saradiya
Mahapatra, Bidhubhusan
Saggurti, Niranjan
author_sort Mukherjee, Saradiya
collection PubMed
description INTRODUCTION: Contextual understanding of reasons for non-use of contraceptives is key to devising family planning (FP) strategies. This study aimed to understand the reasons for non-use of contraceptives among women in the context of male out-migration. METHODS: Focus Group Discussions (FGDs) were conducted in two high male out-migration districts in Bihar, namely Nawada and Gopalganj. Twenty-five FGDs were conducted with currently married women with migrant husbands, currently married men and Accredited Social Health Activists (ASHAs) during April-June 2019. Data were analysed by using a thematic approach through Atlas.ti-6.2. RESULTS: The reasons for contraceptive non-use in areas with high male out-migration were complex, as this included barriers to contraceptive use unique to high-migration areas and reasons commonly found in other rural settings. Non-use of contraceptives among women with migrant husbands was mostly driven by lack of contraceptive preparedness before husband’s arrival, inability to procure contraceptives due to inaccessibility to health facilities and stigma to procure when husband was away. Other migration environment related factors included low ASHA outreach, myths and side effects of contraceptives, community fertility norms and poor spousal communications around FP. CONCLUSION: The reasons for non-use of contraceptives are multifaceted, complex and interlinked. Exploration of these reasons in migration context suggest that FP programs in migration affected areas need to address a range of barriers to contraceptive use at multiple levels.
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spelling pubmed-80094102021-04-07 Why women do not use contraceptives: Exploring the role of male out-migration Mukherjee, Saradiya Mahapatra, Bidhubhusan Saggurti, Niranjan PLoS One Research Article INTRODUCTION: Contextual understanding of reasons for non-use of contraceptives is key to devising family planning (FP) strategies. This study aimed to understand the reasons for non-use of contraceptives among women in the context of male out-migration. METHODS: Focus Group Discussions (FGDs) were conducted in two high male out-migration districts in Bihar, namely Nawada and Gopalganj. Twenty-five FGDs were conducted with currently married women with migrant husbands, currently married men and Accredited Social Health Activists (ASHAs) during April-June 2019. Data were analysed by using a thematic approach through Atlas.ti-6.2. RESULTS: The reasons for contraceptive non-use in areas with high male out-migration were complex, as this included barriers to contraceptive use unique to high-migration areas and reasons commonly found in other rural settings. Non-use of contraceptives among women with migrant husbands was mostly driven by lack of contraceptive preparedness before husband’s arrival, inability to procure contraceptives due to inaccessibility to health facilities and stigma to procure when husband was away. Other migration environment related factors included low ASHA outreach, myths and side effects of contraceptives, community fertility norms and poor spousal communications around FP. CONCLUSION: The reasons for non-use of contraceptives are multifaceted, complex and interlinked. Exploration of these reasons in migration context suggest that FP programs in migration affected areas need to address a range of barriers to contraceptive use at multiple levels. Public Library of Science 2021-03-30 /pmc/articles/PMC8009410/ /pubmed/33784370 http://dx.doi.org/10.1371/journal.pone.0249177 Text en © 2021 Mukherjee et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Mukherjee, Saradiya
Mahapatra, Bidhubhusan
Saggurti, Niranjan
Why women do not use contraceptives: Exploring the role of male out-migration
title Why women do not use contraceptives: Exploring the role of male out-migration
title_full Why women do not use contraceptives: Exploring the role of male out-migration
title_fullStr Why women do not use contraceptives: Exploring the role of male out-migration
title_full_unstemmed Why women do not use contraceptives: Exploring the role of male out-migration
title_short Why women do not use contraceptives: Exploring the role of male out-migration
title_sort why women do not use contraceptives: exploring the role of male out-migration
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009410/
https://www.ncbi.nlm.nih.gov/pubmed/33784370
http://dx.doi.org/10.1371/journal.pone.0249177
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