Abstract
Introduction Our aim was to identify beliefs about and specific barriers to use of birth spacing methods that married and cohabitating women in the Trifinio Sur-Oeste region of Guatemala report in order to design future family planning educational programs. Methods We conducted key informant interviews with community health workers and focus groups with married or cohabitating women. We used inductive and deductive coding to identify common themes. Using these themes, we created explanatory models for decision-making context and identified barriers to family planning use, community educational needs, and potential interventions. Results Thirty-seven women, aged 20–47 years, with an average of 3.5 children and a 2nd grade education level, were included in focus groups. Women had accurate knowledge about benefits of birth spacing however had poor knowledge of family planning methods. Most common barriers included lack of spousal approval, difficulty accessing contraceptive methods, lack of knowledge, and fear of adverse effects. Women were interested in increased education for men, adolescents, and themselves. Discussion Targeted education for women, men, and adolescents is needed to improve family planning uptake in the Trifinio region. Programming should focus on increasing knowledge and acceptability of birth spacing methods and increasing constructive dialogue among couples.
References
Aransiola, J. O., Akinyemi, A. I., & Fatusi, A. O. (2014). Women’s perceptions and reflections of male partners and couple dynamics in family planning adoption in selected urban slums in Nigeria: A qualitative exploration. BMC Public Health, 14, 869. https://doi.org/10.1186/1471-2458-14-869.
Campbell, M., Sahin-Hodoglugil, N. N., & Potts, M. (2006). Barriers to fertility regulation: A review of the literature. Studies in Family Planning, 37(2), 87–98.
Casterline, J. B., Sathar, Z. A., & ul Haque, M. (2001). Obstacles to contraceptive use in Pakistan: A study in Punjab. Studies in Family Planning, 32(2), 95–110.
Cleland, J., Harbison, S., & Shah, I. H. (2014). Unmet need for contraception: Issues and challenges. Studies in Family Planning, 45(2), 105–122. https://doi.org/10.1111/j.1728-4465.2014.00380.x.
Hameed, W., Azmat, S. K., Ali, M., Sheikh, M. I., Abbas, G., Temmerman, M., & Avan, B. I. (2014). Women’s empowerment and contraceptive use: The role of independent versus couples’ decision-making, from a lower middle income country perspective. PLoS ONE, 9(8), e104633. https://doi.org/10.1371/journal.pone.0104633.
Martinez, K. H., & Jones, B. S. (2000). An unfulfilled human right: Family planning in Guatemala. New York: Center for Reproductive Law and Policy.
Mukuria, A., Aboulafia, C., & Themme, A. (2005). The context of women’s health: Results from the demographic and health surveys, 1994–2001. Comparative Reports No 11. Calverton, Maryland.
Sedgh, G., & Hussain, R. (2014). Reasons for contraceptive nonuse among women having unmet need for contraception in developing countries. Studies in Family Planning, 45(2), 151–169. https://doi.org/10.1111/j.1728-4465.2014.00382.x.
Sedgh, G., Hussain, R., Bankole, A., & Singh, S. (2007). Women with an unmet need for contraception in developing countries and their reasons for not using a method. In Occasional Report (p. 37). New York: Guttmacher Institute.
Acknowledgements
The Center for Global Health, University of Colorado School of Public Health, and the Fundación para la Salud Integral de Guatemaltecos and their staff provided helpful guidance for this project.
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Schultz, C., Larrea, N., Celada, M. et al. A Qualitative Assessment of Community Attitudes and Barriers to Family Planning Use in the Trifinio Region of Southwest Guatemala. Matern Child Health J 22, 461–466 (2018). https://doi.org/10.1007/s10995-018-2479-0
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DOI: https://doi.org/10.1007/s10995-018-2479-0