Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa
Background: Sexual and reproductive decision-making has emerged as an important health indicator in family reproductive health issues. While there is evidence of male dominance in sexual and reproductive health decisions, the role of socio-demographic factors on women’s decision to use contraception...
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| Format: | Article |
| Language: | English |
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AOSIS
2018-10-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/1431 |
| _version_ | 1819061961400254464 |
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| author | Godswill N. Osuafor Sonto M. Maputle Natal Ayiga |
| author_facet | Godswill N. Osuafor Sonto M. Maputle Natal Ayiga |
| author_sort | Godswill N. Osuafor |
| collection | DOAJ |
| description | Background: Sexual and reproductive decision-making has emerged as an important health indicator in family reproductive health issues. While there is evidence of male dominance in sexual and reproductive health decisions, the role of socio-demographic factors on women’s decision to use contraception is not well understood.
Aim: This study aimed at exploring the socio-demographic factors associated with married women’s decision-making to use contraception.
Setting: The study was conducted in Mahikeng local municipality in the Modiri Molema District Municipality.
Methods: Data were generated in Mahikeng from married and cohabiting women, aged 18–49 years, from a survey comprising 568 participants. Data were collected on women’s demographic characteristics and contraceptive behaviour. Descriptive, bivariate and multivariate analyses were used to examine factors related to decision-making on contraceptive use.
Results: The result revealed that 57% of the participants were currently using contraception and 45% stated jointly-made decision regarding the use of contraception. Decisions on use of contraceptives were associated with education, occupation, religion, duration of union and home language. Other factors associated with decision-making on contraceptive use were perception on husband’s right to sex, use of force for sex and spousal communication about sex.
Conclusion: Empowering women to use contraception to meet their fertility desire should aim at improving their socio-economic status and spousal communication. Family planning providers should recognise socio-cultural barriers under which the relationships exist and how women can navigate these contextual factors. |
| first_indexed | 2024-12-21T14:51:12Z |
| format | Article |
| id | doaj.art-135eb0d10ee5446b83011baefaa3addf |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-12-21T14:51:12Z |
| publishDate | 2018-10-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-135eb0d10ee5446b83011baefaa3addf2022-12-21T18:59:52ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362018-10-01101e1e710.4102/phcfm.v10i1.1431573Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South AfricaGodswill N. Osuafor0Sonto M. Maputle1Natal Ayiga2School of Health Science, University of Venda; and, Population and Health Research Focus Area, North-West UniversitySchool of Health Science, University of VendaPopulation and Health Research Focus Area, North-West UniversityBackground: Sexual and reproductive decision-making has emerged as an important health indicator in family reproductive health issues. While there is evidence of male dominance in sexual and reproductive health decisions, the role of socio-demographic factors on women’s decision to use contraception is not well understood. Aim: This study aimed at exploring the socio-demographic factors associated with married women’s decision-making to use contraception. Setting: The study was conducted in Mahikeng local municipality in the Modiri Molema District Municipality. Methods: Data were generated in Mahikeng from married and cohabiting women, aged 18–49 years, from a survey comprising 568 participants. Data were collected on women’s demographic characteristics and contraceptive behaviour. Descriptive, bivariate and multivariate analyses were used to examine factors related to decision-making on contraceptive use. Results: The result revealed that 57% of the participants were currently using contraception and 45% stated jointly-made decision regarding the use of contraception. Decisions on use of contraceptives were associated with education, occupation, religion, duration of union and home language. Other factors associated with decision-making on contraceptive use were perception on husband’s right to sex, use of force for sex and spousal communication about sex. Conclusion: Empowering women to use contraception to meet their fertility desire should aim at improving their socio-economic status and spousal communication. Family planning providers should recognise socio-cultural barriers under which the relationships exist and how women can navigate these contextual factors.https://phcfm.org/index.php/phcfm/article/view/1431contraceptive usedecision-makingmarried womenMahikeng |
| spellingShingle | Godswill N. Osuafor Sonto M. Maputle Natal Ayiga Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa African Journal of Primary Health Care & Family Medicine contraceptive use decision-making married women Mahikeng |
| title | Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa |
| title_full | Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa |
| title_fullStr | Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa |
| title_full_unstemmed | Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa |
| title_short | Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa |
| title_sort | factors related to married or cohabiting women s decision to use modern contraceptive methods in mahikeng south africa |
| topic | contraceptive use decision-making married women Mahikeng |
| url | https://phcfm.org/index.php/phcfm/article/view/1431 |
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