The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological Study

Mihiret Tesfaw,1 Amene Abebe,2 Befekadu Bekele,3 Daniel Baza4 1Department of Reproductive Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2Department of Reproductive Health and Human Nutrition, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Department of Public Health, Wolaita Sodo Unive...

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Main Authors: Tesfaw M, Abebe A, Bekele B, Baza D
Format: Article
Language:English
Published: Dove Medical Press 2022-05-01
Series:Open Access Journal of Contraception
Subjects:
Online Access:https://www.dovepress.com/the-lived-experience-of-women-using-bilateral-tubal-ligation-service-i-peer-reviewed-fulltext-article-OAJC
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author Tesfaw M
Abebe A
Bekele B
Baza D
author_facet Tesfaw M
Abebe A
Bekele B
Baza D
author_sort Tesfaw M
collection DOAJ
description Mihiret Tesfaw,1 Amene Abebe,2 Befekadu Bekele,3 Daniel Baza4 1Department of Reproductive Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2Department of Reproductive Health and Human Nutrition, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Department of Public Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 4Department of Pediatrics and Neonatal Nursing, Wolaita Sodo University, Wolaita Sodo, EthiopiaCorrespondence: Amene Abebe, Email ameneabe@gmail.comBackground: Bilateral tubal ligation is a highly safe and effective form of permanent contraception for couples who want no more children. However, it is the least known and used form of contraception in Ethiopia.Objective: To explore the lived experience and perception of women using the bilateral tubal ligation method in Southern Ethiopia.Methods: Qualitative phenomenological study design was employed. The study participants were recruited by purposive sampling. The data were collected through in-depth interviews and supportive field notes from March 25 to April 24, 2021. All Interviews with the participants were recorded using a digital audio recorder. Inductive thematic analysis was done using Colaizzi’s (1978) seven-step phenomenological analysis framework. Data coding was done using Open code software version 4.03.Results: A total of fifteen participants were included in the study. Women’s satisfaction, male partner involvement, perception of women using bilateral tubal ligation, socio-cultural influences, client follow-up, and socio-economic impact of bilateral tubal ligation use are the major themes identified in the study. Findings revealed that most of the participants are satisfied with the method and became more productive and got the freedom to participate income-generating activities. The dominance of socio-cultural influences, male partner’s involvement, and client follow-up after the procedure are the common themes that emerged which determine the user’s experience.Conclusion: Lack of supportive involvement of partners, community pressure, lack of women’s decision-making capacity and inadequate follow-up of women in the post bilateral tubal ligation use by healthcare workers are emergent experiences in the current study. Hence, promoting behavioral change communication for community members regarding bilateral tubal ligation use, empowerment of women’s economic, educational, and decision-making capability and healthcare workers’ follow-up of women in the post bilateral tubal ligation period are recommended.Keywords: bilateral tubal ligation, phenomenology, perceptions, women, lived experience
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spelling doaj.art-46545078cf864be1a310cd5c0805778f2022-12-22T02:25:35ZengDove Medical PressOpen Access Journal of Contraception1179-15272022-05-01Volume 13496075029The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological StudyTesfaw MAbebe ABekele BBaza DMihiret Tesfaw,1 Amene Abebe,2 Befekadu Bekele,3 Daniel Baza4 1Department of Reproductive Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2Department of Reproductive Health and Human Nutrition, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Department of Public Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 4Department of Pediatrics and Neonatal Nursing, Wolaita Sodo University, Wolaita Sodo, EthiopiaCorrespondence: Amene Abebe, Email ameneabe@gmail.comBackground: Bilateral tubal ligation is a highly safe and effective form of permanent contraception for couples who want no more children. However, it is the least known and used form of contraception in Ethiopia.Objective: To explore the lived experience and perception of women using the bilateral tubal ligation method in Southern Ethiopia.Methods: Qualitative phenomenological study design was employed. The study participants were recruited by purposive sampling. The data were collected through in-depth interviews and supportive field notes from March 25 to April 24, 2021. All Interviews with the participants were recorded using a digital audio recorder. Inductive thematic analysis was done using Colaizzi’s (1978) seven-step phenomenological analysis framework. Data coding was done using Open code software version 4.03.Results: A total of fifteen participants were included in the study. Women’s satisfaction, male partner involvement, perception of women using bilateral tubal ligation, socio-cultural influences, client follow-up, and socio-economic impact of bilateral tubal ligation use are the major themes identified in the study. Findings revealed that most of the participants are satisfied with the method and became more productive and got the freedom to participate income-generating activities. The dominance of socio-cultural influences, male partner’s involvement, and client follow-up after the procedure are the common themes that emerged which determine the user’s experience.Conclusion: Lack of supportive involvement of partners, community pressure, lack of women’s decision-making capacity and inadequate follow-up of women in the post bilateral tubal ligation use by healthcare workers are emergent experiences in the current study. Hence, promoting behavioral change communication for community members regarding bilateral tubal ligation use, empowerment of women’s economic, educational, and decision-making capability and healthcare workers’ follow-up of women in the post bilateral tubal ligation period are recommended.Keywords: bilateral tubal ligation, phenomenology, perceptions, women, lived experiencehttps://www.dovepress.com/the-lived-experience-of-women-using-bilateral-tubal-ligation-service-i-peer-reviewed-fulltext-article-OAJCbilateral tubal ligationphenomenologyperceptionswomenlived experience
spellingShingle Tesfaw M
Abebe A
Bekele B
Baza D
The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological Study
Open Access Journal of Contraception
bilateral tubal ligation
phenomenology
perceptions
women
lived experience
title The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological Study
title_full The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological Study
title_fullStr The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological Study
title_full_unstemmed The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological Study
title_short The Lived Experience of Women Using Bilateral Tubal Ligation Service in Rural Southern Ethiopia: A Phenomenological Study
title_sort lived experience of women using bilateral tubal ligation service in rural southern ethiopia a phenomenological study
topic bilateral tubal ligation
phenomenology
perceptions
women
lived experience
url https://www.dovepress.com/the-lived-experience-of-women-using-bilateral-tubal-ligation-service-i-peer-reviewed-fulltext-article-OAJC
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