Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban Nairobi

The COVID-19 response has profoundly affected women’s access to family planning services in Kenya. While prior studies have shown how the COVID-19 response created barriers to accessing family planning (FP) services, less is known about how the pandemic affected the normative influence that partners...

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Main Authors: Rahma Hassan, Amiya Bhatia, Anja Zinke-Allmang, Amy Shipow, Concilia Ogolla, Krittika Gorur, Beniamino Cislaghi
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:SSM: Qualitative Research in Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321521000317
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author Rahma Hassan
Amiya Bhatia
Anja Zinke-Allmang
Amy Shipow
Concilia Ogolla
Krittika Gorur
Beniamino Cislaghi
author_facet Rahma Hassan
Amiya Bhatia
Anja Zinke-Allmang
Amy Shipow
Concilia Ogolla
Krittika Gorur
Beniamino Cislaghi
author_sort Rahma Hassan
collection DOAJ
description The COVID-19 response has profoundly affected women’s access to family planning services in Kenya. While prior studies have shown how the COVID-19 response created barriers to accessing family planning (FP) services, less is known about how the pandemic affected the normative influence that partners, peers, and health providers exert on women’s FP choices. In this qualitative study, we interviewed 16 women (aged 18–25 years), 10 men in partnerships with women, and 14 people in women’s social networks across 7 low-income wards in Nairobi, Kenya. Our findings suggest that COVID-19 response measures changed the contexts of normative influence on FP: financial insecurity, increased time at home with husbands or parents, and limited access to seek the support of health workers, friends, and other people in their social network affected how women negotiated FP access and use within their homes. Our study underscores the importance of ensuring FP is an essential service in a pandemic, and of developing health programs that change norms about FP to address the gendered burden of negotiating FP during COVID-19 and beyond.
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spelling doaj.art-7e800a46a6bc4d818114bf6cfd8b3bb92022-12-22T03:00:35ZengElsevierSSM: Qualitative Research in Health2667-32152022-12-012100031Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban NairobiRahma Hassan0Amiya Bhatia1Anja Zinke-Allmang2Amy Shipow3Concilia Ogolla4Krittika Gorur5Beniamino Cislaghi6University of Nairobi, Kenya; Corresponding author.London School of Hygiene and Tropical Medicine, Department of Global Health and Development, UKLondon School of Hygiene and Tropical Medicine, Department of Global Health and Development, UKBusara Center for Behavioral Economics, KenyaBusara Center for Behavioral Economics, KenyaBusara Center for Behavioral Economics, KenyaLondon School of Hygiene and Tropical Medicine, Department of Global Health and Development, UKThe COVID-19 response has profoundly affected women’s access to family planning services in Kenya. While prior studies have shown how the COVID-19 response created barriers to accessing family planning (FP) services, less is known about how the pandemic affected the normative influence that partners, peers, and health providers exert on women’s FP choices. In this qualitative study, we interviewed 16 women (aged 18–25 years), 10 men in partnerships with women, and 14 people in women’s social networks across 7 low-income wards in Nairobi, Kenya. Our findings suggest that COVID-19 response measures changed the contexts of normative influence on FP: financial insecurity, increased time at home with husbands or parents, and limited access to seek the support of health workers, friends, and other people in their social network affected how women negotiated FP access and use within their homes. Our study underscores the importance of ensuring FP is an essential service in a pandemic, and of developing health programs that change norms about FP to address the gendered burden of negotiating FP during COVID-19 and beyond.http://www.sciencedirect.com/science/article/pii/S2667321521000317Family planningCOVID-19KenyaGenderSocial norms
spellingShingle Rahma Hassan
Amiya Bhatia
Anja Zinke-Allmang
Amy Shipow
Concilia Ogolla
Krittika Gorur
Beniamino Cislaghi
Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban Nairobi
SSM: Qualitative Research in Health
Family planning
COVID-19
Kenya
Gender
Social norms
title Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban Nairobi
title_full Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban Nairobi
title_fullStr Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban Nairobi
title_full_unstemmed Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban Nairobi
title_short Navigating family planning access during Covid-19: A qualitative study of young women’s access to information, support and health services in peri-urban Nairobi
title_sort navigating family planning access during covid 19 a qualitative study of young women s access to information support and health services in peri urban nairobi
topic Family planning
COVID-19
Kenya
Gender
Social norms
url http://www.sciencedirect.com/science/article/pii/S2667321521000317
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