Community views on short birth interval in Northern Uganda: a participatory grounded theory.
Reprod Health
; 18(1): 88, 2021 Apr 28.
Article
em En
| MEDLINE
| ID: mdl-33910570
The evidence on what increases birth spacing remains limited. This study explored community views on influences on short birth interval to promote a culturally safe child spacing in Northern Uganda. A participatory research process began by collating perspectives of causes of short birth intervals through fuzzy cognitive mapping. Focus group discussions clarified concepts emerging from the fuzzy cognitive mapping exercise. Fieldworkers administered a household survey to quantify reproductive health outcomes. In deliberative dialogue sessions involving women and their communities, shared and discussed these results and suggested potential actions to promote culturally safe child spacing. Women, men, and youth showed clear understandings of the benefits of adequate child spacing. This knowledge is difficult to translate into practice, however, as women feel they are unable to exercise child spacing. Women who use contraceptives without their husbands' consent risk losing financial and social resources and are likely to face intra-partner violence. Women were not comfortable with contraceptive methods and reported experiencing side effects. The deliberative dialogues suggested a home-based sensitization program focused on improving marital relationships (spousal communication, mutual understanding, male support, intra-partner violence) and knowledge and side-effects management of contraceptives.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Intervalo entre Nascimentos
/
Anticoncepção
/
Comportamento Contraceptivo
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
Reprod Health
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Canadá