Barriers to uptake of bilateral tubal ligation family planning method among grand-multiparous women in the Copperbelt province, Zambia
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20240111Keywords:
Community, Maternal, Multiparity, Patriarchy, StigmaAbstract
Background: Use of Bilateral Tubal Ligation (BTL) family planning method has been met with resistance by some women owing to its clash with certain personal values in their lives. In some cases these barriers have led to unintended pregnancies, which in turn cause complications, especially in grand-multiparous women (women with many children). This qualitative study explored the barriers towards the uptake of BTL among grand-multiparous women.
Methods: The study used an exploratory qualitative methodology to explore the barriers to uptake of BTL. Semi structured interviews were utilised to collect data. Twenty-five semi-structured interviews were held with grand multiparous women who were attending clinics for family planning services. All interviews were tape-recorded and transcribed verbatim. A thematic approach underpinned by some aspects of the silences framework was utilised for data analysis.
Results: The study revealed that barriers to the uptake of BTL included desire to maintain productivity, pressure from spouses, stigmatization of family planning, safety fears and loss of self-esteem.
Conclusions: There is need to engage all stakeholders in communities to make sure that fears and doubts on the use of BTL are allayed. Furthermore there is need to roll out more health promotion and raise awareness on the importance of family planning.
Metrics
References
WHO. Accelerating progress towards the attainment of international reproductive health goals: a framework for implementing the WHO Global Reproductive Health Strategy, 2006. Available at: https://iris.who.int/bitstream/handle/10665/69353/WHO_RHR_06.3_eng.pdf?sequence=1. Accessed on 2 June 2023.
Myles M. Textbook for Midwives. 13th ed. Elsevier. London; 2010.
Sellers PM. Seller’s Midwifery. 2nd Ed. Juta. Claremont, SA; 2012.
Marshall J, Raynor M. Myles Textbook for Midwives. 16th ed. Elsevier. New York. USA; 2014.
WHO. Reproductive health strategy to accelerate progress towards the attainment of international development goals and targets, 2010. Available at: https://www.who.int/publications/i/item/WHO-RHR-04.8. Accessed on 29 September 2023.
WHO. Family Planning: A Global Handbook for Providers, 2007. Available at: https://www.ippf.org/sites/default/files/family_planning_a_global_handbook_for_providers.pdf. Accessed on 8 January 2023.
Bongaarts J, Casterline J. Fertility transition: is sub-Saharan Africa different? Popul Develop Revi. 2013;38(Suppl 1):153.
Tsui AO, McDonald-Mosley R, Burke AE. Family planning and the burden of unintended pregnancies. Epidemiol Revi. 2010;32(1):152-74.
Lutala PM, Hugo JF, Luhiriri LN. Psychosocial implications of tubal ligation in a rural health district: A phenomenological study. Reproduct Heal. 2011;8(1):1-0.
Grange J, Chatellier M, Chevé MT, Paumier A, Launay-Bourillon C, Legendre G, et al. Predictors of failed intrauterine balloon tamponade for persistent postpartum hemorrhage after vaginal delivery. PLoS One. 2018;13(10):e0206663.
Guillebaud J, MacGregor A. Contraception: your questions answered6: contraception: your questions answered. Elsevier Health Sciences; 2012
Glasier A. Acceptability of contraception for men: a review. Contracep. 2010;82(5):453-6.
Chasekwa B, Maluccio JA, Ntozini R, Moulton LH, Wu F, Smith LE, et al. Measuring wealth in rural communities: lessons from the Sanitation, Hygiene, Infant Nutrition Efficacy (SHINE) trial. PLoS one. 2018;13(6):e0199393.
Gorynia M, Nowak J, Howak J, Wolniak R. Motives and modes of FDI in Poland: An exploratory qualitative study. J East Europ Manag Stud. 2007:132-51.
Lockett D, Willis A, Edwards N. Through seniors' eyes: an exploratory qualitative study to identify environmental barriers to and facilitators of walking. Canad J Nurs Res Arch. 2005;37(3):48-65.
Robinson OC. Sampling in interview-based qualitative research: A theoretical and practical guide. Qualit Res Psychol. 2014;11(1):25-41.
Serrant-Green L. The sound of ‘silence’: a framework for researching sensitive issues or marginalised perspectives in health. J Res Nurs. 2011;16(4):347-60.
Adom K, Asare-Yeboa IT. An evaluation of human capital theory and female entrepreneurship in sub-Sahara Africa: Some evidence from Ghana. Int J Gend Entrepren. 2016;8(4):402-23.
Chirikure S, Pwiti G. Community involvement in archaeology and cultural heritage management: An assessment from case studies in Southern Africa and elsewhere. Curr Anthropol. 2008;49(3):467-85.
Kasedde S (2000): Long-Term and Permanent Family Planning Methods in Uganda: A literature review: Delivery of Improved Services for Health, USAID
Albertyn C. 'The stubborn persistence of patriarchy'? Gender equality and cultural diversity in South Africa. Constit Court Revi. 2009;2(1):165-208.
Koffi TB, Weidert K, Bitasse EO, Mensah MA, Emina J, Mensah S, et al. Engaging men in family planning: Perspectives from married men in Lomé, Togo. Glob Heal: Sci Pract. 2018;6(2):317-29.
Friedman M. Autonomy and male dominance. Soundings: Interdisci J. 2004;87(1/2):175-200.
Lavernia CJ, Alcerro JC, Rossi MD. Fear in arthroplasty surgery: the role of race. Clin Orthopaed Relat Res. 2010;468(2):547-54.
Schmid M, Wolf RC, Freudenmann RW, Schönfeldt-Lecuona C. Tomophobia, the phobic fear caused by an invasive medical procedure-an emerging anxiety disorder: a case report. J Medi Case Rep. 2009;3(1):1-4.
Downloads
Published
How to Cite
Issue
Section
