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Being ready, willing and able: understanding the dynamics of family planning decision-making through community-based group discussions in the Northern Region, Ghana

机译:准备好,愿意和能力:了解通过基于社区的群体讨论,加纳通过社区群体讨论进行计划生育决策的动态

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Regional contraceptive use differentials are pronounced in Ghana, with the lowest levels occurring in the Northern Region. Community-based health services, intended to promote maternal and child health and family planning use, may have failed to address this problem. This paper presents an analysis of qualitative data on community perspectives on family planning “readiness,” “willingness,” and “ability” compiled in the course of 20 focus group discussions with residents (mothers and fathers of children under five, young boys and girls, and community elders) of two communities each in two Northern Region districts that were either equipped with or lacking direct access to community health services. The study districts are localities where contraceptive use is uncommon and fertility is exceptionally high. Results suggest that direct access to community services has had no impact on contraceptive attitudes or practice. Widespread method knowledge is often offset by side-effect misperceptions. Social constraints are prominent owing to opposition from men. Findings attest to the need to improve the provision of contraceptive information and expand method choice options. Because societal acceptance and access in this patriarchal setting is critical to use, frontline worker deployment should prioritize strategies for outreach to men and community groups with prominent attention to social mobilization themes and strategies that support family planning.
机译:区域避孕药使用差异在加纳发音,北部地区发生的最低水平。旨在促进妇幼保健和计划生育的社区卫生服务可能未能解决这个问题。本文提出了关于家庭规划“准备”的社区视角的定性数据分析,“准备”,“愿意,”和“能力”与居民讨论(五个,年轻男孩和女孩下的儿童父亲和父亲)编制两家北部地区的两个社区的社区长者都配备或缺乏直接进入社区卫生服务。研究区是避孕用途罕见罕见的地方,生育能力特别高。结果表明,直接访问社区服务对避孕态度或实践没有影响。广泛的方法知识通常通过副作用误解来抵消。由于男人的反对,社会限制是突出的。调查结果证明需要改进提供避孕信息和扩大方法选择选项。由于这种父权制设置中的社会接受和访问对于使用至关重要,因此前线工人部署应优先考虑男性和社区团体的策略,以突出关注社会动员主题和支持计划生育的策略。

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