TY - JOUR
T1 - The voice of Indian women on family planning
T2 - A qualitative systematic review
AU - Parsekar, Shradha S.
AU - Hoogar, Praveen
AU - Dhyani, Vijay Shree
AU - Yadav, Uday Narayan
N1 - Funding Information:
We would like to acknowledge Dr. Ashwini Pujar, Karnataka Health Promotion Trust, Bengaluru-India, for helping us in screening the titles, abstracts and full texts.
Publisher Copyright:
© 2021 The Authors
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Objective: The systematic review explores personal experiences and perceptions of (and on) resident Indian women on family planning. Methods: We included qualitative studies conducted among women, husbands and mothers-in-law. Search on five databases (published between 2000 and May 8, 2019) and forward and backward citations search of included studies were undertaken (April 2020). Three-stage screening and data extraction were done independently. Iterative process was followed to thematically analyse the data and presented it using the World Health Organization conceptual framework on social determinants of health. Result: Of 857 citations, we included 48 qualitative studies. Women's intent of using family planning services/methods was influenced by multiple factors such as socio-demographic characteristics. Women's agency and social status affected their standing in family planning decision-making. Fear of side-effects of contraception methods, access to information and support, and cultural and religious beliefs hindered the use of modern methods of contraceptive. Undesirable attitudes of service providers influenced underutilisation of family planning services. Ineffective contraceptive choice counselling, particularly for poor section of the community and high-risk groups were reported. While considering inter-pregnancy interval, some of the women opted for induced abortion to terminate unplanned pregnancy however, had meagre acceptance for using modern contraceptive methods. Conclusion: The findings call for reinvigorated efforts to provide effective and individually, religiously, regionally and culturally appropriate interventions to improve family planning access and ultimately support better health and rights of women in India.
AB - Objective: The systematic review explores personal experiences and perceptions of (and on) resident Indian women on family planning. Methods: We included qualitative studies conducted among women, husbands and mothers-in-law. Search on five databases (published between 2000 and May 8, 2019) and forward and backward citations search of included studies were undertaken (April 2020). Three-stage screening and data extraction were done independently. Iterative process was followed to thematically analyse the data and presented it using the World Health Organization conceptual framework on social determinants of health. Result: Of 857 citations, we included 48 qualitative studies. Women's intent of using family planning services/methods was influenced by multiple factors such as socio-demographic characteristics. Women's agency and social status affected their standing in family planning decision-making. Fear of side-effects of contraception methods, access to information and support, and cultural and religious beliefs hindered the use of modern methods of contraceptive. Undesirable attitudes of service providers influenced underutilisation of family planning services. Ineffective contraceptive choice counselling, particularly for poor section of the community and high-risk groups were reported. While considering inter-pregnancy interval, some of the women opted for induced abortion to terminate unplanned pregnancy however, had meagre acceptance for using modern contraceptive methods. Conclusion: The findings call for reinvigorated efforts to provide effective and individually, religiously, regionally and culturally appropriate interventions to improve family planning access and ultimately support better health and rights of women in India.
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U2 - 10.1016/j.cegh.2021.100906
DO - 10.1016/j.cegh.2021.100906
M3 - Article
AN - SCOPUS:85119259820
SN - 2213-3984
VL - 12
JO - Clinical Epidemiology and Global Health
JF - Clinical Epidemiology and Global Health
M1 - 100906
ER -
