Gender Norms and Family Planning Decision-Making Among Married Men and Women, Rural Ethiopia: A Qualitative Study
Science Journal of Public Health
Volume 3, Issue 2, March 2015, Pages: 242-250
Received: Feb. 26, 2015;
Accepted: Mar. 4, 2015;
Published: Mar. 9, 2015
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Dereje Geleta, Department of public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia
Zewdie Birhanu, Department of Health Education and Behavioral Science, Jimma University, Jimma, Ethiopia
Michelle Kaufman, Johns Hopkins Bloomberg School of Public, Department of Health, Behavior and society, Baltimore, USA
Bezawit Temesgen, Department of Health Education and Behavioral Science, Jimma University, Jimma, Ethiopia
Family planning service contributes a lot in reduction of morbidity and mortality and it does more help couples to limit the number of their children. Women’s ability to control her on fertility strongly affected by social constructs of Gender role, expectations and gender inequalities. Objective: To explore influence of gender norms on family planning decision- making among married men and women, rural Ethiopia, 2013. Methods: A qualitative study using grounded approach was employed. Data collection included in-depth interview with key informants and focus group discussion as conducted with both married women and married men. Interview was done using a semi-structured interview guide with open-ended questions. Axial coding was employed. Codes were aggregated and memos are developed. Result: Different gender norms in the community were obstacles for family planning utilization in the community. Those different gender norms directly or being by complement with each other acts as the barriers of FP utilizations. Decision making power of men/husbands on family planning (needs for his consent by women/wives), seeing children as social prestige due to cultural beliefs, low status of women in community, undermine knowledge of women, limiting responsibility of women/wives to home, dominance of men/husbands on households, etc. Conclusion: Due to men’s dominance at the household level and other related factors, the role of women on family planning decision making was limited to merely accepting the decisions of their husbands. Furthermore due to men’s power of decision making the final decision was made based on the men’s interest.
Gender Norms and Family Planning Decision-Making Among Married Men and Women, Rural Ethiopia: A Qualitative Study, Science Journal of Public Health.
Vol. 3, No. 2,
2015, pp. 242-250.
Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia, and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro,2006.
World health organization. Dept. of Health and Human Services, Office of Population Affairs: Available At:
Population Family Planning and the Future of Africa Population Family Planning and the Future of Africa. world watch 2004 Published in world watch magazine. Available at: World Watch Magazine , September/October 2004, Volume 17, No. 5.
Federal Democratic Republic of Ethiopia. Family Planning Extension Package. Addis Ababa,September,2003.
Central Statistical Agency (CSA) and ICF International. Ethiopia Demographic and Health,Survey 2011. Addis Ababa, Ethiopia and Calverton, MD,USA :CSA and ICF International; 2012. 430 p.2012.
Oladeji D. socio-cultural and norms factors influencing family planning choices among couples in Ibadan metropolis,Nigeria. ol abisi onabanjo university,ago- iwoye,Nigeria,. 2008.
Gill R. and Stewar DE. Relevance of Gender-Sensitive Policies and General Health Indicators to Compare the Status of South Asian Women’s Health.: women’s Health Issues 2011 21(1): (12-18.)2012.
Dennis P. Betemariam B. Asefa H. Household organization women’s autonomy and contraceptive behavior in southern Ethiopia. Studies in family planning.2002,30:302-314.
Jane Ch. Interventions linking gender relations and violence with reproductive health and HIV: rationale, effectiveness and gaps. 2006.
Evolving men. Initial Results from the International Men and Gender Equality Survey, Men and gender equality policy project,2009.
Guttmacher Institute and International Planned Parenthood Federation. Facts on Satisfying the Need for Contraception in Developing Countries.New York: Guttmacher Institute,2010.
Hollerbach P. Powers in families, communication and fertility decision-making. Population and Environment, . (2001);3 (2): :146-71.
Changing priorities in an era of social transformation and globalization. Belgium, International Union for the Scientific Study of Population; 2002.
Dennis P. Betemariam B. Asefa H. Household organization women’s autonomy and contraceptive behavior in southern Ethiopia. Studies in family planning; 2002, 30:302-14.
Kim Y. Kols A. Mudieke S. Informed choice and decision-making in family planning counseling in Kenya. International Family Planning Perspectives 2002 ;( 24(1): 4-11, 42).
Public Choices. Private Decisions:. Sexual and Reproductive Health and the Millennium Development Goals.
Akinrinola B. Sasheela S. Couples Fertility and contraception Decision Making in Developing Countries: Hearing the Man’s Voice. . International Family Planning perspective,2004
A. Berhane, Biadgilign, Amberbir, Morankar & Deribe, family planning utilization among rural community , southern Ethiopia. (2010).
Schuler S. R. Rottach E. &Mukiri P . Gender norms and family planning Decision-making in Tanzania: a qualitative study. Journal of Public Health in Africa, 2(2), (2011).
Moser. R. M.: Reproductive health issue for refugees in Latin America. Personal Communication, April 22 (2001).
Oyediran.K. Isiugo-Abanihe, Uche C.: Bankole. A. Correlates of spousal communication on fertility and family planning among the Yoruba of Nigeria. Journal of Comparative Family Studies (2006).37(3): p41-61.
Greene. M. and Biddlecom. A.: Absent and Problematic Men: Demographic Accounts of Male Reproductive Roles. New York: Population Council, (1997).
Hull. T.: Fertility Regulation and Institutional Influences. Cultural influence on fertility decision styles. Determinants of Fertility in Developing Countries,. New York (2000).