Role of Partner and Health Workers on Modern Contraceptive Use Among Married/In-union Women in Uzbekistan

Supriatin Supriatin, Mohamed Rifky, Muhammad Uzair Khan, Lili Amaliah, Marlynda Happy Nurmalita Sari, Eko Budi Santoso, Indra Ruswandi, Maretalinia Maretalinia, Linda Suwarni

Abstract


Many factors contribute to the declining total fertility rate, including family planning programs. The successful implementation of the family planning method might be influenced by how the decision to choose a contraceptive method was made. This study aimed to examine the correlation between family planning decision makers and modern contraceptive use among married/in-union women of reproductive age in Uzbekistan. The 2021-2022 Multiple Indicator Cluster Survey was used by selecting only married/in-union women of reproductive age of 15 to 49 years, totaling 2,794 eligible samples. The modern family planning use variables were divided into not using, using Long-Acting Contraceptives (LAC), and Short-Acting Contraceptives (SAC). The univariate, bivariate(Chi-square and ANOVA), and multinomial logistic regression were performed. Family planning decision-makers from both women and husbands/partners, health workers, or others were significantly associated with modern contraceptive use for SAC and LAC, respectively. The type of family planning methods was significantly influenced by decision-makers. Spouses, family members, and health workers need to implicate women to decide the most applicable contraceptive method.

Keywords


long-acting contraceptives; modern contraceptive methods; Multiple Indicator Cluster Survey; short-acting contraceptives; Uzbekistan

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References


  1. World Health Organization. Uzbekistan: Health System Review. Geneva: World Health Organization; 2014.

  2. United Nations Population Fund. UNPFA Uzbekistan. New York: United Nations Population Fund; 2021.

  3. ZN Tojiyeva, SK Tashtayeva, MM Egamberdiyeva, et al. Demographic Transition and the Role of Urban Population in Uzbekistan. Int J Psychosoc Rehab. 2020; 24 (04): 2055–2064.

DOI: 10.37200/ijpr/v24i4/pr201315

  4. Cole WM, Geist C. Conceiving of Contraception: World Society, Cultural Resistance, and Contraceptive Use, 1970-2012. Soc Forces. 2021; 99 (4): 1394–1431. DOI: 10.1093/sf/soaa077

  5. Family Planning 2020. Uzbekistan FP2020 Core Indicators 1-9 Country Fact Sheet and Uzbekistan FP2020 Core Indicator Summary Sheet: 2019-2020 Annual Progress Report; 2020.

  6. Azizova N, Tursunova Z, Azizova L. Social Policy and Empowerment of Women in the Agricultural Sector in Uzbekistan. In: Economic Science For Rural Development. 2017. p. 29–35.

  7. Boyquziyeva GX. Trends in the Development of the Social Position of Women in Uzbekistan and Socio-Philosophical Views. J Pharm Negat Results. 2022; 13 (7): 6012–6020. DOI:10.47750/pnr.2022.13.S07.733

  8. The World Bank. Fertility rate, total (births per woman) - Uzbekistan. Washington, DC: The World Bank; 2022.

  9. Cahill N, Sonneveldt E, Stover J, et al. Modern contraceptive use, unmet need, and demand satisfied among women of reproductive age who are married or in a union in the focus countries of the Family Planning 2020 initiative: A systematic analysis using the Family Planning Estimation Tool. Lancet. 2018; 391 (10123): 870–882. DOI:10.1016/S0140-6736(17)33104-5

  10. Butame SA. The prevalence of modern contraceptive use and its associated socio-economic factors in Ghana: Evidence from a demographic and health survey of Ghanaian men. Pub Health. 2019; 168: 128–136. DOI: 10.1016/j.puhe.2018.12.020

  11. Dehlendorf C, Grumbach K, Schmittdiel JA, et al. Shared decision making in contraceptive counseling. Contraception. 2017; 95 (5): 452–455. DOI: 10.1016/j.contraception.2016.12.010

  12. Fazal M, Bryant M. Blended Learning in Middle School Math: The Question of Effectiveness. J Online Learn Res. 2019; 5 (1): 49-64.

  13. Juraqulova ZH, Henry EB. Women’s bargaining power and contraception use in post-Soviet Tajikistan. Centr Asian Surv. 2020; 39 (4): 520–539. DOI: 10.1080/02634937.2020.1806202

  14. United Nations Children’s Fund. 2021-2022 Multiple Indicator Cluster Survey (MICS) in Uzbekistan: Statistical Snapshots. Tashkent: United Nations Children’s Fund; 2022.

  15. United Nations Children’s Fund. MICS Surveys. New York: United Nations Children’s Fund; 2023.

  16. Krengel M, Greifeld K. Uzbekistan in Transition – Changing Concepts in Family Planning and Reproductive Health. In: Contraception Across Cultures (1st ed). Oxfordshire: Routledge; 2000.

  17. Lombardozzi L. The marketisation of life: Entangling social reproduction theory and regimes of patriarchy through women’s work in post-Soviet Uzbekistan. Rev Int Polit Econ. 2022; 29 (6): 1870–1893. DOI: 10.1080/09692290.2021.1910063

  18. Martínez KCN. An ethnographic study of domestic violence and divorce in Uzbekistan [Theses]. Lund: Lund University; 2017.

  19. Ibrahim S. Status of Women in Uzbekistan. IOSR J Humanit Soc Sci. 2013; 10 (3): 47–55.

  20. Eliason S, Awoonor-Williams JK, Eliason C, et al. Determinants of modern family planning use among women of reproductive age in the Nkwanta district of Ghana: A case–control study. Reprod Health. 2014; 11: 65. DOI: 10.1186/1742-4755-11-65

  21. AL Sumri HH. A National Study: The Effect of Egyptian Married Women's Decision-Making Autonomy on the use of Modern Family Planning Methods. Afr J Reprod Health. 2015; 19 (4): 68-77.

  22. Mboane R, Bhatta MP. Influence of a husband’s healthcare decision making role on a woman’s intention to use contraceptives among Mozambican women. Reprod Health. 2015; 12: 36. DOI:10.1186/s12978-015-0010-2

  23. Prata N, Bell S, Fraser A, et al. Partner support for family planning and modern contraceptive use in Luanda, Angola. Afr J Reprod Health. 2017; 21 (1): 35–48. DOI: 10.29063/ajrh2017/v21i2.5

  24. Muanda M, Ndongo PG, Taub LD, et al. Barriers to modern contraceptive use in Kinshasa, DRC. PLoS One. 2016; 11 (12): e0167560. DOI: 10.1371/journal.pone.0167560

  25. Hameed W, Azmat SK, Ali M, et al. Women’s empowerment and contraceptive use: The role of independent versus couples’ decision-making, from a lower middle income country perspective. PLoS One.2014; 9 (8): e104633. DOI: 10.1371/journal.pone.0104633

  26. OlaOlorun FM, Hindin MJ. Having a say matters: Influence of decision-making power on contraceptive use among Nigerian women ages 35-49 years. PLoS One. 2014; 9 (6): e98702.

DOI: 10.1371/journal.pone.0098702

  27. Peer N, Morojele N, London L. Factors associated with contraceptive use in a rural area in Western Cape Province. South Afr Med J. 2013;103 (6): 406–412. DOI: 10.7196/SAMJ.6201

  28. Alabi O, Odimegwu CO, De-Wet N, et al. Does female autonomy affect contraceptive use among women in northern Nigeria? Afr J Reprod Health. 2019; 23 (2): 92–100.

  29. Downey MM, Arteaga S, Villaseñor E, et al. More Than a Destination: Contraceptive Decision Making as a Journey. Women’s Health Issues. 2017; 27 (5): 539–545. DOI: 10.1016/j.whi.2017.03.004

  30. Madden T, Secura GM, Nease RF, et al. The role of contraceptive attributes in women’s contraceptive decision making. Am J Obstet Gynecol. 2015; 213 (1): 46.e1-46.e6.

DOI: 10.1016/j.ajog.2015.01.051

  31. Uddin J, Pulok MH, Sabah MNU. Correlates of unmet need for contraception in Bangladesh: Does couples’ concordance in household decision making matter? Contraception. 2016; 94 (1): 18–26. DOI: 10.1016/j.contraception.2016.02.026

  32. Patrikar SR, Basannar DR, Seema Sharma M. Women empowerment and use of contraception. Med J Armed Forces India. 2014; 70 (3): 253–256. DOI: 10.1016/j.mjafi.2013.12.014

  33. Akokuwebe ME, Abraham OO. Factors Influencing Acceptability of Family Planning among Women in Rural Communities in Ife Central Local Government Area, Osun State, Nigeria. Ibadan J Soc Sci. 2016;14 (2): 250–261. DOI: 10.36108/ijss/6102.41.0201

  34. Nurjaeni N, Sawangdee Y, Pattaravanich U, et al. The role of structural and process quality of family planning Care in Modern Contraceptive use in Indonesia: A multilevel analysis. BMC Public Health. 2021; 21: 1790. DOI: 10.1186/s12889-021-11858-7

  35. Dehlendorf C, Fitzpatrick J, Steinauer J, et al. Development and field testing of a decision support tool to facilitate shared decision making in contraceptive counseling. Patient Educ Couns. 2017; 100 (7): 1374–1381. DOI: 10.1016/j.pec.2017.02.009

  36. Hodgson EJ, Collier C, Hayes L, et al. Family planning and contraceptive decision-making by economically disadvantaged, African-American women. Contraception. 2013; 88 (2): 289–296.

DOI: 10.1016/j.contraception.2012.10.011

  37. Vouking MZ, Evina CD, Tadenfok CN. Male involvement in family planning decision making in sub-Saharan Africa- what the evidence suggests. Pan Afr Med J. 2014; 19 (1).

  38. Marshall C, Guendelman S, Mauldon J, et al. Young Women’s Contraceptive Decision Making: Do Preferences for Contraceptive Attributes Align with Method Choice? Perspect Sex Reprod Health.2016; 48 (3): 119–127. DOI: 10.1363/48e10116

  39. Melo J, Peters M, Teal S, et al. Adolescent and Young Women’s Contraceptive Decision-Making Processes: Choosing “The Best Method for Her.” J Pediatr Adolesc Gynecol. 2015; 28 (4): 224–228. DOI: 10.1016/j.contraception.2013.05.111




DOI: http://dx.doi.org/10.21109/kesmas.v18i4.7145

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