Perceptions of Family Planning among Jordanian Men and Women: A Qualitative Study
perception and contraceptives
DOI:
https://doi.org/10.35516/jmj.v60i1.3205الكلمات المفتاحية:
Contraceptive، Culture، Perception، Religious، Socialالملخص
Background: The perception of individuals regarding family planning significantly influences their decision-making process and actual use of contraceptive methods. Understanding these perceptions is essential for designing effective family planning programs.
Purpose: To explore how the perceptions of family planning among Jordanian men and women influence their contraceptive behaviors and decision-making processes.
Methods: A phenomenological qualitative design was employed, and thematic analysis was utilized for data evaluation. Data saturation was achieved through in-person, in-depth interviews conducted with a total of 30 participants, which included 11 males and 19 females.
Results: A thematic inductive analysis identified three primary themes related to family planning and contraceptive methods. The first theme, influence of social, cultural, gender, and religious factors, includes subcategories such as the importance of procreation, family size and composition, preference for consecutive childbearing, expectations of conception within the first year of marriage, use of contraceptives after the first child's birth, and attitudes towards abortion.
The second theme focuses on the decision-making process, includes subcategories such as factors influencing choices, sources of information, motives and criteria for selecting contraceptive methods, and comparisons of modern and traditional methods.
The final theme, conflicting views, includes subcategories such as management of side effects, effects on marital relationships, concerns regarding reproductive health, and advice given to others.
Conclusion: The study revealed that Jordanian men and women's perceptions of family planning impact contraceptive behaviors, including decision-making, method uptake, and discontinuation, necessitating careful design and implementation of family planning programs.
المراجع
Hopkins, J. (2011). Family planning: A global Handbook for providers. World Health Organization.
Alspaugh A, Barroso J, Reibel M, Phillips S. Women's contraceptive perceptions, beliefs, and attitudes: an integrative review of qualitative research. Journal of midwifery & women's health. 2020 Jan; 65(1):64-84.
Souza PD, Bailey J V, Stephenson J, Oliver S, Souza PD, Bailey J V, et al. Factors influencing contraception choice and use globally : a synthesis of systematic reviews. Eur J Contracept Reprod Heal Care [Internet]. 2022;27(5):364–72. Available from: https://doi.org/10.1080/13625187.2022.2096215
Cookson TP, Fuentes L, Kuss M K, Bitterly J, Ladysmith O F. Social Norms , Gender and Development : A Review of Research and Practice. 2023;(42).
Raeff C, Fasoli AD, Reddy V, Michael F. The concept of culture : Introduction to spotlight series on conceptualizing culture. Appl Dev Sci [Internet]. 2020;24(4):295–8. Available from: https://doi.org/10.1080/10888691.2020.1789344
Chow JT. Religious Norm Contestation and its Consequences. Available at SSRN 2315613. 2013 Aug 30.
Senderowicz L. Contraceptive autonomy: conceptions and measurement of a novel family planning indicator. Studies in family planning. 2020 Jun; 51(2):161-76.
Alhamawi R, Khader Y, Nsour M Al, Alqutob R, Badran E. Family planning interventions in Jordan : A scoping review. 2023;
El Hamri N. Approaches to family planning in Muslim communities. J Fam Plan Reprod Heal Care. 2010;36(1):27–31.
Spindler E, Bitar N, Solo J, Menstell E, Shattuck D. Fertility Stall and Parallel USAID Investments in Family Planning: Lessons From an Assessment to Guide Future Programming [Internet]. 2002. Available from: www.ghspjournal.org
Petro-nustas W, Al-qutob R. Health Care for Women International Jordanian Men’s Attitudes and Views of Birth-Spacing and Contraceptive Use (A Qualitative Approach). (November 2014):516–29.
Shattnawi KK, Khader YS, Al-Sheyab N, Alyahya M, Ready K, Halasa-Rappel YA, Prince H. Perceived barriers of using modern family planning methods among women in Jordan: a qualitative study. International Journal of Community Based Nursing and Midwifery. 2021 Oct; 9(4):278.
Al-sheyab NA, Al M, Khader YS, Yousif H, Alyahya MS, Taha H, et al. Heliyon Midwives and women ’ s perspectives on family planning in Jordan : human rights , gender equity , decision-making and power dynamics. Heliyon [Internet]. 2021;7(November 2020):e07810. Available from: https://doi.org/10.1016/j.heliyon.2021.e07810
Doyle L, McCabe C, Keogh B, Brady A, McCann M. An overview of the qualitative descriptive design within nursing research. Journal of research in nursing. 2020 Aug; 25(5):443-55.
Alomair N, Alageel S, Davies N, Bailey J V. Muslim women ’ s views and experiences of family planning in Saudi Arabia : a qualitative study. BMC Womens Health [Internet]. 2023;1–11. Available from: https://doi.org/10.1186/s12905-023-02786-2
Braun V, Clarke V, Braun V, Clarke V. Using thematic analysis in psychology Using thematic analysis in psychology. 2008;0887(2006).
Aziz MM, Gazzar AF El. Provider bias and family planning in Upper Egypt : a simulated client approach. J Egypt Public Health Assoc [Internet]. 2023;6. Available from:
https://doi.org/10.1186/s42506-023-00144-6
Abdi B, Okal J, Serour G, Temmerman M. “ Children are a blessing from God ” – a qualitative study exploring the socio- cultural factors influencing contraceptive use in two Muslim communities in Kenya. 2020;1–11.
Ontiri S, Mutea L, Naanyu V, Kabue M, Biesma R, Stekelenburg J. A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya. Reprod Health [Internet]. 2021;1–10. Available from: https://doi.org/10.1186/s12978-021-01094-y
Sundararajan R, Yoder LM, Kihunrwa A, Aristide C, Kalluvya SE, Downs DJ, et al. How gender and religion impact uptake of family planning : results from a qualitative study in Northwestern Tanzania. 2019;6:1–10.
Wang W, Mallick L. Understanding the relationship between family planning method choices and modern contraceptive use: An analysis of geographically linked population and health facilities data in Haiti. BMJ Glob Heal. 2020;4:1–10.
Yücel U, Çiçeklioğlu M, Öcek ZA, Varol ZS. Access to primary health care family planning services and contraceptive use in disadvantaged women : a qualitative study. Eur J Contracept Reprod Heal Care [Internet]. 2020;0(0):1–7. Available from:
https://doi.org/10.1080/13625187.2020.1795119
Farah A, Richter L. Sexual & Reproductive Healthcare “ Using contraceptives is abandoning our culture ” : A qualitative study of contraceptive use among Somali women in Finland. Sex Reprod Healthc [Internet]. 2022;32(February):100718. Available from:
https://doi.org/10.1016/j.srhc.2022.100718
Hamdan-Mansour L, Alkhaldi S, Awamleh N, Hwidi BE, Mesmar T, Ahmad SB, Friehat A, Al-Sawaeer R, Ahmad B, Mabadrieh MM, Taimeh Z. Predictors of depressive symptoms in postpartum women: The role of contraceptive use, type and health-related factors. Jordan Medical Journal. 2022 Aug 24;56(3).
