Title:
Gap analysis of sub-optimal uptake of family planning among married couples in Afghanistan
Authors:
Shamszai, Z.Z.
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2014
PAGE:
x, 52
Language:
eng
Subject:
Health and Nutrition
Keywords:
Afghanistan, contraceptive prevalence, total fertility, birth spacing, family planning uptake, marriage
Abstract:
BACKGROUND: This study focuses on gap analysis of sub-optimal uptake of contraceptives among married couples in Afghanistan. The objective is to analyze the complex set of intertwined factors that impact utilization of contraceptives. METHODOLOGY: In this descriptive study I have analyzed relevant documents, secondary data and some anecdotal evidence. The social ecological framework is used to organize findings. Analysis of factors contributing to poor uptake of contraceptives is performed at different ecological levels including intrapersonal, interpersonal, community, society and larger society (national level). RESULTS: Ninety two percent of women have knowledge of contraceptives but only 21 percent adopt a method of contraception. This seems to indicate that women’s capacity to act upon their knowledge and to have a healthy lifestyle is hampered. Women have 5.1 children on average, which is alarming compared to other Asian countries. Barriers at both supply and demand side contribute to poor adoption of contraceptives. The mere existence of policies is not the solution. Gap is not only in the policies but also in the actual implementation of policies. Comprehensive policy impact analysis should be executed to assure quality health service delivery. A set of multiple interlinked barriers affect relatively low demand for contraceptives. This includes women’s poor education and low social position as well as the lack of open spousal communication and democratic decision making which is triggered by societal norms and cultures. CONCLUSION: Despite improved knowledge on family planning the utilization rate for contraceptives in Afghanistan is very low, particularly among youth, rural dwellers and less educated women. Family planning interventions should address empirical barriers such as women’s low education and lack of empowerment so that women initiate effective communication with their husbands on family planning issue. Poor security and weak political commitment further deteriorate the family planning service delivery.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development Policy & Practice
Country:
Afghanistan, Islamic Republic of
Region:
South Asia
Training:
Master of Public health / International Course in Health Development (ICHD)
Category:
Research
Right:
© 2014 Shamszai
Document type:
Thesis/dissertation
File:
3CAuVtte0x_20161101101322856.pdf