导航规范:对影响塞内加尔避孕使用的因素进行定性探索。

IF 2.4 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1527733
Manuela Reveiz, Rahmatoulah Gueye, Thaïs González Capella, Marieme Fall, Nour Horanieh, Elizabeth Larson, Beniamino Cislaghi
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引用次数: 0

摘要

导言:尽管避孕药具越来越多,但塞内加尔妇女在获得计划生育服务方面面临着物质和社会障碍。关于避孕药具使用的决定涉及影响因素的相互作用,包括妇女、其伴侣、家庭成员、卫生保健提供者和现有的社会规范。本研究采用社会规范理论来探讨这些动态如何影响女性的避孕选择,考察社会期望、有影响力的关系和女性使用的策略。方法:这项定性研究涉及256名参与者(130名男性和126名女性),他们来自塞内加尔的四个地区(达喀尔、坦巴昆达、齐金乔和马塔姆)。我们采用半结构化访谈(116)和焦点小组讨论(16个fgd,每个fgd有8-10名参与者)来探讨与计划生育获取和服务相关的经验。参与者是通过有目的的抽样招募的。使用NVivo 12 Pro进行专题分析。结果:参与者强调了婚姻、不孕和生育方面的社会规范如何严重影响妇女使用避孕药具的决定。参与者还提到了直接不鼓励使用避孕措施的社会规范,认为使用避孕措施的女性不忠或没有爱心。未能满足规范期望导致了各种形式的制裁。考虑到规范制度,许多妇女选择秘密决定生育。最后,参与者对宗教和医疗保健提供者的信仰体系与避孕药具的使用相交叉。讨论:我们的研究结果证明了将社会干预纳入计划生育干预以帮助重塑社会关系的重要性。产生了三个政策影响:(1)解决更广泛的社会需求和支持机制。(2)将针对妇女的暴力研究的见解和虐待动态理论整合到计划生育项目中。(3)进一步将男性纳入计划生育编程,以消除误解。结论:利用来自256名育龄青年、男性和女性的数据,我们揭示了女性如何在其网络中驾驭社会规范的地形,塑造她们对避孕药具使用的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Navigating norms: a qualitative exploration of factors shaping contraceptive use in Senegal.

Introduction: Despite the increasing contraceptive, women in Senegal are facing both material and social obstacles to access family planning (FP) services. Decisions regarding contraceptive use involve an interplay of influencers, including the woman, her partner, family members, healthcare providers, and the social norms in place. This study employs social norms theory to explore how these dynamics shape women's contraceptive choices, examining the societal expectations, influential relationships, and strategies women use.

Methods: This qualitative study involved 256 participants (130 men and 126 women) from four regions of Senegal (Dakar, Tambacounda, Ziguinchor, and Matam). We employed semi-structured interviews (116) and focus group discussions (16 FGDs with 8-10 participants each) to explore experiences related to family planning access and services. Participants were recruited through purposive sampling. Thematic analysis was performed using NVivo 12 Pro.

Results: Participants highlighted how social norms on marriage, infertility, and childbearing heavily influence women's contraceptive use decisions. Participants also mentioned social norms that directly discouraged contraception use, labeling women who used it as disloyal or unloving. The failure to fulfill normative expectations resulted in various forms of sanctions. Given the normative system, numerous women opted to make decisions regarding childbearing in secrecy. Finally, a system of beliefs that participants held about religion and healthcare providers intersected with contraceptive utilization.

Discussion: Our findings provide evidence of the importance of integrating social interventions into FP interventions to help reframe social relations. Three policy implications arise: (1) Addressing broader social needs and support mechanisms. (2) Integrating insights from violence against women research and theories on the dynamics of abuse into FP programs. (3) Integrating men further into FP programming to address misconceptions.

Conclusion: Drawing on data from 256 young people, men, and women of reproductive age, we uncovered how women navigate the terrain of social norms within their networks, shaping their choices concerning contraceptive utilization.

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CiteScore
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