Dataset Information

Multilevel factors influencing contraceptive use and childbearing among adolescent girls in Bara district of Nepal: a qualitative study using the socioecological model.

ABSTRACT:

Objectives

This study aimed to identify the multilevel factors that influence contraceptive use and childbearing decisions in Nepal and examine relationships among these factors.

Design

The study drew on qualitative data collected through in-depth interviews (IDIs) and key informant interviews (KIIs) and triangulated results.

Setting

An urban municipality and a rural municipality in Bara district, Nepal.

Participants

We recruited a total of 60 participants (e.g., 20 married adolescent girls aged 15-19, 20 husbands, 20 mothers-in-law) for IDIs and 10 (e.g., four healthcare providers, three health coordinators, three female community health volunteers) for KIIs.

Results

Married adolescent girls faced a range of barriers that are inter-related across different levels. Patriarchal norms and power imbalances between spouses limited their decision-making power regarding contraception. Social pressures to give birth soon after marriage drove the fear of infertility, abandonment and the stigmatisation of childless married couples, which leads to lack of women's autonomy in making decisions about family planning. Mothers-in-law and religion exerted considerable influence over couples' decisions regarding contraception. Limited access to information about the benefits and methods of family planning contributed to fear of the side effects of contraceptives and low awareness about the risks involved in adolescent pregnancy.

Conclusions

The convergent results from triangulation confirm that the decision to postpone childbearing is not merely the personal choice of an individual or a couple, highlighting the importance of targeting families and communities. The study underscores the need to challenge restrictive sociocultural norms so that adolescent girls become empowered to exercise greater control over contraceptive use.

SUBMITTER: Sekine K

PROVIDER: S-EPMC8527108 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Publications

Multilevel factors influencing contraceptive use and childbearing among adolescent girls in Bara district of Nepal: a qualitative study using the socioecological model.

Sekine Kazutaka K Khadka Nirajan N Carandang Rogie Royce RR Ong Ken Ing Cherng KIC Tamang Anand A Jimba Masamine M

BMJ open 20211019 10

<h4>Objectives</h4>This study aimed to identify the multilevel factors that influence contraceptive use and childbearing decisions in Nepal and examine relationships among these factors.<h4>Design</h4>The study drew on qualitative data collected through in-depth interviews (IDIs) and key informant interviews (KIIs) and triangulated results.<h4>Setting</h4>An urban municipality and a rural municipality in Bara district, Nepal.<h4>Participants</h4>We recruited a total of 60 participants (e.g., 20 ...[more]

PMID: 34666997

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Dataset Information

Multilevel factors influencing contraceptive use and childbearing among adolescent girls in Bara district of Nepal: a qualitative study using the socioecological model.

Objectives

Design

Setting

Participants

Results

Conclusions

Publications

Multilevel factors influencing contraceptive use and childbearing among adolescent girls in Bara district of Nepal: a qualitative study using the socioecological model.

Similar Datasets

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