How women and providers perceive male partner resistance to contraceptives in Western Kenya: a qualitative study

Laura E Britton, Katherine Tumlinson, Caitlin R Williams, Phillip Gorrindo, Dickens Onyango, Debborah Wambua

Research output: Contribution to journalA1: Web of Science-article

Abstract

OBJECTIVE: Almost a fifth of Kenyan women who desire to delay or avoid pregnancy are not using modern contraception. The objective of this study is to describe how Kenyan women, healthcare providers, and health policymakers perceive male partner resistance to function as a barrier to women's experiences attempting to obtain contraceptives.

METHODS: We used a qualitative description approach to analyze the transcripts from a mixed-methods parent study in Western Kenya. We conducted conventional content analysis on transcripts from 8 focus group discussions with current and former female contraceptive users (n = 55 participants); in-depth interviews with key informants from the healthcare sector (n = 19); a client journey mapping workshop with female current contraceptive users (n = 9 participants); and a provider journey mapping workshop with public sector providers (n = 12 participants).

RESULTS: Primary themes concerned the perceived nature, perceived impact, and strategies for addressing male partner resistance to contraceptives. Male partner resistance affected women's experiences of contraceptive care in two ways. First, anticipating male partner resistance, providers modified how they delivered care to female patients to avoid conflicts with male partners. Second, covert utilization, women's primary strategy for obtaining desired contraceptives despite male partner resistance, can make women more vulnerable to facility-level barriers to care. Participants recommended educating men about the benefits of contraception in the clinical encounter and community settings.

CONCLUSION: Male partner resistance to contraceptives, whether experienced or anticipated, can influence how women navigate the health system and how contraceptive care is delivered in Kenya.

Original languageEnglish
Article number100650
JournalSexual and Reproductive Healthcare
Volume29
Number of pages7
ISSN1877-5756
DOIs
Publication statusPublished - 2021

Keywords

  • Contraception
  • Contraception Behavior
  • Contraceptive Agents, Female
  • Family Planning Services
  • Female
  • Humans
  • Kenya
  • Male
  • Pregnancy

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