Design and pilot testing of a church-based intervention to address interpersonal and intrapersonal barriers to uptake of family planning in rural Tanzania: a qualitative implementation study
| Autor: | Mary Emmanuel, Joyce Wamoyi, Nelusigwe Mwakisole, Jennifer A. Downs, Albert Kihunrwa, Agrey H. Mwakisole, David J. Downs, Evarist Laizer, Christine Aristide |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Rural Population Health Knowledge Attitudes Practice Adolescent media_common.quotation_subject Pilot Projects Interpersonal communication Tanzania 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine family planning service provision Empowerment Contraception Behavior Original Research media_common ethnic minority and cultural issues Medical education 030219 obstetrics & reproductive medicine biology Obstetrics and Gynecology Parish Nursing Focus Groups biology.organism_classification Focus group Protestantism Reproductive Medicine Family planning Family Planning Services Female Thematic analysis Psychology education and training qualitative research Qualitative research Intrapersonal communication |
| Zdroj: | BMJ Sexual & Reproductive Health |
| ISSN: | 2515-2009 2515-1991 |
| DOI: | 10.1136/bmjsrh-2019-200505 |
| Popis: | BackgroundUse of family planning (FP) saves the lives of mothers and children, and contributes to better economic outcomes for households and empowerment for women. In Tanzania, the overall unmet need for FP is high. This study aimed: (1) to use focus group data to construct a theoretical framework to understand the multidimensional factors impacting the decision to use FP in rural Tanzania; (2) to design and pilot-test an educational seminar, informed by this framework, to promote uptake of FP; and (3) to assess acceptability and further refine the educational seminar based on focus group data collected 3 months after the education was provided.MethodsWe performed a thematic analysis of 10 focus group discussions about social and religious aspects of FP from predominantly Protestant church attenders prior to any intervention, and afterwards from six groups of church leaders who had attended the educational seminar.ResultsKey interpersonal influences included lack of support from husband/partner, family members, neighbours and church communities. Major intrapersonal factors impeding FP use were lack of medical knowledge and information, misconceptions, and perceived incompatibility of FP and Christian faith. Post-seminar, leaders reported renewed intrapersonal perspectives on FP and reported teaching these perspectives to community members.ConclusionsAddressing intrapersonal barriers to FP use for leaders led them to subsequently address both intrapersonal and interpersonal barriers in their church communities. This occurred primarily by increasing knowledge and support for FP in men, family members, neighbours and church communities. |
| Databáze: | OpenAIRE |
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