Limited access to and use of contraceptive techniques is caused by a lack of health infrastructure and resources, particularly in impoverished communities, as well as by religious and traditional views and practices. Most sub-Saharan African nations continue to have a high level of unmet family planning needs, particularly in rural areas (UN DESA, 2015; Izugbara et al., 2018).
In-depth analyses of the use and availability of contraception in a number of field studies have revealed some intriguing results. In keeping with the notion that males in many low-income countries desire more children and have greater negotiating power than women when it comes to contraception, the first study (Ashraf et al., 2014) found that the husband’s involvement affects the uptake of contraception (Doepke and Tertilt, 2018; World Bank, 2012). Limited awareness of contraception, insufficient understanding of one another’s preferences due to improper family planning communication, and fertility desire are a few connected variables. Most women think that their husbands wouldn’t support birth control, even without discussing it with them. Some women do not take up contraception as a result of this uncertainty. Other research showed that men’s early involvement and engagement have a favorable impact on the use of contraception (Fisek and Sumbuloglu. 1978; Terefe and Larson, 1992; Wang et al., 1998; McCarthy, 2019).
Prior to the development of modern contraceptive methods, the majority of women—particularly those from disadvantaged backgrounds—had more children than they had intended, leading to concerns with maternal and newborn health as well as a high prevalence of poverty. A kid that is the result of an untimely, unexpected, or unwanted conception has a high likelihood of being maltreated, being born very thin, or lacking some essential supplies for proper growth. Additionally, there is a high danger of mental and physical abuse in the household, which can lead to depression. Therefore, it might prevent the pair from completing their educational and professional goals, resulting in a potential increase in suffering and financial hardship (IOM, 1995, p. 1). Couples who are able to plan for their families so endure less physical, emotional, mental, and financial pressure. Couples who are able to make family plans are therefore less likely to endure physical, emotional, mental, or financial pressure, have a greater chance of developing their family and personal lives, and are more likely to be receptive to career chances (Cleland et al., 2006).
The accessibility of contraceptives significantly impacts the well-being of individuals, families, and society as a whole. The prevention of sexually transmitted diseases and the achievement of birth control are public health objectives.
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- McCarthy, Aine Seitz, 2019. Intimate partner violence and family planning decisions: Experimental evidence from rural Tanzania. World Dev. 114, 156–174.
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- UN DESA, 2015. Trends in Contraceptive Use Worldwide 2015. ST/ESA/SER.A/349, United Nations, United Nations Department of Economic and Social Affairs.
- Wang, Caroline C, Vittinghoff, Eric, Hua, Li, Yun, Wah, Rong, Zhou M, 1998. Reducing pregnancy and induced abortion rates in China: Family planning with husband participation. Am J Public Health 88 (4), 646–648.
- World Bank, 2012. World development report 2012 : Gender equality and Development. https://openknowledge.worldbank.org/handle/10986/4391.