Hostname: page-component-848d4c4894-75dct Total loading time: 0 Render date: 2024-05-30T22:07:58.145Z Has data issue: false hasContentIssue false

EMPOWERMENT IN FAMILY PLANNING AS VIEWED BY IRANIAN WOMEN: A QUALITATIVE STUDY

Published online by Cambridge University Press:  03 November 2011

SHAHNAZ KOHAN
Affiliation:
Isfahan University of Medical Sciences, Isfahan, Iran
MASOUMEH SIMBAR
Affiliation:
Shahid Beheshti Medical Science University, Tehran, Iran
FARIBA TALEGHANI
Affiliation:
Faculty of Nursing & Midwifery, Nursing & Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Summary

Women carry the primary responsibility for family planning in most parts of the world, and should be afforded the power of decision-making and control over their fertility. This study seeks to gain insight into Iranian women's perception of the meaning of empowerment in family planning. Using a qualitative study, seven focus group discussions and five individual interviews were conducted with 35 married Iranian women of reproductive age. The data were analysed using a conventional content analysis approach, in which themes and categories were explored to reveal women's experiences of empowerment in family planning. The results demonstrated four main categories: control over fertility plan, participative family planning, maintaining health and access to optimal family planning services. They viewed knowledge of family planning and autonomy of decision-making in fertility issues as essential elements for control of their fertility plan. Participants felt more empowered when joint family planning decisions were made with their partners in an atmosphere of agreement. Therefore, family planning policymakers should plan services with new approaches that focus on women's health and empowerment.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbasi Shavazi, M. & Askari Nadoushan, A. (2005) Family changes and fertility decline in Iran: case study in Yazd province. Nameh-ye Olum-e Ejtemai 11(25), 2576(in Persian).Google Scholar
Al Riyami, A., Afifi, M. & Mabry, R. M. (2004) Women's autonomy, education and employment in Oman and their influence on contraceptive use. Reproductive Health Matters 12(23), 144154.CrossRefGoogle ScholarPubMed
Badar, S., Manzoor, S. & Chaudhary, A. J. (2007) Women empowerment and fertility behavior. The Professional Medical Journal 14(2), 295299.CrossRefGoogle Scholar
Casterline, J. B., Sathar, Z. A. & Haque, M. (2001) Obstacles to contraceptive use in Pakistan: a study in Punjab. Studies in Family Planning 32(2), 95110.CrossRefGoogle ScholarPubMed
Creel, L. C., Sass, J. V. & Yinger, N. V. (2002) Client-centered quality: clients' perspectives and barriers to receiving care. New Perspectives on Quality of Care 2, 18.Google Scholar
Derose, L. F. & Ezeh, A. C. (2010) Decision-making patterns and contraceptive use: evidence from Uganda. Population Research and Policy Review 29(3), 423439.CrossRefGoogle Scholar
Edmeades, J., Macquarrie, K., Malhotra, A. & Nyblade, L. (2009) Family ties: household influences on women's decisions to attempt abortions in Madhya Pradesh, India. Paper presented at XXVI IUSSP International Population Conference, Marrakech, Morocco. URL: http://iussp2009.princeton.edu/abstractViewer.aspx?submissionId=93243Google Scholar
Eguavoen, A. N. T., Odiagbe, S. O. & Obetoh, G. I. (2007) The status of women, sex preference, decision-making and fertility control in Ekpoma Community of Nigeria. Journal of Social Science 15(1), 4349.Google Scholar
Hsieh, H. F. & Shannon, S. E. (2005) Three approaches to qualitative content analysis. Qualitative Health Research 15(9), 12771288.CrossRefGoogle ScholarPubMed
Islam, M. A., Padmadas, S. S. & Smith, P. W. F. (2006) Female method versus male method: women's role in decision-making process in Bangladesh. Paper presented at Public Health and Human Rights, APHA, 134th Annual Meeting & Exposition, Boston. URL: http://apha.confex.com/apha/134am/techprogram/paper_127120.htmGoogle Scholar
Kabeer, N. (2005) Gender equality and women's empowerment: a critical analysis of the Third Millennium Development Goal. Gender and Development 13(1), 1324.CrossRefGoogle Scholar
Kaddour, A., Hafez, R. & Zurayk, H. (2005) Women's perceptions of reproductive health in three communities around Beirut, Lebanon. Reproductive Health Matters 13(25), 3442.CrossRefGoogle ScholarPubMed
Lee-Rife, S. M. (2010) Women's empowerment and reproductive experiences over the lifecourse. Social Science & Medicine 71(3), 634642.CrossRefGoogle ScholarPubMed
Libbus, K. & Kridli, S. (1997) Contraceptive decision making in a sample of Jordanian Muslim women: delineating salient beliefs. Health Care Women International 18(1), 8594.CrossRefGoogle Scholar
Macquarrie, K. (2009) Women's empowerment and family formation across the life course in Madhya Pradesh, India: the influence of time-varying and fixed empowerment resources. Paper presented at the XXVI IUSSP International Population Conference, Marrakech, Morocco. URL: http://iussp2009.princeton.edu/download.aspx?submissionId=91879Google Scholar
Mazloumi, M. S. S., Shahidi, F., Abbasi Shavazi, M. & Shahrizadeh, F. (2007) Evaluating knowledge, attitude and behavior of women on reproductive health subjects in seven central cities of Iran. Journal of Reproduction and Infertility 7(4), 391400(in Persian).Google Scholar
Mutambirwa, J., Utete, V., Mutambirwa, C. & Maramba, P. (1998) Consequences of family planning on women's quality of life in Zimbabwe. In Women and Development in Zimbabwe: The Role of Family Planning.Weaver Press, Harare. URL: http://www.fhi.org/NR/rdonlyres/eetkztajkgcvcg3qpkbn6gc3npqkdz6fhhgesvsrttpobz44llkd4iidvtsahuo6dncnkdznuiu7im/zim2s.pdfGoogle Scholar
Nabavi, S. & Ershad Farhang, A. L. (2009) Socio-demographic factors and pragmatic acceptance of the family planning in Ahwaz. Nameh-ye Olum-e Ejtemai 16(35), 2345(in Persian).Google Scholar
Omeje, J. C., Oshi, S. N. & Oshi, D. C. (2011) Does possession of assets increase women's participation in reproductive decision-making? Perceptions of Nigerian women. Journal of Biosocial Science 43(01), 101111.CrossRefGoogle ScholarPubMed
Pandey, S. & Singh, M. (2008) Women empowerment and personal values as predictors of reproductive health. Journal of the Indian Academy of Applied Psychology 34(2), 309316.Google Scholar
Rostamian, A., Heydari, G. R., Zafarmand, M., Asaadi, K., Barbgandan, R., Dianat, M. & Bahtouei, M. (2002) Men's disinclination in family planning in Bushehr Port using focus group discussion. Iranian South Medical Journal 4(2), 142149(in Persian).Google Scholar
Silva, R. M., Araújo, K. N., Bastos, L. A. & Moura, E. R. (2011) Family planning: significance for women of reproductive age. Ciencia & Saude Coletiva 16(5), 24152424(in Portuguese).CrossRefGoogle ScholarPubMed
Simbar, M. (2010) Achievements of family planning program in Iran. Journal of the Faculty of Health and Institute of Health Research 8(1), 8192.Google Scholar
Speizer, I. S., Whittle, L. & Carter, M. (2005) Gender relations and reproductive decision making in Honduras. International Family Planning Perspectives 31(3), 131139.CrossRefGoogle ScholarPubMed
Srikanthan, A. R. R. (2008) Religious and cultural influences on contraception. Journal of Obstetrics and Gynaecology Canada 30(2), 129137.CrossRefGoogle ScholarPubMed
Statistical Center of Iran (1998) Demographic Indicators of Iran, 1956–1996. Tehran, Iran.Google Scholar
Sueyoshi, S. & Ohtsuka, R. (2006) Effects of reproduction norms on contraception practice among Muslim women in Amman, Jordan. European Journal of Contraception and Reproductive Health Care 11(2), 138145.CrossRefGoogle ScholarPubMed
Sueyoshi, S. & Ohtsuka, R. (2010) Significant effects of Fatwa-based perception on contraceptive practice among Muslim women in south Jordan under the early stage of fertility transition. Biodemography and Social Biology 56(1), 6779.CrossRefGoogle ScholarPubMed
UNFPA (2004) The State of World Population: Gender Equality, Women Empowering. URL: http://www.unfpa.org/swp/2004/english/ch5/index.htmGoogle Scholar
UNFPA (2005) The State of World Population: Monitoring ICPD Goals – Selected Indicators. URL: http://www.unfpa.org/swp/2005/presskit/docs/monitoring_goals.pdfGoogle Scholar
World Health Organization (2008) Women's Empowerment and Gender Equality: Essential Goals for Saving Women's Lives. URL: http://www.who.int/gender/documents/EN_womens_emp.pdfGoogle Scholar
World Health Organization (2011) World Health Statistics. WHO, p. 28. URL: http://www.who.int/whosis/whostat/EN_WHS2011_Full.pdfGoogle Scholar