Married Adolescents and Family Planning in Rural Ethiopia: Understanding Barriers and Opportunities

Helen Ketema, Annabel Erulkar

Abstract

Large numbers of girls in the developing world are married before age 18, an estimated 100 million girls in the next decade. It is assumed that newly married girls are under pressure to have children early in marriage. However, there is increasing evidence that married adolescent girls have significant levels of unmet need for family planning (FP). This qualitative study explores married girls‘ knowledge and demand for FP, as well as barriers and support. Qualitative data was obtained from girls who married as children in rural Ethiopia. Respondents demonstrated a high interest in FP, while the power dynamics within arranged marriages were the biggest factor influencing FP use. Disapproval of FP use was considerable among in-laws and community members; however, partner approval was the main determining factor in girls‘ FP use. Some service providers reportedly reinforced this dynamic; some girls reported that they requested confirmation of the husbands‘ approval of FP use. The findings suggest further investment in addressing social norms related to girls‘ status and voice. (Afr J Reprod Health 2018; 22[4]: 26-34).

Full Text:

PDF

References

Central Statistical Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia and Rockville, Maryland, USA. 2016.

Erulkar A. Early Marriage, Marital Relations and Married adolescents and family planning Intimate Partner Violence in Ethiopia. International Perspectives on Sexual and Reproductive Health. 2013; 39:6-13.

Farmer D, Berman L, Ryan G, Habumugisha L, Basinga P, Nutt C, Kamali F, Ngizwenayo E, St. Fleur J, Niyigena P, Ngabo F, Farmer PE and Rich M. Motivations and Constraints to Family Planning: A Qualitative Study in Rwanda'a Southern Kayonza District. Global Health Sciences Practice 2015; 3(2): 242-254.

Guttmacher Institute. Facts on the Sexual and Reproductive Health of Adolescent Women in the Developing World. 2010.

ALSumri H. A National Study: the Effect of Egyptian Married Women‘s Decision-Making Autonomy on the use of Modern Family Planing Methods.. African Journal of Reproductive Health 2015; 19(4): 68-77.

Brunie A, Tolley E, Ngabo F, Wesson J and Chen M. Getting to 70%: Barriers to modern contraceptive use for women in Rwanda. International Journal of Gynecology and Obstetrics. Dakar. 2013. Second International Conference on Family Planning. 11-15.

Do M and Kurimoto N. Women's Empowerment and Choice of Contraceptive Methods in Selected African Countries. International Perspectives on Sexual and Reproductive Health . 2012; 38: pp. 23-33.

Huda FA, Chowdhuri S, Sarker BK, Islam N and Ahmed A. Prevalence of unintended pregnancy and needs for family planning among married adolescent girls living in urban slums of Dhaka, Bangalesh. STEP UP Research Report . 2014.

Oginni AB, Ahonsi BA and Adebajo S . Trend and Determinants of Unmet Need for Family Planning Services among Currently Married Women and Sexually Active Unmarried Women Age 15-49 in Nigeria (2003-2013). African Population Studies. 2015; 291(1): 1438-1500

Hailemariam A and Haddis F. Factors affecting Unmet need for Family planning in Southern Nations, Nationalities and Peoples Region, Ethiopia. Ethiopian Journal of Health Science. 2011; 21(2); 77-89.

Adams MK, Salazar E and Lundgren R. Tell them you are planning for the future: Gender norms and family planning among adolescents in nothern Uganda . International Journal of Gynecology and Obstetrics 2013: 7-10.

Warren C. and Kibidi S. Safe Motherhood Community-Based Survey: Findings from SNNPR Region, Ethiopia. Population Council. 2009.

Erulkar A and Tamrat T. Evaluation of a Reproductive Health Program to Support Married Adolescent Girls in Rural Ethiopia. African Journal of Reproductive Health 2014; 18 (2);68-76.

Tilahun T, Coene G, Luchters S, Kassahun W, Leye E, Temmerman M and Degomme O. Family Planning Knowledge, Attitude and Practice Among Married Couple in Jimma Zone, Ethiopia. PLOS one 2013; 8(4): 1-8.

Refbacks

  • There are currently no refbacks.