Involving Men in Reproductive and Fertility Issues : Insights from Punjab

Pakistan's slackening in its fertility transition is a cause of concern internationally, as well as within the country. This study has a twofold aim of exploring couples' dynamics during decision processes regarding fertility intentions and practices along with community perceptions of male-focused interventions and men's suggestions for future intervention strategies. The findings are based on three data sources. The primary data source is a 2013 qualitative study in four districts of Punjab province. The second data source is secondary analysis of the baseline and end line surveys of the Family Advancement for Life and Health (FALAH 2007-2012) project. The third data source is the Pakistan Demographic Health Survey (PDHS) 1990-1991 and 2006-2007, which were used to assess trends over two decades. The 2013 qualitative study was in four districts of Punjab, namely Jhelum, Bahawalpur, D.G. Khan, and Okara. The first three were FALAH districts in which interventions were tested, while the fourth was chosen as a control district. A total of 12 focus group discussions were conducted with men, and in-depth interviews were conducted with 26 couples in these districts. Data from 2,649 men and 638 couples from the FALAH baseline and end line surveys were analyzed to assess the impact of FALAH male-directed interventions on fertility intentions and behavior. This study seeks to explore the decision-making process of couples in the move from intentions to fertility behavior. It also examines the readiness of men to be involved in family planning (FP) programs through different male-centered interventions. In-depth interviews (IDIs) with couples are especially direct in gauging spousal perception of the partner's FP approval or disapproval. The study focuses on urban and semi-urban areas of Punjab province and can be used, at least indicatively, for interregional and temporal analyses within the Pakistani context.

Bibliographic Details

Main Authors:	Kamran, Iram, Khan, Mumraiz, Tasneem, Zeba
Language:	English en_US
Published:	World Bank, Washington, DC 2013-08
Subjects:	ABORTION, ABORTIONS, ACCESS TO CONTRACEPTIVES, ACCESS TO INFORMATION, AGED, ANTENATAL CARE, AVAILABILITY OF FAMILY PLANNING, BARRIERS TO FAMILY PLANNING, BEHAVIOR CHANGE, BIRTH SPACING, BIRTHS, BOTH SEXES, CHILD BEARING, CHILD HEALTH, CHILD REARING, CHILDBIRTH, COMMUNICATION EFFORTS, COMMUNITY HEALTH, CONDOMS, CONTRACEPTION, CONTRACEPTIVE KNOWLEDGE, CONTRACEPTIVE METHOD, CONTRACEPTIVE METHODS, CONTRACEPTIVE PRACTICES, CONTRACEPTIVE PREVALENCE, CONTRACEPTIVE SUPPLY, CONTRACEPTIVE USAGE, CONTRACEPTIVE USE, CONTRACEPTIVES, DECISION MAKING, DEMAND FOR CONTRACEPTIVES, DISEASES, ECONOMIC RESOURCES, EQUALITY, ETHICAL CONSIDERATIONS, EXERCISES, FAMILY PLANNING, FAMILY PLANNING METHODS, FAMILY PLANNING PROGRAM, FAMILY PLANNING PROGRAMS, FAMILY PLANNING SERVICES, FAMILY PLANNING USE, FAMILY SIZE, FAMILY SIZES, FAMILY WELFARE, FEMALE, FEMALE STERILIZATION, FEMALES, FERTILITY, FERTILITY ATTITUDES, FERTILITY BEHAVIOR, FERTILITY REGULATION, FERTILITY TRANSITION, FEWER CHILDREN, FIRST CHILD, FIRST PREGNANCY, FOCUS GROUP DISCUSSIONS, FORMS OF CONTRACEPTION, GENDER, GENDER DIFFERENCES, GIRLS, HEALTH FACILITIES, HEALTH PROBLEMS, HOME, HOSPITAL, HOSPITALS, HOUSEHOLD LEVEL, HOUSEHOLD RESPONSIBILITIES, HOUSEHOLD SURVEYS, HOUSES, HUSBAND, HUSBANDS, IDEAL FAMILY SIZE, IDEAL NUMBER OF CHILDREN, IMMUNIZATIONS, IMPACT ON FERTILITY, IMPORTANCE OF FAMILY PLANNING, INFORMED CONSENT, INFORMED DECISIONS, INJECTABLE CONTRACEPTIVES, INTERNATIONAL CONFERENCE ON POPULATION, INTERPERSONAL COMMUNICATION, INTERVENTION, INTRAUTERINE CONTRACEPTIVE DEVICES, KNOWLEDGE OF FAMILY PLANNING, LACK OF KNOWLEDGE, LARGE FAMILIES, LARGE NUMBER OF PEOPLE, LAWS, LEVEL OF FERTILITY, LIMITED RESOURCES, LIMITING FAMILY SIZE, LOCAL COMMUNITY, LOW CONTRACEPTIVE PREVALENCE, MALE HEALTH, MALE HEALTH WORKERS, MALE INVOLVEMENT, MARITAL STATUS, MARKETING, MASS MEDIA, MEDICINES, MENSTRUAL CYCLE, MENSTRUAL PROBLEMS, MINORITY, MODERN CONTRACEPTIVE METHODS, MOTHER, MOTHERS, NEED FOR FAMILY PLANNING, NEWBORNS, NO MORE CHILDREN, NUMBER OF CHILDREN, NUMBER OF COUPLES, NUMBER OF HOUSEHOLDS, OBESITY, OLD AGE, OLDER MEN, OPPOSITE SEX, PARENTS, PATIENT, POLIO, POPULATION AND DEVELOPMENT, POPULATION COUNCIL, POPULATION GROWTH, POPULATION GROWTH RATE, POPULATION STUDIES, PROGRESS, PUBLIC HEALTH, QUALITY OF SERVICES, RADIO, RELIGIOUS LEADERS, REPRODUCTIVE AGE, REPRODUCTIVE BEHAVIOR, REPRODUCTIVE DECISION, REPRODUCTIVE DESIRES, REPRODUCTIVE GOALS, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTHCARE, REPRODUCTIVE INTENTIONS, REPRODUCTIVE LIVES, REPRODUCTIVE PATTERNS, RESPECT, RURAL AREAS, RURAL COMMUNITIES, SERVICE DELIVERY, SERVICE PROVIDERS, SEX, SMALL FAMILIES, SMALLER FAMILIES, SOCIAL ACCEPTABILITY, SOCIAL NORMS, SOCIAL PRESSURE, SOCIAL SCIENCE, SOCIAL STATUS, SPOUSE, SPOUSES, STATUS OF WOMEN, STERILIZATION, SUPPLY OF CONTRACEPTIVES, TELEVISION, UNWANTED CHILDREN, UNWANTED PREGNANCIES, URBAN AREAS, URBAN CENTERS, URBAN COMMUNITY, USE OF CONTRACEPTIVES, WIFE, WILL, WIVES, WOMAN, YOUNG MEN,
Online Access:	http://documents.worldbank.org/curated/en/2013/08/18665186/involving-men-reproductive-fertility-issues-insights-punjab https://hdl.handle.net/10986/16987
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