Barriers to uptake of bilateral tubal ligation family planning method among grand-multiparous women in the Copperbelt province, Zambia

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Nyashanu, M ORCID: https://orcid.org/0000-0002-9231-0393, Musonda, KC, Namputa, H, Ekpenyong, MS and Karonga, T, 2024. Barriers to uptake of bilateral tubal ligation family planning method among grand-multiparous women in the Copperbelt province, Zambia. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 13 (2), pp. 211-217. ISSN 2320-1770

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Official URL: https://doi.org/10.18203/2320-1770.ijrcog20240111

Abstract

Background: Use of Bilateral Tubal Ligation (BTL) family planning method has been met with resistance by some women owing to its clash with certain personal values in their lives. In some cases these barriers have led to unintended pregnancies, which in turn cause complications, especially in grand-multiparous women (women with many children). This qualitative study explored the barriers towards the uptake of BTL among grand-multiparous women.

Methods: The study used an exploratory qualitative methodology to explore the barriers to uptake of BTL. Semi structured interviews were utilised to collect data. Twenty-five semi-structured interviews were held with grand multiparous women who were attending clinics for family planning services. All interviews were tape-recorded and transcribed verbatim. A thematic approach underpinned by some aspects of the silences framework was utilised for data analysis.

Results: The study revealed that barriers to the uptake of BTL included desire to maintain productivity, pressure from spouses, stigmatization of family planning, safety fears and loss of self-esteem.

Conclusions: There is need to engage all stakeholders in communities to make sure that fears and doubts on the use of BTL are allayed. Furthermore there is need to roll out more health promotion and raise awareness on the importance of family planning.

Item Type:	Journal article
Publication Title:	International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Creators:	Nyashanu, M., Musonda, K.C., Namputa, H., Ekpenyong, M.S. and Karonga, T.
Publisher:	Medip Academy
Date:	February 2024
Volume:	13
Number:	2
ISSN:	2320-1770
Identifiers:	Number Type 10.18203/2320-1770.ijrcog20240111 DOI 1859482 Other
Rights:	© the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Divisions:	Schools > School of Social Sciences
Record created by:	Jonathan Gallacher
Date Added:	07 Feb 2024 08:51
Last Modified:	07 Feb 2024 08:51
URI:	https://irep.ntu.ac.uk/id/eprint/50815