The choice of contraceptive method in rural area of eastern China
ESC Congress Library. Jiang H. May 28, 2014; 50517; A-102
Dr. Hong Jiang
Dr. Hong Jiang
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Abstract
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Objective(s): To describe and analyze contraceptive use among rural women in eastern China in the context of current social, family planning policy and service provision.
Design & Methods: A qualitative methodology was used and totally 17 interviews were held in a rural county of Zhejiang Province, China. Two focused group discussions were held with 6 family planning service providers and 6 married women who had at least one child, respectively. Fifteen individual in-depth interviews were conducted with women, women’s partners, service providers, health managers and health policy makers. A stenographer was invited to each interview to develop transcripts. Researchers checked the contents immediately after each interview. A framework approach was taken to analyze data, assisted by NVivo8.
Results: The selected rural county was a relative developed area in eastern China. There was a general agreement amongst most stakeholders on the contraceptive method used by people. Before childbirth, men usually take the responsibility to use condom. It was regarded as women’s responsibility to adopt contraception after childbirth, and they are generally encouraged to use IUDs following the birth of the first or second child. Some women experienced unintended pregnancy and repeated induced abortions due to no-use of contraception or inconsistent use of unreliable methods such as rhythm after childbirth. There was no standard counseling procedure by family planning service providers before women made decision on contraceptive choice. Women usually made decision based on simple communication with or listen to health providers, their female family members, friends and colleagues et al. Men were generally not included in contraceptive counselling service. Most of family planning service providers were not aware of the contents of informed consent on contraceptive choice.
Conclusions: Contraceptive practices were not based on adequate counseling service and communication with family planning service providers. Face-to-face counseling is a key preferred method for receiving qualified family planning service and it needs to be introduced into rural areas of China.
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