Involving Men in Reproductive and Fertility Issues : Insights from Punjab
Drawing on three sources, a 2013 qualitative study in four districts of Punjab province; a targeted analysis of the baseline and end line surveys of the Family Advancement for Life and Health (FALAH 2007-2012) project; and the Pakistan Demographic...
| Main Authors: | , , |
|---|---|
| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2014/01/19128397/involving-men-reproductive-fertility-issues-insights-punjab http://hdl.handle.net/10986/17541 |
| id |
okr-10986-17541 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
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 COMMUNITY HEALTH WORKERS CONDOMS CONTRACEPTION CONTRACEPTIVE KNOWLEDGE CONTRACEPTIVE METHOD CONTRACEPTIVE METHODS CONTRACEPTIVE PRACTICES CONTRACEPTIVE PREVALENCE CONTRACEPTIVE SUPPLY CONTRACEPTIVE USE CONTRACEPTIVES DEMAND FOR CONTRACEPTIVES DISEASES ECONOMIC RESOURCES EQUALITY ETHICAL CONSIDERATIONS EXERCISES FAMILY PLANNING FAMILY PLANNING FOCUS FAMILY PLANNING METHODS FAMILY PLANNING PROGRAM FAMILY PLANNING PROGRAMS FAMILY PLANNING SERVICES FAMILY PLANNING USE FAMILY SIZE FAMILY WELFARE FEMALE FEMALE STERILIZATION FEMALES FERTILITY FERTILITY ATTITUDES FERTILITY BEHAVIOR FERTILITY TRANSITION FEWER CHILDREN FIRST CHILD FIRST PREGNANCY FOCUS GROUP DISCUSSIONS FORMS OF CONTRACEPTION GENDER GENDER DIFFERENCES GIRLS HEALTH FACILITIES HEALTH POLICY HEALTH WORKERS HOME HOSPITAL HOSPITALS HOUSEHOLD LEVEL HOUSEHOLD RESPONSIBILITIES HOUSES HUMAN DEVELOPMENT HUSBAND HUSBANDS IDEAL FAMILY SIZE IDEAL NUMBER OF CHILDREN IMMUNIZATIONS IMPORTANCE OF FAMILY PLANNING INFORMED CONSENT 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 NUTRITION OBESITY OLD AGE OPPOSITE SEX PARENTS PATIENT POLIO POPULATION AND DEVELOPMENT POPULATION COUNCIL POPULATION GROWTH POPULATION GROWTH RATE POPULATION STUDIES PROGRESS PUBLIC HEALTH PURCHASING POWER QUALITY OF SERVICES RADIO RELIGIOUS LEADERS REPLACEMENT LEVEL REPRODUCTIVE AGE REPRODUCTIVE BEHAVIOR REPRODUCTIVE DECISION REPRODUCTIVE DESIRES REPRODUCTIVE GOALS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH INTERVENTIONS REPRODUCTIVE INTENTIONS REPRODUCTIVE LIVES REPRODUCTIVE PATTERNS RESPECT RURAL AREAS RURAL COMMUNITIES SERVICE PROVIDERS SEX SHARIA SMALL FAMILIES SOCIAL ACCEPTABILITY SOCIAL NORMS SOCIAL PRESSURE SOCIAL SCIENCE SPOUSE SPOUSES STATUS OF WOMEN STERILIZATION SUPPLY OF CONTRACEPTIVES TELEVISION TV UNWANTED CHILDREN UNWANTED PREGNANCIES URBAN AREAS URBAN CENTERS URBAN COMMUNITY USE OF CONTRACEPTION USE OF CONTRACEPTIVES WIFE WILL WIVES WOMAN |
| spellingShingle |
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 COMMUNITY HEALTH WORKERS CONDOMS CONTRACEPTION CONTRACEPTIVE KNOWLEDGE CONTRACEPTIVE METHOD CONTRACEPTIVE METHODS CONTRACEPTIVE PRACTICES CONTRACEPTIVE PREVALENCE CONTRACEPTIVE SUPPLY CONTRACEPTIVE USE CONTRACEPTIVES DEMAND FOR CONTRACEPTIVES DISEASES ECONOMIC RESOURCES EQUALITY ETHICAL CONSIDERATIONS EXERCISES FAMILY PLANNING FAMILY PLANNING FOCUS FAMILY PLANNING METHODS FAMILY PLANNING PROGRAM FAMILY PLANNING PROGRAMS FAMILY PLANNING SERVICES FAMILY PLANNING USE FAMILY SIZE FAMILY WELFARE FEMALE FEMALE STERILIZATION FEMALES FERTILITY FERTILITY ATTITUDES FERTILITY BEHAVIOR FERTILITY TRANSITION FEWER CHILDREN FIRST CHILD FIRST PREGNANCY FOCUS GROUP DISCUSSIONS FORMS OF CONTRACEPTION GENDER GENDER DIFFERENCES GIRLS HEALTH FACILITIES HEALTH POLICY HEALTH WORKERS HOME HOSPITAL HOSPITALS HOUSEHOLD LEVEL HOUSEHOLD RESPONSIBILITIES HOUSES HUMAN DEVELOPMENT HUSBAND HUSBANDS IDEAL FAMILY SIZE IDEAL NUMBER OF CHILDREN IMMUNIZATIONS IMPORTANCE OF FAMILY PLANNING INFORMED CONSENT 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 NUTRITION OBESITY OLD AGE OPPOSITE SEX PARENTS PATIENT POLIO POPULATION AND DEVELOPMENT POPULATION COUNCIL POPULATION GROWTH POPULATION GROWTH RATE POPULATION STUDIES PROGRESS PUBLIC HEALTH PURCHASING POWER QUALITY OF SERVICES RADIO RELIGIOUS LEADERS REPLACEMENT LEVEL REPRODUCTIVE AGE REPRODUCTIVE BEHAVIOR REPRODUCTIVE DECISION REPRODUCTIVE DESIRES REPRODUCTIVE GOALS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH INTERVENTIONS REPRODUCTIVE INTENTIONS REPRODUCTIVE LIVES REPRODUCTIVE PATTERNS RESPECT RURAL AREAS RURAL COMMUNITIES SERVICE PROVIDERS SEX SHARIA SMALL FAMILIES SOCIAL ACCEPTABILITY SOCIAL NORMS SOCIAL PRESSURE SOCIAL SCIENCE SPOUSE SPOUSES STATUS OF WOMEN STERILIZATION SUPPLY OF CONTRACEPTIVES TELEVISION TV UNWANTED CHILDREN UNWANTED PREGNANCIES URBAN AREAS URBAN CENTERS URBAN COMMUNITY USE OF CONTRACEPTION USE OF CONTRACEPTIVES WIFE WILL WIVES WOMAN Kamran, Iram Khan, Mumraiz Tasneem, Zeba Involving Men in Reproductive and Fertility Issues : Insights from Punjab |
| geographic_facet |
South Asia Pakistan |
| relation |
Health, Nutrition, and Population (HNP)
discussion paper; |
| description |
Drawing on three sources, a 2013
qualitative study in four districts of Punjab province; a
targeted analysis of the baseline and end line surveys of
the Family Advancement for Life and Health (FALAH 2007-2012)
project; and the Pakistan Demographic Health Survey (PDHS)
of 1990-1991 and of 2006-2007, this study explores Pakistani
(especially Punjabi) couples' dynamics during their
decision processes on fertility intentions and practices,
along with community perceptions of male-focused
interventions as well as men's suggestions for future
intervention strategies. It finds that men in Punjab seem
now more concerned about their fertility intentions and
practices due to the financial challenges of raising large
families. This concern has not only increased spousal
communication about family size and contraceptive use but
has also encouraged Punjabi men to practice family planning.
Most men now realize that either they or their wives should
use family planning. It is the next step, however, of
translating intention into practice, which is a challenge.
Supply-side issues, including absence or paucity of family
planning services as well as poor quality of services
(including service providers' lack of capability to
manage side effects) are the main factors hindering
couples' adoption of family planning. Perceived or
experienced side effects of contraceptive methods are other
factors. Men's positive attitudes and their readiness
to be involved in family planning programs suggest that the
efforts of convincing men to use contraceptives have been
effective and this it is now time for direct reproductive
health interventions for men in Punjab. Yet heavy spending
on media campaigns may not be as effective as interpersonal
interventions. A focused effort to mobilize men through
male-specific interventions is likely to increase the demand
for contraceptives. These interventions have to be backed up
by improved supply of contraceptives and availability of
family planning services in accessible facilities. |
| format |
Publications & Research :: Working Paper |
| author |
Kamran, Iram Khan, Mumraiz Tasneem, Zeba |
| author_facet |
Kamran, Iram Khan, Mumraiz Tasneem, Zeba |
| author_sort |
Kamran, Iram |
| title |
Involving Men in Reproductive and Fertility Issues : Insights from Punjab |
| title_short |
Involving Men in Reproductive and Fertility Issues : Insights from Punjab |
| title_full |
Involving Men in Reproductive and Fertility Issues : Insights from Punjab |
| title_fullStr |
Involving Men in Reproductive and Fertility Issues : Insights from Punjab |
| title_full_unstemmed |
Involving Men in Reproductive and Fertility Issues : Insights from Punjab |
| title_sort |
involving men in reproductive and fertility issues : insights from punjab |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2014/01/19128397/involving-men-reproductive-fertility-issues-insights-punjab http://hdl.handle.net/10986/17541 |
| _version_ |
1764438050980495360 |
| spelling |
okr-10986-175412021-04-23T14:03:39Z Involving Men in Reproductive and Fertility Issues : Insights from Punjab Kamran, Iram Khan, Mumraiz Tasneem, Zeba 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 COMMUNITY HEALTH WORKERS CONDOMS CONTRACEPTION CONTRACEPTIVE KNOWLEDGE CONTRACEPTIVE METHOD CONTRACEPTIVE METHODS CONTRACEPTIVE PRACTICES CONTRACEPTIVE PREVALENCE CONTRACEPTIVE SUPPLY CONTRACEPTIVE USE CONTRACEPTIVES DEMAND FOR CONTRACEPTIVES DISEASES ECONOMIC RESOURCES EQUALITY ETHICAL CONSIDERATIONS EXERCISES FAMILY PLANNING FAMILY PLANNING FOCUS FAMILY PLANNING METHODS FAMILY PLANNING PROGRAM FAMILY PLANNING PROGRAMS FAMILY PLANNING SERVICES FAMILY PLANNING USE FAMILY SIZE FAMILY WELFARE FEMALE FEMALE STERILIZATION FEMALES FERTILITY FERTILITY ATTITUDES FERTILITY BEHAVIOR FERTILITY TRANSITION FEWER CHILDREN FIRST CHILD FIRST PREGNANCY FOCUS GROUP DISCUSSIONS FORMS OF CONTRACEPTION GENDER GENDER DIFFERENCES GIRLS HEALTH FACILITIES HEALTH POLICY HEALTH WORKERS HOME HOSPITAL HOSPITALS HOUSEHOLD LEVEL HOUSEHOLD RESPONSIBILITIES HOUSES HUMAN DEVELOPMENT HUSBAND HUSBANDS IDEAL FAMILY SIZE IDEAL NUMBER OF CHILDREN IMMUNIZATIONS IMPORTANCE OF FAMILY PLANNING INFORMED CONSENT 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 NUTRITION OBESITY OLD AGE OPPOSITE SEX PARENTS PATIENT POLIO POPULATION AND DEVELOPMENT POPULATION COUNCIL POPULATION GROWTH POPULATION GROWTH RATE POPULATION STUDIES PROGRESS PUBLIC HEALTH PURCHASING POWER QUALITY OF SERVICES RADIO RELIGIOUS LEADERS REPLACEMENT LEVEL REPRODUCTIVE AGE REPRODUCTIVE BEHAVIOR REPRODUCTIVE DECISION REPRODUCTIVE DESIRES REPRODUCTIVE GOALS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH INTERVENTIONS REPRODUCTIVE INTENTIONS REPRODUCTIVE LIVES REPRODUCTIVE PATTERNS RESPECT RURAL AREAS RURAL COMMUNITIES SERVICE PROVIDERS SEX SHARIA SMALL FAMILIES SOCIAL ACCEPTABILITY SOCIAL NORMS SOCIAL PRESSURE SOCIAL SCIENCE SPOUSE SPOUSES STATUS OF WOMEN STERILIZATION SUPPLY OF CONTRACEPTIVES TELEVISION TV UNWANTED CHILDREN UNWANTED PREGNANCIES URBAN AREAS URBAN CENTERS URBAN COMMUNITY USE OF CONTRACEPTION USE OF CONTRACEPTIVES WIFE WILL WIVES WOMAN Drawing on three sources, a 2013 qualitative study in four districts of Punjab province; a targeted analysis of the baseline and end line surveys of the Family Advancement for Life and Health (FALAH 2007-2012) project; and the Pakistan Demographic Health Survey (PDHS) of 1990-1991 and of 2006-2007, this study explores Pakistani (especially Punjabi) couples' dynamics during their decision processes on fertility intentions and practices, along with community perceptions of male-focused interventions as well as men's suggestions for future intervention strategies. It finds that men in Punjab seem now more concerned about their fertility intentions and practices due to the financial challenges of raising large families. This concern has not only increased spousal communication about family size and contraceptive use but has also encouraged Punjabi men to practice family planning. Most men now realize that either they or their wives should use family planning. It is the next step, however, of translating intention into practice, which is a challenge. Supply-side issues, including absence or paucity of family planning services as well as poor quality of services (including service providers' lack of capability to manage side effects) are the main factors hindering couples' adoption of family planning. Perceived or experienced side effects of contraceptive methods are other factors. Men's positive attitudes and their readiness to be involved in family planning programs suggest that the efforts of convincing men to use contraceptives have been effective and this it is now time for direct reproductive health interventions for men in Punjab. Yet heavy spending on media campaigns may not be as effective as interpersonal interventions. A focused effort to mobilize men through male-specific interventions is likely to increase the demand for contraceptives. These interventions have to be backed up by improved supply of contraceptives and availability of family planning services in accessible facilities. 2014-04-01T17:17:02Z 2014-04-01T17:17:02Z 2014-01 http://documents.worldbank.org/curated/en/2014/01/19128397/involving-men-reproductive-fertility-issues-insights-punjab http://hdl.handle.net/10986/17541 English en_US Health, Nutrition, and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research South Asia Pakistan |