Mumbai Poster presentation

of 10 /10
AN INTROSPECTIVE STUDY ON INTER- SPOUSAL COMMUNICATION MANAGEMENT IN REPRODUCTIVE HEALTH IN TAMILNADU AND ORISSA, INDIA A Poster Presentation at International Conference Mumbai Yade Lal Tekhre, Nisha Rani, V. Bhattacharya and S. Rath

Embed Size (px)

Transcript of Mumbai Poster presentation

  • AN INTROSPECTIVE STUDY ON INTER-

    SPOUSAL COMMUNICATION MANAGEMENT IN

    REPRODUCTIVE HEALTH IN TAMILNADU AND

    ORISSA, INDIA

    A Poster Presentation at International Conference

    Mumbai

    Yade Lal Tekhre, Nisha Rani,

    V. Bhattacharya and S. Rath

  • 2

    National Institute of Health and Family Welfare,

    Munirka, New Delhi-110 067

    Objectives

    To examine the nature and extent of inter-spousal communication on various aspects of Reproductive and

    Child Health

    To find out the attitude and decisions about contraceptive method and family size among spouses

    To explore the variation among the diverse segment of population/state on the subject of inter-spousal

    Communication and reproductive health issues

  • 3

    Statement of problem

    The right to reproductive health is a key component of

    womens and mens reproductive and sexual rights.

    Moreover, the achievement of reproductive health is

    inextricably linked to womens and mens ability to exercise

    reproductive and sexual rights i.e.

    reproductive decision making

    equality and equity for men and women, and

    Sexual and reproductive security

  • 4

    The catalyst to these rights, to which we generally ignore, is inter-

    spousal communication which is important for sustainable family

    well-being. Such communication especially has immense

    significance in seeking overall health and reproductive health care

    in general and family planning services in particular.

    The present study reveals data from both the spouses about couple

    communication, negotiation and the degree of mens influence on

    fertility or contraceptive usage. Further more, family size,

    conception, pregnancy, spacing and choice of contraception are

    directly linked with the inter-spousal communication.

  • 5

    Methodology

    Study Area and Population

    Two states in India were taken for study: Tamilnadu &

    Orissa on the basis of a well performing state and

    comparatively a poor performing state respectively in a large

    reproductive health issues correspondingly. Further, four

    segment of population were considered explicitly urban, rural,

    slum and tribal in each state.

  • 6

    Sampling Design and Sample Size

    Four different purposive samples were selected representing urban,

    rural, slum and tribal populations from each state. For each group of

    sample 300 male respondents were randomly selected with specific

    criteria that the respondent should be married, whose wife was in the

    reproductive age group (i.e., 15-45 years of age), had spent at least one

    year of married life and preferably had at least one child in the family.

    Tools and Techniques

    The data were collected through semi-structured and pre-

    tested interview schedule. Focus Group Discussion (FGD)

    among males were conducted to gather qualitative data.

  • 7

    CONCLUSION

    Irrespective of place of residence, a significant percentage of

    respondents (50% to 98%) reported that they discussed with their wives

    regarding the number of children they would like to have in the family.

    However, only 28% of tribal spouses of Orissa discussed the number of

    children they would like to have in the family.

    About 1/3 of the respondents in Tamilnadu did not discuss with their

    wives regarding number of children. More than 1/4 of respondents in

    both the states irrespective of their place of residence except tribals,

    discussed immediately after marriage and rest respondents after first

    child, second or third child was born. While more than 50% of urban

    respondents of Orissa and slum respondents of Tamilnadu discussed

    immediately after marriage, only a few tribal respondents of Orissa ever

    discussed with their wives.

  • 8

    The respondents of TN as a progressive State reported that 65% of the

    last pregnancies were unplanned; whereas, in Orissa, which is

    comparatively backward State, 43% of the last pregnancies were

    unplanned. The major reason in both the states (96% in TN and 93.8 in

    Orissa) what respondents reported was no use of any contraceptive

    methods. The last pregnancy in majority of cases was planned by the

    couple in both the states.

    The results of the FGDs also reported that unplanned pregnancies could

    have been avoided; communication among the couple were found

    minimum on this issue, whose consequences were born by the

    respective women.

    The FGDs conducted showed that there was a huge gap between the

    knowledge and awareness regarding different contraceptive methods and

    their actual use or practice among the respondents of both the states

    irrespective of their place of residence. Awareness about the contraceptive

  • 9

    methods was also very low among tribals of Orissa. Only 3 NSV cases were

    found out of 2398 respondents in both the states.

    National population policy statement emphasis on the importance of

    choice, this change in approach has not occurred at the programme level.

    Since clients have limited knowledge of reversible methods, female

    sterilization remains the dominant method in the programme. This fact can

    be supported by the data related to the reasons of not using any

    contraceptive method by the respondents.

    The data clearly reveals male dominance and inferior status occupied by

    majority of women in the family leads to lesser or no inter-spousal

    communication in many aspects of reproductive health. Approximately

    all decisions related to reproductive health issues were likely to be

    influenced by dominant males. At the same time there was adequate

    disparity among the different segment of population in relation to

    spousal communication within the groups and as compared to other in

    both the states.

  • 10

    RECOMMENDATIONS

    Special efforts should be made to emphasize mens shared

    responsibility and promote their active involvement in responsible

    parenthood, sexual and reproductive behaviour, including family

    planning.

    Emphasis should also be given on family counseling, IEC

    activities, community mobilization and active /participation of

    males in the entire process of RCH programme.

    Finally, the appropriate strategy has to be introduced with

    systematic approach during routine field visits, public contacts and

    home visits of the deputed health personnel to encourage inter-

    spousal communication.