Women's fears and men's anxieties: the impact of family planning on gender relations in northern Ghana.

Publisher: John Wiley & Sons Ltd Country of Publication: United States NLM ID: 7810364 Publication Model: Print Cited Medium: Print ISSN: 0039-3665 (Print) Linking ISSN: 00393665 NLM ISO Abbreviation: Stud Fam Plann Subsets: MEDLINE

Publication: Malden, MA : John Wiley & Sons Ltd
Original Publication: New York, Population Council.

Attitude to Health*/ethnology ; Family Planning Services*/methods ; Fear* ; Interpersonal Relations*; Anxiety/*psychology ; Coitus/*psychology ; Marriage/*psychology ; Men/*psychology ; Women/*psychology; Adult ; Aged ; Anxiety/ethnology ; Female ; Focus Groups ; Ghana ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Marriage/ethnology ; Middle Aged

The Navrongo experiment, a family planning and health project in northern Ghana, has demonstrated that an appropriately designed, community-based family planning program can produce a change in contraceptive practice that had been considered unattainable in such a setting. Simultaneously, however, evidence suggests that newly introduced family planning services and contraceptive availability can activate tension in gender relations. In this society, where payment of bridewealth signifies a woman's requirement to bear children, there are deeply ingrained expectations about women's reproductive obligations. Physical abuse and reprisals from the extended family pose substantial threats to women; men are anxious that women who practice contraception might be unfaithful. Data from focus-group discussions with men and women are examined in this report and highlight the strains on gender relations resulting from contraceptive use. The measures taken to address this problem and methods of minimizing the risk of adverse social consequences are discussed.

Indexing Agency: PIP Local ID #: 141313. Indexing Agency: POP Local ID #: 00287290.
Keywords: Africa; Africa South Of The Sahara; Behavior; Community Surveys*; Contraception; Contraceptive Usage*; Crime; Demographic Factors; Developing Countries; Domestic Violence--women*; Economic Factors; English Speaking Africa; Family Planning; Family Planning Programs*; Fertility; Fertility Preferences*; Gender Issues*; Gender Relations*; Ghana; Husband-wife Communication*; Interpersonal Relations; Organization And Administration; Partner Communication; Population; Population Dynamics; Program Design*; Program Development*; Programs; Research Methodology; Sampling Studies; Social Problems; Socioeconomic Factors; Studies; Summary Report*; Surveys; Western Africa; Women*; Women's Empowerment*; Women's Status
Note: TJ: STUDIES IN FAMILY PLANNING.
Local Abstract: [PIP] The perspectives of older and younger men and women and village leaders concerning the impact of family planning on gender relations were distilled from a series of 36 focus group discussions held during 1994-96 in conjunction with the launching of the Navrongo experiment in northern Ghana. The primary aim of the focus groups was to monitor the community's reaction to the introduction of family planning and health services and provide feedback to project managers. Focus group participants made clear that, although contraception can reconcile a husband's sexual desire with the wife's desire to space births, it also generates marital discord, wife beating, and opposition from members of the extended family. Violence against women was considered justified by 51% of female and 43% of male respondents if the wife used a contraceptive method without the husband's knowledge. Women feared that their husband's disapproval of family planning could lead to withholding of affection or sex or even divorce. In the traditional local society, payment of bridewealth in cows and sheep signifies the wife's obligation to bear children. Some men worry that their wives might be unfaithful if they used contraception or that contraceptive use might create conflict among multiple wives. The possibility that women may act independently is regarded as a threat to the strong patriarchal tradition. The Navrongo project has attempted to respond to community concerns by acting through existing local institutions whenever possible while still supporting women and their autonomy.

Date Created: 19990427 Date Completed: 19990615 Latest Revision: 20191103

20221213

10.1111/j.1728-4465.1999.00054.x

10216896