Is Permanent Contraception Acceptable in sub-Saharan Africa?

Is Permanent Contraception Acceptable in sub-Saharan Africa?

Some authors contend that the low use of family planning in sub-Saharan Africa is due to a low demand for fertility regulation among African men and women. The present authors' experience in Africa has been that it is not the demand for family planning services, but the way services are deliver...

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Bibliographic Details
Published in:Studies in family planning Vol. 21; no. 6; pp. 322 - 326
Main Authors: Dwyer, Joseph C., Haws, Jeanne M.
Format: Journal Article
Language:English
Published: United States The Population Council 01-11-1990
Population Council
Subjects:
Africa
African culture
Attitude to Health
Confidentiality
Contraception
Contraception Behavior
Cultural Characteristics
Family planning
Family planning services
Female fertility
Fertility rates
Humans
Kenya
Laparotomy
Local anesthesia
Population
Quality of Health Care
Reproductive sterilization
Sterilization, Reproductive - psychology
Tubal ligation
Kenya
Africa
Family Planning Programs
Eastern Africa
Organization And Administration
Contraceptive Usage
Needs
English Speaking Africa
Female Sterilization
Motivation
Quality Of Health Care
Program Accessibility
Sterilization, Sexual
Behavior
Minilaparotomy
Culture
Method Acceptability
Programs
Africa
Psychological Factors
Contraception
Family Planning
Kenya
Tubal Ligation
Economic Factors
Tubal Occlusion
Health Services Evaluation
Male Sterilization
Developing Countries
Africa South Of The Sahara
Program Evaluation
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Summary:Some authors contend that the low use of family planning in sub-Saharan Africa is due to a low demand for fertility regulation among African men and women. The present authors' experience in Africa has been that it is not the demand for family planning services, but the way services are delivered that accounts for low numbers of acceptors in Africa. The specific case of Kenya is mentioned, where improvements in the quality of sterilization services and increases in the number of institutions that can provide minilaparotomy under local anesthesia have led to an increase in the acceptance of sterilization. The authors maintain that the demand for all family planning methods does exist, and it is up to the donor agencies and family planning service providers to try to meet that demand by providing services that are efficient to providers while oriented to the clients' needs. In the case of voluntary surgical contraception, that means providing minilaparotomy under local anesthesia.
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ISSN:0039-3665
1728-4465
DOI:10.2307/1966920