Gender based perceptions on use of Family Planning among Marakwet Community in Koibarak Location, Elgeyo Marakwet County, Kenya

Abstract

Background: Globally recipient perceptions research is low. Especially in relevance to perception on the use of family planning methods. This is even lower in developing countries which are still operating on a patrilineal dominated values and cultures. It is within this framework that service delivery must be understood. Gender based perception is an area that needs investigations in order to guide appropriate intervention measures where gender is a factor for consideration in service provision and delivery. This study explored gender-based perception of respondents in Koibarak Elgeyo Marakwet Objectives: The purpose of the study was to investigate the gender-based perceptions on use of family planning among Marakwet community in Koibarak Location, Elgeyo Marakwet County. The study was guided by the following objectives: to examine the perceptions of family planning methods by men and women; to identify the perspectives on the use of family planning; and to establish the perceived challenges faced in relation to usage of family planning methods between men and women from the gendered perspective. Methods: In-depth interviews and FDG’s were used to get information from respondents aged between 21-49 years. The respondent’s participation was purposely selected. Qualitative methods were used to explore perception from a gender based perceptive. A guide with generations related to perceptions on FP with focus on attitude, knowledge and practice. The unchanging purpose tries to seek perception from gender dimension on issues related to decisions and gender-based dynamics. Data collection process involved discussions and interviews being recorded, transcribed verbatim and analysed and subjected to content analysis with thematic focus on attitude, knowledge and practice. A gender-based analysis was undertaken to unravel underlying gender-based similarities, differences and perceived challenges with respect to family planning methods and practices. Results: The study findings established that participants were aware of the various family planning methods that exist. A total of 87 respondents were interviewed, using in-depth interviews and focussed group discussion. Results showed that they use modern contraceptives which include the use of pills, injections, implants, condoms as well as coil. Spouse refusal, fear of perceived side effects, accessibility of family planning methods, cultural hindrance, religious hindrance and lack of knowledge on family planning were identified as the major challenges affecting adoption of family planning methods in Marakwet. Conclusions: The study concludes that despite the enhanced awareness of most couples on modern family planning methods, many have not adopted these methods due to various factors. Similarly, some residents still prefer traditional birth control systems. Recommendations: The County Government of Elgeyo Marakwet through its ministry of health should intensify gendered campaigns and sensitizations on the importance and benefits of adopting modern family planning methods. Similarly, all the stakeholders in health both at the county and national levels to encourage constructive partner communication and engagements through campaigns in order to promote gender equity and equality in the adoption of family planning decision making. Also, awareness creation through seminars, barazas and health forums in order to increase awareness and knowledge-ability on the use of modern family planning should be intensified.