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En litteraturstudie om ugandiska mäns involvering i familjeplanering: Sociokulturella och strukturella faktorers betydelse
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
A literature review on Ugandan men's involvement in family planning : The impact of socio-cultural and structural factors (English)
Abstract [sv]

Bakgrund: Ugandas snabba befolkningsökning som följd av låg användning av familjeplanering leder till ohälsa, ojämlika könsnormer samt minskade möjligheter till hållbar utveckling. Tidigare forskning har påvisat ugandiska mäns motstånd till familjeplanering, men en nyanserad och gedigen kunskap kring de faktorer som leder till motståndet saknas. Syfte: Syftet med denna litteraturstudie var att få en fördjupad förståelse kring de faktorer som påverkar ugandiska mäns involvering i familjeplanering. Metod: En systematisk litteraturstudie har genomförts på sex vetenskapliga artiklar publicerade mellan 2010-2017. Samtliga artiklar uppsöktes i databaserna PubMed samt Scopus och behandlade studier med kvalitativ metod och ugandisk kontext. Med en induktiv ansats bearbetades artiklarna sedermera med kvalitativ innehållsanalys. Resultat: Ugandiska mäns involvering i familjeplanering påverkas av sociokulturella normer vilka kan härledas till vedertagna traditioner och samhällsstrukturer, inklusive normer som förespråkar ett högt familjeideal samt könsmaktsordning. Männens deltagande påverkas även av en omfattande misstro och kunskapsbrist, vilket enligt resultatet beror på bristande struktur och service inom hälso- och sjukvården. Resultatet visar vidare att samtliga faktorer både leder till och delvis är resultatet av ojämlika könsnormer. Destruktiva strukturer och normer som innebär ojämlika livsvillkor för kvinnor är därmed en avgörande faktor för den låga familjeplaneringen och således den ökande befolkningsmängden i Uganda. Slutsats: Genom att sammanställa och analysera vetenskapliga studier vilka undersökt faktorer som påverkar ugandiska mäns involvering i familjeplanering har en fördjupad samt nyanserad förståelse vuxit fram. En kunskap som tillsammans med den socioekologiska modellen SEM och till den kopplade kommunikationsstrategin C4D har möjlighet att bidra till evidensbaserade folkhälsointerventioner för ökad användning av modern familjeplanering i Uganda och liknande kontexter.

Abstract [en]

Background: Uganda's rapid population growth due to low use of family planning leads to ill-health, unequal gender norms and reduced opportunities for sustainable development. Earlier research has shown that Ugandan men's resistance to family planning is crucial, but a nuanced and solid knowledge of the factors that lead to resistance is lacking. Purpose: The purpose with this literature review was to gain a deeper understanding of the factors that affect Ugandan men's involvement in family planning. Method: A systematic literature study has been conducted on six scientific articles published between 2010-2017. All articles were searched in the PubMed and Scopus databases and treated studies with qualitative method and Ugandan context. With an inductive approach, the articles were subsequently processed with qualitative content analysis. Results: Ugandan men's involvement in family planning is influenced by socio-cultural norms, which can be derived from established traditions and social structures, including norms advocating a high family ideal well as gender power relations. Men's participation is also affected by an extensive mistrust and lack of knowledge, which, according to the result, is due to lack of structure and service in the health care sector. The result further shows that all factors both lead to and, in part, are the result of unequal gender norms. Destructive structures and norms that impose unequal living conditions for women are thus a decisive factor in the low family planning and thus the increasing population in Uganda. Conclusion: By compiling and analyzing studies which has investigated factors affecting the involvement of Ugandan men in family planning, a deeper and nuanced understanding has emerged. Along with the Social Ecological Model SEM and the connected communication strategy C4D this knowledge has the ability to contribute to evidence-based public health interventions for increased use of modern family planning in Uganda and in similar contexts.

Place, publisher, year, edition, pages
2018. , p. 36
Keywords [en]
Family planning, Gender norm, Reproductive health, Tradition, Uganda
Keywords [sv]
Familjeplanering, Könsnormer, Reproduktiv hälsa, Tradition, Uganda
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:kau:diva-67905OAI: oai:DiVA.org:kau-67905DiVA, id: diva2:1222161
Subject / course
Public Health Science
Educational program
Master Programme in Health Science: Focus Public Health Sciences, 120 ECTS credits
Supervisors
Examiners
Available from: 2018-06-26 Created: 2018-06-21 Last updated: 2018-06-26Bibliographically approved

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Public Health, Global Health, Social Medicine and Epidemiology

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Citation style
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