Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.

<h4>Introduction</h4>Family planning methods are used to promote safer sexual practices, reduce unintended pregnancies and unsafe abortion, and control population. Young people aged 15-24 years belong to a key reproductive age group. However, little is known about their engagement with t...

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Main Authors: Navin Bhatt, Bandana Bhatt, Bandana Neupane, Ashmita Karki, Tribhuwan Bhatta, Jeevan Thapa, Lila Bahadur Basnet, Shyam Sundar Budhathoki
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0252184&type=printable
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author Navin Bhatt
Bandana Bhatt
Bandana Neupane
Ashmita Karki
Tribhuwan Bhatta
Jeevan Thapa
Lila Bahadur Basnet
Shyam Sundar Budhathoki
author_facet Navin Bhatt
Bandana Bhatt
Bandana Neupane
Ashmita Karki
Tribhuwan Bhatta
Jeevan Thapa
Lila Bahadur Basnet
Shyam Sundar Budhathoki
author_sort Navin Bhatt
collection DOAJ
description <h4>Introduction</h4>Family planning methods are used to promote safer sexual practices, reduce unintended pregnancies and unsafe abortion, and control population. Young people aged 15-24 years belong to a key reproductive age group. However, little is known about their engagement with the family planning services in Nepal. Our study aimed to identify the perceptions of and barriers to the use of family planning among youth in Nepal.<h4>Methods</h4>A qualitative explorative study was done among adolescents and young people aged 15-24 years from the Hattimuda village in eastern Nepal. Six focus group discussions and 25 in-depth interviews were conducted with both male and female participants in the community using a maximum variation sampling method. Data were analyzed using a thematic framework approach.<h4>Results</h4>Many individuals were aware that family planning measures postpone pregnancy. However, some young participants were not fully aware of the available family planning services. Some married couples who preferred 'birth spacing' received negative judgments from their family members for not starting a family. The perceived barriers to the use of family planning included lack of knowledge about family planning use, fear of side effects of modern family planning methods, lack of access/affordability due to familial and religious beliefs/myths/misconceptions. On an individual level, some couples' timid nature also negatively influenced the uptake of family planning measures.<h4>Conclusion</h4>Women predominantly take the responsibility for using family planning measures in male-dominated decision-making societies. Moreover, young men feel that the current family planning programs have very little space for men to engage even if they were willing to participate. Communication in the community and in between the couples seem to be influenced by the presence of strong societal and cultural norms and practices. These practices seem to affect family planning related teaching at schools as well. This research shows that both young men and women are keen on getting involved with initiatives and campaigns for supporting local governments in strengthening the family planning programs in Nepal.
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spelling doaj-art-e8023744ffb2424d82d4b2b21fbe024f2025-08-20T02:54:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01165e025218410.1371/journal.pone.0252184Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.Navin BhattBandana BhattBandana NeupaneAshmita KarkiTribhuwan BhattaJeevan ThapaLila Bahadur BasnetShyam Sundar Budhathoki<h4>Introduction</h4>Family planning methods are used to promote safer sexual practices, reduce unintended pregnancies and unsafe abortion, and control population. Young people aged 15-24 years belong to a key reproductive age group. However, little is known about their engagement with the family planning services in Nepal. Our study aimed to identify the perceptions of and barriers to the use of family planning among youth in Nepal.<h4>Methods</h4>A qualitative explorative study was done among adolescents and young people aged 15-24 years from the Hattimuda village in eastern Nepal. Six focus group discussions and 25 in-depth interviews were conducted with both male and female participants in the community using a maximum variation sampling method. Data were analyzed using a thematic framework approach.<h4>Results</h4>Many individuals were aware that family planning measures postpone pregnancy. However, some young participants were not fully aware of the available family planning services. Some married couples who preferred 'birth spacing' received negative judgments from their family members for not starting a family. The perceived barriers to the use of family planning included lack of knowledge about family planning use, fear of side effects of modern family planning methods, lack of access/affordability due to familial and religious beliefs/myths/misconceptions. On an individual level, some couples' timid nature also negatively influenced the uptake of family planning measures.<h4>Conclusion</h4>Women predominantly take the responsibility for using family planning measures in male-dominated decision-making societies. Moreover, young men feel that the current family planning programs have very little space for men to engage even if they were willing to participate. Communication in the community and in between the couples seem to be influenced by the presence of strong societal and cultural norms and practices. These practices seem to affect family planning related teaching at schools as well. This research shows that both young men and women are keen on getting involved with initiatives and campaigns for supporting local governments in strengthening the family planning programs in Nepal.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0252184&type=printable
spellingShingle Navin Bhatt
Bandana Bhatt
Bandana Neupane
Ashmita Karki
Tribhuwan Bhatta
Jeevan Thapa
Lila Bahadur Basnet
Shyam Sundar Budhathoki
Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.
PLoS ONE
title Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.
title_full Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.
title_fullStr Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.
title_full_unstemmed Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.
title_short Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: A qualitative study.
title_sort perceptions of family planning services and its key barriers among adolescents and young people in eastern nepal a qualitative study
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0252184&type=printable
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