Economic And Psychosocial Influences of Family Planning on the Lives of Women in Western ...

174 Pages·1998·0.5 MB·English

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Economic And Psychosocial Influences
of Family Planning
on
the Lives of Women in
Western Visayas
Final Report
Dr. Fely P. David
Prof. Fely P. Chin
Dr. Elma S. Herradura
Central Philippine University
Iloilo City
October 1998
Family Health International
Economic And Psychosocial Influences
of Family Planning
on
the Lives of Women in
Western Visayas
Final Report
Dr. Fely P. David
Prof. Fely P. Chin
Dr. Elma S. Herradura
Central Philippine University
Iloilo City
October 1998
Family Health International
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ACKNOWLEDGMENTS
The Principal Investigators would like to acknowledge the contributions of their team at the Social
Science Research Institute, Central Philippine University (CPU); the Institute for Social Studies and
Action; the other WSP study teams in Cebu and Cagayan de Oro; the Women’s Resource Center at
CPU; the Family Planning Organization of the Philippines, Iloilo Chapter; the Staff of the Women’s
Studies Project of Family Health International including Dr. Eilene Bisgrove, Dr. Emily Wong, and
Dr. Nancy Williamson; and the U.S. Agency for International Development (USAID), which
funded the WSP. Special mention goes to the women and men who participated in the study and
shared their insights and experiences.
Special acknowledgement also goes to Dr. Elizabeth Gould, WSP consultant, who edited the
final report, and to Dr. Nancy Williamson who reviewed the report before it was finally printed.
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TABLE OF CONTENTS
CHAPTER PAGE
ACKNOWLEDGMENTS ............................................................................................... iii
TABLE OF CONTENTS ............................................................................................ v
LIST OF TABLES ...................................................................................................... ix
LIST OF ACRONYMS ............................................................................................... xiii
I. INTRODUCTION AND STUDY OBJECTIVES ................................................. 1
Background and Rationale of the Study ............................................................. 1
Objectives of the Study ....................................................................................... 3
Research Hypothesis ........................................................................................... 3
Theoretical and Conceptual Framework ............................................................. 4
The Study Area: Western Visayas, Philippines .................................................. 6
II. RESEARCH METHODS: DESIGN, SAMPLING, DATA COLLECTION,
ANALYSIS AND INFORMATION DISSEMINATION ........................................ 7
Design................................................................................................................. 7
Sampling ............................................................................................................ 7
Data Collection .................................................................................................. 9
Data Processing and Analysis ........................................................................... 12
Information Dissemination and Research Utilization ....................................... 12
Ethical Consideration for the Protection of Human Subjects ............................ 13
III. THE MWRAS OF WESTERN VISAYAS: THEIR BACKGROUND
CHARACTERISTICS, PREGNANCY AND CHILDBEARING
EXPERIENCES AND FAMILY PLANNING PRACTICES .................................... 15
Background Characteristics of the MWRAs and their Households .................. 15
Household Characteristics .............................................................................. 17
Housing Characteristics .................................................................................. 18
Pregnancy and Childbearing Experiences of the MWRAs .............................. 21
Age at Marriage .............................................................................................. 21
Number of Pregnancies .................................................................................. 22
Number of Children Ever Born ....................................................................... 23
Family Planning Practice among the MWRAs ................................................. 25
Family Planning Use ....................................................................................... 25
Reasons for Choice of Family Planning Method ............................................ 27
Satisfaction with Family Planning Method Used............................................ 28
Problems Experienced by MWRAs in the Use of Family Planning
Method ........................................................................................................... 29
Intentions to Use or Not to Use Family Planning in the Future ..................... 30
Availability and Utilization of Family Planning Services .............................. 32
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Available Family Planning Services ............................................................... 33
Women’s Utilization of Family Planning Services ........................................ 33
Problems Experienced by MWRAs with Family Planning Services ............. 34
Characteristics of Family Planning Services Considered Important
by MWRAs .................................................................................................... 36
Women’s Preference as to Sex of Family Planning Service Providers .......... 37
IV. ECONOMIC AND SOCIAL INFLUENCE OF FAMILY PLANNING
ON THE WOMEN’S LIVES ..................................................................................... 40
Family Planning Practice and Participation in Paid Work
Among Women in Western Visayas ................................................................. 40
Background .................................................................................................... 40
Family Planning and Women’s Employment ................................................ 40
Participation in Gainful Work between Pregnancies ..................................... 43
Family Planning Practice and Work Participation, Controlling for
Other Variables: Regression Analysis ............................................................ 45
Qualitative Data on the Influence of Family Planning on Work
Participation of Women: Perceptions of MWRAs Husband, and
Family Planning Service Providers ................................................................. 47
Family Planning Practice and Participation in Community Activities
Among Women in Western Visayas ................................................................. 49
Background .................................................................................................... 49
Association between Family Planning Practice and Community
Participation. ................................................................................................... 50
Family Planning Practice and Participation in Community Activities,
Controlling for Selected Variables ................................................................. 52
Family Planning Practice and Participation in Community Activities,
Controlling for Selected Variable: Regression Analysis ................................ 54
Qualitative Data on the Influence of Family Planning on Community
Participation of Women: Perceptions of MWRAs, Husbands, and
Family Planning Service Providers ................................................................. 56
Family Planning Practice and Educational Advancement Among
Women in Western Visayas ............................................................................... 58
Background .................................................................................................... 58
Attendance in Training of MWRAs after Marriage ....................................... 58
Educational Advancement between Pregnancies ........................................... 61
Family Planning Practice and Attendance in Training, Controlling
For Selected Variable: Regression Analysis .................................................. 63
Qualitative Data on the Influence of Family Planning on Educational
Advancement of Women: Perceptions of Women, Men, and Health
Service Providers............................................................................................. 65
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Family Planning Practice in Relation with Women’s Satisfaction With
Selected Aspects of Life..................................................................................... 66
Background ..................................................................................................... 66
MWRAs Family Planning Practice and Satisfaction with Life ...................... 67
Family Planning Practice and Satisfaction with Life: Regression Analysis ... 70
Qualitative Data on the Influence of Family Planning Practice On
MWRAs’ Self-esteem: Perceptions of Women, Men and Health
Service Providers ............................................................................................ 72
Family Planning Practice and Decision-making Participation
Among Women in Western Visayas ................................................................. 75
Background ..................................................................................................... 75
Actual Participation of MWRAs in Decision-making in Four Decision
Areas................................................................................................................ 75
MWRAs Choices of Ideal Decision-makers .................................................. 79
Family Planning Practice in Relation to Actual Decision-making
of MWRAs Controlling for Other Variables: A Regression Analysis ........... 79
Family Planning and Participation in Decision-making: Either
Independently or Jointly with their Husband ................................................. 80
Family Planning Use and Independent Decision-making .............................. 81
Qualitative Data on the Influence of Family Planning on Decision-making
Participation of MWRA: Perceptions of Women, Men and Health
Service Providers............................................................................................. 86
V. DOMESTIC VIOLENCE AMONG MARRIED WOMEN OF
REPRODUCTIVE AGE IN WESTERN VISAYAS ................................................ 88
Background .................................................................................................... 88
Incidence of Domestic Violence .................................................................... 88
Assistance Received by Victims of Domestic Violence ................................. 89
Perceived Causes of Domestic Violence ........................................................ 91
Selected Factors Related to Women’s Experience with Domestic Violence.. 92
MWRAs’ Experience with Sexual Abuse ...................................................... 94
Qualitative Data on Domestic Violence ......................................................... 96
VI. SUMMARY, CONCLUSIONS, POLICY IMPLICATIONS
AND RECOMMENDATIONS ................................................................................... 99
Research Methodology ................................................................................... 99
Major Findings and Conclusions .................................................................... 100
Policy Implications and Recommendations ................................................... 104
Recommendations for Further Research. ....................................................... 107
BIBLIOGRAPHY ................................................................................................. 108
APPENDICES ....................................................................................................... 114
A. SURVEY QUESTIONNAIRE.................................................................... 115
B. FGD GUIDE QUESTIONS ....................................................................... 151
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LIST OF TABLES
TABLE NO. PAGE
1. Sampling Distribution of MWRAs in the Provincial ............................................... 8
2. Groupings. Percentage Distribution of Respondents According to Age,
Education, Occupation and Personal Characteristics by Family Planning
Practice .................................................................................................................... 16
3. Percentage Distribution of Respondents According to
Household Characteristics........................................................................................ 18
4. Percentage Distribution of Respondents by Housing
Characteristics and SES Status................................................................................. 20
5. Percentage Distribution by Age at Marriage and Family
Planning Practice ..................................................................................................... 23
6. Mean Age at First Marriage by Family Planning Practice
and Selected Characteristics of the MWRAs .......................................................... 23
7. Distribution of Respondents by Childbearing Experiences by Family Planning
Practice .................................................................................................................... 24
8. Mean Number of Children Ever Born by Family Planning Practice of MWRAs
and Age, Educational Attainment, Occupation and Residence ............................... 25
9. Percentage Distribution of MWRAs According to Family Planning Practice and
Method Used ........................................................................................................... 27
10. Percentage Distribution of Family Planning Users According to Their Reasons
for Choice of a Method and by Method Used (Multiple Response) ....................... 28
11. Percentage Distribution of Family Planning Users According to Their
Level of Satisfaction in their Use of a Specific Method ......................................... 29
12. Percentage Distribution of MWRAs According to Current Method Used
Family Planning Practice ......................................................................................... 30
13. Percentage Distribution of Current Users Who Plan to Continue Using
the Family Planning Method ................................................................................... 31
14. Percentage Distribution of Non-users Who Intended to Use Family Planning
in the Future.............................................................................................................. 32
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