International Family Planning Perspectives
Volume 27, Number 1 March 2001

 

Why Do Family Planning Providers Restrict Access to Services? An Examination in Ghana
TABLES

Table 1. Number of providers citing specified reasons for various restrictions on clients' access to contraceptive methods, by restriction and reason, according to method
Reason Progestin-only pill Combined pill Injectable IUD
Spousal consent N=46 N=46 N=46 N=37
Family planning is a decision for both partners 15 14 16 11
Spouse may oppose use/choice of family planning 8 9 5 6
Provider may be blamed for problems 8 8 11 7
Husband may repudiate/punish wife 9 9 4 6
Method may cause infertility 2 2 9 1
Family planning may lead to infidelity 1 1 0 1
Method requires husband's knowledge 0 0 0 2
Other 3 3 1 3
Minimum age restrictions N=41 N=41 N=71 N=24
Family planning is only for married couples 17 14 5 5
Method may cause (temporary) infertility 3 3 44 1
To discourage indiscriminate sex 2 2 0 1
Risk of complications is higher in young women 7 9 5 1
Verify fertility/avoid blame for infertility 2 3 4 2
Family planning is unsafe for young women 4 4 1 4
Other 6 6 12 10
Maximum age restrictions N=47 N=47 N=37 N=22
Client is menopausal, so there is no need for family planning 14 15 24 17
Method is dangerous for older clients 23 25 7 2
Method may cause early menopause 1 1 3 1
Method is unacceptable to older clients 0 0 1 1
Other 9 7 2 1
Minimum parity requirements N=32 N=32 N=80 N=33
Delayed fertility or infertility 24 24 75 13
Cervix/uterus is too tight in nulliparous women na na na 13
Hidden diseases appear after birth of first child 2 2 1 0
If infertile, client may blame provider/method 3 3 1 3
Other 3 3 3 4
Note: na=not applicable.

back to text

© copyright 2001, The Alan Guttmacher Institute.