International Family Planning Perspectives |
Why Do Family Planning Providers Restrict
Access to Services? An Examination in Ghana |
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. |
© copyright 2001, The Alan Guttmacher Institute. |