Overcoming Barriers to Family Planning in Pakistan: Lessons from stories of change and a literature review | Family Planning | Birth Control

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This report presents findings from stories of change and existing scientific literature on family planning in Pakistan. The main objective of this report is to: a) give an overview of the barriers that married Pakistani women and their husbands face in adopting family planning and b) indicate how these barriers can be overcome. The first chapter discusses the risks that Pakistani women and children face when they are not adopting healthy reproductive behaviours and highlights the importance of family planning. The second chapter focuses on the barriers that hamper the adoption of family planning methods among married Pakistani couples. The third chapter highlights important steps that need to be undertaken to tackle barriers and enhance contraceptive uptake and family planning. Suggestions on how to change people’s knowledge and attitudes and how to help married Pakistani women and their husbands change their behaviour are presented. The 18 stories of change were collected in Punjab province, Pakistan, in 2015. The scientific literature that was used comprises both studies undertaken in Pakistan and beyond.
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  Oxfam Novib Family Planning in Pakistan   1 of   19  jh vercoming barriers to family planning in Pakistan   Lessons from Stories of Change and a literature review  Oxfam Novib Family Planning in Pakistan   2 of   19 INDEX  ACKNOWLEDGEMENTS 3   BACKGROUND TO THIS RESEARCH 4   1   THE IMPORTANCE OF FAMILY PLANNING 5   2   BARRIERS TO FAMILY PLANNING 6   2.1   Lack of knowledge 6   2.2   Lack of motivation 6   2.3   Lack of agency 7   2.4   Communication 7   2.5   Limited availability and accessibility 8   3   HOW TO OVERCOME BARRIERS TO FAMILY PLANNING 9   3.1   Increase awareness of health risks and knowledge of family planning methods 9   3.2   Respond to concerns about contraceptive use 10   3.3   Change negative attitudes 10   3.4   Encourage spouses to discuss family planning 11   3.5   Increase the physical and social accessibility of contraceptives 12   4    ADDITIONAL CONSIDERATIONS 13   4.1   Men and/or women? 13   4.2   Who to work with? 13   4.3   Male-to-male? 13   4.4   Which obstacles are faced by whom? 14   5   CONCLUSION 15   REFERENCES 16    ANNEX 18    Oxfam Novib Family Planning in Pakistan   3 of   19  ACKNOWLEDGEMENTS This report is based on the qualitative analysis of Stories of Change done by Kimberley Wallaart of the World Citizens Panel team at Oxfam Novib. Additionally, this report is based on a review of the existing literature done by Marjolein Camphuijsen of the World Citizens Panel. The following people and organisations deserve to be acknowledged as they have contributed to this study: Kimberley Wallaart, Ciska Kuijper; Paula Dijk; Ruben De Winne; Anouk Klinkers, Seher  Afsheen; Umar Hammad; Rahnuma; SAP-PK and Shojla. © Cover page photo by Khaula Jamil of Oxfam Novib  Oxfam Novib Family Planning in Pakistan   4 of   19 BACKGROUND TO THIS RESEARCH In this report, findings from the Stories of Change and existing scientific literature on family planning in Pakistan are presented. The main objective of this report is a) to give an overview of the barriers that married Pakistani women and their husbands face in adopting family planning and b) to indicate how these barriers can be overcome. In 2015, 18 Stories of Change were collected in the province Punjab 1  in Pakistan by Rahnuma, SAP-PK and Sojhla (see Annex for interview questions used). The scientific literature that was used for this report comprises both studies undertaken in and focussing on Pakistan, and beyond. The first chapter discusses the risks that Pakistani women and children face when not adopting healthier reproductive behaviour and highlights the importance of family planning. The second chapter focuses on the barriers that hamper the adoption of family planning methods among married Pakistani couples. The third chapter addresses important steps that need to be undertaken to tackle barriers in order to enhance contraceptive uptake and family planning. In this chapter, suggestions on how to change people’s knowledge and attitudes and how to help married Pakistani women and their husbands to change their behaviour are presented. 1  More specifically, stories were collected in the following districts of the province Punjab: Chakwal, Muzafargahr, Lahore, Bhakhar and Multan.
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