- Fereshteh Najafi
- - Department of Community Health Nursing, Faculty of Nursing & Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
- Fatemeh Rakhshani
- - Public Health Department, Faculty of Health, Zahedan Medical Sciences University, Zahedan, Iran
Received: 10/1/2004 Accepted: 10/1/2004 - Publisher : Avicenna Research Institute |
|
Related Articles |
|
Other Format |
|
|
|
Abstract
Introduction: Couple communication is one of the most important factors for accepitng family planning methods. Women are the principal source of information about fertility regulation for their partners and communication between partners appears to be a prerequisite for the acceptance of contraceptive methods. Different studies and observations have shown that couple communica-tion and family planning coverage are limited due to traditional and cultural concerns in Zahedan city. This study investigates the effect of group counseling with women on spouse communication about family planning. Materials and methods: A quasi-experimental study (before and after) was conducted in Zahedan in 2002. Forty four women )in fertility age) with two or more children who had not used contra-ceptive methods were selected by non- random sampling from 3 urban health centers. After comp-leting questionnaires by researcher about women and their husbands and determination of their educational needs, women were divided into 5 groups (8-9 members) and each group participated in 3 counseling sessions (based on their educational level). One month after intervention, the resu-lts were analysed by questionnaires and check- list forms using Wilcoxon, Mc-nemar and chi-square tests. Results: Wilcoxon test demonstrated that frequency of spouse communication before and after intervention were significantly different (P<0.00001 ). moreover, chi-square test showed a signifi-sant difference after intervention between use of contraceptive methods and spouse communica-tion about family planning (with p<0.01 for women and p<0.05 for their husbands). after inter-vention 43% of cases selected one of the contraceptive methods and mc-nemar test showed significant difference (p<0.00001). conclusion: on the base of study results appropriate counseling for women can improve spouse communication regarding family planning. therefore, it is suggested that couple communication skills should be reinforced by suing instructional programes.< pan>0.00001>
Keywords:
Group counseling, Spouse communication, Family planning To cite this article:References
- Population reports. Focus on men as well as women. Published by the population program,cen- ter for communication program, The Johns Hop-kins school of public health.1996;24(1).
- زنجانــي حبيـب الله، ميــرزائي محمــد. جمعيت، توسعه و بهداشت باروري، چاپ دوم، بشري، تهران 1379، صفحات: 85-80.
- Population reports. Emphasize communiction. Published by the population information program. Center for communication program, The Johns Hopkins school of public health.1996;24(1).
- Kimuna S.R.,Adamchak D.J. Gender rela-tions: decisions in Kenya. J Biosoc Sci.2001;33(1):13-3.
- Bawah A.A. Spousal communication and family planning behavior Navrongo:a longitudinal assessment. Stud Fam Plann.2002;33(2):185-94.
- شادپور كامل. مشاركت مردان در بهداشت باروري. چاپ اول، انجمن تنظيم خانواده ، تهران 1379، صفحات:12-11.
- شجاعي تهراني حسين، سجادي فردآذر فربد. جمعيت و تنظيم خانواده و بهداشت باروري. چاپ اول، جهاد دانشگاهي، تهران1377، صفحات:64-60.
- دوبورد روبرت. مهارتهاي مشاورهاي. مترجم: يوسف اردبيلي. چاپ اول، مركز آموزش مديريت دولتي، تهران 1371، صفحات:10.
- شفيعآبادي عبدالله. فنون و روشهاي مشاوره. چاپ اول، رز، تهران 1376، صفحات:23-16.
- رخشاني فاطمه، انصاريمقدم عليرضا. نقش ارتباطات زوجين در تصميمگيري تنظيم خانواده در شهر زاهدان. مجله پژوهشي حكيم، دوره چهارم، شماره3، پائيز 1380، صفحات: 205-201.
- Best K. Social contacts influence method use. Network.1999:12-15.
- Balaiah D.,Nahk R.C.,Ghule M., Hazari K.T. Contraceptive knowledge, attitude and pract-ice of men in rural Maharashtra. Adv Contracept. 1999;15:217-234.
- Donati S., Hamam R., Medda E. Fam plann KAP survey in Gaza. Soc Sci Med.2000;50(1): 841-849.
- Thomas M.D., Thomas P.J., Garland F.C. Contraceptive use and attitudes toward family pla-nning in Navy enlisted women and men. J Fam Welf.2000;31(2):122-125.
- Becker S., Costenbader E. Husbands and wiv-es reports of contraceptive use. Stud Fam Plann. 2001;32(2):111-129.
- Azimi Y.N., Atiya A.S. Husband-wife comm-unication and family planning practices among Malay married couples in Mukim Rusila, Tereng-ganu. Med J Malaysia.2003;58(2):218-28.
- Gupta V.M., Jain R., Sen P. Study of inters-pouse communication and adoption of family pla-nning and immunization services in a rural block of Varanasi District. Indian J Public Health. 2001;45(4):110-5.
- Kamal N. The influence of husbands on contr-aceptive use by Bangladeshi women. Health Policy Plan.2000;15(1):43-51.
- Lutalo T., Kidugavu M.,Wawer M., Serwadda D., Schwabzabin L. Trends and determinants of contraceptive use in Rakai district, Uganda.1995-98. Stud Fam Plann.2000;31(3):217-227.
- Mukherjee B.N. Marital decision– making and family planning. J Fam Welfare.1998:21(3): 77-85.
- Saleem S.,Isa M.A. Facilitating interspousal communication for birth spacing: a feasibility stu-dy of Pakistani couples for policy implications. J Pak Med Assoc. 2004; 54(4):182-6.
- DeRose I.F., Dodoo F.N., Ezeh A.C., Ow-uor T.O. Does discussion of family planning improve knowledge of partner's attitude toward contracep-tives?. Int Fam Plan Perspect.2004;30(2):87-93.