As a public health researcher in Ethiopia, I’ve witnessed firsthand how limited access to contraception impacts women’s lives—from health risks to economic and educational barriers. But beyond access, attitudes play a critical role. Myths about side effects, partner opposition, and religious beliefs often overshadow the benefits of family planning. This study aimed to move beyond statistics and understand the human stories behind non-use.
Key Findings: What Women Told Us
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Attitudes Matter: Fear of side effects (real or perceived) was the most cited deterrent—even more than access.
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The Power of Social Norms: Many women said their partners or communities viewed contraception as "unnatural," creating silent pressure to avoid it.
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Agency vs. Obstacles: Women who felt confident in their ability to use contraceptives (self-efficacy) were more likely to intend to adopt them—but misinformation eroded this confidence.
Why This Matters
Policymakers often focus on increasing access to contraceptives (which remains vital), but our findings highlight the need for parallel interventions:-
Community dialogues to dispel myths.
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Programs engaging men and religious leaders.
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Counseling that addresses fears and builds self-efficacy.
A Personal Reflection
One interview stayed with me: a woman whispered that she secretly desired contraception but feared her husband would accuse her of "infidelity." Her story underscored how deeply gender dynamics intertwine with health choices. Research isn’t just about data, it’s about giving voice to these unspoken struggles.Join the Conversation
I invite you to read our full article [Contraceptive use intention and determinants among nonuser reproductive-aged married women in Ethiopia based on the theory of planned behavior | Discover Public Health] and reflect: -