ArticleSexual & reproductive healthcare : official journal of the Swedish Association of Midwives2021
How women and providers perceive male partner resistance to contraceptives in Western Kenya: A qualitative study.
Article in Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Correlates of reproductive coercion among women of reproductive age in Kingston, Jamaica and Hanoi, Vietnam.PLOS global public health · 2026Article
- Opening the black box of agency in contraceptive decision-making: A cross-country qualitative study of a complex process.SSM. Qualitative research in health · 2025Article
- I needed somebody to encourage me to take it [PrEP], maybe it would have protected me and the baby: a qualitative study to understand prenatal oral PrEP use among pregnant adolescent girls and young women in Tshwane, South Africa.Reproductive health · 2025Article
- Provider-imposed restrictions on contraceptive use in Western Kenya.Contraception · 2025Article
- Mental health and quality of life following breast cancer diagnosis in patients seen at a tertiary care hospital in Nairobi, Kenya: A qualitative study.Global mental health (Cambridge, England) · 2024Article
- Improving measures of access to legal abortion: A validation study triangulating multiple data sources to assess a global indicator.PloS one · 2023Article
- Differential discontinuation by covert use status in Kenya.Contraception: X · 2023Article
- Frequency and impact of long wait times for family planning in public-sector healthcare facilities in Western Kenya.Global health action · 2022Article
- Contraceptive method denial as downward contraceptive coercion: A mixed-methods mystery client study in Western Kenya.Contraception · 2022Article
Corrections and comments
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Authors and funding
6 authors at 6 institutions in 4 countries.
Funding
Abstract
objectiveAlmost a fifth of Kenyan women who desire to delay or avoid pregnancy are not using modern contraception. The objective of this study is to describe how Kenyan women, healthcare providers, and health policymakers perceive male partner resistance to function as a barrier to women's experiences attempting to obtain contraceptives.
methodsWe used a qualitative description approach to analyze the transcripts from a mixed-methods parent study in Western Kenya. We conducted conventional content analysis on transcripts from 8 focus group discussions with current and former female contraceptive users (n = 55 participants); in-depth interviews with key informants from the healthcare sector (n = 19); a client journey mapping workshop with female current contraceptive users (n = 9 participants); and a provider journey mapping workshop with public sector providers (n = 12 participants).
resultsPrimary themes concerned the perceived nature, perceived impact, and strategies for addressing male partner resistance to contraceptives. Male partner resistance affected women's experiences of contraceptive care in two ways. First, anticipating male partner resistance, providers modified how they delivered care to female patients to avoid conflicts with male partners. Second, covert utilization, women's primary strategy for obtaining desired contraceptives despite male partner resistance, can make women more vulnerable to facility-level barriers to care. Participants recommended educating men about the benefits of contraception in the clinical encounter and community settings.
conclusionMale partner resistance to contraceptives, whether experienced or anticipated, can influence how women navigate the health system and how contraceptive care is delivered in Kenya.
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