Abstract:

Despite high awareness of modern contraceptives among postpartum women in Bor South County, South Sudan, actual usage remains low. This study explored the barriers to family planning and assessed program effectiveness in improving contraceptive uptake. In a cross-sectional study of 288 women aged 15-49, results showed that 85% were aware of contraceptives, but only 34% used them. Barriers included limited male involvement, fear of side effects, and cultural beliefs, while rural access challenges persisted. Financial factors were less significant. Findings emphasize the need for targeted interventions addressing socio-cultural issues and improving accessibility to family planning services.

References:

[1]. Asiedu, Agnes, Bernard Yeboah-Asiamah Asare, Bismark Dwumfour-Asare, Diana Baafi, Abdul-Razak Adam, Sawdah Esaka Aryee, and John Kuumuori Ganle. 2020. "Determinants of Modern Contraceptive Use: A Cross-sectional Study among Market Women in the Ashiaman Municipality of Ghana." International Journal of Africa Nursing Sciences 12: 100184. https://doi.org/10.1016/j.ijans.2019.100184

[2]. Bagheri, Reyhaneh, Rashidah Shuib, Premalatha Karupiah, Panteá Farvid, and Farideh Khalajabadi-Farahani. 2021. "A Qualitative Examination of Men's Participation in Contraceptive Use and Its Barriers in Tehran." Journal of Biosocial Science 53 (6): 833-848. https://doi.org/10.1017/S0021932020000589

[3]. Barro, Abibata, and Aristide Romaric Bado. 2021. "Religious Leaders' Knowledge of Family Planning and Modern Contraceptive Use and Their Involvement in Family Planning Programmes in Burkina Faso: A Qualitative Study in Dori in the Sahel Region." Open Access Journal of Contraception 12: 135-145. https://doi.org/10.2147/OAJC.S315395

[4]. Bearak, Jonathan Marc, Anna Popinchalk, Cynthia Beavin, Bela Ganatra, Ann-Beth Moller, Özge Tunçalp, and Leontine Alkema. 2022. "Country-specific Estimates of Unintended Pregnancy and Abortion Incidence: A Global Comparative Analysis of Levels in 2015–2019." BMJ Global Health 7 (3): e007151. https://doi.org/10.1136/bmjgh-2021-007151

[5]. Bellizzi, Saverio, Priya Mannava, Mari Nagai, and Howard L. Sobel. 2020. "Reasons for Discontinuation of Contraception among Women with a Current Unintended Pregnancy in 36 Low and Middle-income Countries." Contraception 101 (5): 306-314. https://doi.org/10.1016/j.contraception.2019.09.006

[6]. Bhan, Nandita, and Anita Raj. 2021. "From Choice to Agency in Family Planning Services." The Lancet 398 (10295): 99-101. https://doi.org/10.1016/S0140-6736(21)01295-2

[7]. Brady, Martha, Jennifer Kidwell Drake, Allen Namagembe, and Jane Cover. 2020. "Self-care Provision of Contraception: Evidence and Insights from Contraceptive Injectable Self-administration." Best Practice & Research Clinical Obstetrics & Gynaecology 66: 95-106. https://doi.org/10.1016/j.bpobgyn.2020.02.004

[8]. Brandi, Kristyn, and Liza Fuentes. 2020. "The History of Tiered-effectiveness Contraceptive Counseling and the Importance of Patient-centered Family Planning Care." American Journal of Obstetrics and Gynecology 222 (4): S873-S877. https://doi.org/10.1016/j.ajog.2019.11.1271

[9]. Burke Kristen Lagasse, Joseph Potter, E., and Kari White. 2020. "Unsatisfied Contraceptive Preferences Due to Cost among Women in the United States." Contraception: X 2: 100032. https://doi.org/10.1016/j.conx.2020.100032

[10]. Cohen, Nicki, Finou Thérèse Mendy, Jennifer Wesson, Amanda Protti, Carol Cissé, Elhadji Babacar Gueye, Lydia Trupe, Rosii Floreak, Dana Guichon, Karina Lorenzana, and Alison Buttenheim. 2020. "Behavioral Barriers to the Use of Modern Methods of Contraception among Unmarried Youth and Adolescents in Eastern Senegal: A Qualitative Study." BMC Public Health 20 (1): 1025. https://doi.org/10.1186/s12889-020-09131-4

[11]. Dral Astrid A., Madalitso Tolani, R., Eefje Smet, and Anna Van Luijn. 2018. "Factors Influencing Male Involvement in Family Planning in Ntchisi District, Malawi–a Qualitative Study." African Journal of Reproductive Health 22 (4): 35-43. https://doi.org/10.29063/ajrh2018/v22i4.4

[12]. Eqtait, Faeda Ayed, and Lubna Abushaikha. 2019. "Male Involvement in Family Planning: An Integrative Review." Open Journal of Nursing 9 (3): 294-307. https://doi.org/10.4236/ojn.2019.93028

[13]. FP2030. 2024. "South Sudan - Family Planning 2030." FP2030. https://www.fp2030.org/south-sudan

[14]. Gahungu, Jumaine, Mariam Vahdaninia, and Pramod Regmi, R., 2021. "The Unmet Needs for Modern Family Planning Methods among Postpartum Women in Sub-Saharan Africa: A Systematic Review of the Literature." Reproductive Health 18 (1): 35. https://doi.org/10.1186/s12978-021-01089-9

[15]. Holt, Kelsey, Reiley Reed, Joia Crear-Perry, Cherisse Scott, Sarah Wulf, and Christine Dehlendorf. 2020. "Beyond Same-day Long-acting Reversible Contraceptive Access: A Person-centered Framework for Advancing High-quality, Equitable Contraceptive Care." American Journal of Obstetrics and Gynecology 222 (4): S878.e1-S878.e6. https://doi.org/10.1016/j.ajog.2019.11.1279

[16]. Karra, Mahesh, David Canning, and Joshua Wilde. 2017. "The Effect of Fertility Decline on Economic Growth in Africa: A Macrosimulation Model." Population and Development Review 43: 237-263. http://www.jstor.org/stable/26622881

[17]. Karra, Mahesh, and Kexin Zhang. 2021. "User-Centered Counseling and Male Involvement in Contraceptive Decision Making: Protocol for a Randomized Controlled Trial." JMIR Research Protocols 10 (2): e24884. https://doi.org/10.2196/24884

[18]. Krug, Catarina, Francesca Cavallaro, L., Kerry Wong, L. M., Antonio Gasparrini, Adama Faye, and Caroline Lynch, A. 2020. "Evaluation of Senegal Supply Chain Intervention on Contraceptive Stockouts Using Routine Stock Data." PLoS One 15 (8): e0236659. https://doi.org/10.1371/journal.pone.0236659

[19]. Msovela, Judith, Anna Tengia–Kessy, Susan Rumisha, F., Daudi Simba, O., David Urassa, P., and Gernard Msamanga. 2020. "Male Partner Approval on the Use of Modern Contraceptive Methods: Factors Determining Usage among Couples in Kibaha District, Tanzania." Contraception and Reproductive Medicine 5 (1): 3. https://doi.org/10.1186/s40834-020-00107-8

[20]. Muluneh, Muluken Dessalegn, Woldu Kidane, Virginia Stulz, Mhiret Ayele, Sintayehu Abebe, Andrea Rossetti, Gedefa Amenu, Azmeraw Ayehu Tesfahun, and Makida Berhan, 2024. "Exploring the Influence of Sociocultural Factors on the Non-Utilization of Family Planning amongst Women in Ethiopia's Pastoralist Regions." International Journal of Environmental Research and Public Health 21 (7): 859. https://doi.org/10.3390/ijerph21070859

[21]. Senderowicz, Leigh, Brooke Bullington, W., Nathalie Sawadogo, Katherine Tumlinson, Ana Langer, Abdramane Soura, Pascal Zabré, and Ali Sié. 2023. "Assessing the Suitability of Unmet Need as a Proxy for Access to Contraception and Desire to Use it." Studies in Family Planning 54 (1): 231-250. https://doi.org/10.1111/sifp.12233

[22]. Starbird, Ellen, Maureen Norton, and Rachel Marcus. 2022. "Investing in Family Planning: Key to Achieving Sustainable Development Goals." Global Health: Science and Practice 10 (1): e2100370. https://doi.org/10.9745/GHSP-D-21-00370

[23]. Takyi, Amy, Miho Sato, Michael Adjabeng, and Chris Smith. 2023. "Factors that Influence Modern Contraceptive Use among Women Aged 35 to 49 Years and Their Male Partners in Gomoa West District, Ghana: A Qualitative Study." Tropical Medicine and Health 51 (1): 37. https://doi.org/10.1186/s41182-023-00531-x