Publication
Title
Between compliance and resistance : exploring discourses on family planning in Community Health Committees in Mozambique
Author
Abstract
Objectives Although the Mozambican government has implemented a community-based approach to family planning (FP), little is known about the appropriateness of this process. We explore how members of Community Health Committees (CHCs) address and act regarding FP. Methods/settings An in-depth qualitative study of CHCs was conducted at two sites in Maputo provinceNdlavela and Boaneusing focus group discussions (n=6), informal conversations (n=4) and observation. The analysis followed a phenomenological approach. Results CHCs in Ndlavela appeared to transfer more of the expected information than those in Boane. However, in the CHCs at both study sites, we found heterogeneity in CHCs perspectives leading to conflicting views among committee members (CMs). Arising issues included contraceptive type, target groups, the desirable number of children per family as well as the way FP was to be represented. Moreover, weak communication between CMs and health workers, and lack of payment for CMs activities influenced promotion of FP. Conclusions The two CHCs framed FP in different ways leading to inconsistent participation of CHC members in promoting FP. Policymakers should consider the diversity of discourses and aspirations of these committees when delivering information to them.
Language
English
Source (journal)
BMJ open. - London, 2011, currens
Publication
London : BMJ Group, 2015
ISSN
2044-6055
Volume/pages
5:5(2015), p. 1-7
Article Reference
e006529
ISI
000363473200006
Medium
E-only publicatie
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 18.08.2015
Last edited 03.09.2017
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