Local understandings and current barriers to optimal birth intervals among recently delivered women in Sylhet District, Bangladesh

Nicholas B. Lehnertz, Ashraful Alam, Nabeel Ashraf Ali, Elizabeth G. Henry, Emma K. Williams, Syed Moshfiqur Rahman, Salahuddin Ahmed, Shams El Arifeen, Abdullah Baqui, Peter J. Wincha

Research output: Contribution to journalArticle

Abstract

Background: Sylhet Division in Bangladesh has the highest proportion of births spaced less than 36 months (46.5%) in Bangladesh. Methods: Formative research was conducted on current fertility-related practices in order to explore how to integrate the promotion of healthy fertility practices into a package of maternal and neonatal care interventions. In-depth interviews, focus group discussions and other qualitative methods were utilized with recently delivered women, their families, community health workers and community leaders in Sylhet Division. Results: Mothers of young children generally understood the benefits of both healthy timing and spacing of pregnancies. However, a variety of factors prevent these desired behaviours from becoming actualized, including the roles of women in the provision of children/grandchildren, local understandings of modern contraceptive methods, perceived side effects, lack of communication regarding healthy fertility practices between partners and extended family members, and limited female autonomy. Conclusions: In order to increase families' ability to achieve optimal birth intervals, we propose the promotion and integration of healthy fertility practices into antenatal and newborn care interventions, focusing on providing biomedically correct and culturally appropriate information on modern contraceptive methods to the entire family, while simultaneously encouraging open spousal and family communication patterns regarding timing and spacing of pregnancy.

Original languageEnglish (US)
Article numberiht031
Pages (from-to)266-272
Number of pages7
JournalInternational Health
Volume5
Issue number4
DOIs
StatePublished - Dec 2013

Fingerprint

Birth Intervals
Bangladesh
fertility
Fertility
district
contraceptive
pregnancy
Contraception
promotion
communication pattern
grandchild
Communication
Mothers
extended family
Pregnancy
Aptitude
Prenatal Care
qualitative method
Family Health
group discussion

Keywords

  • Bangladesh
  • Birth spacing
  • Family planning

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Lehnertz, N. B., Alam, A., Ali, N. A., Henry, E. G., Williams, E. K., Rahman, S. M., ... Wincha, P. J. (2013). Local understandings and current barriers to optimal birth intervals among recently delivered women in Sylhet District, Bangladesh. International Health, 5(4), 266-272. [iht031]. https://doi.org/10.1093/inthealth/iht031

Local understandings and current barriers to optimal birth intervals among recently delivered women in Sylhet District, Bangladesh. / Lehnertz, Nicholas B.; Alam, Ashraful; Ali, Nabeel Ashraf; Henry, Elizabeth G.; Williams, Emma K.; Rahman, Syed Moshfiqur; Ahmed, Salahuddin; El Arifeen, Shams; Baqui, Abdullah; Wincha, Peter J.

In: International Health, Vol. 5, No. 4, iht031, 12.2013, p. 266-272.

Research output: Contribution to journalArticle

Lehnertz, NB, Alam, A, Ali, NA, Henry, EG, Williams, EK, Rahman, SM, Ahmed, S, El Arifeen, S, Baqui, A & Wincha, PJ 2013, 'Local understandings and current barriers to optimal birth intervals among recently delivered women in Sylhet District, Bangladesh', International Health, vol. 5, no. 4, iht031, pp. 266-272. https://doi.org/10.1093/inthealth/iht031
Lehnertz, Nicholas B. ; Alam, Ashraful ; Ali, Nabeel Ashraf ; Henry, Elizabeth G. ; Williams, Emma K. ; Rahman, Syed Moshfiqur ; Ahmed, Salahuddin ; El Arifeen, Shams ; Baqui, Abdullah ; Wincha, Peter J. / Local understandings and current barriers to optimal birth intervals among recently delivered women in Sylhet District, Bangladesh. In: International Health. 2013 ; Vol. 5, No. 4. pp. 266-272.
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