Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Sep;47(3):205-21.
doi: 10.1111/j.1728-4465.2016.00064.x. Epub 2016 Aug 12.

Capturing Complexities of Relationship-Level Family Planning Trajectories in Malawi

Affiliations

Capturing Complexities of Relationship-Level Family Planning Trajectories in Malawi

Hannah E Furnas. Stud Fam Plann. 2016 Sep.

Abstract

In a transitioning fertility climate, preferences and decisions surrounding family planning are constantly in flux. Malawi provides an ideal case study of family planning complexities as fertility preferences are flexible, the relationship context is unstable, and childbearing begins early. I use intensive longitudinal data from Tsogolo la Thanzi-a research project in Malawi that follows young adults in romantic partnerships through the course of their relationship. I examine two questions: (1) What are the typical patterns of family planning as young adults transition through a relationship? (2) How are family planning trajectories related to individual and relationship-level characteristics? I use sequence analysis to order family planning across time and to contextualize it within each relationship. I generate and cluster the family planning trajectories and find six distinct groups of young adults who engage in family planning in similar ways. I find that family planning is complex, dynamic, and unique to each relationship. I argue that (a) family planning research should use the relationship as the unit of analysis and (b) family planning behaviors and preferences should be sequenced over time for a better understanding of key concepts, such as unmet need.

PubMed Disclaimer

Figures

Figure A.1
Figure A.1
Childbearing Consistent Users
Figure A.2
Figure A.2
Married Spacing
Figure A.3
Figure A.3
Transitory
Figure A.4
Figure A.4
Pursuing Conception
Figure A.5
Figure A.5
Persistent Unmet Need
Figure A.6
Figure A.6
In Transition

Similar articles

Cited by

References

    1. Adetunji Jacob. Condom use in marital and nonmarital relationships in Zimbabwe. International Family Planning Perspectives. 2000;26(4):196–200.
    1. Ali Mohamed M, Cleland John. Oral contraceptive discontinuation and its aftermath in 19 developing countries. Contraception. 2010;81(1):22–29. - PubMed
    1. Anglewicz Philip, Clark Shelley. The effect of marriage and HIV risks on condom use acceptability in rural Malawi. Social Science & Medicine. 2013;97:29–40. - PMC - PubMed
    1. Bankole Akinrinola, Singh Susheela. Couples’ fertility and contraceptive decision-making in developing countries: Hearing the man’s voice. International Family Planning Perspectives. 1998;24(1):5–24.
    1. Becker Stan. Couples and reproductive health: A review of couple studies. Studies in Family Planning. 1996;27(6):291–306. - PubMed

Publication types

LinkOut - more resources