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Factors Affecting Utilization of Family Planning Services in a Post-Conflict Setting, South Sudan: A Qualitative Study

1 Nursing Department, Faculty of Applied Medical Sciences, Albaha University, Al-Baha, Kingdom of Saudi Arabia;
2 Nursing Department, Faculty of Applied Medical Sciences, Buraydah Colleges, Algassim, Kingdom of Saudi Arabia;
3 Midwifery Program Director, Academy of Health Sciences, Khartoum, Sudan;
4 Nursing Department, Faculty of Applied Medical Sciences, Al-Majmaah University, Al-majmaah, Kingdom of Saudi Arabia

This study aims to explore and examine the conjectures surrounding the utilization of family planning services among currently married couples of childbearing age in Renk County.
This study has adopted a qualitative method to collect data on factors affecting the utilization of family planning services through focus group discussions and in-depth interviews, in rural and urban areas of Renk County. It targeted married women, men as well as unmarried men and women. The researchers conducted nine focus group discussions and nine interviews at both Jelhak (rural setting) and Renk (urban setting). The results suggested that the people of Renk County prefer to have large families and therefore choose not to use family planning methods. The data collected was analyzed by means of thematic analysis. This included the construction of a thematic framework, coding, editing and categorization of available data as well as the creation of sub-themes.
The result also suggested that perception is a main factor that affects utilization of family planning services with a majority of the people in Renk and Jelhak preferring to have many children in order to increase the family size for some reasons. These are linked to religion, social stigma and taboo that are attached to childless people or users of family planning methods for birth control purposes.The responses revealed some variation in perception between rural (Jelhak) and urban (Renk) areas. Respondents from Renk area reported that some people use family planning services for economic reasons that involve alleviation of financial difficulties and provision of better education when the family size is small. On the other hand, rural people from Jelhak perceive family planning to be socially un-acceptable. Furthermore, men and women of Jelhak reported that after each birth of a child, married couples avoid sexual relationship for a period of two years as means of family planning. Women of both Urban and Rural settings reported intentions to use conventional methods of family planning without the knowledge of their spouses.
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Keywords Family planning; utilization; post-conflict setting; factors

Citation: Waled Amen Mohammed Ahmed, Sara Boutros Shokai, Insaf Hassan Abduelkhair, Amira Yahia Boshra. Factors Affecting Utilization of Family Planning Services in a Post-Conflict Setting, South Sudan: A Qualitative Study. AIMS Public Health , 2015, 2(4): 655-666. doi: 10.3934/publichealth.2015.4.655


  • 1. WHO (2007) World Health Statistics: Family planning. Geneva 27, Switzerland. WHO Press.
  • 2. Federal Ministry of Health (2006) Sudan Household Health Survey, Sudanese Government of National Unity and the Government of Southern Sudan.
  • 3. Ibnouf AH, Van de B, Maarse JAM (2007) Utilization of family planning services by married Sudanese women of reproductive age. East Mediterr Health J 13: 1372-1381.
  • 4. WHO (2015) Family planning. Available from: http://www.who.int/topics/family_planning/en/
  • 5. Collins W (2009) Family planning. Collins English Dictionary, 10th ed.
  • 6. Marriam WI (2007) Family planning definition. Medical Dictionary.
  • 7. Guvele C, Faki H, Nur E, et al. (2009) Poverty Assessment Southern Sudan. The Centre for Agricultural Research in the Dry Areas. International Center for Agricultural Research in the Dry Areas, Aleppo, Syria.vi + 55.
  • 8. Ahmed A, Roghim S, Saleh A, et al. (2013) The Prevalence of Poverty and Inequality in South Sudan: The Case of Renk County. Agricultural Economics Working Paper Series, Khartoum University.
  • 9. De Zuviria M (1992) Mapping agrotopoclimats by integration Topographic, Meteorological and land Ecological Data in a Geographic Information System a case study of LomSak Area, North Central Thailand. ITC publication number 14.
  • 10. Anyong O (2007) The Impact of Some Factors on Natural Forests in Northern Upper Nile State (Renk-Melut). M. Sc. thesis, Sudan University of Science and Technology.
  • 11. CBS (2009) Sudan’s Central Bureau of Statistics (CBS), 5th Sudan Population and Housing Census-2008, Priority results, submitted to the Presidency by the Population Census Council.
  • 12. Southern Sudan centre for census statistics and evaluation (2009) Southern Sudan Centre for Census, Statistics and Evaluation. 5th Sudan Population and Housing Census-2008, Priority results, submitted to the Presidency by the Population Census Council.
  • 13. Onak TT (2005) The Causes and Consequences of Deforestation on Woodlands Production in the Central Clay Plains of the Sudan: a case study of Renk Area. M. Sc. Thesis, Institute of Environmental Studies, University of Khartoum.
  • 14. Rcau (2008) Administration Unit of Renk County. Various reports and information sheets. Renk County Report, South Sudan, Sudan.
  • 15. Kulig JC (1988) Conception and birth control use: Cambodian refugee women’s beliefs and practices. J Community Health Nurs 5: 235-246.
  • 16. Berglund S, Liljestrand J, Marín FDM, et al. (1997) The background of adolescent pregnancies in Nicaragua: a qualitative approach. SocSci Med 44: 1-12.    
  • 17. Palmer C (1998) Reproductive Health for Displaced Populations, RRN Network Paper 24, London: Relief and Rehabilitation Network.
  • 18. Reed H, Haaga J, Keely C (1998) The Demography of Forced Migration, Commission on Behavioral and Social Sciences and Education, Washington, DC: National Academy Press.
  • 19. Emily S, Shaver T, Bhuyan A (2008) Understanding operational barriers to family planning services in conflict-affected countries: experiences from Sierra leone. USAID, Health Policy Initiative, Washington DC.
  • 20. Palmer L (2006) A Social Analysis on Adolescent Reproductive Health in Kabala, Koinadugu District, Sierra Leone, for the Sexuality and Youth Project. Freetown, Sierra Leone: CARE. Working paper series No. 3.
  • 21. Shaver T, Francis V, Barnett L (1993) Drawing as Dialogue: A Qualitative Approach to Needs Assessment. Education Resource Group Technical Notes Series No. 2. Liverpool, United Kingdom: Liverpool School of Tropical Medicine.
  • 22. Greg G, Bunce A, Johnson L (2006) How Many Interviews Are Enough ?An Experiment with Data Saturation and Variability. Field Methods 18: 59-82.
  • 23. Bogden, Biklen (1994) Strategies for sampling, cited in JM Morse, 1994, Qualitative Nursing Research, Sage publications.
  • 24. Morse JM (1994) Qualitative Nursing Research, critical issues in qualitative research methods, Sage publications.
  • 25. World Health Organization, Department of Reproductive Health and Research (WHO/RHR) and Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs (CCP) (2011) Knowledge for Health Project. Family Planning: A Global Handbook for Providers (2011 update). Baltimore and Geneva: CCP and WHO.
  • 26. McGinn T, Austin J, Anfinson K, et al. (2011) Family planning in conflict: results of cross-sectional baseline surveys in three African countries. Conflict and Health 5: 11.    
  • 27. Chi PC, Bulage P, Urdal H, et al. (2015) Perceptions of the effects of armed conflict on maternal and reproductive health services and outcomes in Burundi and Northern Uganda: a qualitative study. BMC Int Health Hum Rights 15: 7.    
  • 28. Mekonnen W, Worku A (2011) Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia. Reproductive Health 8: 37.    
  • 29. Ghosh U (1999) Male Involvement in Family Planning: An analysis based NFHS.
  • 30. Mustafa R, Afreen UHH (2008) Contraceptive knowledge, attitude and practice among rural women. J Coll Physicians Surg Pak 18: 542-545.
  • 31. Umbeli T, Mukhtar A, Abusalab MA (2005) Assessment of unmet needs for family planning in DarAssalam. Sudan Health J 11: 4.
  • 32. Yeatman SE, Trinitapoli J (2008) Beyond denomination: The relationship between religion and family planning in rural Malawi. Demogr Res 19: 1851-1882.


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Copyright Info: 2015, Waled Amen Mohammed Ahmed, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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