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What influences a woman’s decision to access contraception in Timor-Leste? Perceptions from Timorese women and men
Wallace, Heather Julie McDonald, Susan Belton, Suzanne Miranda, Agueda Isolina da Costa, Eurico da Conceicao Matos, Livio Henderson, Helen Taft, Angela
Wallace, Heather Julie
McDonald, Susan
Belton, Suzanne
Miranda, Agueda Isolina
da Costa, Eurico
da Conceicao Matos, Livio
Henderson, Helen
Taft, Angela
Abstract
Timor-Leste’s Maternal Mortality Ratio remains one of the highest in Asia. There is ample evidence that maternal deaths may be reduced substantially through the provision of good-quality modern methods of contraception. Many Timorese women wish to stop or delay having children. However, even when health services make contraception available, it does not mean that people will use it. Collaborating with Marie Stopes Timor-Leste, this qualitative research project used decolonising methodology to explore perceived influences contributing to contraceptive choices, and gain insight into how women’s decisions to access contraception in Timor-Leste occur. Over two fieldwork periods (2013 and 2015), we used focus group discussions and structured interviews to speak with 68 women and 80 men, aged 18–49 years, across four districts of Timor-Leste. Findings demonstrate that the decision to access contraception is often contentious and complicated. These tensions echo concerns and ambiguities contained within global and national reproductive health policy. Overwhelmingly, participants emphasised that despite her wishes, a woman can only rarely exercise her right to access contraception freely and independently. She is most often constrained by family, cultural, traditional and educational influences.
Keywords
contraception, Timor-Leste, decolonising, reproductive, health, women, men, perspectives
Date
2018
Type
Journal article
Journal
Culture, Health & Sexuality
Book
Volume
20
Issue
12
Page Range
1317-1332
Article Number
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled