A determination of the influence of birth control among minority women in thailand: a qualitative study 10.55131/jphd/2023/210204

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Piyaporn Sitkulanan
Kunnikar Chaisitsanguan
Prakaipetch Winaiprasert
Amporn Krutwong


Contraception information and services are the basis of the health and human rights of everyone. Young girls who become pregnant are at greater risk for problems arising from early child deliveries. Contraception in older women likewise results in increased risk. It was found from the particulars of contraception use that the male partner has a great deal of influence, and that the same is true of the perspectives and experiences of the people surrounding his partner, the expectations of her family and her desire for more children. In Thailand, there are ethnic groups of numerous tribes, among whom are the Karen, who make up the largest of any such group. The Karens have a low rate of contraception use and low incomes with reduced resources. Thus, family planning is an important key in reducing their population growth and the impact on their economy, environment and development. The purpose of this study was to explore the determining influence of contraception among minority women in Thailand in the form of descriptive qualitative research. Data were analyzed using Colaizzi's method. The research showed that the use of contraceptive services by Karen women was restricted by the culture, beliefs and social conditions characteristic of their ethnic origin. The husband and extended family influenced their contraceptive decisions. The prevailing belief was that contraception is the duty of women. Some women used herbs for contraception. They had difficulty communicating when receiving contraceptive services. Karen people have little income; so they cannot afford expenses related to contraceptive services requiring them to pay for travel costs. Furthermore, the road conditions make the trip awfully difficult, and their houses are situated far from the hospitals. In conclusion, determining the influence of birth control among minority women in Thailand must be based on their beliefs, society and ability to access health services.

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Piyaporn Sitkulanan, Kunnikar Chaisitsanguan, Prakaipetch Winaiprasert, Amporn Krutwong. A determination of the influence of birth control among minority women in thailand: a qualitative study: 10.55131/jphd/2023/210204. J Public Hlth Dev [Internet]. 2023 Apr. 4 [cited 2024 Apr. 22];21(2):40-55. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/262777
Original Articles
Author Biographies

Piyaporn Sitkulanan, Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.

Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.

Kunnikar Chaisitsanguan, Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.

Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.

Prakaipetch Winaiprasert, Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.

Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.

Amporn Krutwong, Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.

Faculty of Nursing, Thammasat University: Pathum Thani, Thailand.


World Health Organization (WHO). Contraception [Internet]. 2022 [cited 2022 Dec 22]. Available from: https://www.who.int/health-topics/contraception#tab=tab_1

Kaniki FR. Factors influencing the use of modern contraceptive methods among rural women of child bearing age in the Democratic Republic of the Congo. J Family Med Prim Care. 2019;28(8):2582-86. doi: 10.4103/ jfmpc.jfmpc_345_19

Afriyie P, Tarkang EE. Factors influencing use of modern contraception among married women in Ho West district, Ghana: descriptive cross-sectional study. Pan African Medical Journal. 2019;33:15. doi: 10.11604/pamj.2019.33.15.17500

D'Souza P, Bailey JV, Stephenson J, Oliver S. Factors influencing contraception choice and use globally: a synthesis of systematic reviews. Eur J Contracept Reprod Health Care. 2022;27(5):364-72. doi: 10.1080/ 13625187.2022.2096215

Noormal AS, Winkler V, Eshraqi AM, Deckert A, Sadaat I, Dambach P. Factors influencing the uptake of short-term contraceptives among women in Afghanistan. Sci Rep. 2022;12(1): 6632. doi:10.1038/s41598-022-10535-y

Ekholuenetale M, Olorunju S, Fowobaje KR, Onikan A, Tudeme G, Barrow A. When Do Nigerian Women of Reproductive Age Initiate and What Factors Influence Their Contraceptive Use? A Contextual Analysis. Open Access J Contracept. 2021;12:133-47. doi: 10.2147/OAJC.S316009

Princess Maha Chakri Sirindhorn Anthropology Centre. Ethnic Groups Research Database [Internet]. 2013 [cited 2020 Apr 2]. Available from: https://www.sac.or.th/databases/ethnicredb/research_detail.php?id=156

Khun Mae La Subdistrict Administrative Organization. Khun Mae La Noi. Subdistrict basic information [Internet]. 2021 [cited 2020 Apr 2]. Available from: www. khunmaelanoi.go.th/main.php?id=25

Google Maps. Khun Mae La Noi [Internet]. 2020 [cited 2020 Apr 2]. Available from: https://www.google. com/maps

Yutthawonsuk D. Culture changes: A case study of Karen people at Ban Thi Phu Ye, Chalae subdistrict, Thong Pha Phum district, Kan Chanaburi province. Kasem Bundit Journal [Internet]. 2014;15(2):1-16. Available from: https://so04.tci-thaijo.org/index.php/ jkbu/article/view/25232

Somsawat W. Experience and access to justice for ethnic women. Women's Studies Center, Chiang Mai University [Internet]. 2022 [cited 2020 May 2]. Available from: https://wsc.soc.cmu. ac.th/womancenter/aview_detail.php?id=21&lang=th

Rueangrit C. Factors related to receiving contraceptive services of married Karen women, Omkoi District, Chiang Mai Province [Internet]. 2014 [cited 2020 May 2]. Available from: http://cmuir.cmu.ac.th/handle/6653943832/14056

World Health Organization (WHO). Family planning/Contraception [Internet]. 2020 [cited 2020 Jul 12]. Available from: https://www.who.int/ news-room/fact-sheets/detail/family-planning-contraception

Colaizzi P. Psychological research as the phenomenologist views it. In: Valle R, King M, editors. Existential Phenomenological Alternatives for Psychology, London: Oxford University Press; 1978. p. 48-71.

Husserl E. Phenomenology and the crisis of philosophy. Lauer Q, translator. New York: Harper & Row; 1965.

Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park, CA: Sage Publications; 1985.

Gregor AM. Contraception for the older woman. Women’s Health Concern [Internet]. 2022 [cited 2023 Jan 26]. Available from: https://www.womens-health-concern.org/wp-content/ uploads/2022/12/04-WHC-FACTSHEET-ContraceptionFor TheOlderWoman-NOV22-B.pdf

Tepper NK, Godfrey EM, Folger SG, Whiteman MK, Marchbanks PA, Curtis KM. Hormonal Contraceptive Use Among Women of Older Reproductive Age: Considering Risks and Benefits. J Womens Health (Larchmt). 2018; 27(4):413-7. doi: 10.1089/jwh. 2018.6985

Cooper DB, Patel P, Mahdy H. Oral Contraceptive Pills. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC.; 2022.

International Labour Organization. Child labour in agriculture [Internet]. 2022 [cited 2022 May 27]. Available from: https://www.ilo.org/ipec/areas/ Agriculture/lang--en/index.htm

European commission. To eradicate child labour we must focus our attention on agriculture [Internet]. 2022 [cited 2022 May 27]. Available from: https://ec.europa.eu/international-partnerships/stories/eradicate-child-labour-we-must-focus-our-attention-agriculture_en

Medscape Nurses. Engaging in culturally competent family planning counseling [Internet]. 2009 [cited 2022 May 27]. Available from: https://www. medscape.com/viewarticle/717039

Mboane R, Bhatta MP. Influence of a husband's healthcare decision making role on a woman's intention to use contraceptives among Mozambican women. Reprod Health. 2015;12:36. doi: 10.1186/s12978-015-0010-2

Hajason JZ, Piña K, Raveloharimisy JL. The influence of family dynamics on contraceptive use in Madagascar and the ensuing impact on family well-being. MEASURE Evaluation [Internet]. 2013 [cited 2022 Mar 7]. Available from: https://www. measureevaluation.org/publications/wp-13-141.html

Kimport K. More than a physical burden: Women's mental and emotional work in preventing pregnancy. J Sex Res. 2018;55(9):1096-105. doi: 10.1080/00224499.2017.1311834.

Donegan M. It's time for men to step up and share responsibility for birth control. The Guardian [Internet]. 2019 [cited 2022 Dec 25]. Available from: https://www.theguardian.com/commentisfree/2019/jun/05/male-birth-control-step-up-responsibility

Gunmongkol S. The construction of campaign to motivate Karen women to use contraceptive in Omkoi district, Chiang Mai [Internet]. 2013 [cited 2020 Mar 7]. Available from: http://cmruir. cmru.ac.th/handle/123456789/59

Silumbwe A, Nkole T, Munakampe MN, Milford C, Cordero JP, Kriel Y, et al. Community and health systems barriers and enablers to family planning and contraceptive services provision and use in Kabwe District, Zambia. BMC Health Serv Res. 2018;18(1):390. doi: 10.1186/s12913-018-3136-4

Hunter LA, Prata N, Eskenazi B, Njau PF, McCoy SI. Transportation cost as a barrier to contraceptive use among women initiating treatment for HIV in Tanzania. AIDS Care. 2021;33(2):206-13. doi: 10.1080/09540121.2020. 1758613

Tanabe M, Myers A, Bhandari P, Cornier N, Doraiswamy S, Krause S. Family planning in refugee settings: findings and actions from a multi-country study. Conflict and Health [Internet]. 2017 [cited 2021 Feb 22]. Available from: https:// conflictandhealth.biomedcentral.com/articles/10.1186/s13031-017-0112-2

Anand AK, Prasad V, Alam M. Herbal or modern methods of contraception! choice is yours. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2015;4(4). doi: https://doi.org/10.18203/2320-1770.ijrcog20150405