"You can't stop the grace of God, but you can always control yourself": Barriers and Facilitators of Contraceptive Use among Young People in Manila Open Access

Allen, Kristi (2015)

Permanent URL: https://etd.library.emory.edu/concern/etds/8910jt737?locale=en
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Abstract

Conservative social policy has made reproductive health services and information difficult to obtain in the municipality of Manila, Philippines. Contraceptives are generally only used by older women with children, despite efforts to increase access to contraceptives for all. At the same time, the teenage birth rate in Manila is rising and remains higher than the national average. The goal of this qualitative study was to identify barriers and facilitators of contraceptive use among young people aged 16-20 years old in Manila. In-depth interviews were conducted in Tagalog with 16 participants who were purposively sampled by sex, relationship status, parity, and contraceptive use or non-use. They were asked about relationships, contraceptive use and opinions, and sexuality. The results showed that having children makes it relatively easier for young people to obtain contraceptives due to their being perceived as adults. Young people without children faced difficulties accessing health care due to stigma, fear, and lack of contraceptive knowledge. To address teenage pregnancy in Manila, a multi-pronged approach focusing on young people with and without children separately must be implemented to increase access to contraceptive knowledge and methods. Young people with and without children have different experiences accessing contraceptives and this distinction must be addressed in the development of programs and policy.

Table of Contents

Chapter 1: Introduction........................................................................... 1

Rationale..................................................................................................1

Problem Statement....................................................................................3

Purpose Statement....................................................................................4

Research Question.....................................................................................4

Significance Statement...............................................................................4

Definition of Terms....................................................................................5

Chapter 2: Comprehensive Review of the Literature................................ 6

Chapter 3: Manuscript........................................................................... 14

Selection of Target Journal........................................................................14

Title Page for Manuscript...........................................................................15

Contribution of Student.............................................................................16

Abstract and Keywords.............................................................................17

Introduction............................................................................................18

Methods.................................................................................................19

Results...................................................................................................21

Discussion..............................................................................................25

Conclusion..............................................................................................27

Tables....................................................................................................27

References..............................................................................................27

Chapter 4: Conclusion and Recommendations......................................... 30

References............................................................................................34

Appendix 1. English Interview Guide...................................................... 41

Appendix 2. Tagalog Interview Guide..................................................... 46

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