It is therefore likely that the use of contraceptives in general, and of condoms in particular in this cohort, may have been highly dependent on the women's partners' approval and cooperation, which eventually determined the rate of new pregnancies among these women.
Olshefsky et al. report 'machismo' as a barrier among Latino men; Foley reports that women from SSA have difficulty seeking HIV testing or treatment without partners' approval and economic support.
Across all the FGD sessions, the participants reiterated the importance of male partners' approval before the wife will adopt family planning and indicated that the male partner's decision is the final on the matter.
Among respondents who knew what family planning was, women were more than eight times more likely than men were to approve of couples using contraception (OR 8.7, 3.8 20.0, adjusted for education and partner approval of family planning).
We examined the effect of partner approval of contraception on intention to use contraception among women obtaining post-abortion care in Zanzibar.
Known barriers to uptake include side effects, access to commodities and partner approval.
Reasons given for declining participation included: lack of time (120), need for partner approval before participation (54), and having a child requiring urgent additional care [ 48].
Women's report of full disclosure of study product use and partner approval for products were significantly associated with their acceptability and consistent use; an essential component of determining the efficacy of an investigational prevention method.
In multivariate analyses, regular disclosure of study product use and partner approval for the diaphragm and gel were significantly associated with women's acceptability and consistent use of the products; an essential component for determining efficacy of investigational prevention methods.
At Exit, consistent disclosure of use (AOR 1.97, 95% CI: 1.10 3.55); an overall high diaphragm rating (AOR 1.84, 95% CI: 1.45 2.34) and perception of partner approval (AOR 1.75, 95% CI: 1.35 2.26) were the most significant acceptability factors independently associated with consistent use.
Those who reported RHG facilitators as their primary information source had non-significantly higher odds of approving of couples using family planning (OR = 1.8, 0.7 4.2, adjusted for parity) and to be current users of contraception (OR = 1.3, 0.7 2.6, adjusted for parity, education, and partner approval of FP).
