A determination of the influence of birth control among minority women in thailand: a qualitative study

Abstract

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.