Challenges in Modern Contraception Access among Married Bonda Women: Insights from a Qualitative Study on Family Planning Barriers and Healthcare Dynamics

Abstract

Abstract Background Family planning practices play a crucial role in avoiding unintended pregnancies and the preventable mortality associated with childbirth that occurs either ‘too soon’ or ‘too frequently.’ These practices significantly influence the health outcomes of mothers, newborns, and children. Aim This research aims to conduct a qualitative investigation to gain a comprehensive understanding of the existing barriers related to modern family planning methods, along with contraceptive use, the management of unwanted pregnancies, and spacing between two children. Also, the study examines the influence of healthcare providers, mothers/mothers-in-law, and husbands on family planning practices within the Bonda tribe in the Malkangiri district of Odisha, India. Methods Utilizing a qualitative method, the investigation incorporated 8 Focus Group Discussions, 7 In-depth Interviews, and insights from 16 key informants. Results Thematic analysis was employed to reveal instances of unconsented contraceptive procedures, reproductive health complications, and challenges in contraception methods: unraveling societal dynamics and cultural barriers impacting family planning practices among Bonda women. Conclusions The study highlights the crucial need for enhanced maternity care and underscores the importance of culturally sensitive services. Furthermore, it promotes provider training to ensure satisfaction, equity, and professionalism in care childbirth for tribal women. The findings strongly indicate that addressing these issues can potentially enhance family planning outcomes among the Bonda tribe.