Family planning in Karachi: challenges-service providers, perspective


Master of Business Administration Executive

Faculty / School

Faculty of Business Administration (FBA)

Year of Award

Spring 2019

Project Type

MBA Executive Research Project

Access Type

Restricted Access


Birth control. -- Karachi | Social service. -- Karachi , Population. -- Karachi

Executive Summary

Unintended pregnancy has a strong association with a country's social and economic development as well as with negative social and health repercussions for women and society. There exist many barriers to the adoption of family planning methods in Pakistan and while most barriers are credited to individualistic dimensions of the prospective clients, there also needs to be an understanding of the barriers projected by the service providers as well. Thus, this research study aimed to explore and understand the attitudes and perceptions held by the service provider that can affect the decision to use contraceptives among women, who use the services. An exploration and understanding of these factors can help in the identification of barriers that cause a low contraceptive adoption rate, and this new understanding can be used to change and improve the service delivery by the service providers. This study; incorporated a mixed-method approach using both qualitative and quantitative methods, whereby in-depth interviews with providers and married women of reproductive age (MWRA) were followed up with a quantitative survey to assess their contraceptive knowledge and subsequently, what barriers they face in their decision to use them. The results were divided into the categories of socio-demographic characteristics, social norms, perceived accessibility, perceived negative consequences and cultural and religious perceptions. The results showed that myths and misconceptions regarding modem family planning methods were a key barrier to uptake contraceptives which suggests that awareness sessions need to be conducted so as to dispel them. In addition, the results also showed that social cues diction and gender-based restriction on women's mobility and autonomy highlight the need to focus on community-level interventions (inclusive of women, husbands, religious leaders, families etc.) to transform social norms.

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