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Original Article
Open Access

Using Vignettes to Gain Insights Into Social Norms Related to Voluntary Family Planning and Gender-Based Violence in South Sudan

Paul Bukuluki, Moses Okwii, Kamden Hoffmann and Melinda Pavin
Global Health: Science and Practice June 2024, 12(3):e2300489; https://doi.org/10.9745/GHSP-D-23-00489
Paul Bukuluki
aMakerere University, Kampala, Uganda.
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Moses Okwii
bDev-Com Consult Ltd, Juba, South Sudan.
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Kamden Hoffmann
cMOMENTUM Integrated Health Resilience, IMA World Health, Washington, DC, USA.
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Melinda Pavin
dMOMENTUM Integrated Health Resilience, John Snow, Inc., Washington, DC, USA.
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  • For correspondence: melindapavin{at}gmail.com
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Figures & Tables

Tables

    • View popup
    TABLE 1.

    Number of Study Participants at Urban and Rural Sites to Explore Social Norms on Voluntary Family Planning and Gender-Based Violence, South Sudan

    CountyUrban PayamsParticipants, No.Rural PayamsParticipants, No.Total
    BorBor30Kolnyang, Makuach2555
    LeerLeer37Pilieny1350
    BudiKomori19Nagishot, Luodo, Lotukei3352
    WauWau North, Wau South42Besselia1052
    YambioYambio Town10Ri-Rongu, Gangura, Bangasu, Bazungua4757
    266
    • View popup
    TABLE 2.

    Interviews Planned and Completed by County, South Sudan

    CountyCommunity Members, No.Health Providers, No.Key Influencers, No.
    PlannedActualPlannedActualPlannedActual
    Bor40436567
    Leer40366666
    Budi40416666
    Wau40406666
    Yambio40436966
    Total20020330323031
    • View popup
    TABLE 3.

    Characteristics of Participants Interviewed to Explore Social Norms on Voluntary Family Planning and Gender-Based Violence, South Sudan

    Community Members, No. (%)Health Providers, No. (%)Key Influencers, No. (%)
    Sex
     Female120 (59)15 (47)10 (32)
     Male83 (41)17 (53)21 (68)
    Age, years
     15–2444 (22)0 (0)0 (0)
     25–49159 (78)31 (97)8 (26)
     50 and older0 (0)1 (3)23 (74)
    • View popup
    TABLE 4.

    Community Respondent Perspectives on Patient-Provider Communication on Family Planning and Reproductive Health, South Sudan

    No. (%)
    AgreeDisagreeDo Not Know
    1. Rose and her health care provider talk about using contraception.
     All (N=233)a148 (63.5)60 (25.8)25 (10.7)
     Female (n=129)86 (66.7)21 (16.3)22 (17.1)
     Male (n=104)62 (59.6)39 (37.5)3 (2.9)
     Urban (n=122)85 (69.7)28 (23.0)9 (7.4)
     Rural (n=111)63 (56.8)32 (28.8)16 (14.4)
    2. Rose can initiate conversations about using contraception with her health care providers.
     All (N=233)145 (62.2)61 (26.2)27 (11.6)
     Female (n=129)84 (65.1)22 (17.1)23 (17.8)
     Male (n=104)61 (58.7)39 (37.5)4 (3.8)
     Urban (n=122)81 (66.4)30 (24.6)11 (9.0)
     Rural (n=111)64 (57.7)31 (27.9)16 (14.4)
    3. Rose can ask her health care provider questions about using contraception.
     All (N=233)163 (70.0)40 (17.2)30 (12.9)
     Female (n=129)93 (72.1)15 (11.6)21 (16.3)
     Male (n=104)70 (67.3)25 (24.0)9 (8.7)
     Urban (n=122)93 (76.2)20 (16.4)9 (7.4)
     Rural (n=111)70 (63.1)20 (18.0)21 (18.9)
    4. Rose can share her opinions about using contraception with her health care providers.
     All (N=233)163 (70.0)38 (16.3)32 (13.7)
     Female (n=129)90 (69.8)14 (10.9)25 (19.4)
     Male (n=104)73 (70.2)24 (23.1)7 (6.7)
     Urban (n=122)92 (75.4)19 (15.6)11 (9.0)
     Rural (n=111)71 (64.0)19 (17.1)21 (18.9)
    5. When discussing contraception with her health care provider, she/he pays attention to what Rose has to say.
     All (N=233)180 (77.3)22 (9.4)31 (13.3)
     Female (n=129)97 (75.2)7 (5.4)25 (19.4)
     Male (n=104)83 (79.8)15 (14.4)6 (5.8)
     Urban (n=122)99 (81.1)12 (9.8)11 (9.0)
     Rural (n=111)81 (73.0)10 (9.0)20 (18.0)
    • ↵a One female respondent did not answer the structured Likert questions. Total community and influencer respondents on the structured questions was 233.

    • View popup
    TABLE 5.

    Health Care Provider Perspectives on Patient-Provider Communication on Family Planning and Reproductive Health, South Sudan

    No.(%)
    RespondentAgreeDisagree
    1. Unmarried young women (age 14–16 years) and their health care provider talk about using contraception.
     All (N=32)25 (78.13)7 (21.88)
     Female (n=15)11 (73.33)4 (26.67)
     Male (n=17)14 (82.35)3 (17.65)
     Urban (n=14)12 (85.71)2 (14.29)
     Rural (n=18)13 (72.22)5 (27.78)
    2. Married young women (age 14–16 years) and their health care provider talk about using contraception.
     All (N=32)26 (81.25)6 (18.75)
     Female (n=15)12 (80.00)3 (20.00)
     Male (n=17)14 (82.35)3 (17.65)
     Urban (n=14)12 (85.71)2 (14.29)
     Rural (n=18)14 (77.78)4 (22.22)
    3. Adult women and their health care provider talk about using contraception.
     All (N=32)29 (90.63)3 (9.38)
     Female (n=15)15 (100.00)0 (0.00)
     Male (n=17)14 (82.35)3 (17.65)
     Urban (n=14)12 (85.71)2 (14.29)
     Rural (n=18)17 (94.44)1 (5.56)
    4. Women can initiate conversations about using contraception with their health care.
     All (N=32)29 (90.63)3 (9.38)
     Female (n=15)15 (100.00)0 (0.00)
     Male (n=17)14 (82.35)3 (17.65)
     Urban (n=14)12 (85.71)2 (4.29)
     Rural (n=18)17 (94.44)1 (5.56)
    5. Women can share their opinions about using contraception with their health care.
     All (N=32)32 (100.00)0 (0.00)
     Female (n=15)15 (100.00)0 (0.00)
     Male (n=17)17 (100.00)0 (0.00)
     Urban (n=14)14 (100.00)0 (0.00)
     Rural (n=18)18 (100.00)0 (0.00)
    6. When discussing contraception with her health care provider, he/she pays attention.
     All (N=32)31 (96.88)0 (0.00)
     Female (n=15)15 (100.00)0 (0.00)
     Male (n=17)16 (94.12)0 (0.00)
     Urban (n=14)13 (92.86)0 (0.00)
     Rural (n=18)18 (100.00)0 (0.00)
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Global Health: Science and Practice: 12 (3)
Global Health: Science and Practice
Vol. 12, No. 3
June 27, 2024
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Using Vignettes to Gain Insights Into Social Norms Related to Voluntary Family Planning and Gender-Based Violence in South Sudan
Paul Bukuluki, Moses Okwii, Kamden Hoffmann, Melinda Pavin
Global Health: Science and Practice Jun 2024, 12 (3) e2300489; DOI: 10.9745/GHSP-D-23-00489

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Using Vignettes to Gain Insights Into Social Norms Related to Voluntary Family Planning and Gender-Based Violence in South Sudan
Paul Bukuluki, Moses Okwii, Kamden Hoffmann, Melinda Pavin
Global Health: Science and Practice Jun 2024, 12 (3) e2300489; DOI: 10.9745/GHSP-D-23-00489
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