@article {Dixite2200050, author = {Anvita Dixit and Mohan Ghule and Namratha Rao and Madhusudana Battala and Shahina Begum and Nicole E. Johns and Sarah Averbach and Anita Raj}, title = {Qualitative Examination of the Role and Influence of Mothers-in-Law on Young Married Couples{\textquoteright} Family Planning in Rural Maharashtra, India}, volume = {10}, number = {5}, elocation-id = {e2200050}, year = {2022}, doi = {10.9745/GHSP-D-22-00050}, publisher = {Global Health: Science and Practice}, abstract = {Key FindingsMothers-in-law (MILs) had strong preferences for early births in marriage and preferred female sterilization over other modern forms of short-term contraception such as pills and intrauterine devices.MILs held traditional gender role attitudes and expected daughters-in-law to adhere to these. While they supported birth spacing and joint couple decision making, they also wanted to be included in family planning (FP) decision making.Key ImplicationsGiven their potential influence on couples{\textquoteright} FP behaviors, MILs should be engaged in FP promotion in rural India.National stakeholders can potentially include components to address MILs{\textquoteright} gender and fertility norms in FP interventions.Unmet need for family planning (FP) continues to be high in India, especially among young and newly married women. Mothers-in-law (MILs) often exert pressure on couples for fertility and control decision making and behaviors around fertility and FP, yet there is a paucity of literature to understand their perspectives. Ten focus group discussions (FGDs) were carried out with MILs of young married women (aged 18{\textendash}29 years) participating in a couple-focused FP intervention as a part of a cluster-randomized intervention evaluation trial (the CHARM2 study) in rural Maharashtra, India. FGDs included questions on their roles, attitudes, and decision making around fertility and FP. Audio-recorded data were translated/transcribed into English and analyzed for key themes using a deductive coding method. MILs reported having social norms of early fertility and son preference. They understood that family size norms are lower among daughters-in-law and that spacing can be beneficial but were not supportive of short-term contraceptives, especially before the first child. They preferred female sterilization, opposed abortion, had apprehensions around side effects from contraceptive use, and had misconceptions about the intrauterine device, with particular concerns around its coercive insertion. MILs mostly believed that decision making should be done jointly by a husband and wife, but that as elders, they should be consulted and involved in the decision-making process. These findings highlight the need for engagement of MILs for FP promotion in rural India and the potential utility of social norms interventions.}, URL = {https://www.ghspjournal.org/content/10/5/e2200050}, eprint = {https://www.ghspjournal.org/content/10/5/e2200050.full.pdf}, journal = {Global Health: Science and Practice} }