Theory of Information Behaviour as a Theoretical Framework for Understanding Non-Compliance to Child Spacing Information: A Fresh Perspective for Designing Child Spacing Information Services and Communication Programs
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Abstract
Background: Non-compliance with child spacing is a major public health problem and a leading cause of maternal mortality. This study aimed to explore the socio-cultural reasons for non-compliance with child spacing information. Using Chatman’s (2000) theory of normative behaviour as a theoretical framework to guide the investigation.
Method: The study adopted an interpretative research paradigm and also a qualitative research method, guided data collection, data analysis, data interpretation, and discussion of findings. Twenty-five childbearing women were interviewed using a semi-structured interview. The study adopted an analytic inductive process to identify 235 narratives explaining socio-cultural reasons for non-compliance with child spacing information. The narratives are organised into 13 recurring topics and further collapsed into six emergent categories to explain the socio-cultural reasons for non-compliance with child spacing information.
Results: Findings indicated that availability of child spacing information, Beliefs, and practice related to child spacing information, spouse resistance to child spacing information, fear and misinformation relating to child spacing information, suspicion of Western people, distrust in mass media and health care providers are the major findings of this study.
Conclusion: Findings interpreted using Chatman’s (2000) theory of normative behaviour conclude that for there to be a sustained acceptance and use of child spacing methods, there is a critical need for child spacing information program, to design child spacing information services based on the social and cultural dynamics of the child-bearing women who are resistance to child spacing information and services. Future research areas for sustained acceptance of the child spacing information services are identified.
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