title: The role of couple negotiation in unmet need for contraception and the decision to stop childbearing in Uganda.
abstract: This study uses survey and focus-group data from the 1995-96 Negotiating Reproductive Outcomes study in Uganda to describe the nature of the decision to stop childbearing and to question the simplifying assumption of consensus decision-making implicit in much demographic research on unmet need. Negotiation is characterized in four stages, from normative precedent for decision-making to communication, disagreement, and conflict resolution. Indirect forms of communication between partners predominate, contributing to the tendency of both men and women to overestimate each other's demand for additional children. Partner opposition is found to cause a statistically significant increase in unmet need reported by women and a shift in contraceptive mix favoring use of traditional methods over modern methods. For women, partner opposition may account for as much as 20 percent of unmet need in urban areas, 12 percent in rural areas, and 15 percent overall.
authors.affiliation: Centre for Population Studies, London School of Hygiene and Tropical Medicine.
authors.forename: B
authors.initials: B
authors.lastname: Wolff
authors.forename: A K
authors.initials: AK
authors.lastname: Blanc
authors.forename: J
authors.initials: J
authors.lastname: Ssekamatte-Ssebuliba
mesh_terms: D000328:Adult; D003268:Contraception Behavior; D003657:Decision Making; D005193:Family Planning Services; D005260:Female; D017144:Focus Groups; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D017008:Negotiating; D011795:Surveys and Questionnaires; D014454:Uganda