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“So that's why I'm scared of these methods”: Locating contraceptive side effects in embodied life circumstances in Burundi and eastern Democratic Republic of the Congo

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  • Schwarz, Joëlle
  • Dumbaugh, Mari
  • Bapolisi, Wyvine
  • Ndorere, Marie Souavis
  • Mwamini, Marie-Chantale
  • Bisimwa, Ghislain
  • Merten, Sonja

Abstract

Contraceptive side effects (SE) are often portrayed as either unproblematic trade-offs for pregnancy prevention or misconceptions and fears that negatively affect individuals' contraceptive decisions. Little attention is given, however, to wider, socially-rooted meanings and rationales for these feared and experienced SE. Through inductive analysis of in-depth interviews conducted with women and men from rural Burundi and South Kivu province, Democratic Republic of the Congo between 2013 and 2016, we locate contraceptive SE narratives in individuals' broader and changing life circumstances. We extracted two conceptual categories related to SE from participants' narratives: 1) bodily symptoms attributed to modern contraception; and 2) social meanings of SE in everyday life. We then situate these narratives in context – sources of knowledge on SE, barriers to addressing SE, and individuals/couples' life circumstances – to understand their embodied realities. Using Krieger's ecosocial theory, our findings suggest that in rural contexts of poverty, uncertainty and power inequities the empirical realities of SE are legitimate concerns stemming from actual or anticipated bodily symptoms located in the embodied life circumstances of individuals and couples.

Suggested Citation

  • Schwarz, Joëlle & Dumbaugh, Mari & Bapolisi, Wyvine & Ndorere, Marie Souavis & Mwamini, Marie-Chantale & Bisimwa, Ghislain & Merten, Sonja, 2019. "“So that's why I'm scared of these methods”: Locating contraceptive side effects in embodied life circumstances in Burundi and eastern Democratic Republic of the Congo," Social Science & Medicine, Elsevier, vol. 220(C), pages 264-272.
    • Handle: RePEc:eee:socmed:v:220:y:2019:i:c:p:264-272
    DOI: 10.1016/j.socscimed.2018.09.030
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    References listed on IDEAS

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    1. John B. Casterline & John Bongaarts & Clémentine Rossier & Jamaica Corker, 2017. "Contemporary Use of Traditional Contraception in sub-Saharan Africa," Population and Development Review, The Population Council, Inc., vol. 43, pages 192-215, May.
    2. John Bongaarts, 2016. "Development: Slow down population growth," Nature, Nature, vol. 530(7591), pages 409-412, February.
    3. Lidewyde Berckmoes & Ben White, 2014. "Youth, Farming and Precarity in Rural Burundi," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 26(2), pages 190-203, April.
    4. Magrath, Priscilla & Nichter, Mark, 2012. "Paying for performance and the social relations of health care provision: An anthropological perspective," Social Science & Medicine, Elsevier, vol. 75(10), pages 1778-1785.
    5. Yajna Elouard & Carine Weiss & Adriane Martin-Hilber & Sonja Merten, 2018. "Sexual violence as a risk factor for family planning-related outcomes among young Burundian women," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 13-22, January.
    6. Hardon, Anita, 2006. "Contesting contraceptive innovation--Reinventing the script," Social Science & Medicine, Elsevier, vol. 62(3), pages 614-627, February.
    7. Geampana, Alina, 2016. "Pregnancy is more dangerous than the pill: A critical analysis of professional responses to the Yaz/Yasmin controversy," Social Science & Medicine, Elsevier, vol. 166(C), pages 9-16.
    8. Kimport, Katrina, 2018. "Talking about male body-based contraceptives: The counseling visit and the feminization of contraception," Social Science & Medicine, Elsevier, vol. 201(C), pages 44-50.
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    Cited by:

    1. Sonja Merten & Langelihle Mlotshwa & Joelle Schwarz, 2020. "Youth, sexuality, gender, and health: dealing with a social phenomenon," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(4), pages 375-376, May.
    2. Bornstein, Marta & Gipson, Jessica D. & Failing, Gates & Banda, Venson & Norris, Alison, 2020. "Individual and community-level impact of infertility-related stigma in Malawi," Social Science & Medicine, Elsevier, vol. 251(C).

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