Gender, Power and Depo-Provera: Constraints on Reproductive Choice in Rural Nicaragua

Presenter: Nicolette Dent

Mentor: Kristin Yarris

Poster: 8

Major: Anthropology

Using interviews conducted with 87 women in 2003 in Nicaragua, my research explores how gender ideologies reinforce men’s non-involvement with family planning and limit women’s reproductive choices. The popularity of the injectable contraceptive Depo-Provera among this sample reflects these patterns of gender inequality and social constraints on women’s health and power in Latin America. I used Pearson chi-square statistics and t-tests of means to analyze the relationships between women’s marital and socioeconomic statuses and their contraceptive use. I found that rates of Depo-Provera use are higher among women who are married or in union, reflecting how the presence of a male partner influences women to choose “invisible” contraceptive methods. I also found that women who do not have access to electricity, as a measure of lower socioeconomic status, use Depo-Provera at higher rates than women who have electricity. I situate these findings within the historical and cultural context of Nicaragua, and within the contested social history of Depo-Provera. While the current administration in Nicaragua acknowledges the need to involve men in reproductive health issues, men’s lack of participation in family planning remains a global concern. I suggest that women will not be able to employ reproductive choice until governments address issues of gender equality and encourage male participation in reproductive health and responsibility.

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