Navigating Gender and Power: A Qualitative Analysis of Fertility Decision-Making in Rubirizi District, Southwestern Uganda

This study explored fertility decision-making in rural Uganda, focusing on gendered power dynamics influencing reproductive choices. Drawing on 30 in-depth interviews, seven key informant interviews, and 15 focus group discussions with men and women, findings revealed that cultural norms and religious beliefs lead women to view family size as divine decree rather than choice. Male resistance to contraception drives women to adopt covert methods, creating communication barriers. Guided by Connell’s theory of gender and power, this study highlights the need for gender-transformative interventions that promote open communication, joint decision-making, and community engagement to achieve equitable reproductive outcomes.