Stigma as a barrier to family planning use among married youth in Ethiopia

Key Social Norms Take-aways: Anticipated stigma—driven by social norms around gender, fertility, and youth behavior—emerges as a significant barrier to family planning (FP) use among married youth in Ethiopia. Community expectations that young brides should prove their fertility, along with fears of judgment from providers, family, and community members, create an environment where seeking FP […]

Supporting contraceptive choice in self-care: qualitative exploration of beliefs and attitudes towards emergency contraceptive pills and on-demand use in Accra, Ghana and Lusaka, Zambia

Key Social Norms Take-aways: This study reveals that anticipated stigma—particularly among young women—linked to emergency contraceptive pill (ECP) use in Accra, Ghana and Lusaka, Zambia is rooted in social norms that conflate ECP use with promiscuity, irresponsibility, or even abortion. While most users did not actually experience stigma when accessing ECPs, fears of judgment from […]

Socio-cultural context of adolescent sexuality and youth-friendly service intervention in West Gojjam Zone, Northwest Ethiopia: A qualitative study

Key Social Norms Take-aways: This study highlights that adolescent SRH interventions must go beyond providing services — they need to address and engage with the broader cultural and religious norms that shape sexual behavior and service use. Without challenging the community’s moral and social expectations, YFS programs are unlikely to meaningfully change adolescent SRH outcomes. […]

Socio-cultural factors perceived to influence sexual behaviours of adolescents in Ethiopia

Key Social Norms Take-aways: This study reveals that prevailing social and cultural norms in Addis Ababa, Ethiopia—especially those stigmatizing adolescent sexuality and condom use—contribute significantly to adolescents’ engagement in risky sexual behavior. Despite general cultural and religious discouragement of premarital sex, community-level norms perpetuate shame, fear, and judgment around seeking sexual and reproductive health (SRH) […]

South African women’s conceptualisations of and responses to sexual coercion in relation to hegemonic masculinities.

Key Social Norms Take-aways: This study reveals how hegemonic masculinities—norms that valorize male dominance, control, and sexual entitlement—shape South African women’s perceptions of and responses to sexual coercion. These norms contribute to the normalization of coercion, especially in intimate relationships, and often lead women to internalize blame and guilt. However, women’s agency is shown to […]

‘Spoiled’ girls: Understanding social influences on adolescent contraceptive decision-making in Kenya

Key Social Norms Take-aways: Adolescent girls in Kenya must navigate overlapping and often contradictory social norms that stigmatize both contraceptive use and adolescent pregnancy. Contraceptive use—particularly hormonal methods—is associated with promiscuity and feared to cause infertility, while pregnancy outside of marriage threatens educational and social standing. These stigmas are compounded by gendered power imbalances and […]

Social norms and family planning decisions in South Sudan

Key Social Norms Take-aways: Social norms deeply influence reproductive behavior in the Fertit community of South Sudan, particularly through expectations around high fertility, male decision-making, and limited female agency. However, these norms are shifting. Emerging beliefs support spacing pregnancies and investing in children’s wellbeing, challenging long-standing norms that emphasize having many children. The post-conflict context […]

Social norms, agency, and marriage aspirations in Malawi

Key Social Norms Take-aways: Community norms around the youngest acceptable age of marriage influence adolescent boys’ marriage aspirations but have little to no impact on girls’ aspirations. Instead, adolescents’ own beliefs about acceptable marriage age are consistently associated with when they aspire to marry. These findings suggest that while social norms matter, their influence is […]

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