Katutubong Panan-aw: A Phenomenological Study on Exploring the Perspectives on Modern Contraceptives among Ati Women

Abstract

The Ati community in Western Visayas faces challenges in accessing modern contraceptives due to sociocultural beliefs, economic barriers, and limited reproductive health education. Although midwives conduct house visits to promote reproductive health, many women still avoid contraceptives. Fear of side effects, misinformation, and transport issues continue to influence their decisions. This study explored and interpreted the perceptions, barriers, and perceived benefits regarding modern contraceptive use among indigenous women. A phenomenological qualitative approach was employed, with purposive sampling used to recruit the eight participants. Data collection involved semi-structured interviews conducted in the local dialect, and the transcriptions were subjected to content analysis. Permissions were obtained from key gatekeepers, including the National Commission on Indigenous Peoples (NCIP), the municipal Mayor, the Tribal Leader, and the Elders. Ethical considerations, such as informed consent, confidentiality, voluntary participation, and anonymity, were strictly followed. Findings revealed five key themes: (1) Shifted Perception – growing acceptance of modern contraceptives; (2) Obstructed Pathways – logistical barriers; (3) Bridges to Access – facilitators such as healthcare support and partner involvement; (4) Enhanced Life’s Balance – improved childcare and family management; and (5) Lingering Concerns – prevailing misconceptions. Strengthening culturally sensitive health education, improving access, and addressing misinformation are essential for fostering informed reproductive choices within the community. The study may guide RHUs, midwives, and health workers in improving reproductive education and counseling.