Family size control in Morocco: a qualitative exploratory study among rural women

Abstract

Objective: Although women play a central role in family planning, their ability to control their fertility is often influenced by social and relational factors. This study explores the knowledge, attitudes and practices of married women of childbearing age living in rural areas of Morocco regarding family planning and the contraceptive methods currently available. Method: In-depth face-to-face interviews were conducted with 49 married Moroccan women in a rural maternity ward during their postpartum period. Using open-ended questions, we examined their contraceptive practices, decision-making autonomy and the social influences determining their reproductive choices. Results: Most participants reported using oral contraceptives, although many had experienced at least one unintended pregnancy due to contraceptive misuse. The women expressed a preference for smaller families in order to ensure financial stability and a better quality of life. However, they often encountered resistance from their husbands and extended families when attempting to use contraception or limit their family size. There were widespread misconceptions about intrauterine devices (IUDs), with many women requiring their spouse's consent due to concerns about sexual health. Conclusion: Our findings highlight the important role of social and relational factors in women's reproductive choices. Addressing misconceptions and improving access to reproductive health education is essential. Involving husbands in counselling sessions can strengthen family planning efforts and support women's autonomy in fertility-related decisions.