Modern vs. Traditional Family Planning Methods: The Role of Spousal Communication in Decision-Making in Khyber Pakhtunkhwa

Family planning glowing aspect of reproductive health yet its adoption and method selection remain influenced by various socio cultural determinant mainly spousal communications. This study sightsee the role of spousal communication in the choice between traditional and modern family planning methods in Khyber Pakhtunkhwa a region where cultural norms considerably shape reproductive decisions. Using a quantitative approach, the research combines a quantitative survey method and cross-sectional research design while collecting data from married couples in Dir lower and Upper insights from close-ended interviews scheduled to assess the extent and nature of communication between spouses regarding contraception. Using multistage sampling technique to access potential respondent while which yielded a total sample of 768 sizes. Finally data was analyze including univariate statistical technique (frequencies and percentages) and bivariate analysis binary logistic regression was used to explore relationships to test the hypotheses. The findings reveal that a significant majority of respondents are knowledgeable about pregnancy delay methods and actively use family planning techniques. Modern methods dominate and are the most popular, but the couple's reliance is mainly on censuses. Traditional methods are also practiced by a significant minority, with withdrawal being the most common. The important role of communication in FPM adoption is prominent. While discussions about contraceptive use and sexual relations positively influence FPM utilization, conversations on topics like the number of children or equitable decision-making showed unexpected patterns, likely due to socio-cultural dynamics. The research underlines the necessity of joint decision-making with women at the center when addressing reproductive health issues.