A Qualitative Study of Key Informants’ Perceptions of Factors Influencing Women’s Reproductive Autonomy

Abstract This research examines the perceptions of key informants concerning the determinants influencing women's reproductive autonomy in Udupi, India. The concept of reproductive autonomy encompasses a woman's freedom to make knowledgeable and independent choices about her reproductive well-being. In order to delve into this issue, the study adopted a qualitative research strategy, carrying out extensive interviews with 15 essential contributors, including gynecologists, social service professionals, and attorneys who have ample experience working with women of childbearing age. The selection of participants was conducted through purposive sampling based on their professional affiliations within reproductive healthcare and advisory capacities, with interviews occurring in a variety of settings such as hospitals, clinics, and judicial courts. Transcriptions were systematically coded and analyzed utilizing framework analysis, rooted in the Reproductive Empowerment Framework, while also accommodating the emergence of new themes. The results underscore several significant factors influencing reproductive decision-making, including education, financial independence, spousal communication, familial structures, the contributions of Accredited Social Health Activists, and religious beliefs. Education and financial autonomy were recognized as essential facilitators of reproductive autonomy, although societal and familial pressures frequently constrained women’s capacity to fully exercise their reproductive choices. ASHA workers were identified as crucial facilitators in the promotion of contraception and reproductive health, especially in rural contexts. This study highlights critical aspects of the intricate social and economic dynamics influencing women's reproductive rights in India, recommending policy initiatives that concentrate on education, financial autonomy, and spousal involvement to enhance women's reproductive choices.