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Timor-Leste Health Care Seeking Behaviour Study - Secretaria de ...

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In the HSCBS survey, the i<strong>de</strong>al number of children most commonly reported by both women (25.4%)and men (19.9%) was four. Having 5 (women 14.7%, men 10.5 %) or 6 children (women 16.1%, men16.2%) were the next most common responses, but a significant proportion chose 7 or 8 as the i<strong>de</strong>alnumber (women 19.3%, men 21.3%).The i<strong>de</strong>al time between children, according to both men and women, was 2 years. There were veryfew responses outsi<strong>de</strong> the range of 1-3 years, and 3 years was more commonly cited than one yearas the ‘i<strong>de</strong>al’ spacing (Figure 6, also Table 9 in Appendix 6).Figure 6 - I<strong>de</strong>al time between children (HCSBS sample)<strong>Timor</strong>-<strong>Leste</strong> <strong>Health</strong> <strong>Care</strong> <strong>Seeking</strong> <strong>Behaviour</strong> <strong>Study</strong> | 2009In the HCSBS FGDs, among those participants who supported birth spacing, the i<strong>de</strong>al time betweenchildren was commonly mentioned as 3 years. The metaphor escada (lad<strong>de</strong>r) was commonly used torefer to un-spaced children; 1 year apart, their <strong>de</strong>creasing heights are like the steps of a lad<strong>de</strong>r.Many informants explained this in terms of infant <strong>de</strong>velopment. For example, pregnancy should beavoi<strong>de</strong>d until the youngest child can feed itself with a spoon, walk unai<strong>de</strong>d, has started school, or isable to help the mother with a newborn baby (e.g. fetching clothing or water). Some informantsused the mother’s health as a reference, i.e. she should wait until her body has regained its strengthand weight before becoming pregnant again.Survey respon<strong>de</strong>nts expressed a high level of interest in spacing children (women 67.8%, men68.9%). This could be facilitated by providing more information about family planning (responsegiven by 13.8% women and 17.7% men), greater availability of family planning methods (women22.3%, men 21.6%), and greater support from their spouse (women 38.9% women, men 31.9%).41

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