Acceptability of the Contraceptive Vaginal Ring by rural and urban population in two Latin American countries

Faúndes, Aníbal; Hardy, Ellen; Reyes, Quintina; Pastene, Laura; Portes-Carrasco, Ramon

doi:10.1016/0010-7824(81)90006-8

Cited by 36 publications

(23 citation statements)

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“…Our findings are similar to those reported by investigators who have studied contraceptive vaginal rings among women in the US, Europe, Brazil, and the Dominican Republic (Faundes et al. ; Merkatz et al. ; Roumen et al.…”

Section: Discussionsupporting

confidence: 92%

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Do Women Find the Progesterone Vaginal Ring Acceptable? Findings from Kenya, Nigeria, and Senegal

RamaRao¹,

Obare²,

Ishaku³

et al. 2018

Studies in Family Planning

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The progesterone vaginal ring (PVR) is a contraceptive designed for use byC ontraceptive vaginal rings are a new product category in many developing countries. There are two contraceptive vaginal rings on the market: a three-monthly progesterone-containing ring available in a few countries in Central and South America under the brand name Progering R ; and a monthly etonogestrel/ethinyl estradiol ring sold under the brand name NuvaRing R in Europe, the United States, and other industrialized countries. Contraceptive vaginal rings offer particular benefits to users and health systems: users can self-insert and remove the ring, giving them greater control over how the product is used, while health systems benefit from the limited need for extensive clinical training, equipment, and supplies.

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Section: Discussionsupporting

confidence: 92%

“…We base this assumption on the outcome of an acceptability study conducted in Brazil and the Dominican Republic, where the acceptance rate was higher in sites where health care providers themselves used the ring (Faundes et al. ).…”

Section: Discussionmentioning

confidence: 99%

Do Women Find the Progesterone Vaginal Ring Acceptable? Findings from Kenya, Nigeria, and Senegal

RamaRao¹,

Obare²,

Ishaku³

et al. 2018

Studies in Family Planning

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“…The first proposed domain was ease of use, which included a woman’s comfort level with ring insertion/removal and ability to remember the 21/7 day regimen [2, 3, 17, 18]. Earlier reports describing vaginal ring use revealed that partial or complete expulsions can occur during various activities [16–18], and that some women feel or are aware of the CVR during everyday routines.…”

Section: Methodsmentioning

confidence: 99%

“…These design features suggest the NES/EE CVR can address common family planning access and service delivery issues that are especially pronounced in low resource settings. It has the potential to be an important new method in regions with a high unmet need for contraception [3–6]. Acceptability research, however, must be conducted to understand aspects of use affecting utilization, and is an integral component of planning for introduction [7–10].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of the nestorone®/ethinyl estradiol contraceptive vaginal ring: development of a model; implications for introduction

et al. 2014

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Objectives Develop and test a theoretical acceptability model for the Nestorone®/ethinyl estradiol (NES/EE) contraceptive vaginal ring (CVR); explore whether domains of use within the model predict satisfaction, method adherence and CVR continuation. Study Design Four domains of use were considered relative to outcome markers of acceptability, i.e. method satisfaction, adherence, and continuation. A questionnaire to evaluate subjects’ experiences relative to the domains, their satisfaction (Likert scale), and adherence to instructions for use was developed and administered to 1036 women enrolled in a 13-cycle Phase 3 trial. Method continuation was documented from the trial database. Stepwise logistic regression (LR) analysis was conducted and odds ratios calculated to assess associations of satisfaction with questions from the 4 domains. Fisher’s exact test was used to determine the association of satisfaction with outcome measures. Results A final acceptability model was developed based on the following determinants of CVR satisfaction: ease of use, side effects, expulsions/feeling the CVR, and sexual activity including physical effects during intercourse. Satisfaction was high (89%) and related to higher method adherence [OR 2.6(1.3,5.2)] and continuation [OR5.5(3.5, 8.4)]. According to the LR analysis, attributes of CVR use representing items from the 4 domains — finding it easy to remove, not complaining of side effects, not feeling the CVR while wearing it, and experiencing no change or an increase in sexual pleasure and/or frequency — were associated with higher odds of satisfaction. Conclusion Hypothesized domains of CVR use were related to satisfaction, which was associated with adherence and continuation. Results provide a scientific basis for introduction and future research.

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“…Numerous studies have reported high user acceptability of VRs for contraception and estrogen replacement therapy [29,30,[33][34][35]39,[197][198][199][200][201][202]. Of particular significance is the strong preference for rings over semi-solid systems [34,197] which should hopefully extend to vaginal microbicide products, since high levels of user acceptability/satisfaction generally correlate with user adherence.…”

Section: Acceptability and Adherencementioning

confidence: 99%

Microbicide vaginal rings: Technological challenges and clinical development

Malcolm

Boyd

McCoy

et al. 2016

Advanced Drug Delivery Reviews

109

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Acceptability of the Contraceptive Vaginal Ring by rural and urban population in two Latin American countries

Cited by 36 publications

References 0 publications

Do Women Find the Progesterone Vaginal Ring Acceptable? Findings from Kenya, Nigeria, and Senegal

Do Women Find the Progesterone Vaginal Ring Acceptable? Findings from Kenya, Nigeria, and Senegal

Acceptability of the nestorone®/ethinyl estradiol contraceptive vaginal ring: development of a model; implications for introduction

Microbicide vaginal rings: Technological challenges and clinical development

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