Adding a Question About Method Switching to the Method Information Index Is a Better Predictor of Contraceptive Continuation

Jain, Aparna; Aruldas, Kumudha; Tobey, Elizabeth; Mozumdar, Arupendra; Acharya, Rajib

doi:10.9745/ghsp-d-19-00028

Cited by 35 publications

(48 citation statements)

References 7 publications

(8 reference statements)

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“…As shown elsewhere using data from this study (Jain et al 2019b), adding a fourth question to the MII about the possibility of switching methods if the method selected was no longer suitable better predicts contraceptive continuation three months later. This new measure, the MIIplus, is calculated as the percentage of women who answer "yes" to all four questions.…”

Section: Methods Information Index Plus (Miiplus)supporting

confidence: 53%

Contraceptive use dynamics in India: A prospective cohort study of modern reversible contraceptive users

Mozumdar¹,

Tobey²,

Aruldas³

et al. 2020

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Section: Methods Information Index Plus (Miiplus)supporting

confidence: 53%

Contraceptive use dynamics in India: A prospective cohort study of modern reversible contraceptive users

Mozumdar¹,

Tobey²,

Aruldas³

et al. 2020

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“…Lastly, method-specific contraceptive continuation was used as the outcome in this study, excluding women who switched to other modern methods or traditional methods of contraception from the numerator. While switching methods should be considered a positive outcome for women who want to continue preventing pregnancy but find their current method unsuitable [36], in this study there was not enough variation in the outcome variable of modern contraceptive continuation, so method-specific continuation was used instead.…”

Section: Limitationsmentioning

confidence: 99%

The relationship between attitudes towards pregnancy and contraceptive continuation: Results from a longitudinal study of married women in India

2020

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To understand the relationship between pregnancy intentions and contraceptive use, a growing body of research has begun to examine various domains of women's attitudes towards pregnancy, acknowledging that these attitudes may contradict one another, and women may be ambivalent. This study examines pregnancy ambivalence and assesses the relationship between attitudes towards pregnancy and contraceptive continuation after nine months among a sample of women in Odisha and Haryana, India. Data come from a longitudinal study of married women age 15-49 who began using a modern reversible method of contraception at the time of study enrollment. To assess their cognitive attitudes (beliefs/ knowledge) towards pregnancy, women were asked "how important is it you to avoid a pregnancy now?" To assess their affective attitudes (feelings/emotions), women were asked about their agreement with the statement: "If I found out I was pregnant in the next several weeks, I would be happy." A joint, 4-category measure combining these cognitive and affective attitudes towards pregnancy was created to measure concordance and ambivalence in attitudes towards pregnancy. Multivariate random-effects logistic regression models were employed to examine the relationship of these two measures with method-specific contraceptive continuation nine months later. Two models were conducted, one with the two attitude variables included independently and the second with the joint, 4-category measure included. Results showed that affective and cognitive attitudes were both significantly associated with continuation, but that there were no significant differences between those that were ambivalent and those whose attitudes were concordantly anti-pregnancy. This study suggests that attitudes towards pregnancy are multifaceted and both cognitive and affective attitudes towards pregnancy may play an important role in contraceptive use in India.

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“… 5 Recent publications, including one by several authors of this paper, have documented a strong association between counseling quality, measured by either the Method Information Index (MII) or a variant and contraceptive continuation. 7 – 9 Consensus on how best to define and measure facility-level quality of care in family planning has not yet been reached, however, and consensus is also lacking on the aspects of quality that may be important for reducing the risk of discontinuation while in need.…”

Section: Introductionmentioning

confidence: 99%

Measuring Service Quality and Assessing Its Relationship to Contraceptive Discontinuation: A Prospective Cohort Study in Pakistan and Uganda

Chang

Chakraborty

Kalamar³

et al. 2020

Glob Health Sci Pract

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Adding a Question About Method Switching to the Method Information Index Is a Better Predictor of Contraceptive Continuation

Cited by 35 publications

References 7 publications

Contraceptive use dynamics in India: A prospective cohort study of modern reversible contraceptive users

Contraceptive use dynamics in India: A prospective cohort study of modern reversible contraceptive users

The relationship between attitudes towards pregnancy and contraceptive continuation: Results from a longitudinal study of married women in India

Measuring Service Quality and Assessing Its Relationship to Contraceptive Discontinuation: A Prospective Cohort Study in Pakistan and Uganda

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