Adding to the menu of modern methods - the diaphragm

Holmes, Wendy

doi:10.1071/sh09077

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Cervical caps as a class have a long history as contraceptives (Chalker 1987), though only one model, the FemCape, continues to be available worldwide. Poor promotion of this device, however, as with other cervical barriers (Holmes 2010) has led to low clinician familiarity, negative attitudes and consequent low awareness and demand among women. Presently, the device when ordered individually costs nearly US$90, 1 though the infrequent need for replacement helps to offset this price, especially in relation to the cost of other contraceptive drugs or devices.…”

Section: Introductionmentioning

confidence: 99%

‘Men don't need to know everything’: a field trial of a discreet, female-initiated, contraceptive barrier method (FemCap™) among Haitian-American women

Gollub

Cyrus

Dévieux

et al. 2015

Culture, Health & Sexuality

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Worldwide, women report the need for safe, non-hormonal, woman-initiated methods of family planning. Cervical barriers provide such technology but are under-researched and under-promoted. In the USA, there are few studies of cervical barriers among women at high unmet need for contraception. A feasibility study of the FemCap™ was conducted among US women of Haitian origin. Participants were heterosexual and seeking to avoid pregnancy. At first visit, participants completed baseline assessments, underwent group counselling and were fitted with FemCap™. Women were asked to insert or use the cap at home. The second visit (2-3 weeks) included an interviewer-administered questionnaire and a focus-group discussion. Participants (n = 20) were Haitian-born (70%), married (55%) and parous (85%). Their mean age was 32.6 years. Seventy percent reported recent unprotected sex. All women inserted the device at home and 9 women used it during intercourse, including 5 without prior partner negotiation. Of 20 women, 11 liked FemCap™ very much or somewhat; 7 considered it 'OK'; 2 disliked it. Best-liked attributes were comfort, discreet wear and reusability. Difficulties with removal abated over time. Qualitative data revealed a high value placed on lack of systemic side effects. Use of FemCap™ was feasible and acceptable, supporting expansion of research, particularly among relevant populations with unmet need.

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Section: Introductionmentioning

confidence: 99%

‘Men don't need to know everything’: a field trial of a discreet, female-initiated, contraceptive barrier method (FemCap™) among Haitian-American women

Gollub

Cyrus

Dévieux

et al. 2015

Culture, Health & Sexuality

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“…3,16 Despite this clear need for expanded choice in a FP menu, female barrier methods are often not promoted or available in such communities, and there is a documented provider bias based on the concept that women cannot successfully understand or use them. [17][18][19] This continuing health disparity takes on even greater importance because the female condom-a female barrier methodremains to date the only demonstrated highly efficacious, women-initiated option ensuring autonomous protection against sexually transmitted infection (STI)/HIV. The development of future multipurpose prevention technologies (MPTs) 20,21 will surely include female barrier methods as a mainstay; two recent trials confirmed a female-inserted, tenofovir-loaded vaginal ring to be effective in reducing risk of HIV, and development is underway for the ring to combine both contraceptive with disease-reducing properties.…”

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confidence: 99%

“This Method, I Think, Can Shed New Light”

Gollub

Dévieux

Jean‐Gilles

et al. 2016

Int Q Community Health Educ

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Improving the reproductive health of immigrant populations requires understanding the specific context of risk and need. As part of a field trial of the FemCap™, a woman-initiated cervical barrier contraceptive, we conducted postintervention focus group discussions (FGDs) with 20 women (five FGDs) of Haitian background, the majority of whom were born in Haiti and spoke Haitian Créole at home, at a community health center in south Florida. Participants discussed the role of religion and inequitable gender norms in Haitian traditions about family planning decisions and provided important insights into the gender-power nuances of their partnership dynamics vis à vis the use of female barrier methods. Encouraged by more equitable gender norms in the United States, participants were eager to serve as health education agents, with strong altruistic sentiments toward other Haitian girls and women who they felt could be encouraged to negotiate for greater reproductive decision-making power.

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Women’s barrier contraceptive methods as modern methods

Gollub¹

2011

Sex. Health

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Adding to the menu of modern methods - the diaphragm

Cited by 4 publications

References 12 publications

‘Men don't need to know everything’: a field trial of a discreet, female-initiated, contraceptive barrier method (FemCap™) among Haitian-American women

‘Men don't need to know everything’: a field trial of a discreet, female-initiated, contraceptive barrier method (FemCap™) among Haitian-American women

“This Method, I Think, Can Shed New Light”

Women’s barrier contraceptive methods as modern methods

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