Barriers to Health Care Providers’ Provision of Long-Acting Reversible Contraception to Adolescent and Nulliparous Young Women

Hopkins, Bryan

doi:10.1016/j.nwh.2017.02.007

Cited by 26 publications

(12 citation statements)

References 6 publications

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“…This low approval of contraception among sexually active adolescents is worrying, since statistics shows that more than half of Kenyan adolescent girls want to delay or space childbearing [ 9 ]. A possible explanation could be the widespread and well-recognised stigmatising attitudes surrounding young women’s sexuality [ 21 , 36 ]. Young women are stigmatised for having sex at a young age and before marriage, and the use of contraception may increase such stigma.…”

Section: Discussionmentioning

confidence: 99%

“…Young women are stigmatised for having sex at a young age and before marriage, and the use of contraception may increase such stigma. Studies shows that service providers remain averse to encouraging young people to space or delay pregnancy [ 21 , 35 , 36 ]. Negative attitudes of service providers are based on social-cultural barriers such as religious beliefs and negative gender norms, and misinformation, myths and misconceptions [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Widespread reasons for non-use, are particularly infrequent sex and concerns regarding side effects or health risks [ 20 ]. The providers requires medical knowledge and training in counselling skills, and a variety of contraceptive methods needs to be available during PAC [ 12 , 18 , 21 , 22 ]. The aim of this study was to investigate contraceptive up-take and associated factors, among women who received PAC from midwives and physicians in Kisumu, Kenya.…”

Section: Introductionmentioning

confidence: 99%

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Contraceptive uptake in post abortion care—Secondary outcomes from a randomised controlled trial, Kisumu, Kenya

et al. 2018

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AimThe aim was to explore contraceptive uptake, associated factors and satisfaction among post abortion-care (PAC) seeking women in Kenya. Due to unsafe abortions, almost 120 000 Kenyan women received PAC in 2012, and of these women, 70% did not use contraception before pregnancy.MethodsThis study was nested in a larger randomised controlled trial, where 859 women sought PAC at two public hospitals in Kisumu, in June 2013–May 2016. The women were randomly assigned to a midwife or a physician for PAC, including contraceptive counselling, and followed up at 7–10 days and three months. Associated factors for contraceptive uptake were analysed with binary logistic regression, and contraceptive method choice, adherence and satisfaction level were examined by descriptive statistics, using IBM SPSS Statistics for Windows, Version 22.0.ResultsOut of the 810 PAC-seeking women, 76% (n = 609) accepted the use of contraception. Age groups of 21–25 (OR: 2.35; p < 0.029) and 26–30 (OR: 2.22; p < 0.038), and previous experience of 1–2 gravidities (OR 1.939; p = 0.018) were independent factors associated with the up-take. Methods used: injections 39% (n = 236); pills 27% (n = 166); condoms 25% (n = 151); implant 7% (n = 45) and intrauterine device (IUD) 1% (n = 8). At 3-month follow-up of the women (470/609; 77%), 354 (75%) women still used contraception, and most (n = 332; 94%) were satisfied with the method. Reasons for discontinuation were side-effects (n = 44; 39%), partner refusal (n = 27; 24%), planned pregnancy (n = 27; 24%) and lack of resupplies (n = 15; 13%).ConclusionsPAC-seeking women seem highly motivated to use contraceptives, yet a quarter decline the use, and at 3-month follow-up a further quarter among the users had discontinued. Implant, IUD and permanent method are rarely used. Strategies to improve contraceptive counselling, particularly to adolescent girls, and to increase access to a wide range of methods, as well as provider training and supervision may help to improve contraceptive acceptance and compliance among PAC-seeking women in Kisumu, Kenya.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contraceptive uptake in post abortion care—Secondary outcomes from a randomised controlled trial, Kisumu, Kenya

et al. 2018

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“…Regarding 1st generation contraceptive pills, there are side effects such as unwanted bleeding or spotting due to the fact that the dosage does not decrease at the appropriate time. The second generation ones are more effective and with a longer half-life, but with increased androgenic action that helps in sexual desire but could lead to hirsutism, acne and dyslipidaemia [ 64 , 65 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

“…Finally they cause an increase in bone density. The latest data shows no increase of risk of breast cancer [ 64 , 66 , 67 , 68 , 69 ].…”

Section: Discussionmentioning

confidence: 99%

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Tsikouras

Deuteraiou

Bothou³

et al. 2018

IJERPH

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Introduction: The goal of our study was to investigate and evaluate the contraceptive behavior in teenagers from our family planning centre that services two different religious and socioeconomic populations living in the Thrace area. Methods: During the last 10 years 115 Christian Orthodox (group A) and 53 Muslim teenagers (group B) were enrolled in our retrospective study. Contraceptive practice attitudes were assessed by a questionnaire. Religion, demographics, socio-economic characteristics were key factors used to discuss contraception and avoid unplanned pregnancy in each group and to compare with the contraceptive method used. Results: The most used contraceptive method—about two times more frequently—among Christian Orthodox participants was the oral contraceptive pill (p = 0.015; OR = 1.81, 95% CI = 1.13–2.90), while in the other group the use of condoms and IUDs was seven and three times more frequent, respectively. Our family planning centre was the main source of information for contraception. Conclusions: During adolescence, the existence of a family planning centre and participation in family planning programs plays a crucial role to help the teenagers to improve their knowledge and choose an effective contraception method.

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Determinants of Long-Acting Reversible Contraception (LARC) Initial and Continued Use Among Adolescents in the United States

et al. 2019

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Barriers to Health Care Providers’ Provision of Long-Acting Reversible Contraception to Adolescent and Nulliparous Young Women

Cited by 26 publications

References 6 publications

Contraceptive uptake in post abortion care—Secondary outcomes from a randomised controlled trial, Kisumu, Kenya

Contraceptive uptake in post abortion care—Secondary outcomes from a randomised controlled trial, Kisumu, Kenya

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Determinants of Long-Acting Reversible Contraception (LARC) Initial and Continued Use Among Adolescents in the United States

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