Community attitudes and gendered influences on decision making around contraceptive implant use in rural Papua New Guinea

Gupta, Saurabh; Bernays, Sarah; Black, Kirsten; Ramsay, Philippa; Bolnga, John; Kelly‐Hanku, Angela

doi:10.1186/s12978-020-00985-w

Cited by 8 publications

(9 citation statements)

References 28 publications

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“…The discontinuation prevalence found in this study is also higher than those reported in other LMICs such as Bangladesh [ 26 ], Kenya [ 24 ], Ethiopia [ 4 ], Zimbabwe, Armenia, Egypt and Colombia [ 27 ]. The plausible reasons could be inadequate information on choice, low socioeconomic status, sociocultural factors, high illiteracy levels of many reproductive aged women coupled with many barriers women face in accessing healthcare including family planning services in PNG [ 16 , 28 – 30 ].…”

Section: Discussionmentioning

confidence: 99%

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Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Dadzie

Seidu

Tetteh

et al. 2022

Contracept Reprod Med

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Background Papua New Guinea has one of the lowest contraceptive prevalence rates among women of reproductive age in the Western Pacific Region and this makes contraceptive discontinuation in this country a critical public health issue worth studying. This study sought to assess the factors associated with contraceptive discontinuation among women of reproductive age in Papua New Guinea. Methods The data used for the analysis were obtained from the Papua New Guinea Demographic and Health Survey which was conducted in 2016–2018. The outcome variable for this study was contraceptive discontinuation among women of reproductive age. Crude odds ratios and adjusted odds ratios with 95% confidence intervals were estimated using binary logistic regression. Results About 33.26% of the women discontinued injectables, 19.15% discontinued pills and 3.77% discontinued other contraception methods. Women aged 20–24 [aOR = 2.12, CI = [= [1.04,4.31] through to those aged 30–34 [aOR = 1.98, CI = 1.03,3.79] had higher odds to discontinue contraceptive usage compared to those aged 45–49. Women with no information on choice of contraception [aOR = 2.85, CI = 2.31,3.51], those with two or more births in the last five years [aOR = 2.35, CI = 1.65,3.35] and those living in the Highland region [aOR = 1.71, CI = 1.28,2.29] were more likely to discontinue contraceptive usage compared with those with information on contraceptive choices, those with no births and those living in the Island region respectively. However, women in the rural areas [aOR = 0.78, CI = 0.61,0.99], women using LARC [aOR = 0.10, CI = 0.06,0.15], injectables [aOR = 0.43, CI = 0.30,0.63] and other modern contraception methods including condom [aOR = 0.22, CI = 0.15,0.34] were less likely to discontinue contraceptive usage. Conclusion A nationwide mass education on the benefits of contraception is recommended for the Papua New Guinea National Department of Health to tackle the key findings of this study which were high contraceptive discontinuation prevalence with lack of information on choice, disproportionately high contraceptive discontinuation rate in the Highland Region and the desire to give birth to more than two children as some factors associated with contraceptive discontinuation in Papua New Guinea.

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Section: Discussionmentioning

confidence: 99%

“…Papua New Guinea is one of the countries in the western pacific region that still encounters substantial challenges in access to family planning services [ 16 ]. The country has a contraceptive prevalence rate of 20%-24% (rural–urban) [ 17 ] with unmet need for contraception at 25% [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Dadzie

Seidu

Tetteh

et al. 2022

Contracept Reprod Med

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“…In these settings, most men view the husband as the primary decision-maker, and a small percentage of men surveyed believed it was acceptable for a husband to beat his wife. However, in another study conducted in rural PNG, young men were more receptive to biomedical information than older men, and were more likely to engage with health services directly and support their wives to use implants [ 98 ]. In PICTs, men’s involvement showed improvement in women’s access to FP services, but culturally appropriate strategies are needed to ensure universal access by men.…”

Section: Discussionmentioning

confidence: 99%

Family planning in Pacific Island Countries and Territories (PICTs): A scoping review

et al. 2021

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The use of contraceptives for family planning improves women’s lives and may prevent maternal deaths. However, many women in low and middle-income countries, including the Pacific region, still die from pregnancy-related complications. While most health centres offer family planning services with some basic contraceptive methods, many people do not access these services. More than 60% of women who would like to avoid or delay their pregnancies are unable to do so. This scoping review identifies and analyses evidence about family planning service provision in Pacific Island Countries and Territories (PICTs), with the aim of better informing family planning services for improved maternal health outcomes in the Pacific. We used Arksey and O’Malley’s scoping review guidelines, supported by Levac, Colquhoun and O’Brien to identify gaps in family planning service provision. Selected studies included peer-reviewed publications and grey literature that provided information about family planning services from 1994 to 2019. Publication data was charted in MS Excel. Data were thematically analysed and key issues and themes identified. A total of 45 papers (15 peer-reviewed and 30 grey literature publications) were critically reviewed. Five themes were identified: i) family planning services in the Pacific; ii) education, knowledge and attitudes; iii) geographical isolation and access; iv) socio-cultural beliefs, practices and influences; and v) potential enabling factors for improved family planning, such as appropriate family planning awareness by health care providers and services tailored to meet individual needs. While culture and religion were considered as the main barriers to accessing family planning services, evidence showed health services were also responsible for limiting access. Family planning services do not reach everyone. Making relevant and sustainable improvements in service delivery requires generation of local evidence. Further research is needed to understand availability, accessibility and acceptability of current family planning services for different age groups, genders, social and marital status to better inform family planning services in the Pacific.

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“…The plausible reasons could be inadequate information on choice, low socioeconomic status, sociocultural factors, high illiteracy levels of many reproductive aged women coupled with many barriers women face in accessing healthcare including family planning services in PNG (Gupta et al, 2020;Seidu et al, 2020a;Seidu et al, 2020b;Kura, Vince & Crouch-Chivers, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Papua New Guinea is one of the countries in the western paci c region that still encounters substantial challenges in access to family planning services. (Gupta et al, 2020). The country has a contraceptive prevalence rate of 20%-24% (rural-urban) (Alkema et al, 2013) with unmet need for contraception at 25% (Mola & Kirby, 2013).…”

Section: Introductionmentioning

confidence: 99%

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Lk¹,

Seidu²,

Bo³

et al. 2021

Preprint

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Background Papua New Guinea has one of the lowest contraceptive prevalence rates among women of reproductive age in the Western Pacific Region and this makes contraceptive discontinuation in this country a critical public health issue worth studying. This study sought to assess factors associated with contraceptive discontinuation among women of reproductive age in Papua New Guinea. MethodsThe data used for the analysis were obtained from Papua New Guinea Demographic and Health Survey which was conducted in 2016–2018. The outcome variable for this study was contraceptive discontinuation among women of reproductive age. Crude odds ratios and adjusted odds ratios with 95% confidence intervals were estimated using binary logistic regression.ResultsAbout 33.26% of the women discontinued injectables, 19.15% discontinued pills and 3.77% discontinued other contraception methods. Women aged 20-24 [aOR=2.12, CI= [=[1.04,4.31] through to those aged 30-34 [aOR=1.98, CI=1.03,3.79] had higher odds to discontinue contraceptive usage compared to those aged 45-49. Women with no information on choice of contraception [aOR=2.85, CI=2.31,3.51], those with two or more births in the last five years [aOR=2.35, CI=1.65,3.35] and those living in the Highland region [aOR=1.71, CI=1.28,2.29] were more likely to discontinue contraceptive usage compared with those with information on contraceptive choices, those with no births and those living in the Island region respectively. However, women in the rural areas [aOR=0.78, CI=0.61,0.99], those who are undecided in their desire for more children [aOR=0.61, CI=0.37,1.00], women using LARC [aOR=0.10, CI=0.06,0.15], injectables [aOR=0.43, CI=0.30,0.63] and other modern methods including condom [aOR=0.22, CI=0.15,0.34] were less likely to discontinue contraceptive usage. ConclusionA nationwide mass education on the benefits of contraception is recommended for the Papua New Guinea National Department Of Health to tackle the key findings of this study which were high contraceptive discontinuation prevalence with lack of information on choice, disproportionately high contraceptive discontinuation rate in the Highland Region and the desire to give birth to more than two children as some factors associated with contraceptive discontinuation in Papua New Guinea.

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Community attitudes and gendered influences on decision making around contraceptive implant use in rural Papua New Guinea

Cited by 8 publications

References 28 publications

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Family planning in Pacific Island Countries and Territories (PICTs): A scoping review

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

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