Comparing Women's Contraceptive Preferences With Their Choices in 5 Urban Family Planning Clinics in Ghana

Rominski, Sarah; Morhe, Emmanuel; Maya, Ernest; Manu, Abukar; Dalton, Vanessa K.

doi:10.9745/ghsp-d-16-00281

Cited by 21 publications

(25 citation statements)

References 22 publications

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“…Bleeding profiles differ across methods, and women's preferences should inform a tailored counseling approach and be incorporated into deciding which method to select. 22 ABSENCE OF MENSES – If you are using a hormonal method, ABSENCE OF MENSES does not mean that you are pregnant. Providers should reassure users of hormonal contraception that they should not assume absence of menstrual bleeding is, by itself, a sign of pregnancy.…”

Section: Proposed Toolmentioning

confidence: 99%

“…Bleeding profiles differ across methods, and women's preferences should inform a tailored counseling approach and be incorporated into deciding which method to select. 22 …”

Section: Proposed Toolmentioning

confidence: 99%

“…20 , 21 A clearer understanding of potential bleeding changes associated with a given contraceptive method and anticipated lifestyle implications may also help women make well-informed decisions about the specific method that best meets their needs. 22 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception

Rademacher

Sergison

Glish³

et al. 2018

Glob Health Sci Pract

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Section: Proposed Toolmentioning

confidence: 99%

“…Bleeding profiles differ across methods, and women's preferences should inform a tailored counseling approach and be incorporated into deciding which method to select. 22 …”

Section: Proposed Toolmentioning

confidence: 99%

See 1 more Smart Citation

Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception

Rademacher

Sergison

Glish³

et al. 2018

Glob Health Sci Pract

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show abstract

“…These issues need to be foregrounded in counselling for this group of women. [9,10] Encouragingly, Pillay et al [3] found that many women had negotiated implant insertion, and indeed removal, with their partners. Others chose clandestine use, allowing them to use the implant without knowledge of their partners.…”

Section: Counselling and Choicementioning

confidence: 99%

Introduction of the contraceptive implant in South Africa: Successes, challenges and the way forward

et al. 2017

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“…As an example, our study team interviewed women in Ghana's two largest cities to determine the extent to which women were receiving the contraceptive method of their choice (Rominski et al. ; Rominski et al. ).…”

mentioning

confidence: 99%

Toward a New Definition of Unmet Need for Contraception

Rominski¹,

Stephenson²

2019

Studies in Family Planning

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The current definition of unmet need for contraception assumes that all women who are using a method have a met need. We argue that without taking into account the level of satisfaction with a method, many women are classified as having a met need, when in fact they have an unmet need. They are using a method that does not meet their preferences, either because it causes side effects they find untenable or has other characteristics they do not like. Given the large number of contraceptive episodes that end in discontinuation, reportedly often due to the experience of side effects, we argue that the current definition of unmet need undercounts the number of women with a true unmet need for contraception as it misses the many women who are using a method that does not meet their preferences. We suggest the addition of satisfaction questions in national surveys such as the Demographic and Health Surveys to more fully assess the level of true met need for contraception.A n estimated 222 million women in low-and middle-income countries report an unmet need for contraception (Singh and Darroch 2012). Unmet need for contraception is currently defined as being of reproductive age (15-49 years), fecund, not wanting a child in at least the next two years, and not using any form of contraception, as well as women who report that their current or recent pregnancy was unintended. Unmet need is commonly used as a measure of programmatic need and quality, and the levels of unmet need often drive key funding and resource decisions around the provision of family planning services and international aid. In the current definition of unmet need, need is met when a woman who wants to prevent or delay a birth is using a method of modern contraception. However, this does not take into account whether the woman is using the form of contraception she desires: unmet need does not take into account level of satisfaction with method. Here we argue for expanding the definition of unmet need to incorporate elements of satisfaction with current method used.The global family planning community seeks to encourage more use of contraception, and is focused on reducing the number of women around the world having unmet need.

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Comparing Women's Contraceptive Preferences With Their Choices in 5 Urban Family Planning Clinics in Ghana

Cited by 21 publications

References 22 publications

Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception

Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception

Introduction of the contraceptive implant in South Africa: Successes, challenges and the way forward

Toward a New Definition of Unmet Need for Contraception

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