Contraceptive Discontinuation in Six Developing Countries: A Cause-Specific Analysis

Ali, Mohammad Farhat; Cleland, John G.F.

doi:10.2307/2133181

Cited by 85 publications

(105 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies have demonstrated that fears of side effects are often a barrier to the adoption of contraceptive methods, and such concerns often result in a reliance on traditional forms of contraception (e.g., withdrawal). 33,34 Many of these concerns are often ill-founded and are the consequence of misinformation on contraception. 35 These results again point to the need for targeted family planning education that can dispel many of the myths that surround the use of modern contraceptive methods.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Grabbe

Stephenson

Vwalika

et al. 2009

Journal of Women's Health

View full text Add to dashboard Cite

Objective: The unique needs of sero-discordant couples are largely missing from many current family planning efforts, which focus on the prevention of pregnancies in absence of the reduction of the risk of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). Conversely, HIV testing and programs focus exclusively on condom use without discussion of more effective contraceptive methods. In order to provide information to inform the development of family planning services tailored to the unique needs of serodiscordant couples, this study examined the contraceptive knowledge, use, and concerns among sero-discordant couples in urban Rwanda and Zambia. Methods: This article presents a comparison of family planning knowledge, use, and concerns about contraception among two cohorts of HIV sero-discordant study participants in Rwanda and Zambia. Results: The results reveal an interesting profile of contraceptive knowledge and use among sero-discordant couples; in both settings, despite high levels of knowledge of contraception, use of contraceptive methods remains relatively low. There is a clear gender difference in both the reporting of knowledge and use of contraceptive methods, and there is evidence of clandestine contraceptive use by women. Conclusions: Including information on family planning in voluntary counseling and testing (VCT) services in addition to tailoring the delivery of family planning information to meet to needs and concerns of HIV-positive women or those with HIV positive partners is an essential step in the delivery of services and prevention efforts to reduce the transmission of HIV. Family planning and HIV prevention programs should integrate counseling on ''dual method use,'' combining condoms for HIV=STI prevention with a long-acting contraceptive for added protection against unplanned pregnancy.

show abstract

Section: Discussionmentioning

confidence: 99%

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Grabbe

Stephenson

Vwalika

et al. 2009

Journal of Women's Health

View full text Add to dashboard Cite

show abstract

“…There were 16 questions that explored the basic demographic characteristics of respondents (6), their contraceptive choice (3), and their motivators and barriers to COC use (7). Invited members entered the survey via a link and those who had not used any contraception in the previous 12 months were screened out by the first question.…”

Section: Methodsmentioning

confidence: 99%

Acceptability of the combined oral contraceptive pill among Hong Kong women

Fan

2016

Hong Kong Med J

View full text Add to dashboard Cite

Objective: To evaluate the motivators and barriers to the use of the combined oral contraceptive pill among Hong Kong women. Methods:The Family Planning Association of Hong Kong commissioned the ESDlife to launch an online survey and invited its female members aged 18 to 45 years who had used contraceptives in the past 12 months to participate in this survey. The online survey was posted on the ESDlife website between April 2015 and May 2015. Measurements included contraceptive choice, and motivators and barriers to the use of a combined oral contraceptive pill.Results: A total of 1295 eligible women with a median age of 32 years participated in this survey. In the past 12 months, 76.1% of them used a male condom, 20.9% practised coitus interruptus, 16.2% avoided coitus during the unsafe period, and 12.6% took a combined oral contraceptive pill. These women chose a combined oral contraceptive for convenience, effectiveness, and menstrual regulation, though 60.9% had stopped the pills because they were worried about side-effects, experienced side-effects, Acceptability of the combined oral contraceptive pill among Hong Kong women

show abstract

“…In the case of hormonal contraception, the experience of side effects as well as the fear of them appear to be important causes for non-adherence and the discontinuation of the contraception 26,27 . In less developed countries, contra- ceptive discontinuation due to health concerns are generally higher 28 ; these complaints are often related to service quality and the high doses of hormones in the medications offered.…”

Section: Contraceptive Choicementioning

confidence: 99%

Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon

D’Antona

Chelekis²,

D'Antona³

et al. 2009

Cad. Saúde Pública

View full text Add to dashboard Cite

In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they used in the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonal contraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women's health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women's discourse and perceptions.

show abstract

Contraceptive Discontinuation in Six Developing Countries: A Cause-Specific Analysis

Cited by 85 publications

References 3 publications

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Acceptability of the combined oral contraceptive pill among Hong Kong women

Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon

Contact Info

Product

Resources

About