“… I would have left that man long time ago but, …” exploring circumstances of and motivators for repeat adolescent birth in Eastern Uganda

Amongin, Dinah; Kaharuza, Frank; Hanson, Claudia; Nakimuli, Annettee; Mutesi, Susan; Beňová, Lenka; Atuyambe, Lynn

doi:10.1186/s13690-021-00662-9

Cited by 1 publication

(1 citation statement)

References 40 publications

(36 reference statements)

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“…Instead, family planning is strongly dependent on beliefs and practices based on local social and cultural norms which vary widely across contexts 13 , 14 . Low national coverage and larger gaps have been identified in countries with higher levels of extreme poverty and lower women’s empowerment, where women may face stronger barriers to accessing contraceptives and may be exposed to risky sexual activity 15 , 16 . In addition, in contexts of extreme poverty and limited method mix or untrained health providers, women may prefer sterilization to reversible contraceptives 17 .…”

Section: Introductionmentioning

confidence: 99%

Learning from success cases: ecological analysis of potential pathways to universal access to family planning care in low- and middle-income countries.

Hellwig

Barros²

2023

Gates Open Res

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Background Universal access to family planning services is a well-recognized human right and several countries and organizations are committed to this goal. Our objective was to identify countries who improved family planning coverage in the last 40 years and investigate which contexts enabled those advances. Methods Analyses were based on data from publicly available national health surveys carried out since 1986 in Egypt, Ethiopia, Rwanda, Afghanistan, Brazil, and Ecuador, selected based on previous evidence. We estimated demand for family planning satisfied with modern methods (mDFPS) for each country and explored inequalities in terms of wealth, women’s education, and women’s age. We also explored contextual differences in terms of women’s empowerment, percentage of population living in extreme poverty, and share of each type of contraceptive. To better understand political and sociocultural contexts, country case studies were included, based on literature review. Results Patterns of mDFPS increase were distinct in the selected countries. Current level of mDFPS coverage ranged between 94% in Brazil and 38% in Afghanistan. All countries experienced an important reduction in both gender inequality and extreme poverty. According to the share of each type of contraceptive, most countries presented higher use of short-acting reversible methods. Exceptions were Ecuador, where the most used method is sterilization, and Egypt, which presented higher use of long-acting reversible methods. In the first years analyzed, all countries presented huge gaps in coverage according to wealth, women’s education and women’s age. All countries managed to increase coverage over recent years, especially among women from the more disadvantaged groups. Conclusions Family planning coverage increased along with reductions in poverty and gender inequality, with substantial increases in coverage among the most disadvantaged in recent years. Policies involving primary health care services, provision of various methods, and high quality training of health providers are crucial to increase coverage.

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