Intimate partner violence, pregnancy intention and contraceptive use in Honduras

Kuhlmann, Anne Sebert; Shato, Thembekile; Fu, Qiang; Sierra, Manuel

doi:10.1016/j.contraception.2019.03.050

Cited by 13 publications

(11 citation statements)

References 21 publications

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“…People with more children are more likely to abandon their intentions (De Wachter & Neels, 2011;Modena & Sabatini, 2012;Rijken & Liefbroer, 2009;Risse, 2010;Spéder & Kapitány, 2009). Women reporting intimate partner violence are less likely to desire more children (Kuhlmann et al, 2019).…”

Section: Paritymentioning

confidence: 99%

Childbearing intention and its associated factors: A systematic review

et al. 2021

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Today, contraception use has changed the prospect of parenthood to a personal choice (Mills, 2011). In the early 19th century, the modern fertility transition began in France and the United States. (Gutmann & Fliess, 1993;Westoff, ) and quickly expanded across Europe (Westoff, 2015). The regulation of fertility was achieved by widely using contraception and abortion. In every case, the small family size represented the intent of the individual couple

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Section: Paritymentioning

confidence: 99%

Childbearing intention and its associated factors: A systematic review

et al. 2021

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“…In the study, violations of autonomy and informed choice were also described by women in which seems to be a culture of asymmetrical power relationships; a usual reality for women who are affected by Zika and other public health crisis, in which women find it difficult to freely decide about their lives, their sexuality, their reproduction and their bodies (14). In a recent nationally representative study among Honduran women, physical, sexual, and emotional interpersonal violence were associated with sexual and reproductive health outcomes; indeed, contextual factors such as gender inequality and a macho culture may contribute to this in this context (19). In our study, women reported instances of harmful practices not only within the health system but also outside.…”

Section: Discussionmentioning

confidence: 52%

Qualitative stocktaking on assessment of barriers and facilitators to contraceptive and post-abortion care services use following Zika epidemic in Tegucigalpa, Honduras.

Belizán¹,

Maradiaga

Roberti³

et al. 2020

Preprint

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Background. Zika virus (ZIKV) infection during pregnancy has severe consequences on the new-born. The World Health Organization declared the Zika outbreak to be a Public Health Emergency of International Concern (PHEIC) in 2016. Health facilities in the regions most affected by Zika lacked the capacity to respond to the increased demand for contraception. The objective was to explore and describe users’ experiences regarding access to and use of contraceptive and post-abortion care (PAC) services in the context of a Zika outbreak in Tegucigalpa, Honduras, and to follow these services over time. Methods. This study was part of a broader implementation research study. We used an inductive inquiry method consistent with grounded theory approach. Semi-structured interviews and focus groups were performed with women and their partners who used contraceptive services or received PAC services. Data was collected in two stages from December 2017 to July 2018. Themes explored included contraception, Zika and PAC services. Results. Participants had positive attitude towards the use of contraceptive methods and demanded more information on safety, efficacy and on side effects. Health care services were inconsistent in the provision of information on Zika and contraception services. ZIKV vector transmission was known but fewer participants were aware of risk of sexual transmission of Zika. Barriers to access healthcare services included contraceptive and PAC services included distance to healthcare facilities, disorganized admission process, long waiting times and out-of-pocket expenditure to purchase medicines. Furthermore, poor quality, mistreatment and abuse of women seeking PAC was prevalent. Some positive changes were noted over time, such as improvements in infrastructure including improved privacy and cleanliness, removal of fees, requisite to bring clean water to hospital. Conclusions. Our results highlighted the challenges and areas for improvement in policy and practice related to contraceptive services and PAC in the context of ZIKV infection. Public policies to prevent epidemics should focus more on providing proper sanitation; removing barriers to access and use of effective contraception as human rights priority. Zika epidemic has highlighted weaknesses in health systems that obstruct access to and use of sexual and reproductive health services.

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“…In the study, violations of autonomy and informed choice were also described by women in which seems to be a culture of asymmetrical power relationships; a usual reality for women who are affected by Zika and other public health crisis, in which women find it difficult to freely decide about their lives, their sexuality, their reproduction and their bodies [14]. In a recent nationally representative study among Honduran women, physical, sexual, and emotional interpersonal violence were associated with sexual and reproductive health outcomes; indeed, contextual factors such as gender inequality may contribute to this in this context [26]. In our study, women reported instances of harmful practices not only within the health system but also outside.…”

Section: Discussionmentioning

confidence: 99%

Contraception and post abortion services: qualitative analysis of users’ perspectives and experiences following Zika epidemic in Honduras

Belizán

Maradiaga²,

Roberti

et al. 2020

BMC Women's Health

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Background Zika virus (ZIKV) infection during pregnancy has severe consequences on the new-born. The World Health Organization declared the Zika outbreak to be a Public Health Emergency of International Concern (PHEIC) in 2016. Health facilities in the regions most affected by Zika lacked the capacity to respond to the increased demand for contraception. The objectives were to explore healthcare users’ perceptions regarding contraception, Zika prevention during pregnancy and post-abortion care (PAC) services in the context of a Zika outbreak in Tegucigalpa, Honduras, and to follow these services over time. Methods This study was part of a broader implementation research study. We used qualitative research consistent with grounded theory approach. Semi-structured interviews and focus groups were performed with women and their partners who used contraceptive services or received PAC services. Data were collected in two stages from December 2017 to July 2018. Themes explored included contraception, Zika and PAC services. Results Participants had positive attitude towards the use of contraceptive methods and demanded more information on safety, efficacy and on side effects. Health care services were inconsistent in the provision of information on Zika and contraception services. ZIKV vector transmission was known but fewer participants were aware of risk of sexual transmission of Zika. Barriers to access healthcare services included contraceptive and PAC services included distance to healthcare facilities, disorganized admission process, long waiting times and out-of-pocket expenditure to purchase medicines. Furthermore, poor quality, mistreatment and abuse of women seeking PAC was prevalent. Some positive changes were noted over time, such as improvements in infrastructure including improved privacy and cleanliness, removal of fees, requisite to bring clean water to hospital. Conclusions Our results highlight the challenges and areas for improvement in policy and practice related to contraceptive services and PAC in the context of ZIKV infection. Public policies to prevent epidemics should focus more on providing proper sanitation; removing barriers to access and use of effective contraception as human rights priority. Zika epidemic has highlighted weaknesses in health systems that obstruct access to and use of sexual and reproductive health services. The study results call for increased efforts to improve access, especially for women of low socio-economic status and intervene at different levels to eradicate discrimination and improve equity in the provision of health care. Qualitative methods can capture the community perspectives and can provide useful information to develop interventions to improve services.

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Intimate partner violence, pregnancy intention and contraceptive use in Honduras

Cited by 13 publications

References 21 publications

Childbearing intention and its associated factors: A systematic review

Childbearing intention and its associated factors: A systematic review

Qualitative stocktaking on assessment of barriers and facilitators to contraceptive and post-abortion care services use following Zika epidemic in Tegucigalpa, Honduras.

Contraception and post abortion services: qualitative analysis of users’ perspectives and experiences following Zika epidemic in Honduras

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