Medical barriers to access to family planning

Shelton, James D; Jacobstein, Roy; Angle, M

doi:10.1016/0140-6736(92)92505-a

Cited by 101 publications

(61 citation statements)

References 7 publications

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“…Medical barriers are medically unnecessary restrictions that prevent or reduce access to family planning services [5,6]. One way in which providers can impose medical barriers is through the use of eligibility criteria.…”

Section: Introductionmentioning

confidence: 99%

“…One way in which providers can impose medical barriers is through the use of eligibility criteria. Medically unnecessary restrictions placed on the eligibility of some clients to receive certain types of modern methods may prevent women from receiving their preferred method or any method at all [6]. Eligibility restrictions are often based on an individual's demographic characteristics such as age, marital status, or parity [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Provider barriers to family planning access in urban Kenya

Tumlinson

Okigbo²,

Speizer³

2014

Contraception

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Objective-A better understanding of the prevalence of service provider-imposed barriers to family planning can inform programs intended to increase contraceptive use. This study, based on data from urban Kenya, describes the frequency of provider self-reported restrictions related to clients' age, parity, marital status, and third party consent, and considers the impact of facility type and training on restrictive practices.Study Design-Trained data collectors interviewed 676 service providers at 273 health care facilities in five Kenyan cities. Service providers were asked questions about their background and training and were also asked about age, marital, parity, or consent requirements for providing family planning services.Results-More than half of providers (58%) reported imposing minimum age restrictions on one or more methods. These restrictions were commonly imposed on clients seeking injectables, a popular method in urban Kenya, with large numbers refusing to offer injectables to women younger than twenty years. Forty-one percent of providers reported they would not offer one or more methods to nulliparous women and more than one in four providers reported they would not offer the injectable to women without at least one child. Providers at private facilities were significantly more likely to impose barriers, across all method types, and those without in-service training on family planning provision had a significantly higher prevalence of imposing parity, marital, and consent barriers across most methods.Conclusion-Programs need to address provider-imposed barriers that reduce access to contraceptive methods particularly among young, lower parity, and single women. Promising strategies include targeting private facility providers and increasing the prevalence of in-service training.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Provider barriers to family planning access in urban Kenya

Tumlinson

Okigbo²,

Speizer³

2014

Contraception

View full text Add to dashboard Cite

show abstract

“…Accelerating the pace towards attainment of the health-related MDGs and soon the Sustainable Development Goals (SDGs) should feature on top of the agenda of health and development. A number of demand-and supply-side barriers challenge the improvement of maternal and child health and survival (Welsh et al, 2006;Shelton et al, 1992).…”

Section: Accelerating the Pace Of Progress Towards Mdgs 4 And 5 By Remomentioning

confidence: 99%

Leveraging mobile technology to reduce barriers to maternal, newborn and child health care: a contribution to the evidence base

Fotso

Tsui

2015

APS

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“…Excellent technologies, however, are worthless if they cannot be accessed, or are used poorly. Concerns about the safety of different contraceptives have sometimes created medical barriers to the provision of contraception, 18 20 which provided guidance on the safe and effective use of different contraceptives. Both documents have been updated several times, using an increasingly evidence-based approach.…”

Section: 12mentioning

confidence: 99%