Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Mumah, Joyce; Casterline, John B.; Machiyama, Kazuyo; Wamukoya, Marylene; Kabiru, Caroline W.; Cleland, John

doi:10.1111/sifp.12070

Cited by 15 publications

(21 citation statements)

References 29 publications

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“…In addition, some countries have policies that restrict the use of IUDs by unmarried women or adolescents, further limiting access to LARC for certain subgroups (Ali, Folz, and Farron 2019). Even when LARC are provided for free, women might not want to use them due to the concern for removal, reliance on health providers, and less familiarity through social network (Tibaijuka et al 2017;Mumah et al 2018). Addressing these supply-and demandside factors may have a larger effect on LARC use than relying on pricing strategies alone.…”

Section: Discussionmentioning

confidence: 99%

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Chang

Tumlinson

2021

Studies in Family Planning

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Financial barriers may restrict women's ability to use their preferred contraceptive methods, especially long-acting reversible contraceptives (LARC). Providing free access to a broad contraceptive method mix, including both LARC and short-acting reversible contraceptives (SARC), may increase contraceptive use, meet women's various fertility needs, and increase their agency in contraceptive decisions. Linking facility and individual data from eight countries in sub-Saharan Africa, we use a propensity score approach combined with machine learning techniques to examine how free access to a broad contraceptive method mix affects women's contraceptive choice. Free access to both LARC and SARC was associated with an increase of . percentage points ( percent confidence interval: ., .) in the likelihood of contraceptive use, driven by greater use of SARC. Among contraceptive users, free access did not prompt women to switch to LARC and had no effect on contraceptive decision-making. The price effects were larger among older and more educated women, but free access was associated with lower contraceptive use among adolescents. While free access to contraceptives is associated with a modest increase in contraceptive use for some women, removing user fees alone does not address all barriers women face, especially for the most vulnerable groups of women.

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Section: Discussionmentioning

confidence: 99%

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Chang

Tumlinson

2021

Studies in Family Planning

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“…All women who had heard of the method-whether they were currently using the method, had used it in the past or had never used it-were asked about 12 method attributes, which were based, in part, on past research on determinants of contraceptive choice. [29][30][31] Obtaining the perceptions of all women, whatever their current and past contraceptive use, provides a basis for balanced assessment of the associations between the attributes and use status (use, nonuse, adoption and discontinuation).…”

Section: Discussionmentioning

confidence: 99%

Contraceptive Method Attributes and Married Women's Intention to Use the Pill or the Injectable in Rural Bangladesh

Huda¹,

Casterline²,

Ahmmed³

et al. 2018

International Perspectives on Sexual and Reproductive Health

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The factors underlying contraceptive method choice are poorly understood in many countries, including Bangladesh. It is important to understand how Bangladeshi women's perceptions of a method's attributes are associated with their intention to use that method. METHODS: Data on 2,605 married women aged 15-39 living in rural Matlab were taken from a baseline survey conducted in 2016. Conditional logit analysis was used to examine associations between 12 method attributes and intention to use the pill or the injectable among the 583 fecund women not currently using a method. Method attributes included those relating to ease of obtainment and use, efficacy, health effects, husband's approval, the experiences of the respondent and the experiences of women in the respondent's social network. RESULTS: Women tended to perceive the pill more positively than the injectable. For example, greater proportions of women reported believing that the pill is easy to use (90% vs. 72%) and does not cause serious health problems (75% vs. 38%). The likelihood that a woman intended to use a method was positively associated with her perception that it is easy to use (odds ratio, 2.9) and does not cause serious health problems (1.7) or affect longterm fertility (2.9). Satisfied past users of a method were more likely than never users to report intending to use the method (5.2). Intention to use the pill rather than the injectable was positively associated with education (2.0-3.6) and having a migrant husband (1.7). CONCLUSIONS: Negative beliefs not supported by evidence, particularly about the injectable, are associated with women's intention to use a contraceptive method. The results may be useful in improving contraceptive care, counseling and training.

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“…The communicable diseases are followed by studies on sexual and maternal behavior (13.6%). The main focus in these studies was on contraceptive methods [60] or general studies on pregnancy health (e.g., [61,62]). Nutritional issues were examined in 8.5% of the studies, mainly with regard to children (e.g., [63,64]).…”

Section: Analysis By Health Categoriesmentioning

confidence: 99%

Slums, Space, and State of Health—A Link between Settlement Morphology and Health Data

Friesen

Dietrich

et al. 2020

IJERPH

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Approximately 1 billion slum dwellers worldwide are exposed to increased health risks due to their spatial environment. Recent studies have therefore called for the spatial environment to be introduced as a separate dimension in medical studies. Hence, this study investigates how and on which spatial scale relationships between the settlement morphology and the health status of the inhabitants can be identified. To this end, we summarize the current literature on the identification of slums from a geographical perspective and review the current literature on slums and health of the last five years (376 studies) focusing on the considered scales in the studies. We show that the majority of medical studies are restricted to certain geographical regions. It is desirable that the number of studies be adapted to the number of the respective population. On the basis of these studies, we develop a framework to investigate the relationship between space and health. Finally, we apply our methodology to investigate the relationship between the prevalence of slums and different health metrics using data of the global burden of diseases for different prefectures in Brazil on a subnational level.

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Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Cited by 15 publications

References 29 publications

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Contraceptive Method Attributes and Married Women's Intention to Use the Pill or the Injectable in Rural Bangladesh

Slums, Space, and State of Health—A Link between Settlement Morphology and Health Data

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