Satisfied IUD Acceptors as Family Planning Motivators in Sri Lanka

Fisher, Andrew; Silva, V de

doi:10.2307/1966973

Cited by 8 publications

(4 citation statements)

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“…Once men's and women's deepest fears about specific contraceptives are known, purposeful counseling can be provided.6 Question-and-answer pamphlets can be developed to guide providers' interactions and to distribute to clients. Another effective strategy may be to refer potential clients to other clients for consultation (Fisher and de Silva, 1986). Information about the relationship between contraception and sexuality is scarce.…”

Section: Promotingappropriate Health Concemsmentioning

confidence: 99%

The Causes of Unmet Need for Contraception and the Social Content of Services

Bongaarts¹,

Bruce²

1995

Studies in Family Planning

279

187

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Since the 1960s, survey data have indicated that substantial proportions of women who have wanted to stop or delay childbearing have not practiced contraception. This discrepancy is referred to as the "unmet need" for contraception. The traditional interpretation, that these women lack access to contraceptive supplies and services, has led in turn to an emphasis on expanding family planning programs. This study analyzes survey data and related anthropological studies on the causes of unmet need and concludes that the conventional explanation is inadequate. Although for many environments geographic access to services remains a problem, the principal reasons for nonuse are lack of knowledge, fear of side effects, and social and familial disapproval. This finding underscores the need for expanded investment in services that not only provide contraceptives, but also attend to closely related health and social needs of prospective clients. Programs are likely to be most successful when they reach beyond the conventional boundaries of service provision to influence and alter the cultural and familial factors that limit voluntary contraceptive use.

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Section: Promotingappropriate Health Concemsmentioning

confidence: 99%

The Causes of Unmet Need for Contraception and the Social Content of Services

Bongaarts¹,

Bruce²

1995

Studies in Family Planning

279

187

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show abstract

“…Direct measurement of satisfaction thus complements data on discontinuation in understanding contraceptive choices and diffusion of views about methods in social networks, as found in a study conducted in rural Kenya (Rutenberg & Watkins, 1997). Satisfied current and past users are likely to be the main drivers of method adoption by never users (Fisher & de Silva, 1986).…”

Section: Introductionmentioning

confidence: 82%

Factors influencing satisfaction with oral contraceptive pills and injectables among past users in Kenya

et al. 2018

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This study examines factors associated with satisfaction with oral pills and injectables among past users in Kenya based on a baseline survey for the 2-year prospective longitudinal study Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning conducted in 2016. Married women aged 15–39 years were interviewed using a structured questionnaire that captured information on reproduction, contraceptive knowledge and beliefs and attitudes towards contraception in general and towards specific methods. A multivariate logistic regression analysis was used to examine factors that influenced satisfaction with oral pills and injectables among past users in one urban site (Nairobi slums) and one predominantly rural site (Homa Bay in western Kenya). Results showed that dissatisfaction with pills and injectables is common among past users in both rural and urban Kenya (ranging from 39% to 56%). The distinctive contribution of the study lies in its ability to relate method-specific beliefs to overall satisfaction. Perception of effectiveness, ease of use and safety for long-term use had statistically significant influences on satisfaction with pills in both urban and rural sites while partner’s approval was only important in Nairobi. For injectables, the perception of safety for long-term use was significant in the urban but not the rural site. Unlike pills, the belief that members of a woman’s social network had used a method and found it satisfactory was a particularly powerful influence on satisfaction (AOR=2.8 in rural and 3.2 in urban). Perception of accessibility and fears about infertility were not found to be statistically associated with satisfaction for either pills or injectables. Surprisingly, the effects of all perceived contraceptive attributes were the same for major socio-demographic strata of the populations. The findings underscore the need for targeted counselling and community-based communication interventions to address negative and erroneous perceptions about family planning methods.

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“…The role of interpersonal discussions in contraceptive use behavior interpersonal communication, whether through casual conversation or through explicit persuasion, has been shown to have an important role in promoting health behaviors including contraceptive use (e.g., Birkel & Reppucci, 1983;Fisher & de Silva, 1986;Palmore, Hirsch, & Marzuki, 1971;Rakowski, et al, 1990, see Valente & Saba, 2001. International studies have shown clear causal relationships between discussing contraception with one's partner and their subsequent FP use (e.g., Lasee & Becker, 1997;Orji, Adegbenro, Akinniranye, Ogunbayo & Oyebadejo, 2007;Salway, 1994;Sharan & Valente, 2002).…”

Section: Trends In Fertility and Contraceptive Use In The Philippinesmentioning

confidence: 99%

Influence of Interpersonal Discussion on Contraceptive Use: A Study of the Philippine Case

David¹,

Atun²

2009

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Interpersonal influence through communication is a complex process that bears important implications on attitudes, preferences, and behaviors. This study examines the role of interpersonal communication about family planning (FP) and sexuality on decisions to use contraceptives. Secondary analysis of data from nationally-representative sample surveys shows that among women non-users, discussions of FP with partner and relatives significantly predict intention to use contraceptives. However, for both men and women users, only discussing with partner about FP significantly predicts preference for modern contraceptive methods over non-modern ones. Although very few young men and women discuss sex at home, bivariate analyses show that among the married sample, discussing sex with others has a significant relationship with contraceptive use. Implications and recommendations for family planning campaigns and intervention programs are discussed.

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Satisfied IUD Acceptors as Family Planning Motivators in Sri Lanka

Cited by 8 publications

References 0 publications

The Causes of Unmet Need for Contraception and the Social Content of Services

The Causes of Unmet Need for Contraception and the Social Content of Services

Factors influencing satisfaction with oral contraceptive pills and injectables among past users in Kenya

Influence of Interpersonal Discussion on Contraceptive Use: A Study of the Philippine Case

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