Targeting factors for change: contraceptive counselling and care of female adolescents

Bitzer, Johannes; Abalos, Virginia; Apter, Dan; R, Martin; Black, Amanda

doi:10.1080/13625187.2016.1237629

Cited by 50 publications

(46 citation statements)

References 76 publications

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“…We identified several factors that influenced the odds of women receiving higher quality counseling. We did not confirm age as a factor influencing the odds of a woman receiving good quality counseling, which was surprising given that Ethiopian adolescents have been cited as being at higher risk of receiving poorer quality family planning services, including counseling [29]. Throughout Ethiopia, socially accepted sexual activity, childbearing, and contraception use are limited to the context of marriage, which was by far the highest represented category in marital status among our sample's female respondents [30].…”

Section: Discussionmentioning

confidence: 62%

Quality of Family Planning Counseling in Ethiopia: Trends and determinants of information received by female modern contraceptive users, evidence from national survey data, (2014- 2018)

et al. 2020

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BackgroundFamily planning counseling is critical for women to make informed reproductive and sexual health decisions. Despite Ethiopia's success in expanding access to family planning services, information on the quality of family planning counseling is limited. The objectives of this study were to assess whether the quality of counseling from the female client´s perspective has changed over time (2014 to 2018) and to investigate determinants associated with the quality of counseling to provide a more nuanced understanding of disparities in sexual and reproductive health outcomes in Ethiopia. counseling on family planning was low, with only 30% of women reporting receiving sufficient information during counseling. The likelihood of good quality counseling was the least among those who had no formal schooling when compared to those who had higher educational attainment (OR = 0.70, 95% CI: 0.50, 0.97). Women from the wealthiest quintile were 1.72 times more likely (95% CI: 1.10, 2.69) to receive good quality counseling when compared to women in the lower wealth quintile. Women from rural areas were 1.51 times more likely to have received good counseling when compared to those in urban areas (95% CI: 1.04, 2.18). Amhara residents were less likely to receive good counseling when compared to the SNNPR (OR: 0.51, 95% CI: 0.32, 0.81). Women who acquired their method from the private sector had worse counseling (OR: 0.31, 95% CI: 0.23, 0.41) when compared to the public sector. Those using short-acting methods were more at risk of receiving lesser quality counseling when compared to users of long-acting methods (OR: 0.58, 95% CI: 0.46, 0.72). ConclusionThe results of this analysis indicated that Ethiopia's overall progress in modern contraceptive use has not been accompanied by a corresponding increase in the quality of family planning counseling. Improving the quality of contraception counseling for women across all demographics, including wealth quintiles and education, is a crucial strategy to support positive reproductive health outcomes with a rights-based focus. Based on the findings of this study, it is essential to emphasize the need to do proper counseling for all methods including short-acting methods especially for those working the private sector and some of the regions which have lower prevalence of good counseling. Further community-based participatory and qualitative research should focus on understanding the root causes and barriers to the delivery of high-quality counseling in Ethiopia.

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Section: Discussionmentioning

confidence: 62%

Quality of Family Planning Counseling in Ethiopia: Trends and determinants of information received by female modern contraceptive users, evidence from national survey data, (2014- 2018)

et al. 2020

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“…Barriers to accessing contraceptive information and methods include social or culture taboos, legal restrictions, health care provider (HCP) attitudes, and healthcare systems (9,10). The acceptability and availability of contraception for adolescents varies by region and even by countries in the same region.…”

Section: Barriers To Contraceptive Access and Usementioning

confidence: 99%

“…by erroneously insisting on a Pap smear prior to starting contraception), or by perpetuating unfounded myths about contraceptive use (18). HCPs should ensure that they have the necessary skills and knowledge to provide unbiased, non-judgemental, evidenced-based, adolescent-friendly sexual health and reproductive health care and to be able to dispel common myths and misperceptions about contraceptive use (Table 1) (9).…”

Section: Barriers To Contraceptive Access and Usementioning

confidence: 99%

“…Many have had more than one partner (5,6,7,8). Adolescents have the lowest level of contraceptive knowledge and use (9). Initiation of sexual activity while they lack adequate knowledge and skills to protect themselves places adolescents at higher risk of unwanted pregnancy, unsafe abortion, and STIs (10).…”

Section: Introductionmentioning

confidence: 99%

“…Although adolescent pregnancy rates are decreasing worldwide, adolescent mothers make up 11% of births (13). Although there are variations in cultural norms around age of marriage and childbearing, the majority of adolescent pregnancies are unintended (9,14,15). Adolescent pregnancy contributes to maternal and child mortality, with complications from pregnancy and childbirth being the leading cause of death for girls aged 15-19 years (13).…”

Section: Introductionmentioning

confidence: 99%

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Contraception for Adolescents

Todd¹,

Black²

2020

Jcrpe

Self Cite

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Although pregnancy and abortion rates have declined in adolescents, unintended pregnancies remain unacceptably high in this age group. The use of highly effective methods of contraception is one of the pillars of unintended pregnancy prevention and requires a shared decision making process within a rights based framework. Adolescents are eligible to use any method of contraception and long-acting reversible contraceptives, which are "forgettable" and highly effective, may be particularly suited for many adolescents. Contraceptive methods may have additional non-contraceptive benefits that address other needs or concerns of the adolescent. Dual method use should be encouraged among adolescents for the prevention of both unintended pregnancies and sexually transmitted infections. Health care providers have an important role to play in ensuring that adolescents have access to high quality and non-judgmental reproductive health care services and contraceptive methods in adolescent-friendly settings that recognize the unique biopsychosocial needs of the adolescent. Abstract 28

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From awareness to usage of long‐acting reversible contraceptives: Results of a large European survey

Caetano

Bliekendaal²,

Engler

et al. 2020

Intl J Gynecology & Obste

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Objective: The PULSE survey investigated contraceptive decision making, focusing on the use of long-acting reversible contraceptives (LARCs) to determine reasons for their low adoption rates. Methods: An online questionnaire was sent to women aged 18-49 years in 14 European countries who were considering starting or changing contraceptive method and asked questions based on four stages of contraceptive decision making: awareness, consideration, consultation, and adoption. Results: Overall, 7221 women responded. LARC awareness was high (~73%) but current usage was low (11.3%). Only 24% of LARC-aware women would consider switching to them. Factors associated with decision making differed depending on the stage: e.g. at the awareness phase, women were concerned with suitability, reversibility, and whether the method is hormonal; and at the consideration phase, the efficacy, convenience, and adverse-effect profile were important. Healthcare professionals (HCPs) were the most trusted information source for women's contraceptive decision making. LARCs were discussed less frequently during consultations than other contraceptives and HCPs may be perceived to hold negative opinions on LARCs. Conclusion: A lack of knowledge about the features and benefits of LARCs can contribute to misconceptions and low adoption rates. HCPs play an important role in addressing this, as information conveyed during consultations influences women's contraceptive choices.

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Targeting factors for change: contraceptive counselling and care of female adolescents

Cited by 50 publications

References 76 publications

Quality of Family Planning Counseling in Ethiopia: Trends and determinants of information received by female modern contraceptive users, evidence from national survey data, (2014- 2018)

Quality of Family Planning Counseling in Ethiopia: Trends and determinants of information received by female modern contraceptive users, evidence from national survey data, (2014- 2018)

Contraception for Adolescents

From awareness to usage of long‐acting reversible contraceptives: Results of a large European survey

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