Accélérer l’adoption de la planification familiale volontaire et fondée sur les droits dans les pays en développement

Machiyama, Kazuyo; Obare, Francis; Chandra-Mouli, Venkatraman; Festin, Mario; Khosla, Rajat; Kiarie, James; Say, Lale; Thatte, Nandita

doi:10.31899/rh2.1101

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…Some qualitative studies on the barriers to meeting the needs for contraception among adolescents suggest paying attention to: their social, political, cultural and religious environment; the quality of health services; contraception costs; as well as their access to health services (10,11). In addition, adolescents often face many barriers such as fear or embarrassment of meeting a relative in family planning services and lack of knowledge of contraceptive methods that limit their use of modern contraceptive methods (12). Because of the population explosion and rapid urbanization in African capitals, young people may nd it more di cult to access health services in urban areas because of the low adaptive capacity of health systems (13).…”

Section: Introductionmentioning

confidence: 99%

Factors Facilitating the use of Contraceptive Methods Among Urban Adolescents and Youth in Guinea: A Qualitative Study

Manet¹,

Doucet²,

Bangoura³

et al. 2021

Preprint

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BackgroundThe use of modern contraceptive methods among adolescents and youth is a public health priority to prevent unwanted pregnancies. To our knowledge, no study has ever explored and documented the promoting factors for contraceptive use among urban adolescents and youth in Guinea. The objective of this study was to explore the personal, community, and health system factors that promote the use of contraceptive methods among urban adolescents and youth in Guinea. MethodsWe conducted a qualitative exploratory and descriptive study with adolescents and youth aged 15 to 24 living in Conakry, Guinea. Data were collected through twenty-six individual in-depth interviews, and 10 group interviews with an additional eighty individuals, for a total of 106 participants. The investigation was conducted from June to October 2019. Both individual and group interviews were audio-recorded, and the verbatims were afterwards transcribed. Data was analyzed using the “thematic analysis” method (deductive and inductive approaches).ResultsThe personal factors favoring contraceptive use among adolescents and youth pertained to perceived benefits of the methods, knowledge of the family planning service channels, means to afford the cost of the method, and spouse/sexual partner approval. The community factors included peer suggestions about contraceptive methods, and socio-cultural beliefs about the method. The health system factors referred to access to free contraceptive methods, availability of methods, clinical competence and attitude of the health care provider to advise or administer methods, and proximity of family planning services to users’ place of residence. ConclusionsThis research shows that many adolescents and youth living in Conakry are sexually active and want to avoid unwanted pregnancy by using modern, traditional or cultural contraceptive methods. Access to free or affordable methods, discretion of method use, proximity and availability of methods, and suggestions of methods by peers are factors that motivate adolescents and youth to use contraception. This knowledge can inform policies and programs to improve the use of effective contraceptive methods by adolescents and youth living in Conakry, Guinea, and ultimately contribute to the optimal sexual and reproductive health of this population.

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Section: Introductionmentioning

confidence: 99%

Factors Facilitating the use of Contraceptive Methods Among Urban Adolescents and Youth in Guinea: A Qualitative Study

Manet¹,

Doucet²,

Bangoura³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

Factors facilitating the use of contraceptive methods among urban adolescents and youth in Guinea: a qualitative study

Manet¹,

Doucet

Bangoura³

et al. 2023

Reprod Health

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Background The use of modern contraceptive methods among adolescents and youth is a public health priority to prevent unintended pregnancies. To our knowledge, no study has ever explored and documented factors promoting contraceptive use among urban adolescents and youth in Guinea. The objective of this study was to explore the factors that promote the use of contraceptive methods at the personal, interpersonal, community, and health system levels among urban adolescents and youth in Guinea. Methods We conducted a qualitative research study including twenty-six individual in-depth interviews among adolescents and youth, and 10 group interviews with an additional eighty individuals, for a total of 106 participants. The socio-ecological model was used to orient both data collection and analysis. Data were collected from June to October 2019. Both individual and group interviews were audio-recorded, and transcribed verbatims afterwards. Data was analyzed thematically, using deductive codes. Results The individual factors favoring contraceptive use among adolescents and youth pertained to perceived benefits of the methods (e.g., discretion, absence of side effects, duration of action, ease of use), knowledge of the family planning service channels, and means to afford the cost of the method. The interpersonal factors were spouse/sexual partner approval, and peer suggestions about contraceptive methods. The community factors included socio-cultural beliefs about the methods, and community expectation not to get pregnant before marriage. The health system factors included access to free contraceptive methods, availability of methods, clinical competence and attitude of the health care provider to advise or administer methods, and proximity of family planning services to users’ place of residence. Conclusions This qualitative research shows that many adolescents and youth living in Conakry use a variety of contraceptive methods, whether modern, traditional Access to free or affordable methods, discretion of method use, proximity and availability of methods, and suggestions of methods by peers are factors that motivate adolescents and youth to use contraception. In order to optimally facilitate the use of modern contraception among adolescent and young urban Guineans, we recommend that: (1) adolescents and youth have access to public health strategies enabling them to learn about, obtain, and use methods in a way that allows them to remain discreet; (2) the use of modern contraceptive methods be promoted by peers; and (3) health care providers and peers be adequately trained to have accurate and up-to-date knowledge about the different contraceptive methods available, demonstrate clinical skills for teaching and for method placement (if applicable), and show appropriate attitudes toward this population. This knowledge can inform policies and programs to improve the use of effective contraceptive methods by adolescents and youth living in urban Guinea.

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Accélérer l’adoption de la planification familiale volontaire et fondée sur les droits dans les pays en développement

Cited by 2 publications

References 15 publications

Factors Facilitating the use of Contraceptive Methods Among Urban Adolescents and Youth in Guinea: A Qualitative Study

Factors Facilitating the use of Contraceptive Methods Among Urban Adolescents and Youth in Guinea: A Qualitative Study

Factors facilitating the use of contraceptive methods among urban adolescents and youth in Guinea: a qualitative study

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