Access to family planning for youth: perspectives of young family planning leaders from 40 countries

Cartwright, Alice F.; Otai, Jane; Maytan-Joneydi, Amelia; McGuire, Courtney; Sullivan, E C; Olumide, Adesola; Easton, Catherine Baye; Speizer, Ilene S.

doi:10.12688/gatesopenres.13045.2

Cited by 13 publications

(17 citation statements)

References 12 publications

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“…Spouse or partner was reported as the most influential (80.4%), followed by service providers (44.1%), community health workers (39.2%), and peers/friends (36.3%). A similar question was asked about influencers of contraceptive choice and contraceptive continuation and the pattern of responses was similar (see Underlying data) 19 .…”

Section: Resultsmentioning

confidence: 99%

“…Conversely, 85.7% and 78.6% of respondents said it was very or somewhat easy for married youth to get pills and injectables (significantly different than unmarried youth). Further, while 70.2% reported that it was easy for married youth to get implants, 19.7% reported that implants are still somewhat or very hard for this group to get. Condoms were rated easy to get almost equally for unmarried and married youth.…”

Section: Resultsmentioning

confidence: 99%

“…Other sources for condoms suggested by small numbers of respondents included vending machines/dispensers, youth clinics, peer educators, school/university, or at community events. Finally, respondents reported that both married (89.0%) and unmarried (80.7%) youth would most prefer to get implants at the hospital or health clinic (see Underlying data) 19 .…”

Section: Resultsmentioning

confidence: 99%

“…The survey was developed in English and French, the two main languages of target participants. A copy of the survey is included as Extended data 19 .…”

Section: Survey Instrumentmentioning

confidence: 99%

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Access to family planning for youth: perspectives of young family planning leaders from 40 countries

et al. 2019

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Background: With growing populations of young people, low and middle-income countries have renewed focus on reaching both unmarried and married youth with family planning (FP) services. Young people themselves bring an important perspective to guide future programmatic directions. Methods: In October 2018, 207 youth leaders in FP from around the world completed an online survey prior to their participation at the International Conference on Family Planning (ICFP). These youth leaders provided their perspectives on the most important influencers for youth FP use, how easy or hard it is for youth to obtain FP, preferred sources of FP methods for youth, and perceptions of commonly used terms in FP programming. We examined differences in perceptions of unmarried and married youth’s access to and use of FP using bivariate analyses. Results: Respondents reported that peers/friends were the most important influencer on use of FP among unmarried youth (80.2%), while spouse/partner was the most important for married youth (80.4%). Oral contraceptive pills, injectable contraception, and contraceptive implants were perceived as significantly harder for unmarried youth to access. Privacy, confidentiality, and anonymity were all important factors for the locations to access FP for unmarried youth, while married youth were more influenced by cost. None of the commonly used terms for FP were perceived positively by a majority of respondents, with the exception of ‘birth spacing’ by African respondents (51.0%). Conclusions: These findings indicate that the preferences and needs of unmarried youth are different than married youth, but that all young people face barriers accessing FP. Unmarried youth seeking family planning are more influenced by peers and friends and continue to face difficulty accessing methods compared to married youth. These findings indicate the importance of including youth perspectives in development of youth-focused family planning programs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The survey was developed in English and French, the two main languages of target participants. A copy of the survey is included as Extended data 19 .…”

Section: Survey Instrumentmentioning

confidence: 99%

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Access to family planning for youth: perspectives of young family planning leaders from 40 countries

et al. 2019

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“…Utilization of family planning methods is determined by factors at the individual, household, and community level, but the geographic pattern of contraceptive use may be associated with in uences at zonal level such as the availability and accessibility of health services in these areas (17). In responding, health actions are needed at each level, from structural, through community settings including schools and health services (18)(19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

Yesuf¹,

Muluneh²,

Asrese³

2020

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Introduction: Despite increase in trend of contraceptive utilization in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study shows varation in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia. Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods: Cross-sectional study design was applied using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years. Spatial analysis was done using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization. The data were analyzed using a two level-mixed-effects logistic regression model to determine the individual and community level factors associated with modern contraceptive utilization.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group 15-24 years was 36.7 %. Spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand, Gettis-OrdGi* analysis indicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalence spot region. In this study religion, wealth index, religious, health facility visits within 12 months, husband desire more children, perception of distance from health facility, region, Community access to health services and community educational level were statically significant variables for modern contraceptive utilization.Conclusions: There is low prevalence of modern contraceptive utilization and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategy. Therefore, exerting much effort on this area is supreme important as it has significant public health contributions.

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Mixed-methods study on pharmacies as contraception providers to Kenyan young people: who uses them and why?

et al. 2020

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ObjectivesThis study sought to answer two questions: (1) what are the characteristics of young Kenyans aged 18–24 who use contraception obtained at pharmacies, and (2) why are pharmacies appealing sources of contraception?Design and settingThis was a mixed-methods study in one peri-urban part of Kwale County, Kenya. Methods included cross-sectional survey (n=740), six focus group discussions, 18 in-depth interviews and 25 key-informant interviews. Quantitative data analysis identified factors pushing young people to pharmacies for modern contraception versus other sources. Qualitative data analysis identified reasons pharmacies were perceived to be appealing to young clients.ParticipantsParticipants were (1) young people aged 18–24 from the study area, including a subset who had recently purchased contraception from a pharmacy; or (2) pharmacy personnel and pharmacy stakeholders.ResultsAmong surveyed participants who had ever had sexual intercourse and had used modern contraception at last sexual intercourse, 59% obtained it from a pharmacy. In multivariable analysis, participants who used a condom or emergency contraception as well as those living alone were significantly more likely to get contraception from pharmacies. Pharmacies were valued for their convenience, privacy, non-judgmental and personable staff, service speed, as well as predictable and affordable prices.ConclusionsOur findings indicate a high percentage of young people in Coastal Kenya use pharmacies for contraception. Our inclusion of emergency contraception users partially explains this. Pharmacies were perceived to be everything that health facilities are not: fast, private and non-limiting. Policy-makers should recognise the role of pharmacies as contraception providers and look for opportunities to link pharmacies to the public health system. This would create a network of accessible and appealing contraception services for young people.

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Access to family planning for youth: perspectives of young family planning leaders from 40 countries

Cited by 13 publications

References 12 publications

Access to family planning for youth: perspectives of young family planning leaders from 40 countries

Access to family planning for youth: perspectives of young family planning leaders from 40 countries

Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

Mixed-methods study on pharmacies as contraception providers to Kenyan young people: who uses them and why?

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