Contraceptive Counseling in Clinical Settings: An Updated Systematic Review

Zapata, Lauren B.; Pazol, Karen; Dehlendorf, Christine; Curtis, Kathryn M.; Malcolm, Nikita M.; Rosmarin, Rachel B.; Frederiksen, Brittni N.

doi:10.1016/j.amepre.2018.07.006

Cited by 42 publications

(23 citation statements)

References 44 publications

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“…However, to assess the most effective approach, more detail is needed on how such education and counselling activities are conducted. This finding also supported the conclusions of other systematic reviews on the positive impact of this approach [51,52].…”

Section: Effectiveness Of Demand Generation Interventions With Regardsupporting

confidence: 90%

Effectiveness of demand generation interventions on use of modern contraceptives in low‐ and middle‐income countries

Belaid

Dumont

Chaillet

et al. 2016

Tropical Med Int Health

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objectives To synthesise evidence on the implementation, costs and cost-effectiveness of demand generation interventions and their effectiveness in improving uptake of modern contraception methods. methods A Cochrane systematic review was conducted. Searches were performed in electronic databases (MEDLINE, EMBASE) and the grey literature. Randomised controlled trials, cluster randomised trials and quasi-experimental studies, including controlled before-after studies (CBAs) and cost and cost-effectiveness studies that aimed to assess demand interventions (including community-and facility-based interventions, financial mechanisms and mass media campaigns) in low-and middle-income countries were considered. Meta-analyses and narrative synthesis were conducted. results In total, 20 papers meeting the inclusion criteria were included in this review. Of those, 13 were used for meta-analysis. Few data were available on implementation and on the influence of context on demand interventions. Involving family members during counselling, providing education activities and increasing exposure to those activities could enhance the success of demand interventions. Demand generation interventions were positively associated with increases in current use (pooled OR 1.57; 95% CI: 1.46-1.69, P < 0.01). Financial mechanism interventions (vouchers) appeared effective to increase use of modern contraceptive methods (pooled OR 2.16; 95% CI: 1.91-2.45, P < 0.01; I 2 = 0%). Demand interventions improved knowledge (pooled OR 1.02; 95% CI 0.63-1.64, P = 0.93) and attitudes towards family planning and improved discussion with partners/ husbands around modern contraceptive methods. However, given the limited number of studies included in each category of demand generation interventions, the dates of publication of the studies and their low quality, caution is advised in considering the results. Very limited evidence was available on costs; studies including data on costs were old and inconsistent. conclusion Demand generation interventions contribute to increases in modern contraceptive methods use. However, more studies with robust designs are needed to identify the most effective demand generation intervention to increase uptake of modern contraceptive methods. More evidence is also needed about implementation, costs and cost-effectiveness to inform decisions on sustainability and scaling-up.

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Section: Effectiveness Of Demand Generation Interventions With Regardsupporting

confidence: 90%

Effectiveness of demand generation interventions on use of modern contraceptives in low‐ and middle‐income countries

Belaid

Dumont

Chaillet

et al. 2016

Tropical Med Int Health

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“…The current study conclusions are congruent to the conclusions of the study by Zapata, Tregear, Curtis, Tiller, Pazol, Mautone-Smith, and Gavin [9] on impact of Contraceptive Counselling in Clinical Settings. The study concluded that a robust positive association between counselling and uptake of contraceptives.…”

Section: Discussionsupporting

confidence: 90%

“…Numerous researches have established the relationship between the two. In a study that analysed 23 studies by Zapata, Tregear, Curtis, Tiller, Pazol, Mautone-Smith, and Gavin [9] on impact of Contraceptive Counselling in Clinical Settings, the study established a robust positive association between counselling and uptake of contraceptives. The study explored the impact on studies carried out on different age groups to include adolescents, and adults and all indicated a positive impact on contraceptive performance.…”

Section: Literature Reviewmentioning

confidence: 99%

Influence of Quality Counseling on Performance of Family Planning Programs in Kuresoi North Sub-County, Nakuru County, Kenya

Wambugu¹,

Kyalo²,

Mbugua³

et al. 2020

AJAP

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This study investigated quality counseling influence on performance of family planning programs in Kuresoi North Sub-County, Nakuru County, Kenya. The study was founded on the theory of constraint and adopted a pragmatism paradigm. It applied descriptive research method using mixed method approach to investigate the influence of quality counseling on performance of family planning program in Kuresoi North Sub-County, Nakuru County, Kenya. The target population in the study was women of reproductive age in 33,482 households distributed in the four Wards of Kuresoi North Sub-County and 19 health management leaders in-charge of all government health facilities offering family planning services in the Sub-County. A sample size of 400 of women of reproductive age and 19 nursing officers in-charge of government health facilities was utilized. The data collection tools used were questionnaire, interview guide, and observation checklist for women of reproductive age and the interview guide for the health facility managers. The research study adopted stratified sampling method. Qualitative data was analyzed according to themes and patterns and then summarizing the data and linking it to objectives and hypothesis. The study findings indicate that there is moderate quality counseling exhibited pertaining to family planning in the dispensaries and health centers located in Kuresoi North Sub-County. Further findings exhibited that there was a significant and strong positive individual correlation between quality counseling and performance of family planning program in Kuresoi North Sub-County. Finally, the study findings also exhibited that there is a significant positive relationship between quality counseling and performance of family planning program in Kuresoi North Sub-County and it predicted the performance of family planning programmes. in Kuresoi North Sub-County.

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“…La U.S. Preventive Services Task Force 84 propone el cribado por encima de 65 años (grado B de recomendación) y en mujeres más jóvenes que tengan un riesgo de fracturas similar (en torno al 10% en los próximos 10 años). En población española, el riesgo de fracturas en torno al 10% se alcanza en mujeres a los 72 años.…”

Section: Cribado De Osteoporosisunclassified