Is Household Wealth Associated With Use of Long-Acting Reversible and Permanent Methods of Contraception? A Multi-Country Analysis

Ugaz, Jorge; Chatterji, Minki; Gribble, James N.; Banke, Kathryn

doi:10.9745/ghsp-d-15-00234

Cited by 33 publications

(38 citation statements)

References 20 publications

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“…This may reflect a different policy environment in the mentioned countries than other countries (13).…”

Section: Discussionmentioning

confidence: 93%

“…IUD appears to be effective for at least 12 years and implants from 3 to 7 years (10,11). The benefits of LAPMs include convenience, high efficacy, costeffectiveness, time, effort, and money saving along with other potential health benefits (12,13). Despite these advantages, using LAPMs may lead to delayed childbearing or other undesirable outcomes (9).…”

Section: Introductionmentioning

confidence: 99%

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Factors Affecting the Use of Long-Acting and Permanent Contraceptive Methods Among Married Women of Reproductive Age in East of Iran

et al. 2017

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Background: Long-acting and permanent contraceptive methods (LAPMs) are the most effective approaches to reduce fertility. The study of factors associated with the use of LAPMs is one of the key steps in finding the population involved in reduced fertility. Objectives: The aim of this study was to assess factors affecting the use of LAPMs among married women of reproductive age in Torbat Heydariyeh city, East of Iran. Methods: This cross-sectional study was conducted on 304 married women aged 15 -49 years in Torbat Heydarieh in 2016. Data were collected using demographic and fertility questionnaires. The data were analyzed using SPSS 13 by descriptive statistics and multivariate regression analysis. Results: The current overall prevalence of using LAPMs was 21.4%. The multivariate analysis showed that utilization of LAMPs was less frequent among the participants with diploma (AOR = 0.357, 95% CI = 0.156 -0.817) and academic education (AOR = 0.418, 95% CI = 0.174 -1.003) compared to women who had primary and secondary education. However, the utilization of LAPMs was more frequent in those with high income level (AOR = 8.364, 95% CI = 3.994-17.511) and those with higher number of living children (AOR = 2.247, 95% CI = 1.585-3.187). Conclusions:The persistent use of LAPMs is largely determined by education and income level and the number of surviving children. Reproductive health programmers can consider this group of women for interventions aiming at improving the fertility rate.

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“…This may reflect a different policy environment in the mentioned countries than other countries (13).…”

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Use of Long-Acting and Permanent Contraceptive Methods Among Married Women of Reproductive Age in East of Iran

et al. 2017

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“…Poor health infrastructure, lack of trained providers and contraceptive commodities, financial barriers, and community opposition to family planning can all impede access to modern contraceptives. [4] Prior research shows that wealth can contribute to significant inequities in access and uptake of long-acting and permanent method (LAPM) contraceptives [5], but these studies have not included messaging exposure, sexual and reproductive health indicators, or normative indicators that drive family size and fertility choices. Also, structural and cultural barriers to effective contraceptive use may also be exacerbated for adolescents living in rural areas, and limitations may be particularly acute for those who are unmarried and/or nulliparous.…”

Section: Introductionmentioning

confidence: 99%

Indicators of young women’s modern contraceptive use in Burkina Faso and Mali from Demographic and Health Survey data

O’Regan

Thompson

2017

Contracept Reprod Med

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BackgroundHigh total fertility rates in Burkina Faso and Mali are leading to population growth beyond the agricultural and fiscal means of its citizens. Providing access to affordable family planning methods is a key step in driving the demographic transition where fertility and mortality rates decline. Furthermore, both nations face significant challenges as climate change is projected to disproportionately impact the western Sahel region undermining environmental, social and economic stability within the region. This analysis was included in formative research to inform family planning programming. The aim of this study was to examine possible indicators of long acting and permanent contraceptive method (LAPM) and short-term method (STM) use for young women in Burkina Faso and Mali.MethodsSecondary data analysis was conducted using the three most recent Demographic and Health Survey (DHS) datasets for Burkina Faso (1998, 2003, 2010) and Mali (2001, 2006, 2012). Women ages 15–24, at risk for unwanted pregnancy were included in these analyses. Summary descriptive statistics across all time points are reported and multinomial logistic regression was used with the most recent data to determine potential indicators of different types of modern contraceptive methods.ResultsIn Burkina Faso in 2010, 24% of women ages 15–24 were using modern contraceptives. Only 2.9% reported using LAPMs in 2010, an increase from 0.3% in 1998. In Mali, modern contraceptive use increased more recently, rising from 9.4% in 2001 to 10.2% in 2006 to 15.3% in 2012. LAPM use also increased from 0.3% in 2001 to 4.1% in 2012. Significant indicators of LAPM contraceptive use in both countries included educational attainment, ideal family size, home ownership and husband’s desire for more children.ConclusionsYoung women in Burkina Faso and Mali are increasingly using modern contraceptives for family planning; however, the LAPM contraceptive prevalence rate remains low. Our analysis indicates that social norms around ideal family size for both men and women continue to drive young women’s choices around family planning and impede use of LAPMs. To increase modern contraceptive use and curb fertility rates, local governments and development organizations should focus on women’s empowerment and include male partners.Electronic supplementary materialThe online version of this article (10.1186/s40834-017-0053-6) contains supplementary material, which is available to authorized users.

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“…This extends to decisions to seek FP services, from whom, and what methods to use. A study by Ugaz et al (2016) found that, in 17 of 30 countries, a greater proportion of poorer women used short-acting methods over long-acting methods than wealthier women, suggesting that financial barriers may suppress choice. For adolescents, cost may deter them from accessing health services altogether, more so than adults.…”

Section: Quality and Fp Purchasingmentioning

confidence: 99%

Positioning family planning quality within health financing for UHC: Connecting the discourse

Appleford¹,

RamaRao²,

Bellows³

et al. 2019

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This brief targets the 'bridge' constituency that is coalescing between the health financing and FP communities of practice around a shared interest in making access to health services universal. With this brief, we aim to identify opportunities for the FP community of practice to advocate for the inclusion of quality, voluntary, and equitable FP services within UHC and health financing discussions. METHODOLOGY AND OUTLINE This technical brief drew on selected published and grey literature on quality of care, FP and UHC. The technical brief is divided into four sections: • Section 1: outlines the quality and the UHC agenda, their grounding in rights, challenges with measurement, and how financing arrangements may affect quality • Section 2: outlines quality and FP, its client-oriented genesis, challenges with routine measurement, and efforts to analyze FP performance within financing arrangements • Section 3: outlines quality and strategic purchasing for FP, using the five Ps analytical framework to illustrate implications for the provision of quality FP services • Section 4: summarizes three important aspects of strategic purchasing for FP quality-the use of FP data and evidence to inform purchasing, FP quality by design and FP quality by implementation within purchasing schemes

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Is Household Wealth Associated With Use of Long-Acting Reversible and Permanent Methods of Contraception? A Multi-Country Analysis

Abstract: In general, across the developing world, wealthier women are more likely than poorer women to use long-acting and permanent methods of contraception instead of short-acting methods. Exceptions are Bangladesh, India, and possibly Haiti.

Cited by 33 publications

References 20 publications

Factors Affecting the Use of Long-Acting and Permanent Contraceptive Methods Among Married Women of Reproductive Age in East of Iran

Factors Affecting the Use of Long-Acting and Permanent Contraceptive Methods Among Married Women of Reproductive Age in East of Iran

Indicators of young women’s modern contraceptive use in Burkina Faso and Mali from Demographic and Health Survey data

Positioning family planning quality within health financing for UHC: Connecting the discourse

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