Limits to modern contraceptive use among young women in developing countries: a systematic review of qualitative research

Williamson, Lisa; Parkes, Alison; Wight, Daniel; Petticrew, Mark; Hart, Graham

doi:10.1186/1742-4755-6-3

Cited by 296 publications

(323 citation statements)

References 58 publications

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“…2013; Williamson et al. 2009; Castle 2003). Such concerns are likely to be more of a deterrent to use and selection of methods among younger women wishing to space or postpone childbearing than among those wanting to limit family size.…”

Section: Discussionmentioning

confidence: 99%

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Mumah¹,

Casterline²,

Machiyama³

et al. 2018

Studies in Family Planning

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Despite an extensive evidence base on contraceptive method choice, it remains uncertain which factors are most influential in predisposing women toward certain methods and against others. This paper addresses this gap in knowledge by making use of rarely‐measured perceptions about specific methods, perceived social network experience of methods, and women's own past experiences using specific methods. We draw on baseline data from the project, “Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning.” Using conditional logit analysis, we ascertain which perceived method‐specific attributes, including past experience of methods by women themselves and by their friends, predict preferred future contraceptive method among 317 women living in Nairobi slums who are using no method but intend to start in the next 12 months. Results show that satisfaction with past use, positive experience of use by a woman's social network, husband/partner's approval, lack of interference with menses, and perception of safety for long term use were all associated with choice of a future method.

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Section: Discussionmentioning

confidence: 99%

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Mumah¹,

Casterline²,

Machiyama³

et al. 2018

Studies in Family Planning

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“…These findings compare with those reported elsewhere. Williamson et al [18] conducted a synthesis of several studies from developing countries, many of which reported inaccurate perceptions of pregnancy risk among young women, limited understanding of modern contraceptives and general misconceptions about how to use them properly.…”

Section: Discussionmentioning

confidence: 99%

“…These difficulties are compounded by problems of access: in common with many other developing countries, unmarried adolescents in Sri Lanka face considerable difficulties accessing family planning or reproductive health services because they are only available to, or perceived to be only available to those who are married. [4,18] The literature identifies substantial areas of concern and suggests that Sri Lankan adolescents are ill equipped to make informed decisions about sexual activity and protect themselves from the unwanted consequences. However, ten years have elapsed since the UNICEF study and further work is indicated to determine the extent to which progress has been made.…”

Section: Introductionmentioning

confidence: 99%

Sexual and reproductive knowledge, attitudes and behaviours in a school going population of Sri Lankan adolescents

Rajapaksa-Hewageegana¹,

Piercy

Salway

et al. 2015

Sexual & Reproductive Healthcare

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The reproductive and sexual health of adolescents is an important health concern and a focus of global attention. In Sri Lanka, a lack of understanding about adolescent reproductive and sexual health needs is a matter of national concern.A survey was undertaken to examine the sexual knowledge, attitudes and behaviours of school going adolescents in Sri Lanka. A random sample of schools was selected from one district. Data were collected by a self-completion questionnaire and analysed using SPSS. Response rate was 90%. 2020 pupils (26% boys, 74% girls) aged 16-19 years (mean = 16.9) participated, the majority Singhalese (97%).Most reported a good parent-child relationship (88%). A minority (34%) discussed sexual issues with parents. Health professionals were the preferred source of sexual information (32%) rather than parents (12.5%) or friends (5.6%). Less than 1% demonstrated satisfactory sexual and reproductive knowledge levels. 1.7% were sexually active (30 boys vs 5 girls), the majority with same age partners. 57% used contraception at first intercourse.There is an imperative to address the lack of sexual and reproductive knowledge. A minority of school going adolescents become sexually active. These individuals are potentially vulnerable and services need to be developed to meet their needs.

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“…For example, in a review of limits to use of modern contraceptives in developing countries, the authors present a matrix that lists the 10 emerging themes against the seven included studies, noting which studies attempted to address which theme (Williamson et al 2009). The approach taken by Munro et al (2007) in their meta-ethnographic review of patients' adherence to tuberculosis treatment is to present primary themes (views and understandings of participants) and secondary themes (interpretations by authors of primary studies), although references to the articles which reported this are not made, and it is not immediately obvious which themes supersede or have greater weighting than others.…”

Section: Options For Synthesis Of Qualitative and Mixed Methods Evidencementioning

confidence: 99%

“…Existing reviews of qualitative evidence have adopted different approaches. Some authors have assessed the quality of included studies using existing quality appraisal tools and excluded studies judged to be of low quality from the synthesis (Campbell et al 2003, Pound et al 2005, Williamson et al 2009), while others have opted to systematically assess study quality, without excluding studies on the basis of quality (Thomas et al 2003, Munro et al 2007. In a review of the barriers and facilitators to children's healthy eating, the authors conducted a sensitivity analysis and found that including the weaker studies did not affect the results of their synthesis (Thomas et al 2003), leading them to conclude they will exclude studies of lower quality in the future (Thomas et al 2004).…”

Section: Controversies Around Quality Appraisalmentioning

confidence: 99%

Systematic reviews: from ‘bare bones’ reviews to policy relevance

Snilstveit

2012

Journal of Development Effectiveness

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Systematic reviews: from 'bare bones' reviews to policy relevance Birte SnilstveitTo cite this article: Birte Snilstveit (2012) Systematic reviews: from 'bare bones' reviews to policy relevance, Journal of Development Effectiveness, 4:3, 388-408, DOI: 10.1080/19439342.2012 Theory-based systematic reviews, which summarise evidence on what works, when and why, strive for greater policy relevance. Reviews that answer these questions adopt a mixed methods approach and draw on a range of study types. Answering the 'what works' and 'what doesn't' questions means drawing on effectiveness studies, conducted to standards of high-quality impact evaluation. But in formulating answers to the 'when' and 'why' questions requires a broader range of evidence from both quantitative and qualitative research. Based on a review of the methodological literature in this field and the experience of 3ie's systematic reviews program, this article provides an outline of how a theory-based approach to systematic reviews, including appropriate quantitative and qualitative evidence, can be operationalised. We propose an approach based on three principles: (1) develop a program theory for the intervention; (2) adopt a mixed methods approach and include a broader range of evidence; and (3) maintain the rigour and transparency that characterise systematic reviews. The approach translates into two broad options. Effectiveness plus reviews focus on providing a detailed causal chain analysis by drawing on a program theory and additional data collection on context and intervention implementation. And effectiveness plus with a parallel review component, which is designed to answer specific research questions related to effectiveness, adopts separate inclusion criteria, reflecting the type of studies appropriate for answering those questions.

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Limits to modern contraceptive use among young women in developing countries: a systematic review of qualitative research

Cited by 296 publications

References 58 publications

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Sexual and reproductive knowledge, attitudes and behaviours in a school going population of Sri Lankan adolescents

Systematic reviews: from ‘bare bones’ reviews to policy relevance

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