Misinformation and fear of side-effects of family planning

Diamond‐Smith, Nadia; Campbell, Martha; Madan, Seema

doi:10.1080/13691058.2012.664659

Cited by 85 publications

(74 citation statements)

References 14 publications

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“…Some of these relate to changes in circumstances through marriage, partner absence, and the death of a child. Furthermore, women may start and stop family planning use based on challenges with access (e.g., stock-outs; getting to the facility), costs of methods, quality of care (e.g., not receiving full information on resupply/re-injection), or fear of or experience with side effects [20, 21]. In addition, fertility intentions and family planning use behaviors are dependent on both the woman and her partner’s desires and behaviors and may be influenced by the cultural context within which they live.…”

Section: Introductionmentioning

confidence: 99%

Fertility desires, family planning use and pregnancy experience: longitudinal examination of urban areas in three African countries

Speizer

Lance

2015

BMC Pregnancy Childbirth

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BackgroundMany women have inconsistent fertility desires and contraceptive use behaviors. This increases their risk of unintended pregnancies. Inconsistencies may reflect barriers to family planning (FP) use but may also reflect ambivalence toward future childbearing. Using urban data from Kenya, Nigeria, and Senegal, this study examines the role of fertility desires and FP use behaviors on pregnancy experience over a 2-year follow-up period.MethodsData come from baseline and 2-year follow-up among urban women interviewed in Kenya, Nigeria, and Senegal. At baseline (2010/2011), women were asked about their future fertility desires (want child soon, want to delay >2 years, does not want) and current FP use. At midterm (2012/2013), women were asked if they were currently pregnant or had a birth in the 2-year period. We examine the association between baseline fertility desires and FP use with pregnancy experience and desirability of an experienced pregnancy.ResultsIn the 2-year follow-up period, 27–39 % of women in union experienced a pregnancy or birth. In Kenya and Nigeria, 30–35 % of women using a modern FP method experienced a pregnancy/birth; the percentage with a pregnancy/birth was slightly higher among women not using at baseline (41 % in both countries). In Senegal, the distinction between pregnancy experience between users and non-users was greater (16 % vs. 31 %, respectively). In all countries, pregnancy was less common among users of long-acting and permanent methods; only a small percentage of women use these methods. Women not wanting any(more) children were the least likely to experience a pregnancy in the 2-year follow-up period. No differences were observed between those who wanted to delay and those who wanted soon. Multivariate findings demonstrate distinctions in pregnancy experience by fertility desires among modern FP users. Non-users have similar pregnancy experience by fertility desires.ConclusionsFertility desires are not stable; providers need to consider the fluidity of fertility desires in counseling clients. Programs focusing on new FP users may miss women who are the most motivated to avoid a pregnancy and need to switch to a more effective method; this will result in less unintended pregnancies overall.

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Section: Introductionmentioning

confidence: 99%

Fertility desires, family planning use and pregnancy experience: longitudinal examination of urban areas in three African countries

Speizer

Lance

2015

BMC Pregnancy Childbirth

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“…This unequal distribution of funds could also be a possible cause of the trend of women undergoing sterilization, instead of using a less permanent method. If women were using a reversible form of birth control, 69.4% discontinued due to fertility reasons, 11.5% due to side-effects and 19.2% due to others like low supply, cost, husband said no, and inconvenience [12]. Further it was revealed that the percentage of women who sought sterilization rose markedly after they had 2 children, from 5.1% to 43.3%.…”

Section: Resultsmentioning

confidence: 90%

Possibilities of Planned Small Families in Communities with Lack of Awareness and Scarce Resources

Chhabra¹

2018

J Contracept Stud

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Each day, more than 800 women die due to pregnancy, birth related causes. Most deaths are preventable through birth control, prevention of unwanted pregnancies and increased interval between pregnancies.Objectives: To get information related to possibilities of small families in communities with extreme poverty with mission of future research and advocacy for small families. Methodology:Information was collected by simple review of relevant literature, studies, reviews, commentaries. Personal observations were added.Evidence: It is not very well known whether people with extreme poverty really want to have large families while living with resource crunch, which makes their survival difficult. Rich-poor gap in contraceptive use is large, because of gap in use of modern spacing methods which is much higher in rich compared to poor. Women from poor families tend to have more children, as they give birth at young age, continue childbearing beyond 40 and are less likely to use contraceptive with more unmet need. High fertility has significant implications on welfare of family. Burden of large family perpetuates vicious cycle of poverty, less contraception, more children and more poverty. Reasons given by respondents for non-use of contraception suggest that accessibility of family planning services is not always a barrier even among poorest and there are other factors which result in relatively low use. Women who receive comprehensive factual family planning education are more likely to use contraceptives. Contraceptives with greater side effects or negative cultural perceptions are less likely to be used. Unmet need of contraception due to lack of resolve to practice contraception is not known. Possibilities:It is essential to know whether couples/women with extreme poverty ever think about planned small family. If no, why, if yes, why action is not taken. Providing culturally sensitive, family centered, accessible sustainable system is essential. There is need of women centered environment that respects their beliefs and helps them have small, planned families.

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“…Women also testified in poststudy FGDs to the importance of the counsellor and provider interactions in reducing fear and anxiety (manuscript in progress). Prior work by Diamond-Smith, Campbell and Madan (2012) has demonstrated the need for distinguishing types of fear of family planning, including those originating from prior experience versus those anticipated from prevailing misinformation. Addressing method-specific fear directly in counselling was associated with increased intentions to use the method.…”

Section: Discussionmentioning

confidence: 98%

‘Men don't need to know everything’: a field trial of a discreet, female-initiated, contraceptive barrier method (FemCap™) among Haitian-American women

Gollub

Cyrus

Dévieux

et al. 2015

Culture, Health & Sexuality

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Worldwide, women report the need for safe, non-hormonal, woman-initiated methods of family planning. Cervical barriers provide such technology but are under-researched and under-promoted. In the USA, there are few studies of cervical barriers among women at high unmet need for contraception. A feasibility study of the FemCap™ was conducted among US women of Haitian origin. Participants were heterosexual and seeking to avoid pregnancy. At first visit, participants completed baseline assessments, underwent group counselling and were fitted with FemCap™. Women were asked to insert or use the cap at home. The second visit (2-3 weeks) included an interviewer-administered questionnaire and a focus-group discussion. Participants (n = 20) were Haitian-born (70%), married (55%) and parous (85%). Their mean age was 32.6 years. Seventy percent reported recent unprotected sex. All women inserted the device at home and 9 women used it during intercourse, including 5 without prior partner negotiation. Of 20 women, 11 liked FemCap™ very much or somewhat; 7 considered it 'OK'; 2 disliked it. Best-liked attributes were comfort, discreet wear and reusability. Difficulties with removal abated over time. Qualitative data revealed a high value placed on lack of systemic side effects. Use of FemCap™ was feasible and acceptable, supporting expansion of research, particularly among relevant populations with unmet need.

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Misinformation and fear of side-effects of family planning

Cited by 85 publications

References 14 publications

Fertility desires, family planning use and pregnancy experience: longitudinal examination of urban areas in three African countries

Fertility desires, family planning use and pregnancy experience: longitudinal examination of urban areas in three African countries

Possibilities of Planned Small Families in Communities with Lack of Awareness and Scarce Resources

‘Men don't need to know everything’: a field trial of a discreet, female-initiated, contraceptive barrier method (FemCap™) among Haitian-American women

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