Moving towards the goals of FP2020 — classifying contraceptives

Festin, Mario; Kiarie, James; Solo, J; Spieler, Jeff; Malarcher, S; Look, P. F. A. Van; Temmerman, Marleen

doi:10.1016/j.contraception.2016.05.015

Cited by 78 publications

(64 citation statements)

References 8 publications

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“…Yet, the potential of tailored, biometric data for pregnancy prevention should not be dismissed, as such apps have the potential to provide low-cost, accessible, nonhormonal methods to women who want them. These apps must be subject to the same standards as other contraceptive methods: (a) be based on reproductive biology, (b) include a defined protocol for use and (c) have been tested in appropriately designed studies to assess effectiveness under various conditions [5].…”

Section: Introductionmentioning

confidence: 99%

Estimating six-cycle efficacy of the Dot app for pregnancy prevention

et al. 2019

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To assess six-cycle perfect and typical use efficacy of Dynamic Optimal Timing (Dot), an algorithmbased fertility app that identifies the fertile window of the menstrual cycle using a woman's period start date and provides guidance on when to avoid unprotected sex to prevent pregnancy. Study design: We are conducting a prospective efficacy study following a cohort of women using Dot for up to 13 cycles. Study enrollment and data collection are being conducted digitally within the app and include a daily coital diary, prospective pregnancy intentions and sociodemographic information. We used data from the first six cycles to calculate life-table failure rates. Results: We enrolled 718 women age 18-39 years. Of the 629 women 18-35 years old, 15 women became pregnant during the first six cycles for a typical use failure rate of 3.5% [95% CI 1.7-5.2]. All pregnancies occurred with incorrect use, so we did not calculate a perfect use failure rate. Conclusions: These findings are promising and suggest that the 13-cycle results will demonstrate high efficacy of Dot. Implications: While final 13-cycle efficacy results are forthcoming, 6-cycle results suggest that Dot's guidance provides women with useful information for preventing pregnancy.

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Section: Introductionmentioning

confidence: 99%

Estimating six-cycle efficacy of the Dot app for pregnancy prevention

et al. 2019

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“…The use of contraceptive methods has remained stagnant over the past 5 years (34% in the 2017-18 PDHS and 35% in the 2012-13 PDHS). This change has been slower when compared to the FP2020 pledge-55% CPR and 2.6 TFR by 2020 (7).…”

Section: Family Planning (Fp) Is An Essential Component Of Sustainablmentioning

confidence: 88%

Perceptions and experiences of men and women towards acceptability and use of contraceptives in underserved areas of Karachi, Pakistan: A Midline Qualitative Assessment of Sukh Initiative, Karachi Pakistan

Saleem

Rizvi

Feroz

et al. 2020

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Background: Family planning (FP) is an essential component of Sustainable Development Goals (SDG) and contributes directly to SDG targets 3.7 and 5.6. In Pakistan, contraceptive use has remained stagnant over the past 5 years. This change has been very slow when compared to the FP2020 pledge. The Sukh initiative project was conceived and implemented to alleviate these challenges by providing access to quality contraceptive methods in some underserved areas of Karachi, Pakistan. A qualitative study was been conducted to understand the perceptions and experiences of men and women towards acceptability and contraceptive use.Methods: A qualitative study was conducted at ten Sukh stations located in four towns of Karachi. Focus group discussions (FGDs) were conducted with Married Women of Reproductive Age (MWRA) and married men who received FP services through the Sukh initiative. Study participants were purposively sampled for focus group discussions (FGDs). Interview data was manually transcribed and analyzed using thematic analysis.Results: A total of 20 FDGs(Men=10 FGDs; MWRA=10 FGDs) were conducted. Three overarching themes were identified: (I) Appropriateness and means to promote contraceptive use; (II) Equity and Accessibility to contraceptives; and (III) Perspective on available FP services. Generally, both men and women were informed about FP methods but women were more cognizant of FP information. The Door to Door services by community health workers in Sukh initiative areas was largely appreciated both by women and men as it has made the accessibility and availability of the information and services easy. Women suggested that the Sukh initiative should bring some strategies that can help men broaden their perspective towards FP. The study informed that the men feel left out from the FP programs. Therefore, male participants expressed keen interest in initiatives for men in their communities that would cater to their FP needs.Conclusions: This qualitative study provided a unique opportunity to understand the perceptions of men and women towards the phenomena of contraceptive use. The study identified the need for trained and qualified female and male healthcare providers and well-established health facilities alongside door-to-door services.

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“…These are preventable public health problems. If all women requiring contraception had access to effective methods, an estimated 375 million unplanned pregnancies would be prevented annually(2). With regard to HIV, advances in antiretroviral therapy (ART) mean that HIV is now a long-term condition with nearnormal life-expectancy for those starting treatment early (3).…”

mentioning

confidence: 99%