Perceptions of home and self-injection of Sayana® Press in Ethiopia: a qualitative study

Keith, Bonnie; Wood, Siri; Chapman, Caitlin; Alemu, Eshetu

doi:10.1016/j.contraception.2013.12.010

Cited by 21 publications

(15 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CBD has considerable potential to address uptake barriers associated with clinic-based services, such as transportation difficulties, lack of privacy, and fear of disclosure of contraceptive use and subsequent stigmatization [36]. In the future, community-based distribution may usefully expand to include self-administered and/or home-based services [37]. Other interventions demonstrated to improve uptake include male involvement in family planning and improved communication in couples [38, 39].…”

Section: Discussionmentioning

confidence: 99%

Understanding low uptake of contraceptives in resource-limited settings: a mixed-methods study in rural Burundi

Ndayizigiye

Fawzi

Lively

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundFamily planning can reduce deaths, improve health, and facilitate economic development in resource-limited settings. Yet, modern contraceptive methods are often underused. This mixed-methods study, conducted in rural Burundi, sought to explain low uptake of contraceptives by identifying utilization barriers. Results may inform development of family planning interventions in Burundi and elsewhere.MethodsWe investigated uptake of contraceptives among women of reproductive age in two rural districts of Burundi, using an explanatory sequential, mixed-methods research design. We first assessed availability and utilization rates of modern contraceptives through a facility-based survey in 39 health clinics. Barriers to uptake of contraceptives were then explored through qualitative interviews (N = 10) and focus groups (N = 7).ResultsContraceptives were generally available in the 39 clinics studied, yet uptake of family planning averaged only 2.96%. Greater uptake was positively associated with the number of health professionals engaged and trained in family planning service provision, and with the number of different types of contraceptives available. Four uptake barriers were identified: (1) lack of providers to administer contraception, (2) lack of fit between available and preferred contraceptive methods, (3) a climate of fear surrounding contraceptive use, and (4) provider refusal to offer family planning services.ConclusionsWhere resources are scarce, availability of modern contraceptives alone will likely not ensure uptake. Interventions addressing multiple uptake barriers simultaneously have the greatest chance of success. In rural Burundi, examples are community distribution of contraceptive methods, public information campaigns, improved training for health professionals and community health workers, and strengthening of the health infrastructure.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2144-0) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Understanding low uptake of contraceptives in resource-limited settings: a mixed-methods study in rural Burundi

Ndayizigiye

Fawzi

Lively

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Women [13, 14] and health workers [15] have expressed preferences for DMPA-SC over DMPA-IM. Studies have documented interest in self-injection [16, 17] and feasibility has been assessed in Senegal, Uganda, Malawi, and elsewhere [12, 18–23]. Sayana® Press has been approved for self-injection in several countries [12].…”

Section: What Is Sayana® Press?mentioning

confidence: 99%

Is a lower-dose, subcutaneous contraceptive injectable containing depot medroxyprogesterone acetate likely to impact women's risk of HIV?

et al. 2018

View full text Add to dashboard Cite

“…Studies in Senegal and Uganda have explored acceptability and feasibility of introducing Sayana Press using community health workers, 10 and a study in Ethiopia explored attitudes toward self-injection 11 …”

Section: The Advocacy Objective Of the Drc Pilot Studymentioning

confidence: 99%

Pilot Research as Advocacy: The Case of Sayana Press in Kinshasa, Democratic Republic of the Congo

Binanga

Bertrand

2016

Glob Health Sci Pract

View full text Add to dashboard Cite

show abstract

Perceptions of home and self-injection of Sayana® Press in Ethiopia: a qualitative study

Cited by 21 publications

References 7 publications

Understanding low uptake of contraceptives in resource-limited settings: a mixed-methods study in rural Burundi

Understanding low uptake of contraceptives in resource-limited settings: a mixed-methods study in rural Burundi

Is a lower-dose, subcutaneous contraceptive injectable containing depot medroxyprogesterone acetate likely to impact women's risk of HIV?

Pilot Research as Advocacy: The Case of Sayana Press in Kinshasa, Democratic Republic of the Congo

Contact Info

Product

Resources

About