Preventing unintended pregnancy among young women in Kenya: prospective cohort study to offer contraceptive implants

Hubacher, David; Olawo, Alice; Manduku, Carolyne; Kiarie, James; Chen, Pai Lien

doi:10.1016/j.contraception.2012.04.013

Cited by 34 publications

(33 citation statements)

References 20 publications

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“…Promoting uptake of provider-dependent, long-acting methods such as IUDs and contraceptive implants has the potential to increase contraception continuation and decrease birth rates, and has been found to be acceptable among young people [21,22]. Further investigations into how to link young people to clinics and youth-friendly services-using mobile phones and other approaches-are needed.…”

Section: Discussionmentioning

confidence: 99%

“…I would have sex without CD [condom] hence I was exposed to STIs, HIV and pregnancy on the part of my girlfriend but I cannot have sex without condoms after m4RH" (Male,20). "I settled on using a condom because I did not want to go to a health center for any other FP method" (Female,22). attending a clinic after using m4RH.…”

Section: Potential Impactmentioning

confidence: 99%

“…Learning about contraception "I learned about different methods of FP, the ones I did not know existed […] I did not know other FP methods like implants existed" (Female,22). "I am able to raise only two children.…”

Section: Information Accessmentioning

confidence: 99%

“…User quote (Female,22). "I like the advice provided on family planning and the way clients are handled -there is no bad language used" (Female,20).…”

Section: Conceptmentioning

confidence: 99%

“…I will not have any more because of m4RH, that is, after the advice from m4RH" (Male, 19). Dual protection "I learned condoms prevent pregnancy and sexually transmitted infections" (Female,22). "I decided to continue using condoms because it has a dual protection against STI and pregnancy" (Male, 21).…”

Section: Information Accessmentioning

confidence: 99%

See 4 more Smart Citations

There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

Vahdat

L’Engle

Plourde

et al. 2013

Intl J Gynecology & Obste

Self Cite

106

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a b s t r a c t a r t i c l e i n f oObjective: To evaluate the acceptability, information access, and potential behavioral impact of providing contraception information via text message on mobile phones to young people in Kenya. Methods: Three methods of data collection were implemented during the 17-month pilot period for the Mobile for Reproductive Health (m4RH) program in Kenya: automatic logging of all queries to the m4RH system; demographic and behavior change questions sent via short message service protocol (SMS) to everyone who used m4RH during the pilot period; and telephone interviews with a subset of m4RH users. Results: During the pilot period, 4817 unique users accessed m4RH in Kenya. Of these, 82% were 29 years of age and younger, and 36% were male. Condom and natural family-planning information was accessed most frequently, although users queried all methods. One in 5 used the m4RH system to locate nearby clinics. Respondents liked the simple language and confidentiality of receiving health information via mobile phone, and reported increased contraceptive knowledge and use after using m4RH. Conclusion: Providing contraception information via mobile phone is an effective strategy for reaching young people. More research is needed to learn how to link young people to youth-friendly services effectively.

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Section: Discussionmentioning

confidence: 99%

Section: Potential Impactmentioning

confidence: 99%

Section: Information Accessmentioning

confidence: 99%

“…User quote (Female,22). "I like the advice provided on family planning and the way clients are handled -there is no bad language used" (Female,20).…”

Section: Conceptmentioning

confidence: 99%

Section: Information Accessmentioning

confidence: 99%

See 3 more Smart Citations

There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

Vahdat

L’Engle

Plourde

et al. 2013

Intl J Gynecology & Obste

Self Cite

106

View full text Add to dashboard Cite

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Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low‐ and middle‐income countries: A systematic review

Lassi

Kedzior

Tariq

et al. 2021

Campbell Systematic Reviews

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Background: The preconception period is an ideal time to introduce interventions relating to nutrition and other lifestyle factors to ensure good pregnancy preparedness, and to promote health of mothers and babies. In adolescents, malnutrition and early pregnancy are the common challenges, particularly among those who live in lowand middle-income countries (LMIC) where 99% of all maternal and newborn deaths occur. These girls receive little or no attention until their first pregnancy and often the interventions after pregnancy are too late to revert any detrimental health risks that may have occurred due to malnutrition and early pregnancy.Objectives: To synthesise the evidence of the effectiveness of preconception care interventions relating to delayed age at first pregnancy, optimising inter-pregnancy intervals, periconception folic acid, and periconception iron-folic acid supplementation on maternal, pregnancy, birth and child outcomes.Search Methods: Numerous electronic databases (e.g., CINAHL, ERIC) and databases of selected development agencies or research firms were systematically searched for all available years up to July 2019. In addition, we searched the reference lists of relevant articles and reviews, and asked experts in the area about ongoing and unpublished studies.Selection Criteria: Primary studies, including large-scale programme evaluations that assessed the effectiveness of interventions using randomised controlled trials (RCTs) or quasi-experimental designs (natural experiments, controlled before-after studies, regression discontinuity designs, interrupted time series [ITS]), that targeted women of reproductive age (i.e., 10-49 years) during the pre-and periconceptional period in LMICs were included. Interventions were compared against no intervention, standard of care or placebo.

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Characteristics of Kenyan women in a prospective cohort study who continue using subdermal contraceptive implants at 12 months

et al. 2014

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Preventing unintended pregnancy among young women in Kenya: prospective cohort study to offer contraceptive implants

Cited by 34 publications

References 20 publications

There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low‐ and middle‐income countries: A systematic review

Characteristics of Kenyan women in a prospective cohort study who continue using subdermal contraceptive implants at 12 months

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