Reproductive empowerment and contraceptive self-care: a systematic review

Burke, Holly M.; Ridgeway, Kathleen; Murray, Kate R.; Mickler, Alexandria; Thomas, Reana; Williams, Katie M.

doi:10.1080/26410397.2022.2090057

Cited by 19 publications

(14 citation statements)

References 60 publications

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“…Condoms are the most important contraceptive vehicles [27]. The development of new condoms with more effective preventive effects can be beneficial for reproductive health.…”

Section: Discussionmentioning

confidence: 99%

Design of a New Coating Agent Based on Graphene Oxide and Antimicrobial/Spermicidal Peptide (Sarcotoxin Pd) for Condom Coating: New Strategy for Prevention of Unplanned Pregnancy and Sexually Transmitted Infections

Zare‐Zardini

Alemi²,

Zahedi

et al. 2023

Journal of Nanomaterials

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In this study, sarcotoxin Pd-functionalized graphene oxide (GO-Pd) was synthesized as a new condom-coating agent. Antimicrobial activity was evaluated by radial diffusion assay (RDA) and absorbance-based methods. Sperm motility and morphology were assessed in different concentrations of designed nanostructures. Peptide stability on the GO structures was assessed by the CD technique. GO-Pd showed the highest contact angle. The results approved that GO-Pd had broad-spectrum antimicrobial activities against examined pathogens, especially vaginal infections such as Candida vulvovaginitis. This antimicrobial activity was more than pristine peptides, vancomycin, and fluconazole. GO-Pd also had a higher inhibitory activity on the sperm motility and viability than pristine peptides. GO-Pd had high stability and activity in all examined conditions. But, naked peptides had low stability and activity after incubation in acidic pH and high temperatures (>38°C). In all tests, GO-Pd showed a significant difference compared to naked peptide. Based on the results, GO-Pd can be used as a condom coating to prevent unplanned pregnancy and sexually transmitted infections.

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“…Condoms are the most important contraceptive vehicles [27]. The development of new condoms with more effective preventive effects can be beneficial for reproductive health.…”

Section: Discussionmentioning

confidence: 99%

Design of a New Coating Agent Based on Graphene Oxide and Antimicrobial/Spermicidal Peptide (Sarcotoxin Pd) for Condom Coating: New Strategy for Prevention of Unplanned Pregnancy and Sexually Transmitted Infections

Zare‐Zardini

Alemi²,

Zahedi

et al. 2023

Journal of Nanomaterials

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“… 8 The potential negative impact of patriarchal societies in which women may have low autonomy with regard to SRH and may be at risk of violence was noted by Obare and Burke. 11 , 12 …”

Section: Safeguards To Enhance Accessmentioning

confidence: 99%

“… 18 The need to ensure privacy in self-care interventions is underscored by the findings of one of the papers in Burke and colleagues’ review of reproductive empowerment and self-care in family planning, which found that a client-facing digital technology intervention inadvertently increased experiences of physical violence. 12 Just as with other self-care interventions, digital interventions must be tailored to local context, attentive to possible unintended impacts, and with appropriate safeguards in place.…”

Section: Right To Privacymentioning

confidence: 99%

Centring rights-based access to self-care interventions

Ferguson

Narasimhan

2022

Sexual and Reproductive Health Matters

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“…In addition, some self care-oriented FP methods such as emergency contraception, oral pills and condoms can be purchased and used without the support of a health provider [20]. Self care-oriented FP can easily be delivered through the existing channels preferred by young people in their respective communities, such as; the private sector (drug shops, pharmacies) [21] and the greatly desired community based models like community health workers and peer educators [22] with potential to overcome inequities based on age, education and geographic coverage due to the increases access at community level While self care-oriented FP services can potentially help achieve reproductive autonomy [23], the ability to use of self-care options can also be in uenced by one's extent of reproductive autonomy which is also in uenced by several factors like empowerment for decision making [24], partner involvement, the health system and socio-cultural issues. Women who are empowered to make reproductive health decisions are often in position to use contraceptives [25].…”

mentioning

confidence: 99%

Contraception Decision-making Autonomy among Adolescent Girls and Young Women in Uganda: Implications for Self Care-oriented Family Planning

Matovu

Amongin

Akulume

et al. 2023

Preprint

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Background: Reproductive autonomy is a key ingredient in driving the agenda for increased access to and utilization of self care-oriented family planning (FP) methods. We assessed current contraceptive use, contraception decision-making processes and interest in self care-oriented contraception among adolescent girls and young women (AGYW) in Uganda. Methods: This secondary analysis used cross-sectional data from 2109 sexually-active AGYW aged 10-24 years obtained from a national survey conducted in September 2020. AGYW were asked if they had ever used or were currently using any FP method. Current contraceptive users were asked about who made the decision to use contraception in general and the specific FP methods that they were currently using in particular (i.e. respondent, partner, respondent and partner, or provider); those who made the decision to use contraception on their own were considered to have had contraception decision-making autonomy. We used a modified multivariable Poisson regression model to assess the adjusted prevalence ratio (adj. PR) and 95% confidence interval (95%CI) associated with contraception decision-making autonomy. Interest in self care-oriented FP methods was assessed descriptively. Results: More than halfof AGYW (54.8%, n=1155) were current contraceptive users. Of these, 64.5% (n=745) made the decision to use contraception jointly with partner; 26.8% (n=310) made the decision on their own, while 8.7% (n=100) had the decision made by the partner. Fifty-nine per cent (n=684) made the final decision on the specific FP method to use jointly with partner; 27.8% (n=321) made the decision on their own while 12.9% (n=150) had the decision made by the respondent and partner or by the provider or partner. Having contraception discussion with partner prior to contraceptive use (adj. PR = 0.39; 95%CI: 0.32, 0.48) and being currently married (adj. PR=0.74; 95%CI: 0.56, 0.98) were negatively associated with contraceptive decision-making autonomy. Fifty-eight per cent of AGYW (n=1213) reported interest in obtaining information on how to access and/or use self care-oriented FP methods. Conclusion: Slightly more than a quarter of current contraceptive users had contraception decision-making autonomy. Given the high interest in self care-oriented FP methods, AGYW should be empowered to make contraceptive decisions on their own.

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Reproductive empowerment and contraceptive self-care: a systematic review

Cited by 19 publications

References 60 publications

Design of a New Coating Agent Based on Graphene Oxide and Antimicrobial/Spermicidal Peptide (Sarcotoxin Pd) for Condom Coating: New Strategy for Prevention of Unplanned Pregnancy and Sexually Transmitted Infections

Design of a New Coating Agent Based on Graphene Oxide and Antimicrobial/Spermicidal Peptide (Sarcotoxin Pd) for Condom Coating: New Strategy for Prevention of Unplanned Pregnancy and Sexually Transmitted Infections

Centring rights-based access to self-care interventions

Contraception Decision-making Autonomy among Adolescent Girls and Young Women in Uganda: Implications for Self Care-oriented Family Planning

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