Trends in the Contraceptive Method Mix in Low- and Middle-Income Countries: Analysis Using a New “Average Deviation” Measure

Ross, John A.; Keesbury, Jill; Hardee, Karen

doi:10.9745/ghsp-d-14-00199

Cited by 44 publications

(54 citation statements)

References 16 publications

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“…The landmark International Conference on Population and Development (ICPD) of 1994 called for greater recognition of complexities and differences in the family planning needs and preferences of couples and individuals. Hence it is imperative that both women and men have access to information and a wide range of safe and effective family planning methods that will enable them exercise freedom of choice [14]. Existing evidence indicates that restricted contraceptive choice often leads poor uptake and low contraceptive prevalence [14].…”

Section: Introductionmentioning

confidence: 99%

“…Hence it is imperative that both women and men have access to information and a wide range of safe and effective family planning methods that will enable them exercise freedom of choice [14]. Existing evidence indicates that restricted contraceptive choice often leads poor uptake and low contraceptive prevalence [14]. Over the years, contraceptive prevalence rates has grown exponentially in Kenya from 9.7 % in 1984 to 46 % in 2008-09 and recently to 58 % in 2014 among married women [15-17].…”

Section: Introductionmentioning

confidence: 99%

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Contraceptive method choice among women in slum and non-slum communities in Nairobi, Kenya

et al. 2016

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BackgroundUnderstanding women’s contraceptive method choices is key to enhancing family planning services provision and programming. Currently however, very little research has addressed inter and intra-regional disparities in women’s contraceptive method choice. Using data from slum and non-slum contexts in Nairobi, Kenya, the current study investigates the prevalence of and factors associated with contraceptive method choice among women.MethodsData were from a cross-sectional quantitative study conducted among a random sample of 1,873 women (aged 15–49 years) in two non-slum and two slum settlement areas in Nairobi, Kenya. The study locations were purposively sampled by virtue of being part of the Nairobi Urban Health and Demographic Surveillance System. Bivariate and multivariate logistic regression were used to explore the association between the outcome variable, contraceptive method choice, and explanatory variables.ResultsThe prevalence of contraceptive method choice was relatively similar across slum and non-slum settlements. 34.3 % of women in slum communities and 28.1 % of women in non-slum communities reported using short-term methods. Slightly more women living in the non-slum settlements reported use of long-term methods, 9.2 %, compared to 3.6 % in slum communities. Older women were less likely to use short-term methods than their younger counterparts but more likely to use long-term methods. Currently married women were more likely than never married women to use short-term and long-term methods. Compared to those with no children, women with three or more children were more likely to report using long term methods. Women working outside the home or those in formal employment also used modern methods of contraception more than those in self-employment or unemployed.ConclusionUse of short-term and long-term methods is generally low among women living in slum and non-slum contexts in Nairobi. Investments in increasing women’s access to various contraceptive options are urgently needed to help increase contraceptive prevalence rate. Thus, interventions that focus on more disadvantaged segments of the population will accelerate contraceptive uptake and improve maternal and child health in Kenya.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Contraceptive method choice among women in slum and non-slum communities in Nairobi, Kenya

et al. 2016

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“…the problem of underutilization of contraception is urgently needed. [3,4] The problem of underutilization of contraception is complicated by deep-rooted religious and other beliefs and attitude and prevailing practices in families. Ideally, a child should be born because it is wanted, not because it cannot be prevented and this can be made possible by the constructive use of contraceptive methods.…”

Section: Introductionmentioning

confidence: 99%

Contraceptive needs and practices among married women of reproductive age in rural Maharashtra

Tapare¹,

Parande²,

Borle³

2017

Int J Med Sci Public Health

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“…In a research by Ram, most of the participants used oral contraceptives, followed by condom, IUD, and natural methods (Ram, et al, 2014). In another study, the most important cause of unplanned pregnancies was failure to use family planning methods related to the use of condom, IUD, and periodic abstinence (Ross, et al, 2015). In current study, the most common causes of failure to use contraceptive approaches were irregular and improper use of oral contraceptive drugs that were mainly due to lack of awareness, lack of motivation, as well as fear of side effects.…”

Section: Discussionmentioning

confidence: 91%

Use of Contraceptive Methods in Couple’s with Unplanned Pregnancies: A Population-Based Study among Iranian Population

Shobeiri¹,

Aghababaei²,

Moien³

2017

EJMR

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According to common complications of unplanned pregnancies and the necessity of the attention to different factors leading to these types of pregnancies. The purpose of this study was to evaluate the use of contraceptive methods in couple's with unplanned pregnancies referred to health centers in Hamadan city, Iran. In a cross-sectional study conducted on pregnant women who referred to health centers in Hamadan city for using prenatal caring from March 2006 to March 2007.Nine hundred women with unintended pregnancy were randomly selected for this study. The study data were collected by a validated questionnaire including questions about demographic characteristics, pregnancy and also family planning methods used before pregnancy. Data Processing and statistical analysis were performed using SPSS /16.0. Among 900 women with unplanned pregnancy, 92.2% experienced unplanned pregnancy for the first time and once and twice a history of unintended pregnancy was observed in 7.2% and 0.6% of cases, respectively. Among those, 93.9% used contraceptive methods. Hormonal methods were main used methods for contraception in 38.1%, natural method was observed in 31.9% and periodic abstinence was the least used method (0.4%). The main reasons for using irregular methods included inadequate information, lack of motivation and fear of side effects. Meaningful associations were found between the variables of age, age of spouse, educational level, number of parity, and history of abortion and the use of contraceptive methods. Multivariable logistic regression analysis showed that maternal age, educational level of woman and her spouse, and also number of parity were main indicators of the use of contraception. According to high rate of unplanned pregnancy in our population, planning more training and consulting sessions for improving couple's awareness about selection of the most appropriate family planning methods should be considered to reduce unintended pregnancy in our population.

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Trends in the Contraceptive Method Mix in Low- and Middle-Income Countries: Analysis Using a New “Average Deviation” Measure

Cited by 44 publications

References 16 publications

Contraceptive method choice among women in slum and non-slum communities in Nairobi, Kenya

Contraceptive method choice among women in slum and non-slum communities in Nairobi, Kenya

Contraceptive needs and practices among married women of reproductive age in rural Maharashtra

Use of Contraceptive Methods in Couple’s with Unplanned Pregnancies: A Population-Based Study among Iranian Population

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