Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

MacQuarrie, Kerry L.D.; Juan, Christina; Gemmill, Alison

doi:10.1371/journal.pone.0271944

Cited by 3 publications

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“…This study is not the first to develop profiles of women and categorize their contraceptive needs and behaviors. Globally, the reproductive calendar from Demographic Health Surveys (DHS) has been utilized to explore how circumstances such as pregnancy, marriage or education influence contraceptive timing and method choice ( 22 , 27 , 38 ). In a DHS Analytical report ( 38 ), an analysis of data from Burundi categorized women of reproductive age into different segments based on patterns of contraceptive use, marriage and childbearing.…”

Section: Discussionmentioning

confidence: 99%

“…Globally, the reproductive calendar from Demographic Health Surveys (DHS) has been utilized to explore how circumstances such as pregnancy, marriage or education influence contraceptive timing and method choice ( 22 , 27 , 38 ). In a DHS Analytical report ( 38 ), an analysis of data from Burundi categorized women of reproductive age into different segments based on patterns of contraceptive use, marriage and childbearing. The majority of young women fell into profiles of a “quiet calendar” with no contraceptive use and no pregnancies for the duration of the calendar or a “family builder” with no contraceptive use and two births for the duration of the calendar.…”

Section: Discussionmentioning

confidence: 99%

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Contraceptive method use trajectories among young women in Kenya: A qualitative study

Calhoun

Mandal

Onyango

et al. 2022

Front. Glob. Womens Health

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BackgroundMany young women experience important key life transitions during adolescence and early adulthood, such as initiation of sexual activity, first use of contraceptives, marriage, and childbirth. For young women to be able to plan and manage their lives, it is critical to understand how these life events intersect and shape their contraceptive decision-making. This study aims to explore young women's contraceptive method use trajectories, including the factors that influence contraceptive decision-making throughout adolescence and youth.MethodologyIn 2019, the Full Access, Full Choice project (FAFC), implemented by the University of North Carolina at Chapel Hill and the African Institute for Development Policy, conducted 30 in-depth interviews with young women aged 18–24 years in three counties in Kenya (Nairobi, Mombasa and Migori). Eligible respondents had used two or more modern contraceptive methods. Interview guides utilized a modified life history approach to capture details about respondents' contraceptive use and life experiences from the time they first used contraception until the time of interview.ResultsWe identified five separate contraceptive use trajectories based on the occurrence and timing of marriage, childbirth, and contraceptive method choice as well as various influences on contraceptive decision-making. The majority of respondents began their contraceptive journey by using male condoms or emergency contraception, but subsequent contraceptive decisions were varied across trajectories and influenced by different factors. For many women, the initiation of a non-coitally dependent method occurred after the birth of a child; for some, this was the first method used. Once women transitioned to using a non-coitally dependent method such as injectables or implants, many cycled through different methods to find one that had fewer side effects or provided the desired duration of protection.DiscussionThis study highlights the nuanced needs of young women throughout their adolescent and youth years in Kenya. This suggests that programs and policies need to encompass young women's diversity of experiences and motivations to best serve them.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Contraceptive method use trajectories among young women in Kenya: A qualitative study

Calhoun

Mandal

Onyango

et al. 2022

Front. Glob. Womens Health

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“…Assessing the knowledge, attitude, and practice about family planning of women living with HIV helps identify the gaps that help stakeholders implement corrective action [25]. As there was no local study that assessed knowledge, attitude, and practice about family planning among women living with HIV, the authors designed this study.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude, practices and associated factors of family planning among women living with hiv at the university of Gondar specialized hospital: a cross sectional study

Simegn,

Hussen,

Maru

et al. 2024

BMC Women's Health

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Introduction HIV/AIDS poses a significant health challenge in sub-Saharan African countries, with a disproportionate impact on women of reproductive age. The disparities in knowledge, attitudes, and practices related to family planning among women living with HIV can be intricate and multi-faceted. This study aimed to assess the knowledge, attitude, practice, and associated factors regarding family planning among the women living with HIV at the University of Gondar specialized hospital, Gondar, Ethiopia. Method A cross-sectional study was carried out at the University of Gondar Teaching Referral Hospital, focusing on HIV-positive women of reproductive age who visited the ART unit from July 8–28, 2022. Data collection involved the use of pre-tested, structured questionnaires administered through interviews. The gathered data were entered into the electronic Kobo Collect platform and subsequently exported for analysis using SPSS version 26. Descriptive summaries, including frequencies, means, and percentages, were presented through tables and figures. Logistic regression was employed to identify potential predictors, presenting adjusted odds ratios with a 95% confidence interval and a significance level set at a P-value of 0.05. Results A total of 328 study participants were included. About 93% of the study population had good knowledge about modern contraceptives, and about 94% of the study population had good knowledge about safer conception. Only 30.2% of the study population had knowledge of the dual contraceptive method. The attitude and practice of women towards family planning (FP) were 71.0% and 55.8%, respectively. The study revealed that the most commonly employed contraceptive method was injectable contraceptives, constituting 34.2% of usage. Having one and a greater number of children (AOR = 2.25, 95% CI: 1.10, 4.49), having discussions on fertility plans with healthcare providers (AOR = 2.20, 95% CI: 1.02, 4.761), and having good family planning practices (AOR = 2.15, 95% CI: 1.19, 3.87) were significantly associated with the attitude toward family planning. Married women (AOR = 1.88, 95% CI = 1.11, 3.1), able to read and write (AOR = 2.12, 95% CI:1.04,4.32), college and above educational level (AOR = 4.51, 95% CI:1.93,10.87), had discussion on fertility plan with healthcare providers (AOR = 5.09, 95% CI: 1.96, 13.24), knowledge about dual method (AOR = 1.95, CI: 1.08, 3.50), and knowledge about modern contraceptive methods (AOR = 7.24, 95% CI: 1.56, 33.58) were significantly associated with good practice of family planning. Conclusion Women living with HIV exhibited notably high levels of knowledge regarding modern contraceptive methods and safer conception. The knowledge of the dual method was low. More than half of the study population had good practice in family planning. More than two-thirds of HIV-positive reproductive-age women had a good attitude about family planning. Having one or a greater number of children, having a discussion on a fertility plan with a healthcare provider, and having a good practice of family planning were significantly associated with a good attitude toward family planning. Married women, education status, discussions on fertility plans with healthcare providers, knowledge about dual methods, and knowledge about modern contraceptive methods were significantly associated with good family planning practices. The stakeholders should design interventions based on the aforementioned factors to improve the attitude and practice of family planning.

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Contraceptive Behavior Dynamics and Unintended Pregnancy: A Latent Transition Analysis

Swiatlo¹,

Curtis

Gottfredson

et al. 2023

Demography

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The average U.S. woman wants to have two children; to do so, she will spend about three years pregnant, postpartum, or trying to become pregnant, and three decades trying to avoid pregnancy. However, few studies have examined individual patterns of contraceptive use over time. These trajectories are important to understand given the high rate of unintended pregnancy and how little we know about the complex relationship between contraceptive use, pregnancy intention, and patterns of reproductive behavior. We use data from the 2015–2017 National Survey of Family Growth to examine reproductive behavior and pregnancies across three years of calendar data. We identify seven behavior typologies, their prevalence, how women transition between them, and how pregnancies affect transitions. At any given time, half of women are reliably using contraception. A small proportion belong to a high pregnancy risk profile of transient contraceptive users, but some transition to using condoms or other methods consistently. An unintended pregnancy may initiate a transition into stable contraceptive use for some women, although that is primarily condom use. These findings have important implications for the ways contraception fits into women's lives and how that behavior interacts with relationships, sex, and life stage trajectories.

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Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

Cited by 3 publications

References 51 publications

Contraceptive method use trajectories among young women in Kenya: A qualitative study

Contraceptive method use trajectories among young women in Kenya: A qualitative study

Knowledge, attitude, practices and associated factors of family planning among women living with hiv at the university of Gondar specialized hospital: a cross sectional study

Contraceptive Behavior Dynamics and Unintended Pregnancy: A Latent Transition Analysis

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