المؤلفون: Kendal Danna, Grace Jaworski, Bakoly Rahaivondrafahitra, Francia Rasoanirina, Anthony Nwala, Masauso Nqumayo, Gina Smith, Pierre Moon, Ashley Jackson, Sarah Thurston, Amanda Kalamar

المصدر: Reproductive Health, Vol 19, Iss 1, Pp 1-12 (2022)

مصطلحات موضوعية: Hormonal IUD, Hormonal IUS, LNG-IUS, LARC, Continuation, Satisfaction, Gynecology and obstetrics, RG1-991

الوصف: Plain language summary The hormonal IUD is a popular contraceptive method choice where it is available. While the method has been around for decades it remains out of reach for many populations in low- and middle-income countries. The hormonal IUD offers both highly effective protection from pregnancy as well as non-contraceptive benefits that appeal to users in the US and Europe, but there is limited evidence available to explore the acceptability and use of this method among users in lower resource settings. This research looks at the profile of users who chose to use the hormonal IUD during a pilot introduction in Madagascar, Nigeria, and Zambia. Over a period of 12 months, researchers followed up with these users to understand who continued to use the method over time and their satisfaction with the method. Findings show that the hormonal IUD was broadly appealing in these settings among users from multiple demographic segments, including among users who had not used other methods of contraception in the past. When followed-up at 3 and 12 months, satisfaction with the method was high and most users in all three countries were still using the method. The findings suggest that the hormonal IUD could be well received and may contribute to greater uptake of voluntary modern contraception in lower resource settings.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/1742-4755

URL الوصول: https://doaj.org/article/ec0b0c4560c3421f9b59c790014b8cf4

المؤلفون: Irene Kyomuhangi, Wei Yang, Claire Rothschild, Bo Hu, Jennifer Anyanti, Peter M Macharia, Ekerette Emmanuel Udoh, Hoda Elmasry, Kevin Duff, Ashley Jackson, Paul Bouanchaud, Eden G Demise, Doreen Nakimuli, Justin Archer, Kimberly Ashburn, Henry Bakira, Peter Buyungo, Caitlin Clary, Mark Conlon, Eden Demise, Uche Ekhator-Mobayode, Hildah Essendi, Jordan Freeman, Susannah Gibbs, Risa Griffin, Nathan Heard, Amanda Kalamar, Brett Keller, Baker Lukwago, Peter Macharia, Alison Malmqvist, Harmon Momanyi, Micheal Mugerwa, Julius Njogu, Anthony Nwala, Noah Nyende, Daniel Olemo, Jacob Olila, Alyssa Om’Iniabohs, Chinedu Onyezobi, Dale Rhoda, Raymond Songo, Raymond Sudoi, Nkemdiri Wheatley

المصدر: BMJ Global Health, Vol 7, Iss 5 (2022)

مصطلحات موضوعية: Medicine (General), R5-920, Infectious and parasitic diseases, RC109-216

وصف الملف: electronic resource

Relation: https://gh.bmj.com/content/7/5/e008366.full; https://doaj.org/toc/2059-7908

URL الوصول: https://doaj.org/article/10ad2f28c13540498eae6b8469b0a882

المؤلفون: Amanda Kalamar, Christine Bixiones, Grace Jaworski, Klaira Lerma, Melvin Mwansa, Rachel Lawerh, Selase Adjei

المصدر: Sexual and Reproductive Health Matters, Vol 29, Iss 3 (2022)

مصطلحات موضوعية: emergency contraception, on-demand, self-care, stigma, adolescents, self-managed care, Diseases of the genitourinary system. Urology, RC870-923, The family. Marriage. Woman, HQ1-2044

الوصف: Supporting women to use emergency contraceptive pills (ECPs) as both a back-up and a regular, on-demand contraceptive method can increase self-managed contraceptive options and enhance reproductive autonomy, particularly for vulnerable populations. ECPs are currently regulated for use in an “emergency” situation; however, some evidence suggests that women also value this method as a regular, on-demand option used to prevent pregnancy with foresight and confidence. Beliefs and attitudes towards ECPs and their on-demand use in Accra, Ghana and Lusaka, Zambia were explored through in-depth interviews (IDIs) and focus group discussions (FGDs) with women ages 18–34 and men ages 18–30 in Accra and Lusaka. Structured interview guides and focus group discussion guides were used to explore societal and community norms, knowledge, behaviour, and attitudes. IDIs were analysed using deductive, thematic coding, and FGDs were analysed using inductive, thematic coding. Three major themes emerged: first, ECPs are a trusted method and often preferred as an easy and effective option; second, people value ECPs as an on-demand method, yet fear that repeated use could have harmful health effects; finally, anticipated stigma among users of ECPs is higher than experienced stigma, except among young women. The findings that emerged from this research suggest that the repositioning of ECPs as suitable for on-demand use would be an important step towards reducing the stigma and discrimination that is often associated with the method while expanding the range of self-care contraceptive options available to meet the differing needs of women, young women and vulnerable populations.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/2641-0397

URL الوصول: https://doaj.org/article/dc3fe1b5a92e41beb7790f461a716c80

المؤلفون: Katherine Thanel, Danielle Garfinkel, Christina Riley, Keith Esch, Woldemariam Girma, Tadele Kebede, Gaby Kasongo, Kayode Afolabi, Amanda Kalamar, Sarah Thurston, Kim Longfield, Jane Bertrand, Bryan Shaw, FPwatch Group

المصدر: PLoS ONE, Vol 13, Iss 4, p e0195228 (2018)

مصطلحات موضوعية: Medicine, Science

الوصف: In developing regions, an estimated 214 million women have an unmet need for family planning. Reaching Family Planning 2020 (FP2020) commitments will require a shift in modern contraceptive promotion, including improved access to long-acting reversible contraceptives (LARCs). Until now, a lack of market data limited understanding of the potential of LARCs to increase contraceptive access and choice.From 2015, the FPwatch Project conducted representative surveys in Ethiopia, Nigeria, and Democratic Republic of Congo (DRC) using a full census approach in selected administrative areas. In these areas, every public and private sector outlet with the potential to sell or distribute modern contraceptives was approached. In outlets with modern contraceptives, product audits and provider interviews assessed contraceptive market composition, market share, availability, price, and outlet readiness to perform services.Fifty-four percent of outlets in Ethiopia had LARC commodities or services available at the time of the survey, versus 7% and 8% of outlets in Nigeria and DRC, respectively. When present, LARCs were usually available with at least two other methods (99%, 39%, and 84% of public health facilities in Ethiopia, Nigeria and DRC, respectively). Many public facilities had both implants and IUDs in stock (76%, 47%, and 53%, respectively). Lack of readiness to provide LARCs was mostly due to a lack of equipment, private room, or the commodity itself. Market share for implants in the public sector was 60%, 53%, and 37% of Couple Years of Protection (CYP) in Ethiopia, Nigeria, and DRC.Limited availability of LARCs in Nigeria and DRC restricts contraceptive choice and makes it difficult for women to adopt and use modern contraception consistently. Brand-specific subsidies, task shifting, and promotion of methods that require less equipment and training are promising strategies for increasing uptake. Substantial government investment is required to improve availability and affordability. Investment in implants should be prioritized to make progress towards FP2020 commitments.

وصف الملف: electronic resource

Relation: http://europepmc.org/articles/PMC5891008?pdf=render; https://doaj.org/toc/1932-6203

URL الوصول: https://doaj.org/article/2c65770606d04d7cb514c4733b333557

المؤلفون: Stan Becker, Amanda Kalamar

المصدر: Springer;Population Association of America (PAA), Demography. 55(4):1447-1473

الوصف: In some surveys, women and men are interviewed separately in selected households, allowing matching of partner information and analyses of couples. Although individual sampling weights exist for men and women, sampling weights specific for couples are rarely derived. We present a method of estimating appropriate weights for couples that extends methods currently used in the Demographic and Health Surveys (DHS) for individual weights. To see how results vary, we analyze 1912 estimates (means; proportions; linear regression; and simple and multinomial logistic regression coefficients, and their standard errors) with couple data in each of 11 DHS surveys in which the couple weight could be derived. We used two measures of bias: absolute percentage difference from the value estimated with the couple weight and ratio of the absolute difference to the standard error using the couple weight. The latter shows greater bias for means and proportions, whereas the former and a combination of both measures show greater bias for regression coefficients. Comparing results using couple weights with published results using women’s weights for a logistic regression of couple contraceptive use in Turkey, we found that 6 of 27 coefficients had a bias above 5 %. On the other hand, a simulation of varying response rates (27 simulations) showed that median percentage bias in a logistic regression was less than 3 % for 17 of 18 coefficients. Two proxy couple weights that can be calculated in all DHS surveys perform considerably better than either male or female weights. We recommend that a couple weight be calculated and made available with couple data from such surveys.

الإتاحة: https://ideas.repec.org/a/spr/demogr/v55y2018i4d10.1007_s13524-018-0688-1.html

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