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Studies in Family Planning

Erica Sedlander, Jeffrey B Bingenheimer, Mary Thiongo, Peter Gichangi, Rajiv N Rimal, Mark Edberg, Wolfgang Munar
A common reason for nonuse of modern contraceptives is concern about side effects and health complications. This article provides a detailed characterization of the belief that modern contraceptives cause infertility, and an examination of how this belief arises and spreads, and why it is so salient. We conducted focus group discussions and key informant interviews in three rural communities along Kenya's eastern coast, and identified the following themes: (1) the belief that using modern contraception at a young age or before childbirth can make women infertile is widespread; (2) according to this belief, the most commonly used methods in the community were linked to infertility; (3) when women observe other women who cannot get pregnant after using modern contraceptives, they attribute the infertility to the use of contraception; (4) within the communities, the primary goal of marriage is childbirth and thus community approval is rigidly tied to childbearing; and, therefore (5) the social consequences of infertility are devastating...
November 9, 2018: Studies in Family Planning
Letícia J Marteleto, Aida Villanueva
While Brazil has high rates of adolescent fertility for its below-replacement total fertility rate, we know little about the causal effects of adolescent childbearing and adolescent union formation for women's education. In this paper, we examine unique data from the 2013 School-to-Work Transitions Survey to address the consequences of adolescent childbearing and adolescent union formation on educational outcomes of Brazilian young women. We apply several analytical strategies to address the endogeneity between adolescent childbearing and educational outcomes...
August 31, 2018: Studies in Family Planning
Joyce N Mumah, John B Casterline, Kazuyo Machiyama, Marylene Wamukoya, Caroline W Kabiru, John Cleland
Despite an extensive evidence base on contraceptive method choice, it remains uncertain which factors are most influential in predisposing women toward certain methods and against others. This paper addresses this gap in knowledge by making use of rarely-measured perceptions about specific methods, perceived social network experience of methods, and women's own past experiences using specific methods. We draw on baseline data from the project, "Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning...
September 2018: Studies in Family Planning
May Sudhinaraset, Patience A Afulani, Nadia Diamond-Smith, Ginger Golub, Aradhana Srivastava
Despite recognition that person-centered care is a critical component to providing high quality family planning services, there lacks consensus on how to operationalize and measure it. This paper describes the development and validation of a person-centered family planning (PCFP) scale in India and Kenya. Cross-sectional data were collected from 522 women in Kenya and 225 women in India who visited a health facility providing family planning services. Psychometric analyses, including exploratory factor analysis, were employed to assess the validity and reliability of the PCFP scale...
September 2018: Studies in Family Planning
Laura Lindberg, Rachel H Scott
Abortion is a behavior that is stigmatized and difficult to measure. To improve reporting of abortion and other sensitive behaviors in the United States, the National Survey of Family Growth (NSFG) supplements the interviewer administered face-to-face (FTF) interview with audio computer-assisted self-interviewing (ACASI). This paper estimates differential reporting of abortion and other pregnancy outcomes (miscarriage, live birth) in the NSFG (2002, 2006-2010, 2011-2015) between women's ACASI and FTF interviews...
September 2018: Studies in Family Planning
Sara Yeatman, Emily Smith-Greenaway
Despite the frequency with which it occurs, we know little about unintended fertility in sub-Saharan Africa and even less about its implications for the health of the women and men who experience it. We use longitudinal data from southern Malawi to explore how young adults report on the planning of their births and to identify changes in their self-rated health and subjective well-being associated with having more- or less-planned births. Our data feature a comprehensive scale of pregnancy planning, the London Measure of Unplanned Pregnancy (LMUP), that extends beyond the conventional focus on timing-based pregnancy intentions to incorporate information about contraception, desires, intentions, partner discussion, and preconception preparations...
July 11, 2018: Studies in Family Planning
Ann K Blanc, Jeffrey B Bingenheimer
No abstract text is available yet for this article.
June 15, 2018: Studies in Family Planning
Ifta Choiriyyah, Stan Becker
A proportion of women in couples use contraception without their partners' knowledge. There are two principal ways to measure this covert use in cross-sectional surveys like the Demographic and Health Surveys (DHS). First is a direct question, "Does your husband/partner know that you are using a method of family planning?" Second is an indirect method: the reports of both partners to the question on contraceptive use are matched, and if the woman reports a modern contraceptive method and the male partner reports nonuse, her use is considered covert...
June 2018: Studies in Family Planning
Lauren VanEnk, Victoria Shelus, Catherine Mugeni, Marie Mukabatsinda, Jeannette Cachan
This study assesses the competency and acceptability of community-based provision of Standard Days Method® (SDM) to first-time users in Rwanda. The national strategy equips community health workers (CHWs) to resupply pills, injectables and condoms to existing clients. With the aim of expanding access, SDM provision to first-time users was added to the method mix in Gisagara district and assessed with a 12 month prospective, mixed methods study. Thirty percent of SDM clients had never used a method of family planning and 58 percent had not been using a method for at least three months...
June 2018: Studies in Family Planning
Taddese Alemu Zerfu, Henok Taddese Ayele, Tariku Nigatu Bogale
To investigate the effect of innovative means to distribute LARC on contraceptive use, we implemented a three arm, parallel groups, cluster randomized community trial design. The intervention consisted of placing trained community-based reproductive health nurses (CORN) within health centers or health posts. The nurses provided counseling to encourage women to use LARC and distributed all contraceptive methods. A total of 282 villages were randomly selected and assigned to a control arm (n = 94) or 1 of 2 treatment arms (n = 94 each)...
June 2018: Studies in Family Planning
Albert Esteve, Elizabeth Florez-Paredes
Despite substantial improvements in women's education, the age at which Latin American women marry (cohabit) or become mothers for the first time has barely decreased over the past four decades. We refer to this as the "stability paradox." We examine the relationship between years of schooling and transitions to first union or child, analyzing retrospective information from 50 cohorts of women born between 1940 and 1989 in 12 Latin American countries. Absolute and relative measures of schooling are compared...
June 2018: Studies in Family Planning
Anrudh K Jain, Karen Hardee
Nearly three decades ago, Bruce articulated a client-centered quality of care (QoC) framework for family planning services. The term quality has since then been used in many rights-based frameworks for health, reproductive health, and family planning. This commentary compares the concept of quality used in many of these frameworks to reconcile the elements of the FP QoC framework with the use of quality in various rights frameworks. We propose five modifications to the original FP QoC framework to better align it with the treatment of quality in the rights-based approaches and the way quality in family planning has been applied in practice...
June 2018: Studies in Family Planning
Maria Paz Marquez, Maria Midea Kabamalan, Elma Laguna
This study examines recent levels, patterns, and determinants of traditional contraceptive method use, based on pooled data from the 2003, 2008, and 2013 Philippines Demographic and Health Surveys. Most contraceptive users in the Philippines rely on modern methods, but over the past ten years traditional method use has continued to account for about a third of all contraceptive use. Results show women in 2003 and 2008 were more likely to use periodic abstinence (rhythm) over modern methods compared with women in 2013, while withdrawal rather than modern methods was preferred more by women in 2013 than in 2003...
June 2018: Studies in Family Planning
(no author information available yet)
No abstract text is available yet for this article.
May 27, 2018: Studies in Family Planning
John Bongaarts
No abstract text is available yet for this article.
May 27, 2018: Studies in Family Planning
Joseph Molitoris
The negative relationship between birth interval length and neonatal mortality risks is well documented, but heterogeneity in this relationship has been largely ignored. Using the Bangladesh Maternal Mortality and Health Care Survey 2010, this study investigates how the effect of birth interval length on neonatal mortality risks varies by maternal age at birth and maternal education. There is significant variation in the effect of interval length on neonatal mortality along these dimensions. Young mothers and those with little education, both of which make up a large share of the Bangladeshi population, can disproportionately benefit from longer intervals...
March 2018: Studies in Family Planning
Katharine Footman, Katherine Keenan, Kate Reiss, Barbara Reichwein, Pritha Biswas, Kathryn Church
We undertook a systematic review to assess 1) the level and quality of pharmacy and drug shop provision of medical abortion (MA) in low- and middle-income countries (LMICs) and 2) interventions to improve quality of provision. We used standardized terms to search six databases for peer-reviewed and grey literature. We double-extracted data using a standardized template, and double-graded studies for methodological quality. We identified 22 studies from 16 countries reporting on level and quality of MA provision through pharmacies and drug sellers, and three intervention studies...
March 2018: Studies in Family Planning
Clara R Burgert-Brucker, Trinadh Dontamsetti, Peter W Gething
Spatially interpolated map surface datasets for key development indicators are being produced and publicly shared using population-based surveys from the USAID-funded Demographic and Health Survey (DHS) Program. Each modeled surface is produced with standardized geostatistical modeling methods. For each indicator, a package is available that includes spatial raster grids of 5 × 5 km pixels for the point estimate surface and an uncertainty surface, along with validation statistics and other model diagnostic data...
March 2018: Studies in Family Planning
Paul J Fleming, Jay Silverman, Mohan Ghule, Julie Ritter, Madhusudana Battala, Gajanan Velhal, Saritha Nair, Anindita Dasgupta, Balaiah Donta, Niranjan Saggurti, Anita Raj
We assess the effect of CHARM, a gender equity and family planning counseling intervention for husbands in rural India, on men's gender ideology. We used a two-armed cluster randomized control trial design and collected survey data from husbands (n=1081) at baseline, 9 months, and 18 months. We used a continuous measure of support for gender equity and a dichotomous measure of equitable attitudes toward women's role in household decision-making. To assess differences on these outcomes, we used generalized linear mixed models...
March 2018: Studies in Family Planning
Saumya RamaRao, Francis Obare, Salisu Ishaku, Babacar Mané, Heather Clark, Wilson Liambila, Godwin Unumeri, Harriet Birungi, Nafissatou Diop, Deepa Rajamani, John Townsend
The progesterone vaginal ring (PVR) is a contraceptive designed for use by breastfeeding women in the first year postpartum. This Report presents results of an acceptability study of the PVR in Kenya, Nigeria, and Senegal. Women seeking postpartum family planning services were offered various contraceptive options including the PVR. Of the 174 participating women, 110 (63 percent) used one ring and 94 (54 percent) completed the study by using two rings over a six-month period. Women were interviewed up to three times: at the time they entered the study, at 3 months (the end of the first ring cycle), and at 6 months (the end of the second ring cycle or when they exited if they had discontinued earlier)...
March 2018: Studies in Family Planning
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