{"title":"Venus.","authors":"Abi Berger","doi":"10.1136/jfprhc-2016-101664","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101664","url":null,"abstract":"LARC use decreases as perceived barriers to use increase Perceived barriers are the strongest predictor of women’s use of long-acting forms of reversible contraception (LARC), with use decreasing as barriers increase. In one Welsh qualitative study barriers included fear and embarrassment. Ironically, increases in “health motivation to reduce pregnancy” and “perceived behavioural control” reduced the odds of a woman using LARC – which might seem counterintuitive until one considers that women who score highly on these parameters probably see themselves as able to manage the use of non-LARC methods.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"246"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction: 'Authors' response to comment on 'Postpartum contraception: a missed opportunity to prevent unintended pregnancy and short inter-pregnancy intervals'.","authors":"","doi":"10.1136/jfprhc-2017-101759corr1","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101759corr1","url":null,"abstract":"","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"221"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101759corr1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35142969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response to 'Safety issue with TT380 Slimline intrauterine contraceptive device'.","authors":"Colin G Parker","doi":"10.1136/jfprhc-2017-101826","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101826","url":null,"abstract":"Estrogen promotes bone health, long-term replacement delaying osteoporosis,1 while sex steroids given for menstrual irregularity to premenopausal women increase bone mass.2 We therefore assessed the relation between reproductive health and fracture risk in postmenopausal women (≥50 years) in the US National Health and Nutrition Examination Survey (NHANES).3 \u0000\u0000In the 2013–2014 survey, fracture risk as FRAX scores4 was reported in an osteoporosis questionnaire with calculation of the 10-year risk of major hip fracture. We collected data on the age at last menstrual period, last live birth, and first live birth as continuous variables, and documented history of pregnancy …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"242"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101826","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What is the future for sexual and contraceptive services?","authors":"Su Everett","doi":"10.1136/jfprhc-2017-101764","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101764","url":null,"abstract":"It is always difficult to write about something you are passionate about objectively, and sexual health is one such subject for me. So, the following is my personal view on the massive changes taking place within sexual health. I do this from a standpoint of having worked in sexual health both as a clinician and a lecturer since 1985 and 1998, respectively, but also as someone who has worked as a practice nurse for 8 years.\u0000\u0000There is a nervous edge around sexual health currently, as sexual health services within London are fighting for contracts. This has meant that sexual health services are competing against each other, whereas usually there are close links between sexual health services as staff move between services. If a service wins the contract then their future is assured for the time being. However, if they lose, then their service is unlikely to survive and will only continue in the current format until July 2017, and there will inevitably be job losses. Currently sexual health services that have lost contracts are unable to give information to patients about the future of their service. Already nurses within these departments are leaving sexual health services as they are worried that they might not have a job come July. The loss of expertise will be sorely missed; the specialist skills of health professionals working this area involve identifying and caring for those at risk of grooming, sexual abuse, sexual assault and sex work. It is a special person who works in this area and sensitively listens to, and supports, the men and women who access these services.\u0000\u0000Since 2013 Local Authorities have provided contraceptive service funding, but with significant government cutbacks and pressure on Local Authorities’ budgets these services are at risk.1 One …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"234-236"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101764","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seán Richard Cassidy, Charlotte Cohen, Kimberley Forbes, Nneka Nwokolo, Sara Day
{"title":"Access to contraception: why patient choice matters.","authors":"Seán Richard Cassidy, Charlotte Cohen, Kimberley Forbes, Nneka Nwokolo, Sara Day","doi":"10.1136/jfprhc-2017-101775","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101775","url":null,"abstract":"The Department of Health’s ‘A Framework for Sexual Health Improvement in England’ states an ambition to “increase access to all methods of contraception, including long-acting reversible contraception (LARC) methods and emergency hormonal contraception, for women of all ages and their partners”.1 The London Sexual Health Transformation Project is a collaboration between 29 London boroughs aiming to improve access to sexual health and contraceptive services. Their vision is for a network of integrated ‘one-stop shops’ working closely with primary care to provide basic family planning services, with fewer Level 3 centres serving people with more complex sexual health needs.2 Individuals with complex contraception needs may include people living with …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"239"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101775","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing women's satisfaction with family planning services in Mozambique.","authors":"Leonardo Chavane, Martinho Dgedge, Patricia Bailey, Osvaldo Loquiha, Marc Aerts, Marleen Temmerman","doi":"10.1136/jfprhc-2015-101190","DOIUrl":"10.1136/jfprhc-2015-101190","url":null,"abstract":"<p><strong>Background: </strong>The contraceptive prevalence rate in Mozambique was estimated as 11.3% in the last Demographic and Health Survey. The impact of family planning (FP) on women's health and on the reduction of maternal mortality is well known.</p><p><strong>Methods: </strong>Acknowledging the importance of user satisfaction in the utilisation of health services, exit interviews were used to assess women's satisfaction with FP services in Mozambique. The survey, conducted in 174 health facilities, was representative at the national level, covered all provinces, and both urban and rural areas.</p><p><strong>Results: </strong>Overall, 86% of respondents were satisfied with FP services, but issues such as insufficient supplies of oral contraceptives and the low quality of healthcare provider/client interactions were given as reasons for women's dissatisfaction.</p><p><strong>Conclusion: </strong>Defined actions at the level of health service provision are needed to tackle the identified issues and ensure improved satisfaction with, and better utilisation of, FP services in Mozambique.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"222-228"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/17/jfprhc-2015-101190.PMC5537550.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34374557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Complete Guide to Fertility Awareness.","authors":"Su Everett","doi":"10.1136/jfprhc-2017-101770","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101770","url":null,"abstract":"Jane Knight. Abingdon, UK: Routledge, 2017. ISBN-13: 978-1-138-79010-0. Price £29.99. Pages: 448 (paperback)\u0000\u0000This book is an extensive update of the 1996 edition, Fertility: Fertility Awareness and Natural Family Planning . The first and second editions of this book (written by Elizabeth Clubb and Jane Knight) have been extremely important sources of information on fertility awareness. Consequently I am really pleased to finally see a new edition published. The original book comprised 192 pages (the new edition has 448 pages), so this is an extensive update of the book and justifies the descriptor ‘Complete Guide’.\u0000\u0000There are 20 chapters: Part one contains chapters on fertility awareness, male fertility, female fertility, …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"236"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101770","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34860045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa B Haddad, Alexandra B Hoagland, Karen L Andes, Bernadette Samala, Caryl Feldacker, Kingsley Chikaphupha, Hannock Tweya, Jane Chiwoko, Fannie Kachale, Denise J Jamieson, Sam Phiri
{"title":"Influences in fertility decisions among HIV-infected individuals in Lilongwe, Malawi: a qualitative study.","authors":"Lisa B Haddad, Alexandra B Hoagland, Karen L Andes, Bernadette Samala, Caryl Feldacker, Kingsley Chikaphupha, Hannock Tweya, Jane Chiwoko, Fannie Kachale, Denise J Jamieson, Sam Phiri","doi":"10.1136/jfprhc-2015-101395","DOIUrl":"https://doi.org/10.1136/jfprhc-2015-101395","url":null,"abstract":"<p><strong>Background: </strong>The motivation to have a child may be complex with numerous influencing factors, particularly among individuals living with HIV. This study sought to understand factors influencing fertility decision-making for HIV-infected men and women in Lilongwe, Malawi.</p><p><strong>Methods: </strong>Thirteen focus groups were conducted among HIV-infected individuals enrolled in antiretroviral treatment services.</p><p><strong>Results: </strong>Participants identified a hierarchy of influences in fertility decisions including the importance of childbearing, patriarchal influence, family influences and concern regarding HIV transmission.</p><p><strong>Conclusions: </strong>Addressing fertility conversations beyond the confines of a relationship may be important, as family plays a significant role in fertility choices. Childbearing remains a fundamental desire among many individuals with HIV; however, concerns regarding transmission risk need to be addressed with efforts made to overcome misconception and assist individuals in balancing what may be competing influences.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"210-215"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2015-101395","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34585763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reproductive history and fracture risk in postmenopausal women in a US national survey.","authors":"Prasanna Santhanam, Steven P Rowe, Lilja B Solnes","doi":"10.1136/jfprhc-2017-101808","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101808","url":null,"abstract":"","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"242-243"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"My friend who bought it for me, she has had an abortion before.\" The influence of Ghanaian women's social networks in determining the pathway to induced abortion.","authors":"Sarah D Rominski, Jody R Lori, Emmanuel Sk Morhe","doi":"10.1136/jfprhc-2016-101502","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101502","url":null,"abstract":"<p><strong>Background: </strong>Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system.</p><p><strong>Methods: </strong>Women being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately. Interviews and focus group discussions were conducted until saturation was reached.</p><p><strong>Results: </strong>A total of 18 women seeking care for complications from a self-induced abortion and 11 seeking care for an elective abortion interviewed. The women ranged in age from 13 to 35 years. There were eight focus groups; two with men and six with women. The reasons women self-induce are: (1) abortion is illegal; (2) attitudes of the healthcare workers; (3) keeping the pregnancy a secret; and (4) social network influence. The meta-theme of normalisation of self-inducing' an abortion was identified.</p><p><strong>Discussion: </strong>When women are faced with an unplanned and unwanted pregnancy, they consult individuals in their social network whom they know have dealt with a similar situation. Misoprostol is widely available in Ghanaian cities and is successful at inducing an abortion for many women. In this way, self-inducing abortions using medication procured from pharmacists and chemical sellers has become normalised for women in Kumasi, Ghana.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"216-221"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34844655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}