Studies in Family Planning最新文献

{"title":"Family Planning Data and Measurement in the Era of Changing Global Development Architecture","authors":"Shiza Farid, Althea Wolfe, Kerry MacQuarrie, Elizabeth A. Sully, Mahesh Karra, Emily Sonneveldt, Mohamad Brooks, Nirali Chakraborty, Aurélie Brunie, Rajib Acharya, Moazzam Ali, Syed Khurram Azmat, Funmilola OlaOlorun, Jason Bremner","doi":"10.1111/sifp.70074","DOIUrl":"https://doi.org/10.1111/sifp.70074","url":null,"abstract":"Decades of progress in global sexual and reproductive health programming and data availability are threatened as over 80 percent of donor funding for family planning (FP) comes from governments that have announced significant cuts to official development assistance. This commentary examines how FP2030 is adapting its measurement framework and annual reporting given uncertainty around the future of household surveys, such as the Demographic and Health Survey, and the loss of technical resources. FP2030 will pivot from reporting on 22 indicators to a “minimum set” of 15 priority indicators. FP2030's Performance Monitoring and Evidence Working Group (PME WG), a group of FP measurement experts, arrived at these recommendations through a series of consensus‐building working meetings. The 15 indicators leverage existing mathematical models and health management information systems (HMIS). Moreover, this commentary provides a complementary set of indicators that should be prioritized if new data collection opportunities arise. Ultimately, while FP2030 and the PME WG believe that models and HMIS data will become more essential, these tools cannot fully replace household surveys. Continued investment in FP data availability remains critical to ensuring the community can review data that protects the rights and needs of individuals.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"33 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149218352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Census-Based Estimates of Female Genital Mutilation/Cutting Among Foreign-born Women and Girls in Europe.","authors":"Livia Elisa Ortensi, Alessio Menonna, Patrizia Farina","doi":"10.1111/sifp.70070","DOIUrl":"https://doi.org/10.1111/sifp.70070","url":null,"abstract":"<p><p>Female genital mutilation/cutting (FGM/C) is a significant global public health and human rights concern that has become increasingly relevant in Europe due to sustained migration from practicing countries. However, the absence of harmonized, age-specific data has limited up-to-date comparative estimates of FGM/C prevalence among migrant populations. We present updated estimates of the number of foreign-born women and girls aged 10 years and above residing in the European Union, Switzerland, Norway, and Iceland (EU+) as of January 1st, 2021, who are expected to have undergone FGM/C. Using population and census data combined with age-specific prevalence rates from national household surveys and an enhanced indirect estimation approach that accounts for cohort effects and migrant selectivity, we estimate that approximately 610,000 (40.6 percent) of the 1.5 million women and girls aged 10 years and above born in FGM/C-practicing countries and residing in the EU+ area have experienced FGM/C. Prevalence increases markedly with age, reflecting declining practice among younger cohorts, and varies substantially across destination countries depending on migrant composition. These findings provide a comprehensive benchmark for monitoring FGM/C in migration contexts and for informing evidence-based policies, prevention strategies, and service provision for affected women, while supporting efforts to prevent intergenerational transmission of the practice.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Male Sibling Effect: Understanding Son Preference Among Nigerian Women.","authors":"Patrick Akhas Okooboh","doi":"10.1111/sifp.70071","DOIUrl":"https://doi.org/10.1111/sifp.70071","url":null,"abstract":"<p><p>This study examines whether the number of brothers a woman grows up with is associated with her ideal number of sons among Nigerian women. Using women's data from the 2018 Nigeria Demographic and Health Survey (n = 40,628), I estimated a weighted negative binomial regression model predicting ideal number of sons. The findings show a positive and statistically significant association between the number of brothers and ideal number of sons. Women who grew up with more brothers are more likely to express desire for a higher ideal number of sons, even after controlling for sociodemographic and economic factors. Additional robustness checks showed that the association remained after controlling for total sibship size, number of sisters, and ideal number of daughters. Interaction models further showed that the association varies by age-cohort and education, but not by region of residence. The association is strongest among younger women and is slightly stronger among women with higher levels of education. These results suggest that early sibling environments may play a role in shaping women's fertility preferences and son preference in Nigeria.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148906921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unintended Pregnancy and Pregnancy Awareness among Female Sex Workers in Sri Lanka: A Community-Based Cross-Sectional Study.","authors":"M Suchira S Suranga, K Karunathilake, W Indralal De Silva","doi":"10.1111/sifp.70061","DOIUrl":"10.1111/sifp.70061","url":null,"abstract":"<p><p>Unintended pregnancy is a key marker of unmet sexual and reproductive health needs, yet quantitative evidence among female sex workers (FSWs) in Sri Lanka is scarce. We conducted a cross-sectional respondent-driven sampling survey among 551 FSWs aged 18-49 years in Colombo from March to June 2025. Using Gile's successive sampling estimator, we generated respondent-driven sampling-weighted prevalence estimates and described pregnancy awareness, testing, and mitigating actions taken following pregnancy recognition among this sample. We conducted multivariate logistic regressions to identify women-level correlates of ever unintended pregnancy. Pregnancy-level prevalence was contextualized against six Sri Lankan non-sex worker studies using meta-analysis. Most participants had ever been pregnant (88.5 percent). Among ever-pregnant women, 51.1 percent reported at least one unintended pregnancy, and 39.8 percent of 1,225 lifetime pregnancies were unintended. Around two-thirds of FSWs recognized their most recent pregnancy by four weeks' gestation, but routine pregnancy testing was uncommon (11.3 percent), 44.8 percent reported no preventive measure at their most recent unintended pregnancy, and the pregnancy-accounting cascade indicated important downstream consequences. The risk of unintended pregnancy was found to be more clustered among women initiating paid sex before age 19 and those with higher parity. Pregnancy-level unintended pregnancy exceeded pooled non-sex worker estimates by about 11-13 percentage points. Taken together, the findings point to missed opportunities at both the pregnancy recognition and preventive response stages of the pathway. These findings support targeted sexual and reproductive health programs for FSWs in Colombo that prioritize routine and outreach-based pregnancy testing, rapid access to acceptable contraceptive options, and focused support for women entering sex work early, those with repeated pregnancies, and those who took no preventive measures at unintended conception.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"390-414"},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"The Relationships between Drought Exposure, Fertility Preferences, and Contraceptive Behaviors: A Multicountry Study\" by Oluwaseyi Somefun, Boladé Hamed Banougnin, and Emily Smith-Greenaway.","authors":"","doi":"10.1111/sifp.70068","DOIUrl":"10.1111/sifp.70068","url":null,"abstract":"","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"487-488"},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's Not a One Size Fits All\": Service Users' Views on How Service Structure Shapes Quality of Abortion Care in Britain. Findings from the SACHA Study.","authors":"Rachel Scott, Maria Lewandowska, Rebecca Meiksin, Natasha Salaria, Patricia A Lohr, Sharon Cameron, Jennifer Reiter, Melissa Palmer, Rebecca S French, Kaye Wellings","doi":"10.1111/sifp.70058","DOIUrl":"10.1111/sifp.70058","url":null,"abstract":"<p><p>Abortion care in Britain has undergone significant transformation in recent years, with increasing use of medication, home management, and telemedicine. However, provision remains predominantly through specialist standalone clinics, particularly in England. Drawing on the interlinking frameworks of abortion exceptionalism, stigma, and quality of care, we analyzed 48 qualitative interviews with people who recently had abortions to explore how service-users perceive different models of care in terms of access, continuity, holistic care, and the normalization of abortion. Participants highlighted the importance of both place (standalone vs. integrated) and provider (specialist vs. generalist). Primary care was seen as convenient and supportive of continuity (e.g., for post-abortion contraception) and normalization of abortion as routine healthcare. Specialist clinics, however, were valued for expertise and nonjudgmental care. Community sexual and reproductive health services offered a blend of these benefits. Preferences varied depending on individual circumstances, pointing to the need for flexible, person-centered care. This study contributes to ongoing discussions about how best to organize abortion services to support reproductive autonomy and equity. Importantly, structural change alone is insufficient; attention to the ongoing experience of stigma remains essential to delivering high-quality, person-centered abortion care.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"350-370"},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TEAM-UP: Mixed-Methods Data for Understanding Traditional and Modern Contraceptive Use Dynamics in Four Sub-Saharan African Countries.","authors":"Nurudeen Alhassan, Jamaica Corker, Nyovani Janet Madise, Ernestina Coast, Naa Dodua Dodoo, Themba Mzembe, Jacques B O Emina, Elizabeth Omoluabi, F Nii-Amoo Dodoo, Saseendran Pallikadavath, Maame B Peterson, John A Mushomi, Funmilola M OlaOlorun, Eliya Msiyaphazi Zulu","doi":"10.1111/sifp.70046","DOIUrl":"10.1111/sifp.70046","url":null,"abstract":"<p><p>This Data Article describes a novel dataset from the \"Re-Examining Traditional Method Use\" (TEAM-UP) project, which systematically collected data on the measurement of and motivations for use of non-modern (traditional and folkloric) contraceptive methods and/or modern methods, in four sub-Saharan African countries: the Democratic Republic of Congo, Ghana, Kenya, and Nigeria. TEAM-UP comprises four datasets (two quantitative and two qualitative), enabling comprehensive analyses of (1) the impact of methodological innovations on reporting of modern and non-modern method use, and prevalence estimates; (2) motivations for, and user experiences related to traditional and folkloric methods, and (3) contraceptive use dynamics across all methods and method types, including nonuse. Data collection was conducted in four stages: qualitative (Stage 1; 54 focus group discussions and 81 key informant interviews) and quantitative (Stage 2; n = 918) pilots, followed by women's surveys (Stage 3; n = 13,625) and follow-up qualitative in-depth interviews (Stage 4; 469 interviews). The main TEAM-UP survey data are publicly available, with both the pilot and follow-up in-depth qualitative data available upon vetted request.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"468-486"},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraceptive Alignment: A Descriptive Study of Concordance between Preferred and Actual Contraceptive Method Use.","authors":"Stephanie Arteaga, Ariana H Bennett, Anu Manchikanti Gomez","doi":"10.1111/sifp.70062","DOIUrl":"10.1111/sifp.70062","url":null,"abstract":"<p><p>Conventional metrics of contraceptive need focus on contraceptive use among those not seeking pregnancy, ignoring individuals' contraceptive preferences beyond pregnancy prevention. We examine contraceptive alignment, a novel metric describing agreement between actual and preferred method use/nonuse, among a 2022 nationally representative U.S. sample of 15-44-year-olds assigned female sex at birth (unweighted n = 3,044). Most respondents (62.2 percent) were classified as having contraceptive alignment (using a method they preferred or not using a method when they preferred not to), while 37.8 percent did not have contraceptive alignment. Contraceptive alignment was higher among contraceptive nonusers who were older and in a serious relationship, as well as both contraceptive users and nonusers who were classified as having higher contraceptive self-efficacy. Contraceptive alignment was lower among contraceptive users who selected their current method due to being unable to obtain the method they originally wanted and those who were using more than one method of contraception. Our findings suggest that conventional measures of contraceptive need may mask important discordance in individuals' contraceptive preferences and actual use that can contribute to misdirected efforts to expand contraceptive access and undermine reproductive autonomy. Contraceptive alignment may more accurately portray individuals' contraceptive needs.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"309-330"},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return Migration and Contraceptive Use in Mexico.","authors":"Ana P Canedo, Manon Tremouille","doi":"10.1111/sifp.70064","DOIUrl":"10.1111/sifp.70064","url":null,"abstract":"<p><p>Return migration, whether voluntary or forced, can disrupt individuals' lives as they navigate life in a country that may feel unfamiliar. This disruption often extends to healthcare, including reproductive care. The migration experience, combined with differences between healthcare systems-in terms of availability, accessibility, and affordability-may create barriers to contraceptive access. This study utilizes data from the 2014, 2018, and 2023 National Survey of Demographic Dynamics (ENADID) surveys to analyze contraceptive use and access among female Mexican returnees. Findings indicate that returnees are more likely to use contraception than nonmigrants, particularly short-acting hormonal methods (SACs), while being less likely to rely on permanent methods. These patterns suggest that both migrant selectivity and adaptation shape contraceptive behavior. However, important differences emerge by time since return. Women who recently returned are less likely to use SACs and long-acting contraceptives and are more likely to obtain contraception from private clinics and pharmacies, compared to those with longer residence in Mexico. At the same time, there is little evidence that these patterns reflect shifts in fertility preferences. Instead, findings point more strongly to disruption and barriers to public healthcare following return. Overall, results highlight the need for reproductive healthcare interventions that better support return migrants during reintegration.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"432-455"},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Client Experience of Care Metric to Measure Person-Centered Care for Injectable Contraceptive Clients in Lilongwe, Malawi.","authors":"Erica Felker-Kantor, Eden Demise, Philip Mkandawire, Claire Rothschild, Kristen Little","doi":"10.1111/sifp.70069","DOIUrl":"10.1111/sifp.70069","url":null,"abstract":"<p><p>The aim of this study was to develop and psychometrically assess a client-experience-of-care metric tailored for women in Lilongwe, Malawi, using self-administered or provider-administered depot medroxyprogesterone acetate subcutaneous (DMPA-SC) and to assess differences in experiences of care between the two groups. A client exit interview was administered to 400 Malawian women who had self-injected (n = 198) or received provider-administered (n = 202) DMPA-SC within the three months preceding the study. Iterative exploratory factor analysis with a polychoric matrix was performed. Cronbach's alpha was used to assess scale reliability. Bivariate and multivariate generalized linear regression models with robust standard errors were used to test for differences in client experience between self-administered and provider-administered clients. Exploratory factor analysis yielded a two-factor solution, identifying a unifying scale for client experience of care (eight items) and a subscale for empowerment (ten items). The client experience of care scale had moderate construct validity, explaining 40 percent of the variance, high criterion validity with a positive and statistically significant (p < 0.05) correlation coefficient, and low-to-moderate reliability (alpha = 0.68). In adjusted models, statistically significant differences in client experience of care were detected by injection method, with self-injecting clients reporting better experiences of care compared to provider-administered clients.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"331-349"},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}