Studies in Family Planning最新文献_第10页

The Effect of Family Planning Counseling on Incident Pregnancy in Nepal. 尼泊尔计划生育咨询对意外怀孕的影响

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-06-01 DOI: 10.1111/sifp.12197

Muqi Guo, Sarah Huber-Krum, Iqbal Shah, David Canning

{"title":"The Effect of Family Planning Counseling on Incident Pregnancy in Nepal.","authors":"Muqi Guo, Sarah Huber-Krum, Iqbal Shah, David Canning","doi":"10.1111/sifp.12197","DOIUrl":"https://doi.org/10.1111/sifp.12197","url":null,"abstract":"An intervention aimed at institutionalizing postpartum intrauterine device (PPIUD) services was introduced in Nepal between 2015 and 2019. The intervention was evaluated using a cluster-randomized stepped-wedge trial, with data on women being collected immediately after delivery and at one- and two-year postpartum follow-ups. The sample consists of 19,155 women. We used intention-to-treat (ITT) analysis and structural equation model (SEM) to investigate how the intervention affected the occurrence of a new pregnancy (incident pregnancy). The ITT analysis showed that women in the intervention group had a reduced probability, -0.7 percentage points (95 percent CI: -3.0, 1.4), of having an incident pregnancy compared to women in the control group. The SEM analysis showed that the intervention increased the probability of receiving antenatal family planning counseling and PPIUD-specific counseling by 22.2 percentage points (95 percent CI: 20.0, 24.4) and 26.5 percentage points (95 percent CI: 24.8, 28.3), respectively. The intervention had an unintended spillover effect, increasing the probability of receiving postnatal family planning counseling by 11.4 percentage points (95 percent CI: 7.3, 15.5). In the SEM, we find the expected impact of the intervention on increased counseling and induced effects on contraceptive method initiation, lowering the probability of an incident pregnancy by 0.3 percentage points (95 percent CI: -0.5, -0.1).","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"315-338"},"PeriodicalIF":2.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40121306","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}

引用次数: 1

A "Plus" Model for Safe Transitions to Adulthood: Impacts of an Integrated Intervention Layered onto A National Social Protection Program on Sexual Behavior and Health Seeking among Tanzania's Youth. 安全过渡到成年期的"附加"模式:对坦桑尼亚青年的性行为和寻求健康的国家社会保护方案进行综合干预的影响。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-06-01 Epub Date: 2022-03-21 DOI: 10.1111/sifp.12190

Jennifer Waidler, Ulrike Gilbert, Aroldia Mulokozi, Tia Palermo

{"title":"A \"Plus\" Model for Safe Transitions to Adulthood: Impacts of an Integrated Intervention Layered onto A National Social Protection Program on Sexual Behavior and Health Seeking among Tanzania's Youth.","authors":"Jennifer Waidler, Ulrike Gilbert, Aroldia Mulokozi, Tia Palermo","doi":"10.1111/sifp.12190","DOIUrl":"https://doi.org/10.1111/sifp.12190","url":null,"abstract":"Poverty is a structural driver of risky sexual behaviors. While cash transfers can mitigate some of this risk, complementary interventions have been posited as a way to further reduce multidimensional vulnerability. We examine the impacts of a multicomponent intervention targeted to Tanzanian adolescents on their sexual behaviors and reproductive health. The intervention comprised livelihood and life skills training, mentoring, and health facilities' strengthening. Data come from a cluster randomized controlled trial, where one study arm received the intervention and the other was randomized to control, but both arms participated in a government cash transfer program. Among 1,933 adolescents interviewed over three rounds, we found increases in contraceptive and HIV knowledge. The program also increased health seeking and HIV testing among boys, but slightly reduced age at sexual debut among girls. There were no impacts on contraceptive use, number of sexual partners, or pregnancy. Findings support the value of an adolescent intervention, and the fact that it was delivered within a social protection platform suggests a potential for scalability. Additional efforts are required to delay sexual debut and reduce the number of sexual partners and pregnancy, possibly through addressing supply-side barriers and social norms, or through additional linkages to economic opportunities.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"233-258"},"PeriodicalIF":2.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40311700","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}

引用次数: 3

Impact of the Trump Administration's Expanded Global Gag Rule Policy on Family Planning Service Provision in Ethiopia 特朗普政府扩大全球禁言政策对埃塞俄比亚计划生育服务提供的影响

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-05-31 DOI: 10.1111/sifp.12196

Elizabeth A. Sully, S. Shiferaw, A. Seme, S. Bell, Margaret Giorgio

{"title":"Impact of the Trump Administration's Expanded Global Gag Rule Policy on Family Planning Service Provision in Ethiopia","authors":"Elizabeth A. Sully, S. Shiferaw, A. Seme, S. Bell, Margaret Giorgio","doi":"10.1111/sifp.12196","DOIUrl":"https://doi.org/10.1111/sifp.12196","url":null,"abstract":"Abstract The Global Gag Rule (GGR) makes non‐U.S. nongovernmental organizations (NGOs) ineligible for U.S. Government global health funding if they provide, refer, or promote access to abortion. This study quantitatively examines the impacts of the GGR on family planning service provision in Ethiopia. Using a panel of health facilities (2017–2020), we conduct a pre–post analysis to investigate the overall changes in family planning service provision before and after the policy came into effect in Ethiopia. Our pre–post analyses revealed post‐GGR reductions in the proportions of facilities reporting family planning provision through community health volunteers (−5.6, 95% CI [−10.2, −1.0]), mobile outreach visits (−13.1, 95% CI [−17.8, −8.4]), and family planning and postabortion care service integration (−4.8, 95% CI: [−9.1, −0.5]), as well as a 6.1 percentage points increase in contraceptive stock‐outs over the past three months (95% CI [−0.6, 12.8]). We further investigate the impacts of the GGR on facilities exposed to noncompliant organizations that did not sign the policy and lost U.S. funding. We do not find any significant additional impacts on facilities in regions more exposed to noncompliant organizations. Overall, while the GGR was slow to fully impact NGOs in Ethiopia, it ultimately resulted in negative impacts on family planning service provision.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 1","pages":"339 - 359"},"PeriodicalIF":2.1,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47781288","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}

引用次数: 6

Did COVID‐19 Impact Contraceptive Uptake? Evidence from Senegal COVID - 19是否影响避孕措施的使用?来自塞内加尔的证据

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-04-18 DOI: 10.1111/sifp.12195

K. Fuseini, L. Jarvis, A. Ankomah, Fatou Bintou Mbow, M. Hindin

{"title":"Did COVID‐19 Impact Contraceptive Uptake? Evidence from Senegal","authors":"K. Fuseini, L. Jarvis, A. Ankomah, Fatou Bintou Mbow, M. Hindin","doi":"10.1111/sifp.12195","DOIUrl":"https://doi.org/10.1111/sifp.12195","url":null,"abstract":"Abstract This study assessed the impact of the COVID‐19 pandemic on the number of new contraceptive acceptors in Senegal overall and by method. Monthly service data from March 2019 to December 2020 were extracted for the number of new contraceptive users of IUDs, implants, injectables, and oral contraceptive pills (OCPs). Data were analyzed using descriptive statistics and interrupted time series analysis for trend analyses overall and by the contraceptive method. Following the announcement of the first COVID‐19 case in Senegal in March 2020, there was an immediate significant decrease in the number of new acceptors overall, and for new users of implants and injectables. From March–December 2020, the trend in monthly new family planning acceptors increased overall, mainly driven by significant increases in new IUD and implant acceptors. Compared to the period before the onset of COVID‐19, there was a statistically significant shift from shorter‐acting methods (OCPs, injectables) to long‐acting reversible methods (IUDs, implants). Despite the immediate adverse impact of COVID‐19‐related restrictions, the number of new acceptors rebounded, trends in the number of new monthly acceptors significantly increased, and there was a significant shift to longer‐acting methods.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 1","pages":"301 - 314"},"PeriodicalIF":2.1,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46651283","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}

引用次数: 10

Turned Away and at Risk: Denial of Family Planning Services to Women in Malawi 被拒之门外和处于危险之中:马拉维妇女拒绝接受计划生育服务

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-04-05 DOI: 10.1111/sifp.12192

Jill M Peterson, Jaden Bendabenda, Alexander Mboma, Mario Chen, J. Stanback, G. Gunnlaugsson

{"title":"Turned Away and at Risk: Denial of Family Planning Services to Women in Malawi","authors":"Jill M Peterson, Jaden Bendabenda, Alexander Mboma, Mario Chen, J. Stanback, G. Gunnlaugsson","doi":"10.1111/sifp.12192","DOIUrl":"https://doi.org/10.1111/sifp.12192","url":null,"abstract":"Abstract Family planning (FP) has been a development priority since the mid‐1990s, yet barriers to access persist globally, including women being turned away from facilities without a method. This study aimed to assess the extent of, and reasons for, FP turnaway in three districts of Malawi. In 2019, data collectors screened women exiting 30 health facilities and surveyed those who had been denied a method. Follow‐up surveys were conducted via telephone with turned away clients at six and 12 weeks postvisit. Of the 2,246 women who were screened, 562 were new or restarting users. Of these, 15% (83/562) reported having been turned away from the health facility without an FP method. Women cited 14 different reasons for turnaway; the top three were unavailability of method (34%), unavailability of a provider (17%), or a requirement to return on the scheduled FP day (15%). The multiple reasons cited for leaving the health facility without an FP method indicate that reducing turnaway will not be achieved easily. The top reasons for turnaway are related to health systems or management issues within health facilities. Facilities need additional support for staffing, training on long‐acting and permanent methods, and a consistent supply of methods.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 1","pages":"281 - 299"},"PeriodicalIF":2.1,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44394820","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}

引用次数: 3

Locating Autonomous Abortion Accompanied by Feminist Activists in the Spectrum of Self-Managed Medication Abortion. 自我管理药物流产光谱中伴随女权主义者的自主流产定位。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-03-29 DOI: 10.1111/sifp.12194

S. Veldhuis, Georgina Sánchez-Ramírez, B. Darney

引用次数: 4

How Interviewers Affect Responses to Sensitive Questions on the Justification for Wife Beating, the Refusal to have Conjugal Sex, and Domestic Violence in India. 采访者如何影响对印度殴打妻子、拒绝夫妻性行为和家庭暴力等敏感问题的回答。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-03-16 DOI: 10.1111/sifp.12193

Abhishek Singh, Kaushalendra Kumar, F. Arnold

{"title":"How Interviewers Affect Responses to Sensitive Questions on the Justification for Wife Beating, the Refusal to have Conjugal Sex, and Domestic Violence in India.","authors":"Abhishek Singh, Kaushalendra Kumar, F. Arnold","doi":"10.1111/sifp.12193","DOIUrl":"https://doi.org/10.1111/sifp.12193","url":null,"abstract":"Despite a general understanding that interviewers might cause measurement errors on sensitive questions in sample surveys, there is relatively little research on interviewer effects on responses to questions on women justifying a woman's refusal to have sex with her husband, women justifying wife beating, women's experience of physical and sexual violence, and whether the woman's father ever beat her mother. This study examines interviewer effects on these indicators that were collected in two large-scale National Family Health Surveys (NFHS) in India (2005-2006 and 2015-2016). We use cross-classified random intercept multivariable multilevel logit models to examine interviewer effects. In both surveys, we find large interviewer effects on questions about the justification of a woman refusing to have sex with her husband (32-33% in NFHS-3 and 45-46% in NFHS-4) and the justification of wife beating (27-28% in NFHS-3 and 33-34% in NFHS-4). The interviewer effects were much larger in the 2015-2016 survey than in the 2005-2006 survey. Such large interviewer effects should be considered when interpreting trends and patterns on these topics, especially since the interviewer effects might have changed between survey rounds. Understanding interviewer effects is important given the wide use of these surveys in policy formulation and monitoring in India.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45958523","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}

引用次数: 6

"If the Woman Doesn't Prevent, You Will Become Pregnant": Exploring Male Involvement in Contraceptive Use Preceding Unplanned Pregnancy in Sierra Leone. “如果女人不预防，你就会怀孕”:探索塞拉利昂男性在意外怀孕前使用避孕药具的情况。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-03-02 DOI: 10.1111/sifp.12189

Kristen E. McLean, E. Thulin

引用次数: 2

Issue Information 问题信息

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-03-01 DOI: 10.1111/sifp.12163

引用次数: 0

Does Provider Bias Affect Choice of a Facility for Family Planning Services by Women in Urban Senegal? 提供者偏见会影响塞内加尔城市妇女对计划生育服务机构的选择吗?

IF 2.1 3区医学