Studies in Family Planning最新文献_第10页

New Client-Centered Discontinuation Measures Using the Demographic and Health Survey Calendar Data. 使用人口统计和健康调查日历数据的新的以客户为中心的停药措施。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-12-01 DOI: 10.1111/sifp.12212

Aparna Jain, Elizabeth Tobey

{"title":"New Client-Centered Discontinuation Measures Using the Demographic and Health Survey Calendar Data.","authors":"Aparna Jain, Elizabeth Tobey","doi":"10.1111/sifp.12212","DOIUrl":"https://doi.org/10.1111/sifp.12212","url":null,"abstract":"The main source of method discontinuation data comes from the calendar data of the Demographic and Health Surveys (DHS). DHS considers each episode of use contributed by a woman in the calendar to calculate method discontinuation. This means that episodes from women who contribute only one episode of contraceptive use are combined with episodes from women who contribute multiple episodes of use. This paper explores the DHS calculation of episode-based discontinuation and proposes new indicators that focus specifically on the client and puts her as the unit of analysis. First, we attempt to replicate the DHS calculation by applying weighted averages to episodes from women who contributed only one episode and from women who contributed multiple episodes of use. We then calculate three client-centered discontinuation indicators, using the five-year calendar data of the DHS. The methodology is illustrated by using data collected in Bangladesh, Kenya, and Indonesia. Starting with the very first method used and reported in the calendar and following use over 12 months, we develop a client-centered discontinuation indicator. We build on the calculation of the client-centered discontinuation indicator by: (1) excluding switching to result in all contraceptive discontinuation (complete discontinuation); and (2) limiting discontinuation to women still in need of contraception applying the DHS definitions of in need.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 4","pages":"681-693"},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538042","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

Measurement of Unmet Need for Contraception: A Counterfactual Approach. 未满足避孕需求的测量:一种反事实的方法。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-12-01 DOI: 10.1111/sifp.12216

Mahesh Karra

{"title":"Measurement of Unmet Need for Contraception: A Counterfactual Approach.","authors":"Mahesh Karra","doi":"10.1111/sifp.12216","DOIUrl":"https://doi.org/10.1111/sifp.12216","url":null,"abstract":"Unmet need plays a critical role in reproductive health research, evaluation, and advocacy. Although conceptually straightforward, its estimation suffers from a number of methodological limitations, most notably its reliance on biased measures of women's stated fertility preferences. We propose a counterfactual-based approach to measuring unmet need at the population level. Using data from 56 countries, we calculate unmet need in a population as the difference between: (1) the observed contraceptive prevalence in the population; and (2) the calculated contraceptive prevalence in a subsample of women who are identified to be from \"ideal\" family planning environments. Women from \"ideal\" environments are selected on characteristics that signal their contraceptive autonomy and decision-making over family planning. We find significant differences between our approach and existing methods to calculating unmet need, and we observe variation across countries when comparing indicators. We argue that our indicator of unmet need is preferable to existing population-level indicators due to its independence from biases that are generated from the use of reported preference measures, the simplicity with which it can be derived, and its relevance for cross-country comparisons as well as context-specific analyses.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 4","pages":"657-680"},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/2f/SIFP-53-657.PMC10107817.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9690052","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}

引用次数: 3

Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning. 塞拉利昂埃博拉疫情中的计划生育：妇女的近端和远端推理。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2022-12-01 Epub Date: 2022-08-22 DOI: 10.1111/sifp.12210

Gillian McKay, Luisa Enria, Sara L Nam, Maseray Fofanah, Suliaman Gbonnie Conteh, Shelley Lees

{"title":"Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning.","authors":"Gillian McKay, Luisa Enria, Sara L Nam, Maseray Fofanah, Suliaman Gbonnie Conteh, Shelley Lees","doi":"10.1111/sifp.12210","DOIUrl":"10.1111/sifp.12210","url":null,"abstract":"Sierra Leone was highly impacted by the 2014-2016 West Africa Ebola outbreak, with 3,955 recorded deaths. Already stressed maternal health services were deeply affected by the outbreak due to fears of viral transmission, reallocation of maternity staff, and broader policies to stop transmission including travel restrictions. This research sought to explore women's perspectives on delaying pregnancy during the Ebola outbreak using family planning methods. Qualitative data collection took place in Kambia District in 2018 and included 35 women participants, with women who were either family planning users or nonusers at the time of the outbreak. Women reported a variety of reasons for choosing to take or not to take family planning during the outbreak, which we categorized as proximal (directly related to the outbreak) or distal (not directly outbreak related). Proximal reasons to take family planning included to avoid interacting with health care spaces where Ebola could be transmitted, to avoid the economic burden of additional children in a time when economic activities were curtailed and to return to school when education resumed postoutbreak. Distal reasoning included gender roles affecting women's decision making to seek family planning, concerns related to the physiological side effects of family planning, and the economic burden of paying for family planning. Women's perspectives for choosing to take or not take family planning during the Sierra Leone Ebola crisis had not been explored prior to this paper. Using the lens of family planning to consider how women choose to access health care in an outbreak gives us a unique perspective into how all health care interactions are impacted by a generalized outbreak of Ebola, and how outbreak responses struggle to ensure such services remain a priority.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 4","pages":"575-593"},"PeriodicalIF":1.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9286121","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}

引用次数: 0

Editor's Farewell. 编辑的告别

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-12-01 Epub Date: 2022-12-07 DOI: 10.1111/sifp.12217

Jeffrey B Bingenheimer

引用次数: 0

Monetary Incentives and Early Initiation of Antenatal Care: A Matched-Pair, Parallel Cluster-Randomized Trial in Zambia. 货币激励和产前护理的早期启动:在赞比亚配对，平行集群随机试验。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-12-01 DOI: 10.1111/sifp.12215

Chitalu Miriam Chama-Chiliba, Peter Hangoma, Natalia Cantet, Patricia Funjika, Grayson Koyi, Maria Laura Alzúa

{"title":"Monetary Incentives and Early Initiation of Antenatal Care: A Matched-Pair, Parallel Cluster-Randomized Trial in Zambia.","authors":"Chitalu Miriam Chama-Chiliba, Peter Hangoma, Natalia Cantet, Patricia Funjika, Grayson Koyi, Maria Laura Alzúa","doi":"10.1111/sifp.12215","DOIUrl":"https://doi.org/10.1111/sifp.12215","url":null,"abstract":"Monetary incentives are often used to increase the motivation and output of health service providers. However, the focus has generally been on frontline health service providers. Using a cluster randomized trial, we evaluate the effect of monetary incentives provided to community-based volunteers on early initiation of antenatal care (ANC) visits and deliveries in health facilities in communities in Zambia. Monetary incentives were assigned to community-based volunteers in treatment sites, and payments were made for every woman referred or accompanied in the first trimester of pregnancy during January-June 2020. We find a significant increase of about 32 percent in the number of women completing ANC visits in the first trimester but no effect on service coverage rates. The number of women accompanied by community-based volunteers for ANC in the first trimester increased by 33 percent. The number of deliveries in health facilities also increased by 22 percent. These findings suggest that the use of health facilities during the first trimester of pregnancy can be improved by providing community-based volunteers with monetary incentives and that such incentives can also increase deliveries in health facilities, which are key to improving the survival of women and newborns.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 4","pages":"595-615"},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538999","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: 0

Perceptions of Partners' Fertility Preferences and Women's Covert Contraceptive Use in Eight Sub-Saharan African Countries. 8个撒哈拉以南非洲国家对伴侣生育偏好和妇女秘密使用避孕措施的看法。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-09-01 Epub Date: 2022-06-29 DOI: 10.1111/sifp.12206

Dana O Sarnak, Alison Gemmill

{"title":"Perceptions of Partners' Fertility Preferences and Women's Covert Contraceptive Use in Eight Sub-Saharan African Countries.","authors":"Dana O Sarnak, Alison Gemmill","doi":"10.1111/sifp.12206","DOIUrl":"https://doi.org/10.1111/sifp.12206","url":null,"abstract":"Covert use of contraception is a common but underreported and understudied phenomenon where one partner uses contraception without the other's knowledge. We used Demographic and Health Survey couple data to examine the relationship between wives' perceptions of husbands' fertility preferences and type of contraceptive use (overt vs. covert) in Benin, Ethiopia, Kenya, Mali, Nigeria, Sierra Leone, Uganda, and Zambia using logistic regression. Wives who perceived that their husbands wanted more children than them had increased odds of using covertly, compared to those who perceived that husbands wanted the same number of children in all countries except Benin, and the strength of the relationships ranged from adjusted odds ratio (aOR) 2.89 (95 percent confidence interval (CI) 1.75-4.76) in Zambia to aOR 4.01 (95 percent CI 1.68-9.58) in Mali. Wives who reported not knowing their husbands' fertility preferences had increased odds of using covertly compared to wives who perceived that their husbands wanted the same number of children in all countries except Zambia, ranging from aOR 2.02 (95 percent CI 1.11-3.69) in Ethiopia to aOR 3.82 (95 percent CI 2.29-6.37) in Kenya. Our findings indicate that efforts to increase partner engagement to align couple's fertility preferences may encourage overt use.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"527-548"},"PeriodicalIF":2.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f8/38/SIFP-53-527.PMC9545344.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40404717","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}

引用次数: 1

Interrupted Access to and Use of Family Planning Among Youth in a Community-Based Service in Zimbabwe During the First Year of the COVID-19 Pandemic. 在 COVID-19 大流行的第一年，津巴布韦一个社区服务机构中的青年中断了计划生育服务的获取和使用。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2022-09-01 Epub Date: 2022-06-22 DOI: 10.1111/sifp.12203

Constancia V Mavodza, Sarah Bernays, Constance R S Mackworth-Young, Rangarirayi Nyamwanza, Portia Nzombe, Ethel Dauya, Chido Dziva Chikwari, Mandikudza Tembo, Tsitsi Apollo, Owen Mugurungi, Bernard Madzima, Katharina Kranzer, Rashida Abbas Ferrand, Joanna Busza

引用次数: 0

Abortion Legalization in Uruguay: Effects on Adolescent Fertility. 乌拉圭堕胎合法化:对青少年生育能力的影响。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-09-01 Epub Date: 2022-06-29 DOI: 10.1111/sifp.12204

Wanda Cabella, Cecilia Velázquez

{"title":"Abortion Legalization in Uruguay: Effects on Adolescent Fertility.","authors":"Wanda Cabella, Cecilia Velázquez","doi":"10.1111/sifp.12204","DOIUrl":"https://doi.org/10.1111/sifp.12204","url":null,"abstract":"The Latin American and Caribbean adolescent fertility rates are among the highest in the world: about 1.7 million children are born to teen mothers every year, and most of them are declared unintended pregnancies. The region also has the highest rate of unintended pregnancy of any world region, and nearly half of such pregnancies end in abortion. However, fewer than 18 percent of the region's women live in countries where abortion is broadly legal. This paper estimates the causal effect of abortion legalization on adolescent fertility in Uruguay using official data on legal abortions provided after the 2012 reform. We employed a difference-in-differences strategy, classifying states by whether they are responsive or unresponsive to the reform. The results suggest that abortion reform had a negative impact on the adolescent birth rate by 2.5-2.8 births per thousand adolescents aged 15-19 (a 4 percent decrease from the preintervention average). Additionally, we exploited variation in reform implementation intensity through the estimation of fixed-effect linear regression models and found consistent results. Our findings are robust to controlling for a concurrent large-scale program of contraceptive implants. We conclude that legislation aimed at enhancing rights and reducing avoidable deaths and complications from unsafe abortions may also have spillover effects that help reduce adolescent fertility.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"491-514"},"PeriodicalIF":2.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40404716","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

Contraceptive Use in Urban Africa: Examining Trends in Rich-Poor Gaps. 非洲城市避孕药具使用:贫富差距趋势研究。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-09-01 Epub Date: 2022-06-26 DOI: 10.1111/sifp.12205

Alex Ezeh, Maurice Anyawie, John Cleland

{"title":"Contraceptive Use in Urban Africa: Examining Trends in Rich-Poor Gaps.","authors":"Alex Ezeh, Maurice Anyawie, John Cleland","doi":"10.1111/sifp.12205","DOIUrl":"https://doi.org/10.1111/sifp.12205","url":null,"abstract":"Previous studies have documented significant differences in health and reproductive health outcomes between the poor and nonpoor across various countries in sub-Saharan Africa. However, a number of these studies is dated, and the past decade has witnessed significant shifts in health and reproductive health outcomes in many African countries. Using recent data from the Demographic and Health Surveys, this paper updates and extends the literature by examining patterns in contraceptive practice among poor and nonpoor married women in urban settings in 19 African countries. First, we analyze changes in the rich-poor gaps in modern contraceptive prevalence (mCP) in urban Africa over time. We then determine the public source of the supply of modern contraceptives to the urban poor and how that supply may have changed over a 10-year period. The findings show that, in most Eastern and Southern African countries, previous gaps in mCP between the rich and poor married women have disappeared. Countries in Central and Western Africa, however, continue to have significant gaps in mCP between rich and poor women, with urban poor women experiencing only a modest improvement in mCP over the past decade. This paper contributes to our understanding about sub-regional dynamics in reproductive health outcomes in urban settings in sub-Saharan Africa.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"515-526"},"PeriodicalIF":2.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400350","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: 0

Contraceptive Use Before and After Abortion: A Cross-Sectional Study from Nigeria and Côte d'Ivoire. 堕胎前后避孕药具使用:尼日利亚和Côte科特迪瓦的横断面研究。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2022-09-01 Epub Date: 2022-07-20 DOI: 10.1111/sifp.12208

Sophia Magalona, Meagan Byrne, Funmilola M OlaOlorun, Rosine Mosso, Elizabeth Omoluabi, Caroline Moreau, Suzanne O Bell

{"title":"Contraceptive Use Before and After Abortion: A Cross-Sectional Study from Nigeria and Côte d'Ivoire.","authors":"Sophia Magalona, Meagan Byrne, Funmilola M OlaOlorun, Rosine Mosso, Elizabeth Omoluabi, Caroline Moreau, Suzanne O Bell","doi":"10.1111/sifp.12208","DOIUrl":"https://doi.org/10.1111/sifp.12208","url":null,"abstract":"Post-abortion contraception enables women to effectively manage their fertility to prevent unintended pregnancies. Using data from population-based surveys of women aged 15-49 in Nigeria and Côte d'Ivoire, we examined contraceptive dynamics immediately before and after an abortion and examined factors associated with these changes using multivariable logistic regressions. Covariates included sociodemographic characteristics, abortion source, post-abortion contraceptive communication (wanting to and actually talking to someone about contraception after abortion), and perceived contraceptive autonomy. We observed higher contraceptive use after abortion than before abortion. In Nigeria, wanting to talk to someone about contraception post-abortion was associated with increased adoption and decreased discontinuation, whereas talking to someone about contraception post-abortion was associated with increased adoption. Obtaining care from a clinical abortion source was associated with increased adoption and decreased discontinuation. Both post-abortion contraceptive communication variables were associated with post-abortion contraceptive use in both countries, whereas clinical source was only associated with post-abortion contraceptive use in Nigeria. Our findings suggest that ensuring that women have access to safe abortion as part of the formal health care system and receive comprehensive, high-quality post-abortion care services that include contraceptive counseling enables them to make informed decisions about their fertility that align with their reproductive goals.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"433-453"},"PeriodicalIF":2.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40631326","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}

引用次数: 0