Studies in Family Planning最新文献_第7页

Preference-Aligned Fertility Management as a Person-Centered Alternative to Contraceptive Use-Focused Measures. 以个人为中心替代以使用为重点的避孕措施的生育管理。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12228

Kelsey Holt, Christine Galavotti, Elizabeth Omoluabi, Sneha Challa, Peter Waiswa, Jenny Liu

{"title":"Preference-Aligned Fertility Management as a Person-Centered Alternative to Contraceptive Use-Focused Measures.","authors":"Kelsey Holt, Christine Galavotti, Elizabeth Omoluabi, Sneha Challa, Peter Waiswa, Jenny Liu","doi":"10.1111/sifp.12228","DOIUrl":"https://doi.org/10.1111/sifp.12228","url":null,"abstract":"Equating contraceptive use with programmatic success is fundamentally flawed in failing to account for whether individuals desire contraceptive use; this is problematic because nonuse can reflect empowered decision-making and use may reflect an individual's inability to refuse or discontinue a method. A rights-based approach demands respect for individuals' freedom to weigh options and choose how their desire for pregnancy prevention can be accommodated by available methods and within the context of their own personal, social, and material constraints. We offer an alternative construct, preference-aligned fertility management (PFM), that provides a more holistic indicator of whether one's contraceptive needs are met. PFM is more person-centered and informative for programming than status quo measures of unmet need, demand satisfied, and contraceptive use which define a positive outcome in relation to pregnancy risk rather than one's stated preferences. The PFM approach goes beyond other recent proposals for modifying the concept of unmet need by refraining from judgment of legitimate reasons for nonuse of contraception and offers a straightforward way to capture whether people act in line with their preferences. We conclude with discussion of how we plan to measure PFM in the Innovations for Choice and Autonomy (ICAN) study in Nigeria and Uganda.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"301-308"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9174007","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

Unwanted Family Planning: Prevalence Estimates for 56 Countries. 不必要的计划生育:56个国家的流行情况估计。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12230

David Canning, Mahesh Karra

{"title":"Unwanted Family Planning: Prevalence Estimates for 56 Countries.","authors":"David Canning, Mahesh Karra","doi":"10.1111/sifp.12230","DOIUrl":"https://doi.org/10.1111/sifp.12230","url":null,"abstract":"While there is a large literature on the prevalence of unmet need for family planning, there is no matching quantitative evidence on the prevalence of unwanted family planning; all contraceptive use is assumed to represent a \"met need.\" This lack of evidence raises concerns that some observed contraceptive use may be undesired and coercive. We provide estimates of unwanted family planning using Demographic and Health Survey data collected from 1,546,987 women in 56 low- and middle-income countries between 2011 and 2019. We estimate the prevalence of unwanted family planning, defined as the proportion of women who report wanting a child in the next nine months but who are using contraception. We find that 12.2 percent of women have an unmet need for family planning, while 2.1 percent have unwanted family planning, with estimated prevalence rates ranging from 0.4 percent in Gambia to 7.1 percent in Jordan. About half of unwanted family planning use can be attributed to condoms, withdrawal, and abstinence. Estimating the prevalence of unwanted family planning is difficult given current data collection efforts, which are not designed for this purpose. We recommend that future surveys probe the reasons for the use of family planning.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"75-93"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9540969","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

Need for Standardized Measure of Modern Method Availability: Assessment of Indicators Using Health Facility Data from Three Country Contexts. 现代方法可用性标准化衡量的必要性:利用三个国家卫生设施数据评估指标。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12220

Janine Barden-O'Fallon, Rashida-E Ijdi

{"title":"Need for Standardized Measure of Modern Method Availability: Assessment of Indicators Using Health Facility Data from Three Country Contexts.","authors":"Janine Barden-O'Fallon, Rashida-E Ijdi","doi":"10.1111/sifp.12220","DOIUrl":"https://doi.org/10.1111/sifp.12220","url":null,"abstract":"The concept of contraceptive method choice is complex and difficult to measure, usually requiring multiple metrics that represent the service environment, access, and acceptability. One of the most used measures for the family planning service delivery environment is method availability, or specifically, the contraceptive options that are available to clients at any given family planning service delivery point. Despite the importance of the measure, indicator definitions vary widely and are not standardized. We identified six versions of the method availability indicator and calculated each version using Service Provision Assessment data from three countries with varying family planning profiles, health service structures, and from different geographic areas: Bangladesh, the Democratic Republic of Congo, and Haiti. We compared method availability estimates by urban/rural location, facility type, and across country context. Our results showed a wide variability in method availability estimates depending on the indicator used. Generally, indicators requiring a particular mix of method types had lower estimates of method availability than indicators only requiring a minimum number of methods. Results are discussed and recommendations are made to standardize indicator language and guidance. We further recommend the standardization of an indicator with a minimum mix of method types to ensure that a variety of method preferences can be met.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"251-263"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9174001","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

New Measures for Family Planning and Exposure to Risk of Pregnancy Based on Sexual Activity and Contraceptive Use Data. 基于性活动和避孕药具使用数据的计划生育和妊娠风险暴露新措施。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12225

Chi Hyun Lee, Herbert Susmann, Leontine Alkema

引用次数: 3

Adapting and Validating the G-NORM (Gender Norms Scale) in Nepal: An Examination of How Gender Norms Are Associated with Agency and Reproductive Health Outcomes. 在尼泊尔调整和验证G-NORM(性别规范量表):性别规范如何与机构和生殖健康结果相关联的检查。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12231

Erica Sedlander, Minakshi Dahal, Jeffrey Bart Bingenheimer, Mahesh C Puri, Rajiv N Rimal, Rachel Granovsky, Nadia G Diamond-Smith

{"title":"Adapting and Validating the G-NORM (Gender Norms Scale) in Nepal: An Examination of How Gender Norms Are Associated with Agency and Reproductive Health Outcomes.","authors":"Erica Sedlander, Minakshi Dahal, Jeffrey Bart Bingenheimer, Mahesh C Puri, Rajiv N Rimal, Rachel Granovsky, Nadia G Diamond-Smith","doi":"10.1111/sifp.12231","DOIUrl":"https://doi.org/10.1111/sifp.12231","url":null,"abstract":"Research calls for the sexual and reproductive rights field to prioritize gender norms to ensure that women can act on their reproductive rights. However, there is a gap in accepted measures. We addressed this by including important theoretical components of gender norms: differentiating between descriptive and injunctive norms and adding a referent group. Our team originally developed and validated the G-NORM, a gender norms scale, in India. In this paper, we describe how we subsequently adapted and validated it in Nepal. We administered items to women of reproductive age, conducted exploratory and confirmatory factor analysis, and examined associations between the subscales and reproductive health outcomes. Like the original G-NORM, our factor analyses showed that descriptive norms and injunctive norms comprise two distinct scales which fit the data well and had Cronbach alphas of 0.92 and 0.89. More equitable descriptive gender norms were associated with higher decision-making scores, increased odds of intending to use family planning, disagreeing that it is wrong to use family planning, and older ideal age at marriage. Injunctive gender norms were only associated with disagreeing that it is wrong to use family planning. Findings offer an improved measure of gender norms in Nepal and provide evidence that gender norms are critical for agency and reproductive health outcomes.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"181-200"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9189982","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: 2

Meeting Preferences for Specific Contraceptive Methods: An Overdue Indicator. 满足特定避孕方法的偏好:一个迟来的指标。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12218

Kristen Lagasse Burke, Joseph E Potter

引用次数: 2

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-02-23 DOI: 10.1111/sifp.12237

引用次数: 0

Alignment between Desires and Outcomes among Women Wanting to Avoid Pregnancy: A Global Comparative Study of "Conditional" Unintended Pregnancy Rates. 想要避免怀孕的女性的愿望和结果之间的一致性:“条件”意外怀孕率的全球比较研究。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12234

Jonathan Marc Bearak, Leontine Alkema, Vladimíra Kantorová, John Casterline

引用次数: 1

Validation and Predictive Utility of a Person-Centered Quality of Contraceptive Counseling (QCC-10) Scale in Sub-Saharan Africa: A Multicountry Study of Family Planning Clients and a New Indicator for Measuring High-Quality, Rights-Based Care. 以人为本的避孕咨询质量（QCC-10）量表在撒哈拉以南非洲的验证和预测效用：对计划生育客户的多国研究和衡量高质量、基于权利的护理的新指标》。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-02-14 DOI: 10.1111/sifp.12229

Celia Karp, Funmilola M OlaOlorun, Georges Guiella, Peter Gichangi, Yoonjoung Choi, Philip Anglewicz, Kelsey Holt

{"title":"Validation and Predictive Utility of a Person-Centered Quality of Contraceptive Counseling (QCC-10) Scale in Sub-Saharan Africa: A Multicountry Study of Family Planning Clients and a New Indicator for Measuring High-Quality, Rights-Based Care.","authors":"Celia Karp, Funmilola M OlaOlorun, Georges Guiella, Peter Gichangi, Yoonjoung Choi, Philip Anglewicz, Kelsey Holt","doi":"10.1111/sifp.12229","DOIUrl":"10.1111/sifp.12229","url":null,"abstract":"The lack of validated, cross-cultural measures for examining quality of contraceptive counseling compromises progress toward improved services. We tested the validity and reliability of the 10-item Quality of Contraceptive Counseling scale (QCC-10) and its association with continued protection from unintended pregnancy and person-centered outcomes using longitudinal data from women aged 15-49 in Burkina Faso, Kenya, and Nigeria. Psychometric analysis showed moderate-to-strong reliability (alphas: 0.73-0.91) and high convergent validity with greatest service satisfaction. At follow-up, QCC-10 scores were not associated with continued pregnancy protection but were linked to contraceptive informational needs being met among Burkinabe and Kenyan women; the reverse was true in Kano. Higher QCC-10 scores were also associated with care-seeking among Kenyan women experiencing side effects. The QCC-10 is a validated scale for assessing quality of contraceptive counseling across diverse contexts. Future work is needed to improve understanding of how the QCC-10 relates to person-centered measures of reproductive health.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"119-143"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11152181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9227053","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

Measuring Contraceptive Autonomy at Two Sites in Burkina Faso: A First Attempt to Measure a Novel Family Planning Indicator. 在布基纳法索两地测量避孕自主权：首次尝试测量新的计划生育指标。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-02-02 DOI: 10.1111/sifp.12224

Leigh Senderowicz, Brooke W Bullington, Nathalie Sawadogo, Katherine Tumlinson, Ana Langer, Abdramane Soura, Pascal Zabré, Ali Sié

{"title":"Measuring Contraceptive Autonomy at Two Sites in Burkina Faso: A First Attempt to Measure a Novel Family Planning Indicator.","authors":"Leigh Senderowicz, Brooke W Bullington, Nathalie Sawadogo, Katherine Tumlinson, Ana Langer, Abdramane Soura, Pascal Zabré, Ali Sié","doi":"10.1111/sifp.12224","DOIUrl":"10.1111/sifp.12224","url":null,"abstract":"There is growing consensus in the family planning community around the need for novel measures of autonomy. Existing literature highlights the tension between efforts to pursue contraceptive targets and maximize uptake on the one hand, and efforts to promote quality, person-centeredness, and contraceptive autonomy on the other hand. Here, we pilot a novel measure of contraceptive autonomy, measuring it at two Health and Demographic Surveillance System sites in Burkina Faso. We conducted a population-based survey with 3,929 women of reproductive age, testing an array of new survey items within the three subdomains of informed choice, full choice, and free choice. In addition to providing tentative estimates of the prevalence of contraceptive autonomy and its subdomains in our sample of Burkinabè women, we critically examine which parts of the proposed methodology worked well, what challenges/limitations we encountered, and what next steps might be for refining, improving, and validating the indicator. We demonstrate that contraceptive autonomy can be measured at the population level but a number of complex measurement challenges remain. Rather than a final validated tool, we consider this a step on a long road toward a more person-centered measurement agenda for the global family planning community.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"201-230"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/d6/nihms-1893123.PMC10184300.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9581785","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