Studies in Family Planning最新文献

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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
{"title":"Locating Autonomous Abortion Accompanied by Feminist Activists in the Spectrum of Self-Managed Medication Abortion.","authors":"S. Veldhuis, Georgina Sánchez-Ramírez, B. Darney","doi":"10.1111/sifp.12194","DOIUrl":"https://doi.org/10.1111/sifp.12194","url":null,"abstract":"Diverse models of self-managed medication abortion exist-ranging from some interaction with medical personnel to completely autonomous abortion. In this commentary, we propose a new classification of self-managed medication abortion and describe the different modalities. We highlight autonomous abortion accompanied by feminist activists, called \"acompañantes,\" as a community- and rights-based strategy that can be a safe alternative to clinical abortion services in clandestine as well as legal settings. To improve access, abortion needs to be decriminalized and governments must acknowledge and facilitate the diversity of safe abortion options so women may choose where, when, how, and with whom to abort.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48236464","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: 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
{"title":"\"If the Woman Doesn't Prevent, You Will Become Pregnant\": Exploring Male Involvement in Contraceptive Use Preceding Unplanned Pregnancy in Sierra Leone.","authors":"Kristen E. McLean, E. Thulin","doi":"10.1111/sifp.12189","DOIUrl":"https://doi.org/10.1111/sifp.12189","url":null,"abstract":"Globally, millions of unintended pregnancies occur each year resulting in a host of social, economic, and health-related problems. Improving knowledge of and access to family planning services is an effective way to prevent unintended pregnancy, and research suggests that men's involvement promotes greater contraceptive uptake. To explore this issue, we assess contraceptive knowledge, attitudes, and behaviors among Sierra Leonean men who experienced an unplanned pregnancy. Findings indicate that men's participation in family planning was limited due to barriers including inadequate knowledge about contraception, poor access to services, and gender norms that consider family planning a woman's responsibility. As a result, men often resorted to a pattern of control that put the onus of contraceptive use on women and blamed women when they became pregnant, without considering their own role in pregnancy prevention. We suggest that family planning policies and interventions both engage men and address the barriers to their participation in reproductive health.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"1 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43256380","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
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
{"title":"Issue Information","authors":"","doi":"10.1111/sifp.12163","DOIUrl":"https://doi.org/10.1111/sifp.12163","url":null,"abstract":"","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45562181","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
How Do Women Learn They Are Pregnant? The Introduction of Clinics and Pregnancy Awareness in Nepal. 妇女如何得知自己怀孕?尼泊尔诊所的引入与怀孕意识。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2022-03-01 Epub Date: 2021-12-08 DOI: 10.1111/sifp.12183
Isabel Musse, Rebecca Thornton, Dirgha Ghimire
{"title":"How Do Women Learn They Are Pregnant? The Introduction of Clinics and Pregnancy Awareness in Nepal.","authors":"Isabel Musse, Rebecca Thornton, Dirgha Ghimire","doi":"10.1111/sifp.12183","DOIUrl":"10.1111/sifp.12183","url":null,"abstract":"<p><p>The earlier a woman learns about her pregnancy status, the sooner she can make decisions about her own and infant's health. This paper examines how women learn about their pregnancy status and measures how access to pregnancy tests affects earlier pregnancy knowledge. Using 10 years of individual-level monthly panel data in Nepal, we find that, on average, women learn they are pregnant in their 4.6th month of pregnancy. Living approximately a mile further from a clinic offering pregnancy tests increases the time a woman knows she is pregnant by one week (5 percent increase) and decreases the likelihood of knowing in the first trimester by 4.5 percentage points (16 percent decrease). Women with prior pregnancies experience the most substantial effects of distance within the first two trimesters, while, for women experiencing their first pregnancy, distance does not affect knowledge. These results suggest that, while access to clinics can increase pregnancy awareness for women who recognize pregnancy symptoms, other complementary policies are needed to increase pregnancy awareness of women in their first pregnancy.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 1","pages":"43-59"},"PeriodicalIF":2.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957515/pdf/nihms-1751847.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10798763","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
Gifting Relationships and School Dropout in Rural Malawi: Examining Differences by Gender and Poverty Level 马拉维农村地区的赠与关系与辍学:按性别和贫困水平考察差异
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2022-02-28 DOI: 10.1111/sifp.12187
Isabel Pike, Monica J. Grant
{"title":"Gifting Relationships and School Dropout in Rural Malawi: Examining Differences by Gender and Poverty Level","authors":"Isabel Pike, Monica J. Grant","doi":"10.1111/sifp.12187","DOIUrl":"https://doi.org/10.1111/sifp.12187","url":null,"abstract":"Abstract Research from sub‐Saharan Africa has shown the heightened likelihood of dropping out of school for students in sexual relationships, particularly girls. However, our knowledge is limited as to whether the risk of school dropout is exacerbated by the exchange of gifts in the relationship as well as students’ poverty level. Drawing on longitudinal survey data from rural Malawi, this study explores these questions, examining differences by gender and poverty level in the association between being in a sexual relationship in which gifts are exchanged and school dropout for adolescents in primary school. Our findings show that for both boys and girls, being in a gifting relationship heightens the risk of school dropout and eliminates the protective advantages of being nonpoor on dropout. However, non‐gifting sexual relationships also erase the protective advantage of being nonpoor for girls, but not for boys. These results point to the value of examining poverty–gender interactions to gain a more nuanced understanding of the impact of sexual relationships on adolescent trajectories.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"53 1","pages":"173 - 192"},"PeriodicalIF":2.1,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42341849","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 Method Skew in India 1992-2016: Analysis Using a New Method Skew Index. 1992-2016年印度避孕方法倾斜:使用新方法倾斜指数分析
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-10-20 DOI: 10.1111/sifp.12177
Aalok Ranjan Chaurasia
{"title":"Contraceptive Method Skew in India 1992-2016: Analysis Using a New Method Skew Index.","authors":"Aalok Ranjan Chaurasia","doi":"10.1111/sifp.12177","DOIUrl":"https://doi.org/10.1111/sifp.12177","url":null,"abstract":"<p><p>This paper analyses method skew in India over more than two decades using a new method skew index. The analysis reveals clear regional pattern in method skew in the country. In north and east regions of the country, method skew is average and below average, but it is high or very high in the south region. We investigate roles of such factors as poverty, education, social class, and religion in deciding the method skew at the district level using the classification modeling approach and find that the roles of these factors are different in different regions of the country. An important finding of the analysis is that there is a positive correlation between the degree of the method skew and contraceptive prevalence at the district level.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"487-512"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39535513","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
An Assessment of Third-Party Reporting of Close Ties to Measure Sensitive Behaviors: The Confidante Method to Measure Abortion Incidence in Ethiopia and Uganda. 衡量敏感行为的密切联系的第三方报告的评估:测量埃塞俄比亚和乌干达堕胎发生率的红唇法。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-11-11 DOI: 10.1111/sifp.12180
Margaret Giorgio, Elizabeth Sully, Doris W Chiu
{"title":"An Assessment of Third-Party Reporting of Close Ties to Measure Sensitive Behaviors: The Confidante Method to Measure Abortion Incidence in Ethiopia and Uganda.","authors":"Margaret Giorgio,&nbsp;Elizabeth Sully,&nbsp;Doris W Chiu","doi":"10.1111/sifp.12180","DOIUrl":"https://doi.org/10.1111/sifp.12180","url":null,"abstract":"<p><p>Indirect estimation techniques are important tools for measuring sensitive and stigmatized behaviors. This includes third-party reporting methods, which have become increasingly common in the field of abortion measurement, where direct survey approaches notoriously lead to underreporting. This paper provides the first in-depth assessment of one of the most widely used of these techniques in the field of abortion measurement: the confidante method. We outline six key assumptions behind the confidante method and describe how violations of these assumptions can bias resulting estimates. Using data from modules added to the performance monitoring for action surveys in Uganda and Ethiopia in 2018, we compute one-year abortion incidence estimates using the confidante method. We also perform a validation check, using the method to estimate intrauterine device /implant use. Our results revealed implementation problems in both settings. Several of the method's foundational assumptions were violated, and efforts to adjust for these violations either failed or only partially addressed the resulting bias. Our validation check also failed, resulting in a gross overestimate of intrauterine device/implant use. These results have implications more broadly for the potential biases that can be introduced in using third-party reporting of close ties to measure other sensitive or stigmatized behaviors.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"513-538"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/80/SIFP-52-513.PMC9298764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39610917","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: 9
Contraceptive Conversations among Adolescent Girls and Young Women and Their Partners, Peers, and Older Female Family Members in Lilongwe, Malawi: A QualitativeAnalysis. 马拉维利隆圭少女和年轻妇女及其伴侣、同伴和老年女性家庭成员的避孕对话:一项定性分析
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-09-29 DOI: 10.1111/sifp.12174
Nivedita L Bhushan, Twambilile Phanga, Bertha Maseko, Dhrutika Vansia, Linda Kamtsendero, Margaret W Gichane, Suzanne Maman, Audrey E Pettifor, Nora E Rosenberg
{"title":"Contraceptive Conversations among Adolescent Girls and Young Women and Their Partners, Peers, and Older Female Family Members in Lilongwe, Malawi: A QualitativeAnalysis.","authors":"Nivedita L Bhushan,&nbsp;Twambilile Phanga,&nbsp;Bertha Maseko,&nbsp;Dhrutika Vansia,&nbsp;Linda Kamtsendero,&nbsp;Margaret W Gichane,&nbsp;Suzanne Maman,&nbsp;Audrey E Pettifor,&nbsp;Nora E Rosenberg","doi":"10.1111/sifp.12174","DOIUrl":"10.1111/sifp.12174","url":null,"abstract":"<p><p>In sub-Saharan Africa, adolescent girls and young women (AGYW) have high levels of unmet need for contraception, particularly those who are unmarried or nulliparous. Conversations with partners, peers, and family members influence AGYW contraceptive decision-making yet little is known about conversation content and impact or how they vary by relationship status and parity. This paper draws on qualitative data from 60 AGYW (aged 15-24) participating in a sexual and reproductive health study in Malawi to examine contraceptive conversation patterns among participants and their social ties. AGYW's relationship status and parity influenced whether they talked about contraceptives, who they talked to about contraceptives, and the type of contraceptives that were endorsed during conversations. Unmarried and nulliparous AGYW were less likely to discuss contraceptives with all social ties and when conversations occurred, norms and misinformation regarding nonbarrier methods were reinforced, and condoms were largely prescribed. Conversations with intimate partners often provided permission for contraceptive use while conversations with peers and older women in the family provided information on contraceptive methods. Our results highlight the unique roles that social ties play in AGYW contraceptive decision-making and suggest that existing contraceptive conversation patterns might exclude unmarried, nulliparous AGYW from accurate and comprehensive contraceptive information and options.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"397-413"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664985/pdf/nihms-1728177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39490967","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: 5
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