Frontiers in global women's health最新文献

{"title":"Midwifery care attachments: shaping childbirth agency through care techniques.","authors":"Annekatrin Skeide","doi":"10.3389/fgwh.2025.1605546","DOIUrl":"10.3389/fgwh.2025.1605546","url":null,"abstract":"<p><p>Midwifery care has been shown to effectively enhance birth outcomes and improve childbirth experiences. It has, however, not yet been sufficiently articulated how exactly. This study explores how trustful and empowering relationships are crafted through midwifery birthing care techniques. To do so, it builds on insights derived from feminist science and technology studies' engagements with caring in terms of empirical ethics, namely as situated practices of \"doing good\". Using reflexive thematic analysis, I examine semi-structured interviews with midwives alongside ethnographic fieldwork conducted across various midwifery care settings in Germany. Setting two birthing stories in dialogue, I illustrate how bodies-in-labor emerge through collective, active, persistent and adaptive engagements with these dynamic entities in midwifery practice to make physiological childbirth happen. Specifically, I argue that through the midwifery care techniques of \"spooning\" and \"labor and birth positioning\" midwifery birthing care attachments are fostered. I conceptualize these attachments as co-responsive, active-passive commitments aimed at sustaining endurable or even pleasurable relationships between embodied selves and bodies-in-labor. Investigating situated midwifery care techniques enables a detailed understanding of their specific qualities in particular childbirth situations, extending conventional notions of being-with and non-intervention. This approach allows to articulate, critically engage with, and strengthen midwifery-specific childbirth care practices.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1605546"},"PeriodicalIF":2.3,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring the positive potential value of birth in economic evaluation of perinatal interventions.","authors":"Meghan Bruce Kumar, Mabel Berrueta, Ezequiel García-Elorrio, Mahesh C Puri, Lisa Hinton, Dorothy Oluoch, Cicely A Marston","doi":"10.3389/fgwh.2025.1492231","DOIUrl":"10.3389/fgwh.2025.1492231","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1492231"},"PeriodicalIF":2.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on trauma-informed maternity care for those with a history of child sexual abuse.","authors":"Elsa Montgomery, Lucy Duckworth","doi":"10.3389/fgwh.2025.1597924","DOIUrl":"10.3389/fgwh.2025.1597924","url":null,"abstract":"<p><p>Failure to listen has been a recurrent issue for recent users of maternity services in the UK. The need to listen to women has been recognised in successive reports. Listening is particularly difficult when the population is unheard such as those who have experienced child sexual abuse. Despite its prevalence and lasting impact on physical and mental health, care of women who have experienced child sexual abuse is not usually part of healthcare professional or student education. This paper discusses the benefits of trauma-informed care to meet the needs of survivors of child sexual abuse. It also discusses the co-production of an e-resource on trauma-informed care for women and birthing people who have experienced child sexual abuse. The resource addresses the related educational gap for healthcare professionals and enables the powerful words of this silent, hidden population to be heard.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1597924"},"PeriodicalIF":2.3,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and factors associated with the use of modern contraceptive methods among female healthcare providers in health facilities in Guinea.","authors":"Yamoussa Youla, Sidikiba Sidibé, Hounmenou Gc, Mory Kourouma, Saidouba Chérif Camara, Salifou Talassone Bangoura, K K J J Olivier, Mathias Grovogui, Maladho Diaby, Emile Faya Bongono, Oumou Hawa Diallo, Ibrahima Conté, Sékou Traoré, Adama Djigui Keita, A Touré, A Delamou","doi":"10.3389/fgwh.2025.1567960","DOIUrl":"10.3389/fgwh.2025.1567960","url":null,"abstract":"<p><strong>Introduction: </strong>The low use of modern contraceptive methods by female healthcare providers is a real public health problem in Guinea. This study aimed to analyze the prevalence and factors associated with the use of modern contraceptive methods among female healthcare providers in Guinea.</p><p><strong>Method: </strong>This was a secondary analysis of data from a cross-sectional survey on the use of modern contraceptive methods among female healthcare providers in Guinea between November 1, 2020, and January 31, 2021. The study included 1,743 women from 173 health facilities across the country.</p><p><strong>Results: </strong>This survey included women whose median age was 29 years, with an interquartile range of (24-39) years. Women with a higher level of education (<i>n</i> = 1,656; 95.5%) and a midwifery profile (<i>n</i> = 838; 48.3%) represented the highest proportions. Among the subjects surveyed, Muslim women were the majority (<i>n</i> = 1,229; 70.9%). The overall prevalence of use of modern contraceptive methods by female healthcare providers in Guinea was 61.9%; CI: 59.6-64.1). Married (aOR = 1.19; CI = 0.95-1.50), having secondary education (aOR = 7.92; CI = 3.68-20.7), women belonging to the Muslim religion (aOR = 1.37; CI = 1.09-1.71) were factors statistically associated with the use of modern contraceptive methods among female healthcare providers.</p><p><strong>Conclusion: </strong>Improving the national prevalence of modern planning methods requires the involvement of stakeholders at all levels. This study's results show a progression in the implementation of governmental actions and health projects and programs related to sexual reproductive health.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1567960"},"PeriodicalIF":2.3,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental and psychosocial correlates of physical activity in pregnant women: a study protocol.","authors":"Lourdes Margaix-Fontestad, Javier Molina-García, Begoña Arriero-Hurtado, Julia Asensi-Tarín, Ana Queralt","doi":"10.3389/fgwh.2025.1450342","DOIUrl":"10.3389/fgwh.2025.1450342","url":null,"abstract":"<p><p>Pregnant women are often more open to engaging in healthy lifestyles. Numerous studies have shown that physical activity (PA) during pregnancy contributes to obstetric and neonatal benefits. Nonetheless, most pregnant women do not comply with PA recommendations. We will analyze the association between environmental and psychosocial variables and PA levels during pregnancy. This observational and cross-sectional study will include pregnant women in their second trimester. Questionnaires will assess obstetric, psychosocial, built-environmental perceptions, and PA factors. PA will also be objectively measured using accelerometers. Geographic Information Systems will objectively analyze built-environment attributes. Birth and neonatal variables will be obtained from patient clinical histories. Multiple regression models will be used to evaluate how personal, psychosocial, and environmental variables influence PA. This study will potentially contribute to characterize the environments that favor PA during pregnancy.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1450342"},"PeriodicalIF":2.3,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual and reproductive health and rights and climate change about menstrual discrimination: a policy review in the context of Nepal.","authors":"Radha Paudel, Devaraj Acharya, Tejaswi Mili Adhikari","doi":"10.3389/fgwh.2025.1560404","DOIUrl":"10.3389/fgwh.2025.1560404","url":null,"abstract":"<p><p>The conversation around climate, sexual and reproductive health and rights (SRHR), and menstruation is increasing more than ever in Nepal. The discussion between climate and SRHR is more visible and it endeavors to develop the relationship between them. The claim of the role of menstrual discrimination (MD) is the construction and reinforcement of power and patriarchal demands unveiling MD as an underlying barrier for gender-responsive climate or SRHR interventions. In this vein, this study reviewed the national policies of climate change (CC) and SRHR with MD. It aims to examine the positioning of MD in ongoing policies around SRHR and CC. It is crucial to accelerate the impact of interventions related to SRHR and CC to achieve broader gender justice and human rights. The policy-related documents regarding CC and SRHR are reviewed. The visible and invisible MD is rampant across the country regardless of class, caste, region, or religion. The Government of Nepal started to work on SRHR in 2000, although the specific policies on dignified menstruation were made in 2017. MD is missed across all the conversations of CC although it talks about gender equality and social inclusion policies (GESI). The GESI policies and programs do not spell out the discrimination related to menstruation and its impact throughout life, and the SRHR policy has a similar impact. MD is one of the missing dimensions regarding power relations, patriarchy, climate, and SRHR. This study recommends a thorough unpacking of MD, including its impact, incorporating the strategies to dismantle MD in both SRHR and ensuring CC-related policies and programs for real equality and inclusion. The findings of this research become helpful to policymakers during intervention planning to overcome the situation.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1560404"},"PeriodicalIF":2.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-abortion contraceptive uptake, choices, and factors associated with it among women seeking abortion services in Africa: a systematic review and meta-analysis.","authors":"Gizachew Worku Dagnew, Melash Belachew Asresie","doi":"10.3389/fgwh.2025.1478797","DOIUrl":"10.3389/fgwh.2025.1478797","url":null,"abstract":"<p><strong>Background: </strong>In Africa, over one-third of women experience multiple abortions, often due to inadequate access to effective modern contraceptives. This highlights a critical gap in understanding the patterns and predictors of post-abortion contraceptive (PAC) use. To address this issue, a systematic review and meta-analysis were conducted to assess the uptake of PAC and associated factors among African women who received abortion services.</p><p><strong>Methods: </strong>Following the PRISMA guideline, all articles published between January 1, 2015, and December 30, 2023, were systematically retrieved from multiple databases. Articles reporting PAC uptake among African women were included. The pooled prevalence of Post-abortion contraceptive uptake was determined using a random effects model. The variation between the included studies was assessed using a funnel plot and <i>I</i> ² heterogeneity statistics. Sources of heterogeneity: Subgroup analysis was performed by country, publication period, study design, and sub-African region.</p><p><strong>Results: </strong>From 48 articles, a total of 84,205 women who underwent abortion services were included in the analysis. The pooled prevalence of PAC uptake in Africa was 58.78% (95% CI: 52.36-65.21), with high heterogeneity (<i>I</i> ² = 99.8%, 95% CI: 99.2%-99.9%; <i>P</i> < 0.001). The subgroup analysis revealed variation by country, publication period, and sub-African region. The most widely used contraceptive methods were injectables (30.27%), followed by implants (25.13%), oral contraceptive pills (22.34%), and IUDs (10.47%). Attending formal education (OR = 1.46, 95% CI = 1.03, 2.07), knowing the period of fertility (OR = 1.72, 95% CI = 1.14, 2.59), counseling about contraceptives (OR = 3.40, 95% CI = 1.82, 6.35), not having a desire for pregnancy (OR = 3.08, 95% CI = 1.74, 5.35, 95% CI = 2.55, 7.42), and possessing contraceptive knowledge (OR =  2.30, 95% CI = 1.41, 3.76) had a statistically significant combined effect on PAC uptake in Africa.</p><p><strong>Conclusion: </strong>The uptake of PAC in Africa stands at 58.78%, which is considered low according to the World Health Organization's recommendation that all women should postpone conception for six months following an abortion. There was also a decline of 20.22% between 2020 and 2023 compared to the pooled uptake between 2015 and 2019. To address this, it is crucial to enhance women's awareness of post-abortion contraception, the conception risks after abortion, and to strengthen client-centered counseling alongside women's education.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/view/CRD42024505129, PROSPERO CRD42024505129.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1478797"},"PeriodicalIF":2.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of climate change and environmental adversities on maternal and fetal health: the role of clinical practices and providers in mitigating effects and prioritising women's health in the UK.","authors":"Athina Samara, Thomas Hanton, Ranee Thakar, Eric Jauniaux, Asma Khalil","doi":"10.3389/fgwh.2025.1483938","DOIUrl":"10.3389/fgwh.2025.1483938","url":null,"abstract":"<p><p>The climate crisis poses profound risks to women particularly during pregnancy. With rising global temperatures and increasing frequency of extreme weather events, there is an urgent need for health initiatives and guidelines tailored to the unique vulnerabilities of pregnant individuals. We conducted a review of English-language literature from 2000-2024 using PubMed, Scopus, and Web of Science, focusing on \"climate change,\" \"pregnancy,\" and \"maternal health,\" and included original studies, reviews. Relevant policy documents, including some published in 2025 were also included. We examine the multifaceted challenges posed by climate change, such as extreme weather events, water scarcity, malnutrition, and exposure to environmental pollutants like contaminated air and water, which directly and indirectly affect maternal and fetal health. The review explores the associations between these environmental stressors and adverse pregnancy outcomes, including preterm births, low birth weight, and developmental complications. These challenges are compounded in low-resource settings where healthcare infrastructure is limited, exacerbating inequities in maternal care. Furthermore, we focus on key areas for further investigation, including the long-term health effects of in-utero exposure to pollutants. The review addresses evidence-based strategies to reduce the environmental impact of healthcare through early interventions, innovation, and strengthened initiatives. It emphasises empowering healthcare professionals to educate others, raise awareness among policymakers, advocate for climate-conscious policies, and promote sustainable practices reducing the carbon footprint of the healthcare system, with a focus on the UK. In response to these pressing concerns, leading professional organizations, such as the Royal College of Obstetricians and Gynaecologists (RCOG) in the UK, and the American College of Obstetricians and Gynaecologists (ACOG) in the US, are prioritizing the intersection of climate change and women's health. Their initiatives, which aim to mitigate the climate-change impacts on pregnancies and fetal health by promoting research, raising awareness, and developing actionable strategies, are also highlighted. By amplifying awareness and global collaboration, the suggested strategies aim to protect maternal and fetal health in the face of an escalating climate crisis.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1483938"},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum common mental disorders and its associated factors in eastern Ethiopia: a community-based cross-sectional study.","authors":"Dejene Tesfaye, Tadesse Misgana, Berhe Gebremichael, Daniel Alemu, Dawit Tamiru, Adisu Birhanu Weldesenbet, Mandaras Tariku, Merga Dheresa","doi":"10.3389/fgwh.2025.1484834","DOIUrl":"10.3389/fgwh.2025.1484834","url":null,"abstract":"<p><strong>Introduction: </strong>Common mental disorders (CMD) cause marked emotional distress and interfere with daily function among postpartum women. In addition, the negative attitude towards mental disorders and their treatments prevents the women from seeking mental healthcare. Very little is known about CMD among women, especially in the postpartum period. This study, therefore, aimed at assessing the prevalence of CMD and its associated factors among women in the postpartum period at Kersa and Haramaya Health and Demographic Surveillance Sites (HDSS) sites, in eastern Ethiopia, between 1 July 2021 and 28 February 2022.</p><p><strong>Methods: </strong>This study employed a community-based cross-sectional study design using a quantitative method and was conducted in Kersa and Haramaya HDSS among 1,016 postpartum women. A structured questionnaire was used to collect data through face-to-face interviews about the variables related to sociodemographic and economic, clinical, psychosocial, substance use, and obstetric complication characteristics. The CMD was assessed by using the Self-Reporting Questionnaire (SRQ-20). A bivariable and multivariable logistic regression analysis was performed. All the variables with a <i>p</i>-value <0.25 in bivariable logistic regression were taken to multivariable logistic regression. Variables with a <i>p</i>-value < 0.05 in the multivariable regression were declared statistically significant associations. The odds ratio (OR) and 95% confidence intervals (CI) were used to show the strength of the association.</p><p><strong>Result: </strong>The prevalence of postpartum CMD was 23.84% (95% CI: 21.21-26.47). Among pregnant women who had CMD, only 103 (27.7%) had CMD and persisted to the postpartum period. Poor social support [adjusted OR (aOR): 1.88, 95% CI: 1.28-2.74], wealth index in the first quantile (aOR: 1.59, 95% CI: 1.06-2.39), presence of obstetric complication (aOR: 7.74, 95% CI: 4.38-13.69), and cesarean delivery (aOR: 5.01, 95% CI: 1.14-22.13) were the factors that showed a statistically significant association with postpartum CMD.</p><p><strong>Conclusion: </strong>One in every four study participants had CMD, which was higher than in studies conducted in Ethiopia among postpartum women. Social support, wealth index, obstetric complications, and mode of delivery were the factors with statistically significant associations. Postpartum women may benefit from the early diagnosis and treatment of CMD at the community and the primary healthcare level, and the integration of mental healthcare into maternal health services.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1484834"},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thirty years after the Cairo declaration on population & development: have family planning measurements caught up?","authors":"Nour Horanieh, Alice Witt, Marieme Fall, Eloisa Montt-Maray, Lamiah Adamjee, Elizabeth Larson, Thais Gonzalez-Capella, Beniamino Cislaghi","doi":"10.3389/fgwh.2025.1548447","DOIUrl":"10.3389/fgwh.2025.1548447","url":null,"abstract":"<p><strong>Introduction: </strong>The 1994 International Conference on Population Development (ICPD) initiated the transition of family planning (FP) programmes from focusing on population control to promoting human rights and women's empowerment. The indicators used to measure success of FP programmes, however, continue to focus on estimating modern contraceptive uptake. Contraceptive Prevalence Rate (CPR) and unmet need are the main indicators used. We aim to assess the views of those working within the FP community from the Global North and South on the use of current indicators for FP programmes. While there have been calls for new measures, understanding the barriers to changing existing ones is essential for adopting and implanting these new measures.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 31 participants from five distinct groups; academics, NGO workers, government officials, funding agency workers and advocates. Participants were working in countries worldwide, including both the Global North and South; the latter were mostly based in Francophone West Africa. Interviews explored several themes including FP targets and indicators. We applied a thematic analysis.</p><p><strong>Results: </strong>Participants' views ranged from those who believed in the need to eradicate current indicators from FP programmes to those expressing contentment with current indicators and their benefit in measuring success. Most of the participants acknowledged the benefit of indicators in assessing progress or as a starting point, yet they identified multiple limitations to their use, including the possibility of implicit coercion, skewing training to focus on long-acting reversible contraceptives (LARCs) promotion, and prioritising modern contraceptive methods over natural ones. Some expressed anxiety that challenging the status quo could lead to funding cuts. Participants identified challenges in adopting new indicators and emphasised that funding for FP programs remains largely concentrated among international agencies based in the Global North, which results in maintaining certain traditional demographic approaches.</p><p><strong>Conclusion: </strong>Current indicators affect the understanding of success of FP programmes and influence how FP services translate on the ground. We provide international stakeholders' perspectives on the barriers to be overcome to support development of new indicators, including non-use of contraception as a success as long as it is a full, free and informed choice.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1548447"},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}