Articles

Sex differences in family planning knowledge, attitudes, and use in Uganda

Literature is satiated with studies focusing on knowledge, attitude, and practices of family planning (FP) among the female population, conversely, the gaps in sex-disaggregated data on FP continue to exist. T...

Authors: Afra Nuwasiima, Agnes Watsemba, Allan Eyapu, Peter Kaddu and Justin Loiseau

Factors associated with modern contraceptive use among women with no fertility intention in sub-Saharan Africa: evidence from cross-sectional surveys of 29 countries

In sub-Saharan Africa, the majority of women of reproductive age who want to avoid pregnancy do not use any method of contraception. This study sought to determine the factors associated with  modern contracep...

Authors: Bright Opoku Ahinkorah, Eugene Budu, Richard Gyan Aboagye, Ebenezer Agbaglo, Francis Arthur-Holmes, Collins Adu, Anita Gracious Archer, Yaa Boahemaa Gyasi Aderoju and Abdul-Aziz Seidu

Patterns and determinants of modern contraceptive use and intention to usecontraceptives among Malawian women of reproductive ages (15–49 years)

Malawi is one of the countries in SSA with the highest TFR. This study aimed to explore factors associated with modern contraceptive use and intention to use contraceptives among women of reproductive ages (15...

Authors: James Forty, Serai Daniel Rakgoasi and Mpho Keetile

Determinants of intrauterine contraceptive device utilization at primary health care facilities in Mekelle City, northern Ethiopia

Each year, the current level of modern contraceptive use averts 188 million unintended pregnancies, which in turn results in 112 million fewer abortions. Of the 867 million women in the developing world who ar...

Authors: Gebremaryam Temesgen Birgoda, Haftom Gebrehiwot, Sultan Hussen Hebo, Birhane Hagos, Genet Assefa, Negussie Boti Sidamo and Mulugeta Shegaze Shembri

Dual contraceptive utilization and determinant factors among HIV positive women in Ethiopia: a systematic review and meta-analysis, 2020

Dual contraceptive is the use of a barrier like condom along with any modern contraceptive methods which has double significance for the prevention STI including HIV and unintended pregnancy. The prevalence an...

Authors: Alemu Degu Ayele, Bekalu Getnet Kassa, Fentahun Yenealem Beyene, Dagne Addisu Sewyew and Gedefaye Nibret Mihretie

Contraceptive prevalence rate and associated factors among reproductive age women in four emerging regions of Ethiopia: a mixed method study

Ethiopia is the second most populous country in Africa, known for its high fertility and low contraceptive use. The magnitude of contraceptive use in the emerging regions of the country is below the national a...

Authors: Delayehu Bekele, Feiruz Surur, Balkachew Nigatu, Alula Teklu, Tewodros Getinet, Munir Kassa, Merhawi Gebremedhin, Berhe Gebremichael and Yonas Abesha

A qualitative study exploring barriers to adequate uptake of antenatal care in pre-conflict Syria: low cost interventions are needed to address disparities in antenatal care

Syria has made progress in reducing maternal mortality and morbidity before the conflict in 2011. Despite the improvement in antenatal care (ANC) coverage and patterns of use, analyses of national surveys demo...

Authors: Rima Mourtada, Hyam Bashour and Fiona Houben

Men’s involvement in family planning service utilization among married men in Kondala district, western Ethiopia: a community-based comparative cross-sectional study

Men involvement is one of the important factors in family planning (FP) service utilization. Their limitation in the family planning program causes a decrease in service utilization as well as the discontinuat...

Authors: Lemessa Assefa, Zemenu Shasho, Habtamu Kebebe Kasaye, Edao Tesa, Ebisa Turi and Ginenus Fekadu

Predictors of contraceptive discontinuation among postpartum women in Arusha region, Tanzania

Postpartum contraceptive discontinuation refers to cessation of use following initiation after delivery within 1 year postpartum. Discontinuation of use has been associated with an increased unmet need for fam...

Authors: Michael J. Mahande, Ryoko Sato, Caroline Amour, Rachel Manongi, Amina Farah, Sia E. Msuya, Bilikisu Elewonibi and Iqbal Shah

Improving public health service delivery response to address contraceptive needs of socio-economically disadvantaged HIV positive people in Maharashtra, India

People living with HIV (PLHIV) receive free antiretroviral treatment (ART) in public health facilities of India. With improved life expectancy, unmet sexual and reproductive health needs of PLHIV have to be ad...

Authors: Beena Joshi, Bhushan Girase, Siddesh Shetty, Vinita Verma, Shrikala Acharya, Pramod Deoraj, Ragini Kulkarni and Shahina Begum

Subfascial‐located contraceptive devices requiring surgical removal

Subdermal etonogestrel implants are highly effective contraceptive methods. Despite standardization of insertion technique by the manufacturer, some implants are inadvertently placed too deeply within or below...

Authors: Justin E. Hellwinkel, Matthew W. Konigsberg, Johana Oviedo, Paula M. Castaño and R. Kumar Kadiyala

The relationship of maternal anxiety, positive and negative affect schedule, and fatigue with neonatal psychological health upon childbirth

Exposure of mothers to negative moods and stress before childbirth leads to negative consequences for the infants. Given the importance of psychological health, this study aimed to examine the effect of these ...

Authors: Sara Dokuhaki, Fateme Dokuhaki and Marzieh Akbarzadeh

Association between media exposure and family planning in Myanmar and Philippines: evidence from nationally representative survey data

Although women in South Asia and South-east Asia have developed their knowledge regarding modern contraceptive and other family planning techniques, limited information exists on the influence of mass media ex...

Authors: Pranta Das, Nandeeta Samad, Hasan Al Banna, Temitayo Eniola Sodunke, John Elvis Hagan Jr, Bright Opoku Ahinkorah and Abdul-Aziz Seidu

Assessment of intention to use postpartum intrauterine contraceptive device and associated factors among pregnant women attending antenatal clinics in ambo town public health institutions, Ethiopia, 2018

Maternal mortality tragedy is the issue of both developed and developing countries, especially sub-Saharan Africa including Ethiopia, which is due to poor quality of maternal health care services. Therefore fa...

Authors: Gurmessa Daba, Jembere Tesfaye Deressa and Workinesh Sinishaw

Risk factors for postpartum intrauterine device expulsion among women delivering at a tertiary Hospital in Uganda: a prospective cohort study

Postpartum intrauterine device (PPIUD) use refers to intrauterine device (IUD) insertion after delivery but within 48 h of birth. In Uganda, the general use of modern methods of contraception is low with < 1% ...

Authors: Joy Muhumuza, Richard Migisha, Joseph Ngonzi, Musa Kayondo and Godfrey Mugyenyi

Prevalence of postpartum family planning utilization and associated factors among postpartum mothers in Arba Minch town, South Ethiopia

Contraception allows women to realize their human right to decide if and when to have children and helps people to attain their desired family size. Yet 214 million women of a reproductive age in developing co...

Authors: Biresaw Wassihun, Kidist Wosen, Asmare Getie, Kalkidan Belay, Rehal Tesfaye, Tewodros Tadesse, Yosef Alemayehu, Manaye Yihune, Addis Aklilu, Kassahun Gebayehu and Shegaw Zeleke

Life without Roe v Wade

Authors: Norman A. Ginsberg and Lee P. Shulman

Contraceptive method use, discontinuation and failure rates among women aged 15–49 years: evidence from selected low income settings in Kumasi, Ghana

This paper provides estimates of contraceptive discontinuation and failure rates in a poor urban setting in Ghana. Contraceptive use is for the purposes of preventing unintended or mistimed pregnancies. Unfort...

Authors: Ayaga A. Bawah, Ryoko Sato, Patrick Asuming, Elizabeth G. Henry, Caesar Agula, Charles Agyei-Asabere, David Canning and Iqbal Shah

Influences on contraceptive method choice among adolescent women across urban centers in Nigeria: a qualitative study

Despite calls to increase contraceptive use among adolescents and youth, large gaps still exist, creating an unmet need for family planning. Past research has focused on barriers to seeking a method. There is ...

Authors: Elynn Kann Sanchez, Courtney McGuire, Lisa M. Calhoun, Gwyn Hainsworth and Ilene S. Speizer

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Postpartum intrauterine device (PPIUCD) utilization remains very low in Ethiopia beside high levels of unmet need for postpartum family planning even if nongovernmental organizations efforts to promote its use...

Authors: Yohannes Fikadu Geda, Seid Mohammed Nejaga, Mesfin Abebe Belete, Semarya Berhe Lemlem and Addishiwet Fantahun Adamu

The Progestin Revolution: progestins are arising as the dominant players in the tight interlink between contraceptives and bleeding control

Since the introduction of the first modern contraceptive methods, the interlink between bleeding control and contraceptive development has been a dominant and critical factor. This interplay has led to the dev...

Authors: Donna Shoupe

Knowledge and attitudes towards contraceptives among adolescents and young adults

Despite endorsements supporting the use of intrauterine devices (IUDs) for adolescents and young adult women (AYA), they have limited knowledge about them Male partners can influence contraceptive decisions, h...

Authors: Aanchal Sharma, Edward McCabe, Sona Jani, Anthony Gonzalez, Seleshi Demissie and April Lee

Impact of immediate postpartum insertion of TCu380A on the quantity and duration of lochia discharges in Tanzania

The insertion of Intrauterine Contraceptive Device (PPIUD) for the purpose of contraception immediately after delivery is becoming popular in countries where the use of IUD for contraception has been extremely...

Authors: Projestine Selestine Muganyizi, Grasiana Festus Kimario, France John Rwegoshora, Ponsian Patrick Paul and Anita Makins

Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study

Provision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women. In Ethiopia, post abortion family planning is minimal and underutiliz...

Authors: Enyew Abate, Yolanda R. Smith, Walelign Kindie, Addisu Girma and Yonas Girma

Prevalence and factors associated with postpartum use of long-acting reversible contraception in Bukombe District, Geita Region, Tanzania: a community- based study

Globally, approximately half of all pregnancies occur before 24 months after child birth. In Sub Saharan Africa the unmet need for family planning is highest among postpartum women. There is a dearth of inform...

Authors: Kiondo Solomon Kiondo, Eusebious Maro, Sophia Kiwango, Julius Pius Alloyce, Benjamin C. Shayo and Michael Johnson Mahande

Removal of a missing intrauterine contraceptive device after location through an ultrasound: a case report within a rural setting and review of literature

In the last decade, (2000–2019), the modern contraceptive prevalence among married women of reproductive age (14–49 years), has increased by only 2.1%. The slow progress was due to limited access to services a...

Authors: Mesele Damte Argaw, Hailemariam Segni Abawollo, Binyam Fekadu Desta, Zergu Taffesse Tsegaye, Dejene Mengistu Belete and Melkamu Getu Abebe

Patterns of triggers, ideation and motivational factors of contraceptive utilization among women and gate-keepers in Nigeria: a scoping study on the resilient and accelerated scale up of DMPA-SC in Nigeria (RASUDIN)

Women have unfair share in the burden of unintended pregnancy outcome and unhealthy interpregnancy intervals. An understanding of the triggers, ideation and motivational factors influencing utilization of mode...

Authors: Kehinde Osinowo, Michael Ekholuenetale, Oluwaseun Ojomo, Abiodun Hassan and Oladapo Alabi Ladipo

Assessment of knowledge on abortion law and factors affecting it among regular undergraduate female students of Ambo University, Oromia Region, Ethiopia, 2018: a cross sectional study

Knowledge of abortion law is a key determinant of the utilization of safe abortion services. Neglecting it can lead to high social and economic costs, both immediately and in the future. One of the major reaso...

Authors: Mulugeta Mekuria, Dechasa Daba, Teka Girma and Adamu Birhanu

Factors affecting men’s support for the use of the contraceptive implant by their female intimate partners

Family planning services have been available at no cost in the public health settings of South Africa since 1994, and now include the long-acting reversible contraceptives (LARCs) namely, the contraceptive imp...

Authors: Kim Jonas, Moira Kalichman, Seth Kalichman, Chelsea Morroni and Catherine Mathews

Discontinuation and switching of postpartum contraceptive methods over twelve months in Burkina Faso and the Democratic Republic of the Congo: a secondary analysis of the Yam Daabo trial

Women who use contraceptive methods sometimes stop early, use methods intermittently, or switched contraceptive methods. All these events (discontinuations and switching) contribute to the occurrence of unwant...

Authors: Abou Coulibaly, Tieba Millogo, Adama Baguiya, Nguyen Toan Tran, Rachel Yodi, Armando Seuc, Asa Cuzin-Kihl, Blandine Thieba, Sihem Landoulsi, James Kiarie, Désiré Mashinda Kulimba and Séni Kouanda

Spousal age difference and its effect on contraceptive use among sexually active couples in Ethiopia: evidence from the 2016 Ethiopia demographic and health survey

Age difference among spouses can be considered as an indicator of the nature of the marital bond, and influences the couple’s fertility expectations. The age difference is one of the features of the traditiona...

Authors: Sena Belina Kitila, Yonas Biratu Terfa, Adugna Olani Akuma, Ayantu Kebede Olika and Alemi Kebede Olika

Assessment of emergency contraceptives utilization and associated factors among female college students at Debre Tabor town

Unwanted pregnancy is a significant public health problem worldwide. In higher education, students are exposed to the risk of unintended pregnancy, abortion, and its related negative consequences.

Authors: Tadesse Wuletaw Demissie, Araya Mesfin Nigatu and Getnet Mihretie Beyene

Unmet need for family planning in Ethiopia and its association with occupational status of women and discussion to her partner: a systematic review and meta-analysis

Unmet need refers to fecund women who either wish to postpone the next birth (spacers) or who wish to stop childbearing (limiters) but are not using a contraceptive method. Many women who are sexually active w...

Authors: Solomon Adanew Worku, Yohannes Moges Mittiku and Abate Dargie Wubetu

Predictors of modern contraceptive use among adolescent girls and young women in sub-Saharan Africa: a mixed effects multilevel analysis of data from 29 demographic and health surveys

The use of modern contraceptives among adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) remains an issue that needs urgent attention. This present study assesses the individual and contextua...

Authors: Bright Opoku Ahinkorah

Modern contraceptive utilization and associated factors among married and cohabiting women in Papua New Guinea: a population-based cross-sectional study

Universal access to family planning has been emphasized by the international development agenda, as evident in the Sustainable Development Goal 3.7. This notwithstanding, the use of modern contraceptives has b...

Authors: Abdul-Aziz Seidu, Ebenezer Agbaglo, Louis Kobina Dadzie, Bright Opoku Ahinkorah, Edward Kwabena Ameyaw, Justice Kanor Tetteh and Sanni Yaya

Factors that affect the discontinuation of family planning methods in Myanmar: analysis of the 2015–16 Myanmar Demographic and Health Survey

Access to family planning contributes up to a 44% reduction in maternal deaths. Since the majority of unplanned pregnancies and abortions occur in women who were either not using contraception or not using it ...

Authors: Khaing Nwe Tin, Thae Maung Maung and Thiri Win

Factors associated with early resumption of sexual intercourse among women during extended postpartum period in Northwest Ethiopia: a cross sectional study

Postpartum sexual health and practice need to be integrated in the current maternal healthcare services to address sexual health problems. However, postpartum sexual practice has received little attention, and...

Authors: Birye Dessalegn Mekonnen

Effectiveness of a mobile phone application to increase access to sexual and reproductive health information, goods, and services among university students in Uganda: a randomized controlled trial

University students are one of the most vulnerable groups to sexual reproductive health [SRH] threats like sexually transmitted infections [STIs], unwanted pregnancies, and unsafe abortions and often have limi...

Authors: Elly Nuwamanya, Robinah Nalwanga, Afra Nuwasiima, Janet U. Babigumira, Francis T. Asiimwe, Joseph B. Babigumira and Vitalis P. Ngambouk

Why does uptake of family planning services remain sub-optimal among Nigerian women? A systematic review of challenges and implications for policy

Over the years, family planning uptake in Nigeria has remained low and this is as a result of the various challenges and barriers faced by women. The aim of this study was to systematically review studies on f...

Authors: Ifeyinwa Chizoba Akamike, Ijeoma Nkem Okedo-Alex, Irene Ifeyinwa Eze, Obumneme Benaiah Ezeanosike and Chigozie Jesse Uneke

Discontinuation of implants use and associated factors among women attending health facility clinics in Hawassa City, Southern Ethiopia, 2019; cross sectional study

Despite improving the availability and use of Implants, discontinuation is becoming a public health concern. A significant proportion of women discontinuing the service before its due date, which is of concern...

Authors: Belay Amare Abebe and Mulu Reda Terefe

The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use

The study was conducted to prospectively examine how pregnancy intendedness and prenatal provider counseling about postpartum contraceptive options are associated with lack of contraception use at 6 months pos...

Authors: Karina M. Shreffler, Stacy Tiemeyer, Jameca R. Price and Lance T. Frye

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Unintended pregnancy constitutes a significant public health challenge in sub-Saharan Africa and particularly among young people, who are more likely to closely space births and experience adverse obstetric ou...

Authors: Bright Opoku Ahinkorah, Abdul-Aziz Seidu, Francis Appiah, Eugene Budu, Collins Adu, Yaa Boahemaa Gyasi Aderoju, Faustina Adoboi and Anthony Idowu Ajayi

Prevalence of anemia and its associated factors among pregnant women attending antenatal care follow up at Wollega University referral hospital, Western Ethiopia

Even if anemia is a worldwide public health problem affecting numerous people in all age groups, particularly the burden of the problem is higher among pregnant women. Anemia is estimated to contribute to more...

Authors: Gemechu Kejela, Aga Wakgari, Tariku Tesfaye, Ebisa Turi, Moa Adugna, Netsanet Alemu and Latera Jebessa

Determinants of female sterilization method uptake among women of reproductive age group in Uganda

Despite its great effectiveness, safety and convenience for women who do not wish to have more children; female sterilization method uptake in Uganda is very low. This study aimed at establishing factors assoc...

Authors: Paula Anita, Abel Nzabona and Richard Tuyiragize

Contraception access during the COVID-19 pandemic

Authors: Jasmine Aly, Kristin O. Haeger, Alicia Y. Christy and Amanda M. Johnson

Determinant of emergency contraceptive practice among female university students in Ethiopia: systematic review and meta-analysis

Despite Ethiopia’s government’s commitment to alleviating unwanted pregnancy and unsafe abortion by increasing holistic reproductive health service accessibility, the rate of unwanted pregnancy among female st...

Authors: Rekiku Fikre, Belay Amare, Alemu Tamiso and Akalewold Alemayehu

Are higher unintended pregnancy rates among minorities a result of disparate access to contraception?

Unintended pregnancy is a major global issue. Women who experience an unintended pregnancy have a significant risk of morbidity and mortality. Additionally, these women also experience substantial financial ha...

Authors: Michele Troutman, Saima Rafique and Torie Comeaux Plowden

Emergency contraceptive knowledge, utilization and associated factors among secondary school students in Wolkite town, southern Ethiopia, cross sectional study

Ethiopia is one of the sub-Saharan African countries with high maternal mortality and morbidity, unsafe abortion and adolescent births. Despite different policy measures taken by the government to improve sexu...

Authors: Dereje Mesfin

Sterilization regret in India: Is quality of care a matter of concern?

According to United Nations, 19% of females in the world relied only on the permanent method of family planning, with 37% in India according to NFHS-4. Limited studies tried to measure the sterilization regret...

Authors: Anjali Bansal and Laxmi Kant Dwivedi

Perception, pattern of use, partner support and determinants of uptake of family planning methods among women in rural communities in Southeast Nigeria

Family planning is a cost-effective strategy for achieving population development. Family planning uptake is low in sub-Saharan Africa, including Nigeria. We assessed the perception, pattern of use, partner su...

Authors: Ifeyinwa Chizoba Akamike, Ugochukwu Chinyem Madubueze, Ijeoma Nkem Okedo-Alex, Chika Julius Anyigor, Benedict Ndubueze Azuogu, Chukwuma David Umeokonkwo and Chinyere Ojiugo Mbachu