Articles

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

Desire for and barriers to obtaining effective contraception among women experiencing homelessness

Homelessness is a significant and growing problem in the United States. Women experiencing homelessness face unique challenges as they have high rates of unintended pregnancy. They often face significant barri...

Authors: Elizabeth Corey, Stephanie Frazin, Samantha Heywood and Sadia Haider

Family planning practices of women working in the Cambodian garment industry: a qualitative study

Women working in Cambodian garment factories have unmet needs for family planning (contraception and safe abortion) services, because of their background and living conditions. This study describes their exper...

Authors: Chisato Masuda, Elisa Oreglia, Sokhey Ly, Megan McLaren, Caroline Free, Camille Tijamo, Amra Ou, Michelle Helena van Velthoven, Amy Williamson and Chris Smith

Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in Hossana town, southern Ethiopia: cross sectional study

In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can res...

Authors: Biruktawit Fekade Woldu, Tadesse Lelago Ermolo, Lidiya Gutema Lemu and Negeso Gebeyehu Gejo

Utilization and predictors of long acting reversible contraceptive methods among reproductive age women in Hawassa city, South Ethiopia: a community based mixed methods

Long acting reversible contraceptive methods are highly effective, safe and provide uninterrupted protection to women for 3 to 12 years, yet are little used in the Ethiopia. Assessment of the utilization and p...

Authors: Aklilu Tilahun, Amanuel Yoseph and Mesay Hailu Dangisso

Level of knowledge, attitude, and practice of family planning and associated factors among disabled persons, north-shewa zone, Amhara regional state, Ethiopia

In Ethiopia, people with disabilities face socioeconomic disadvantages and they have a limited access to sexual and reproductive health information including family planning service. At present, however, there...

Authors: Alemayehu Gonie Mekonnen, Alebachew Demelash Bayleyegn, Yared Asmare Aynalem, Tigist Demssew Adane, Mikyas Arega Muluneh and Meaza Asefa

The impacts of pill contraceptive low-dose on plasma levels of nitric oxide, homocysteine, and lipid profiles in the exposed vs. non exposed women: as the risk factor for cardiovascular diseases

Consuming oral contraceptive pills is one of the methods for preventing pregnancy worldwide. As using the pills has always caused the greatest concern for the likelihood of developing cardiovascular diseases a...

Authors: Zahra Momeni, Ali Dehghani, Hossein Fallahzadeh, Moslem Koohgardi, Maryam Dafei, Seyed Hossein Hekmatimoghaddam and Masoud Mohammadi

Long acting reversible contraceptives utilization and associated factors among women of reproductive age in Arsi Negele town, Southeastern Ethiopia

Ethiopia is the second populous country in Africa with a total fertility rate of 4.6 and contraceptive prevalence of 35%, where implant and intrauterine contraceptive devices account for 8 and 2% respectively....

Authors: Desalegn Tsegaw Hibstu and Akalewold Alemayehu

Determinants of modern contraceptive use among sexually active men in Ethiopia; using EDHS 2016 national survey

Recently, the focus of family planning programs has changed from female oriented to men oriented, or both partner oriented to have effective outcomes. Although, contraceptive use among sexually active women wa...

Authors: Tamrat Shaweno and Zerihun Kura

Abortion attitudes, training, and experience among medical students in Jamaica, West Indies

To define abortion attitudes, training and experience among medical students in Jamaica, a restricted environment for legal abortion.

Authors: Glenmarie Matthews, Jessica Atrio, Horace Fletcher, Nathalie Medley, Leo Walker and Nerys Benfield

Male partner approval on the use of modern contraceptive methods: factors determining usage among couples in Kibaha district, Tanzania

Men in developing countries play an important role in the adoption of family planning (FP), either as actual users or supporters of their partners. Notwithstanding the universal knowledge on the contraceptive ...

Authors: Judith Msovela, Anna Tengia–Kessy, Susan F. Rumisha, Daudi O. Simba, David P. Urassa and Gernard Msamanga

Contraception need and available services among incarcerated women in the United States: a systematic review

Seventy-five percent of incarcerated women are of reproductive age, most of whom are at-risk for unintended pregnancy. Women who are incarcerated come disproportionately from socioeconomically disadvantaged ba...

Authors: Mishka S. Peart and Andrea K. Knittel

Comparison of traditional anesthesia method and jet injector anesthesia method (MadaJet XL®) for Nexplanon® insertion and removal

This study compared a needle-free anesthesia method with traditional local anesthesia for insertion and removal of Nexplanon® long-acting removable contraceptive device. In our clinic, patients often avoid thi...

Authors: G. Anthony Wilson, Julie W. Jeter, William S. Dabbs, Amy Barger Stevens, Robert E. Heidel and Shaunta’ M. Chamberlin

Utilization of long-acting and permanent contraceptive methods and associated factors among married women in Adama town, Central Ethiopia: community based cross-sectional study

Long-acting and permanent contraceptive methods have clear advantages over short-acting methods of contraception that benefit both clients and health systems. Despite this importance, studies show that the pro...

Authors: Markos Desalegn, Ayele Belachew, Muluken Gizaw, Gemechu Kejela and Robsan Gudeta

Ovulation rates in a stair-step protocol with Letrozole vs clomiphene citrate in patients with polycystic ovarian syndrome

To compare ovulation rates between Letrozole and Clomiphene Citrate (CC) using a stair-step protocol to achieve ovulation induction in women with Polycystic Ovarian Syndrome (PCOS).

Authors: S. Thomas, I. Woo, J. Ho, T. Jones, R. Paulson, K. Chung and K. Bendikson

Factors affecting demand for modern contraceptives among currently married reproductive age women in rural Kebeles of Nunu Kumba district, Oromia, Ethiopia

Family planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregna...

Authors: Alemu Kebede, Sileshi G. Abaya, Elias Merdassa and Tariku Tesfaye Bekuma

Contraceptive use and discontinuation among women in rural North-West Tanzania

Existing estimates of contraceptive use in Tanzania rely on cross-sectional or retrospective study designs. This study used a 2-year, retrospective, month-by-month calendar of contraceptive utilization among w...

Authors: Wende Safari, Mark Urassa, Baltazar Mtenga, John Changalucha, James Beard, Kathryn Church, Basia Zaba and Jim Todd

Postabortion contraceptive use in Bahir Dar, Ethiopia: a cross sectional study

Although promoting postabortion family planning is very important and effective strategy to avert unwanted pregnancy, less attention was given to it in Ethiopia. Thus, this study aimed to assess contraceptive ...

Authors: Anteneh Mekuria, Hordofa Gutema, Habtamu Wondiye and Million Abera

Determinants of modern contraceptive use among postpartum women in two health facilities in urban Ghana: a cross-sectional study

Postpartum contraception is important for spacing and limiting childbirth. Although the use of modern contraception has been shown to reduce maternal and child morbidities and mortalities, postpartum women hav...

Authors: Jonathan Ian Coomson and Abubakar Manu