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Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis

BACKGROUND: Women who start using contraception (“adopters”) are a key population for family planning goals, but little is known about characteristics that predict the adoption of contraception as opposed to current use. We used prospective data from women and facilities for five countries, (Democra...

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Autores principales: Anglewicz, Philip, Cardona, Carolina, Akinlose, Titilope, Gichangi, Peter, OlaOlorun, Funmilola, Omoluabi, Elizabeth, Thiongo, Mary, Akilimali, Pierre, Tsui, Amy, Kayembe, Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370635/
https://www.ncbi.nlm.nih.gov/pubmed/34403428
http://dx.doi.org/10.1371/journal.pone.0254775
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author Anglewicz, Philip
Cardona, Carolina
Akinlose, Titilope
Gichangi, Peter
OlaOlorun, Funmilola
Omoluabi, Elizabeth
Thiongo, Mary
Akilimali, Pierre
Tsui, Amy
Kayembe, Patrick
author_facet Anglewicz, Philip
Cardona, Carolina
Akinlose, Titilope
Gichangi, Peter
OlaOlorun, Funmilola
Omoluabi, Elizabeth
Thiongo, Mary
Akilimali, Pierre
Tsui, Amy
Kayembe, Patrick
author_sort Anglewicz, Philip
collection PubMed
description BACKGROUND: Women who start using contraception (“adopters”) are a key population for family planning goals, but little is known about characteristics that predict the adoption of contraception as opposed to current use. We used prospective data from women and facilities for five countries, (Democratic Republic of Congo, India, Kenya, Nigeria, and Burkina Faso) and identified baseline characteristics that predicted adoption of modern contraception in the short term. METHODS: We used data from the Performance Monitoring for Action (PMA) Agile Project. PMA Agile administered service delivery point (SDP) client exit interview (CEI) surveys in urban sites of these five countries. Female clients responding to the CEI were asked for phone numbers that were used for a phone follow-up survey approximately four months later. For our analysis, we used data from the SDP and CEI baseline surveys, and the phone follow up to compare women who start using contraception during this period with those who remain non-users. We used characteristics of the facility and the woman at baseline to predict her contraception adoption in the future. RESULTS: Discussing FP with a partner at baseline was associated with greater odds of adoption in DRC (OR 2.34; 95% CI 0.97–5.66), India (OR 2.27; 95% CI 1.05–4.93), and Kenya (OR 1.65; 95% CI 1.16–2.35). Women who discussed family planning with any staff member at the health facility had 1.72 greater odds (95% CI 1.13–2.67) of becoming an adopter in Nigeria. The odds of adoption were lower in Nigerian facilities that had a stockout (OR 0.66 95% CI 0.44–1.00) at baseline. Other characteristics associated with contraception adoption across settings were education, age, wealth, parity, and marital status. CONCLUSIONS: Characteristics of both the woman and the health facility were associated with adoption of modern contraception in the future. Some characteristics, like discussing family planning with a spouse, education, and parity, were associated with contraceptive adoption across settings. Other characteristics that predict contraceptive use, such as health facility measures, varied across countries.
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spelling pubmed-83706352021-08-18 Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis Anglewicz, Philip Cardona, Carolina Akinlose, Titilope Gichangi, Peter OlaOlorun, Funmilola Omoluabi, Elizabeth Thiongo, Mary Akilimali, Pierre Tsui, Amy Kayembe, Patrick PLoS One Research Article BACKGROUND: Women who start using contraception (“adopters”) are a key population for family planning goals, but little is known about characteristics that predict the adoption of contraception as opposed to current use. We used prospective data from women and facilities for five countries, (Democratic Republic of Congo, India, Kenya, Nigeria, and Burkina Faso) and identified baseline characteristics that predicted adoption of modern contraception in the short term. METHODS: We used data from the Performance Monitoring for Action (PMA) Agile Project. PMA Agile administered service delivery point (SDP) client exit interview (CEI) surveys in urban sites of these five countries. Female clients responding to the CEI were asked for phone numbers that were used for a phone follow-up survey approximately four months later. For our analysis, we used data from the SDP and CEI baseline surveys, and the phone follow up to compare women who start using contraception during this period with those who remain non-users. We used characteristics of the facility and the woman at baseline to predict her contraception adoption in the future. RESULTS: Discussing FP with a partner at baseline was associated with greater odds of adoption in DRC (OR 2.34; 95% CI 0.97–5.66), India (OR 2.27; 95% CI 1.05–4.93), and Kenya (OR 1.65; 95% CI 1.16–2.35). Women who discussed family planning with any staff member at the health facility had 1.72 greater odds (95% CI 1.13–2.67) of becoming an adopter in Nigeria. The odds of adoption were lower in Nigerian facilities that had a stockout (OR 0.66 95% CI 0.44–1.00) at baseline. Other characteristics associated with contraception adoption across settings were education, age, wealth, parity, and marital status. CONCLUSIONS: Characteristics of both the woman and the health facility were associated with adoption of modern contraception in the future. Some characteristics, like discussing family planning with a spouse, education, and parity, were associated with contraceptive adoption across settings. Other characteristics that predict contraceptive use, such as health facility measures, varied across countries. Public Library of Science 2021-08-17 /pmc/articles/PMC8370635/ /pubmed/34403428 http://dx.doi.org/10.1371/journal.pone.0254775 Text en © 2021 Anglewicz et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Anglewicz, Philip
Cardona, Carolina
Akinlose, Titilope
Gichangi, Peter
OlaOlorun, Funmilola
Omoluabi, Elizabeth
Thiongo, Mary
Akilimali, Pierre
Tsui, Amy
Kayembe, Patrick
Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis
title Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis
title_full Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis
title_fullStr Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis
title_full_unstemmed Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis
title_short Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis
title_sort service delivery point and individual characteristics associated with the adoption of modern contraceptive: a multi-country longitudinal analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370635/
https://www.ncbi.nlm.nih.gov/pubmed/34403428
http://dx.doi.org/10.1371/journal.pone.0254775
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