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The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries

Although researchers and practitioners have suggested that the quality of family planning services impacts contraceptive discontinuation, establishing a causal relationship has been challenging, primarily due to data limitations and a lack of agreement on how to measure quality. This longitudinal st...

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Autores principales: Cardona, Carolina, OlaOlorun, Funmilola M., Omulabi, Elizabeth, Gichangi, Peter, Thiogo, Mary, Tsui, Amy, Anglewicz, Philip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394817/
https://www.ncbi.nlm.nih.gov/pubmed/35994479
http://dx.doi.org/10.1371/journal.pone.0271911
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author Cardona, Carolina
OlaOlorun, Funmilola M.
Omulabi, Elizabeth
Gichangi, Peter
Thiogo, Mary
Tsui, Amy
Anglewicz, Philip
author_facet Cardona, Carolina
OlaOlorun, Funmilola M.
Omulabi, Elizabeth
Gichangi, Peter
Thiogo, Mary
Tsui, Amy
Anglewicz, Philip
author_sort Cardona, Carolina
collection PubMed
description Although researchers and practitioners have suggested that the quality of family planning services impacts contraceptive discontinuation, establishing a causal relationship has been challenging, primarily due to data limitations and a lack of agreement on how to measure quality. This longitudinal study estimated the relationship of the dissatisfaction with family planning services on contraceptive discontinuation for a sample of 797 female clients who sought family planning services at urban facilities across Kenya, Nigeria, and Burkina Faso. Clients who sought family planning services were first interviewed in person at private and public health facilities and received a follow-up phone interview four to six months later. In our sample, 18.2% of clients who were using a modern contraceptive at baseline stopped using it by follow-up. At baseline, nearly 14% of clients reported experiencing a problem with service convenience, nearly 12% with the availability of medicines and contraceptives, and nearly 6% with facility cleanliness and/or staff treatment. We hypothesized that client dissatisfaction with the family planning services received informed their decision to discontinue contraception and estimated univariate and bivariate probit regression models, controlling for individual and health facility characteristics. We found that client’s perceptions of staff treatment and facility cleanliness informed their expectations about service and contraceptive standards, affecting subsequent contraceptive discontinuation. The difference in the probability of discontinuing contraception was 8.2 percentage-points between dissatisfied and satisfied clients. Examining client dissatisfaction with family planning services can inform the family planning community on needed improvements to increase contraceptive adherence for women in need, which can prevent unplanned pregnancies and unwanted births in the long run.
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spelling pubmed-93948172022-08-23 The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries Cardona, Carolina OlaOlorun, Funmilola M. Omulabi, Elizabeth Gichangi, Peter Thiogo, Mary Tsui, Amy Anglewicz, Philip PLoS One Research Article Although researchers and practitioners have suggested that the quality of family planning services impacts contraceptive discontinuation, establishing a causal relationship has been challenging, primarily due to data limitations and a lack of agreement on how to measure quality. This longitudinal study estimated the relationship of the dissatisfaction with family planning services on contraceptive discontinuation for a sample of 797 female clients who sought family planning services at urban facilities across Kenya, Nigeria, and Burkina Faso. Clients who sought family planning services were first interviewed in person at private and public health facilities and received a follow-up phone interview four to six months later. In our sample, 18.2% of clients who were using a modern contraceptive at baseline stopped using it by follow-up. At baseline, nearly 14% of clients reported experiencing a problem with service convenience, nearly 12% with the availability of medicines and contraceptives, and nearly 6% with facility cleanliness and/or staff treatment. We hypothesized that client dissatisfaction with the family planning services received informed their decision to discontinue contraception and estimated univariate and bivariate probit regression models, controlling for individual and health facility characteristics. We found that client’s perceptions of staff treatment and facility cleanliness informed their expectations about service and contraceptive standards, affecting subsequent contraceptive discontinuation. The difference in the probability of discontinuing contraception was 8.2 percentage-points between dissatisfied and satisfied clients. Examining client dissatisfaction with family planning services can inform the family planning community on needed improvements to increase contraceptive adherence for women in need, which can prevent unplanned pregnancies and unwanted births in the long run. Public Library of Science 2022-08-22 /pmc/articles/PMC9394817/ /pubmed/35994479 http://dx.doi.org/10.1371/journal.pone.0271911 Text en © 2022 Cardona 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
Cardona, Carolina
OlaOlorun, Funmilola M.
Omulabi, Elizabeth
Gichangi, Peter
Thiogo, Mary
Tsui, Amy
Anglewicz, Philip
The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries
title The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries
title_full The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries
title_fullStr The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries
title_full_unstemmed The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries
title_short The relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-Saharan African countries
title_sort relationship between client dissatisfaction and contraceptive discontinuation among urban family planning clients in three sub-saharan african countries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394817/
https://www.ncbi.nlm.nih.gov/pubmed/35994479
http://dx.doi.org/10.1371/journal.pone.0271911
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