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Studies in Family Planning

Sarah D Rominski, Rob Stephenson
The current definition of unmet need for contraception assumes that all women who are using a method have a met need. We argue that without taking into account the level of satisfaction with a method, many women are classified as having a met need, when in fact they have an unmet need. They are using a method that does not meet their preferences, either because it causes side effects they find untenable or has other characteristics they do not like. Given the large number of contraceptive episodes that end in discontinuation, reportedly often due to the experience of side effects, we argue that the current definition of unmet need undercounts the number of women with a true unmet need for contraception as it misses the many women who are using a method that does not meet their preferences...
February 11, 2019: Studies in Family Planning
Andrés Sánchez-Pájaro, Ariela Braverman-Bronstein, Filipa De Castro, Dèsirée Vidaña-Pérez, Aremis Villalobos-Hernández, Tonatiuh Barrientos-Gutiérrez
This study estimates the contribution of second and higher-order births to the adolescent fertility rate in Mexico from 2006 to 2014. We used data from nationally representative surveys for 2006, 2009, and 2014 to estimate the adolescent fertility rate, and the first, second, and higher-order birth components for the triennium prior to each survey at the national and state level. Our results showed that the second and higher-order component was 16.3 births per 1,000 women in 2003-05, 14.9 in 2006-08, and 16...
January 31, 2019: Studies in Family Planning
Sara Yeatman, Abdallah Chilungo, Sydney Lungu, Hazel Namadingo, Jenny Trinitapoli
Tsogolo la Thanzi (TLT) was designed to study how young adults navigate sexual relationships and childbearing during a generalized HIV epidemic. TLT began in 2009 with a population-representative sample of 1,505 women and 574 men between the ages of 15 and 25 living in Balaka, southern Malawi, where regional adult HIV prevalence then stood at 15 percent. The first phase (2009-11) included a series of eight interviews, spaced four months apart. During this time, women's romantic and sexual partners enrolled in the study on an ongoing basis...
January 28, 2019: Studies in Family Planning
Suzanne O Bell, David Bishai
Although induced abortion is common, measurement issues have long made this area of research challenging. The current analysis applies an indirect method known as the list experiment to try to improve survey-based measurement of induced abortion. We added a double list experiment to a population-based survey of reproductive age women in Rajasthan, India and compared resulting abortion estimates to those we obtained via direct questioning in the same sample. We then evaluated list experiment assumptions. The final sample completing the survey consisted of 6,035 women...
January 23, 2019: Studies in Family Planning
Karen T Chang, Mulenga Mukanu, Ben Bellows, Waqas Hameed, Amanda M Kalamar, Karen A Grépin, Xaher Gul, Nirali M Chakraborty
The Method Information Index (MII) is calculated from contraceptive users' responses to questions regarding counseling content-whether they were informed about methods other than the one they received, told about method-specific side effects, and advised what to do if they experienced side effects. The MII is increasingly reported in national surveys and used to track program performance, but little is known about its properties. Using additional questions, we assessed the consistency between responses and the method received in a prospective, multicountry study...
January 21, 2019: Studies in Family Planning
Sarah L Dalglish, Jessica Vandermark, Clémentine Rossier, Adama Kemou, Hope Neighbor
Global initiatives aim to add 120 million new family planning (FP) users by 2020; however supply-side interventions may be reaching the limits of their effectiveness in some settings. Our case study in Niger used demand analysis techniques from marketing science. We performed a representative survey (N = 2,004) on women's FP knowledge, attitudes, needs, and behaviors, then used latent class analysis to produce a segmentation of women based on their responses. We found that Nigerien women's demand for modern FP methods was low, with majorities aware of modern methods but much smaller proportions considering use, trying modern methods, or using one consistently...
November 26, 2018: Studies in Family Planning
Fidelia Dake, Luisa Natali, Gustavo Angeles, Jacobus de Hoop, Sudhanshu Handa, Amber Peterman
There is increasing interest in the ability of cash transfers to facilitate safe transitions to adulthood in low-income settings; however, evidence from scaled-up government programming demonstrating this potential is scarce. Using two experimental evaluations of unconditional cash transfers targeted to ultra-poor and labor-constrained households over approximately three years in Malawi and Zambia, we examine whether cash transfers delayed early marriage and pregnancy among youth aged 14 to 21 years at baseline...
November 20, 2018: Studies in Family Planning
Saleh Babazadeh, Katherine Thanel, Danielle Garfinkel, Christina Riley, Jane Bertrand, Bryan Shaw
This article describes datasets for the FPwatch Project, a comprehensive facility-based family planning survey conducted by Population Services International in five countries in Africa and Asia from 2015 to 2017. Contents cover research design and background, methodology, sample selection, data collection, an overview of FPwatch indicators, and quality assurance measures taken. These datasets from the Democratic Republic of Congo, Ethiopia, India, Myanmar, and Nigeria complement other facility-based family planning surveys and are unique in their large-scale, standardized methodology, and comprehensive sampling approach...
November 19, 2018: Studies in Family Planning
Julia Andrea Behrman, Kelsey Quinn Wright, Monica J Grant, Erica Soler-Hampejsek
This article provides updated estimates of trends in modern contraceptive use among young adult women (aged 15-24) who have had sex, using Demographic and Health Survey data from 23 sub-Saharan African countries (1990-2014). In East/South Africa, parous women had higher modern contraceptive use than nulliparous women and larger increases in modern contraceptive use over time. In the West/Central region, nulliparous women had higher modern contraceptive use than parous women and larger increases in modern contraceptive use over time...
November 15, 2018: Studies in Family Planning
Erica Sedlander, Jeffrey B Bingenheimer, Mary Thiongo, Peter Gichangi, Rajiv N Rimal, Mark Edberg, Wolfgang Munar
A common reason for nonuse of modern contraceptives is concern about side effects and health complications. This article provides a detailed characterization of the belief that modern contraceptives cause infertility, and an examination of how this belief arises and spreads, and why it is so salient. We conducted focus group discussions and key informant interviews in three rural communities along Kenya's eastern coast, and identified the following themes: (1) the belief that using modern contraception at a young age or before childbirth can make women infertile is widespread; (2) according to this belief, the most commonly used methods in the community were linked to infertility; (3) when women observe other women who cannot get pregnant after using modern contraceptives, they attribute the infertility to the use of contraception; (4) within the communities, the primary goal of marriage is childbirth and thus community approval is rigidly tied to childbearing; and, therefore (5) the social consequences of infertility are devastating...
November 9, 2018: Studies in Family Planning
Joyce N Mumah, John B Casterline, Kazuyo Machiyama, Marylene Wamukoya, Caroline W Kabiru, John Cleland
Despite an extensive evidence base on contraceptive method choice, it remains uncertain which factors are most influential in predisposing women toward certain methods and against others. This paper addresses this gap in knowledge by making use of rarely-measured perceptions about specific methods, perceived social network experience of methods, and women's own past experiences using specific methods. We draw on baseline data from the project, "Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning...
September 2018: Studies in Family Planning
May Sudhinaraset, Patience A Afulani, Nadia Diamond-Smith, Ginger Golub, Aradhana Srivastava
Despite recognition that person-centered care is a critical component to providing high quality family planning services, there lacks consensus on how to operationalize and measure it. This paper describes the development and validation of a person-centered family planning (PCFP) scale in India and Kenya. Cross-sectional data were collected from 522 women in Kenya and 225 women in India who visited a health facility providing family planning services. Psychometric analyses, including exploratory factor analysis, were employed to assess the validity and reliability of the PCFP scale...
September 2018: Studies in Family Planning
Laura Lindberg, Rachel H Scott
Abortion is a behavior that is stigmatized and difficult to measure. To improve reporting of abortion and other sensitive behaviors in the United States, the National Survey of Family Growth (NSFG) supplements the interviewer administered face-to-face (FTF) interview with audio computer-assisted self-interviewing (ACASI). This paper estimates differential reporting of abortion and other pregnancy outcomes (miscarriage, live birth) in the NSFG (2002, 2006-2010, 2011-2015) between women's ACASI and FTF interviews...
September 2018: Studies in Family Planning
Letícia J Marteleto, Aida Villanueva
While Brazil has high rates of adolescent fertility for its below-replacement total fertility rate, we know little about the causal effects of adolescent childbearing and adolescent union formation for women's education. In this paper, we examine unique data from the 2013 School-to-Work Transitions Survey to address the consequences of adolescent childbearing and adolescent union formation on educational outcomes of Brazilian young women. We apply several analytical strategies to address the endogeneity between adolescent childbearing and educational outcomes...
August 31, 2018: Studies in Family Planning
Sara Yeatman, Emily Smith-Greenaway
Despite the frequency with which it occurs, we know little about unintended fertility in sub-Saharan Africa and even less about its implications for the health of the women and men who experience it. We use longitudinal data from southern Malawi to explore how young adults report on the planning of their births and to identify changes in their self-rated health and subjective well-being associated with having more- or less-planned births. Our data feature a comprehensive scale of pregnancy planning, the London Measure of Unplanned Pregnancy (LMUP), that extends beyond the conventional focus on timing-based pregnancy intentions to incorporate information about contraception, desires, intentions, partner discussion, and preconception preparations...
July 11, 2018: Studies in Family Planning
Ann K Blanc, Jeffrey B Bingenheimer
No abstract text is available yet for this article.
June 15, 2018: Studies in Family Planning
Ifta Choiriyyah, Stan Becker
A proportion of women in couples use contraception without their partners' knowledge. There are two principal ways to measure this covert use in cross-sectional surveys like the Demographic and Health Surveys (DHS). First is a direct question, "Does your husband/partner know that you are using a method of family planning?" Second is an indirect method: the reports of both partners to the question on contraceptive use are matched, and if the woman reports a modern contraceptive method and the male partner reports nonuse, her use is considered covert...
June 2018: Studies in Family Planning
Lauren VanEnk, Victoria Shelus, Catherine Mugeni, Marie Mukabatsinda, Jeannette Cachan
This study assesses the competency and acceptability of community-based provision of Standard Days Method® (SDM) to first-time users in Rwanda. The national strategy equips community health workers (CHWs) to resupply pills, injectables and condoms to existing clients. With the aim of expanding access, SDM provision to first-time users was added to the method mix in Gisagara district and assessed with a 12 month prospective, mixed methods study. Thirty percent of SDM clients had never used a method of family planning and 58 percent had not been using a method for at least three months...
June 2018: Studies in Family Planning
Taddese Alemu Zerfu, Henok Taddese Ayele, Tariku Nigatu Bogale
To investigate the effect of innovative means to distribute LARC on contraceptive use, we implemented a three arm, parallel groups, cluster randomized community trial design. The intervention consisted of placing trained community-based reproductive health nurses (CORN) within health centers or health posts. The nurses provided counseling to encourage women to use LARC and distributed all contraceptive methods. A total of 282 villages were randomly selected and assigned to a control arm (n = 94) or 1 of 2 treatment arms (n = 94 each)...
June 2018: Studies in Family Planning
Albert Esteve, Elizabeth Florez-Paredes
Despite substantial improvements in women's education, the age at which Latin American women marry (cohabit) or become mothers for the first time has barely decreased over the past four decades. We refer to this as the "stability paradox." We examine the relationship between years of schooling and transitions to first union or child, analyzing retrospective information from 50 cohorts of women born between 1940 and 1989 in 12 Latin American countries. Absolute and relative measures of schooling are compared...
June 2018: Studies in Family Planning
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