Abstract:
BACKGROUND:More women are accessing modern contraceptive use in Kenya, however, contraceptive discontinuation has stagnated over the decades. Any further increase in contraceptive use will most likely be from past users, hence understanding the dynamics of discontinuation while addressing quality of family planning services offered at health facilities and communities is critical for increasing the contraceptive prevalence rate and reducing the unmet need of family planning. The paper presents a study protocol that intends to evaluate the dynamics of contraceptive use, discontinuation, and switching among women of reproductive age initiating use of a contraceptive method. METHODS:This longitudinal mixed-methods study is being conducted in Migori and Kitui counties, Kenya. A formative assessment using Interviews with adolescents, older women, heterosexual couples, health care workers, and community health volunteers explored barriers to contraceptive continuation and perspectives on discontinuation utilizing a qualitative cross sectional study design. Following the formative assessment, a client-centered intervention focusing on improving quality of family planning services, including counseling, will be implemented in 10 health facilities. A 24-month prospective cohort study among women of reproductive age initiating contraception with follow-up at 3, 6, 12, and 24 months will then be undertaken to assess the discontinuation rates, examine the dynamics of contraceptive use, discontinuation and switching, and further explore barriers and enablers for contraceptive continuation and switching among the study population. DISCUSSION:In sub-Saharan Africa, contraceptive discontinuation studies have mainly been based on survey data that is collected retrospectively. By implementing a longitudinal mixed-methods study, we gain deeper insights into the contraceptive dynamics influencing the decision to continue, discontinue, and even switch following implementation of a client-centered intervention that enhances quality of care. Additionally, the study will shed more light on the profile of women discontinuing contractive use and further explore individual and couple-level dynamics influencing decision-making on continuation and discontinuation. The findings of this study will provide information that can be used to develop and implement human-centered interventions that focus on improving quality of family planning services and consequently improved continuation rates and overall satisfaction with method. TRIAL REGISTRATION:The study is registered with the Clinical Trials Registry, NCT03973593 .
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Ontiri S,Mutea L,Muganda M,Mutanda P,Ajema C,Okoth S,Orero S,Odhiambo R,Biesma R,Stekelenburg J,Kabue Mdoi
10.1186/s12978-019-0797-3subject
Has Abstractpub_date
2019-09-05 00:00:00pages
134issue
1issn
1742-4755pii
10.1186/s12978-019-0797-3journal_volume
16pub_type
杂志文章abstract:BACKGROUND:Adolescents in the Latin American and Caribbean region continue to experience poor reproductive health outcomes, including high rates of first birth before the age of 20 years. Aggregate national level data fails to identify groups where progress is particularly poor. This paper explores how trends in adoles...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0578-4
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Worldwide, about 50% of all new cases of HIV occur in youth between age 15 and 24 years. Studies in various sub-Saharan African countries show that both out of school and in school adolescents and youth are engaged in risky sexual behaviors. School-based health education has been a cornerstone of youth-focus...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0077-9
更新日期:2015-09-07 00:00:00
abstract:BACKGROUND:Vaginal examination (VE), is a frequent procedure during childbirth. It is the most accepted ways to assess progress during childbirth, but its repetition at short intervals has no value. Over years, VE continued to be plagued by a nature that implies negative feelings and experiences of women. The aim of th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-16
更新日期:2012-08-28 00:00:00
abstract:BACKGROUND:Malaria infection in pregnancy is a major risk factor for maternal and child death, and substantially increases the risk of miscarriage, stillbirth and low birthweight. The aim of this study therefore is to assess the prevalence and determinants of Intermittent preventive treatment of Malaria [IPTp] utilizat...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-12
更新日期:2012-08-13 00:00:00
abstract:BACKGROUND:Men in northern Nigeria are considered the leaders and ultimate decision makers, including decisions about health-related behaviours of their wives and children. Yet many men in the region consider pregnancy and childbirth to be in the woman's domain (even if she cannot make related decisions), and may not s...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0761-2
更新日期:2019-07-15 00:00:00
abstract:BACKGROUND:Sierra Leone has one of the highest maternal mortality rates in the world. Encouraging the use of skilled birth attendance in health facilities is an important step in the endeavor to increase the number of safe deliveries. However, public trust in health facilities has been greatly damaged during the Ebola ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0601-9
更新日期:2018-09-15 00:00:00
abstract::Abortion is legally restricted in most of Latin America where 95% of the 4.4 million abortions performed annually are unsafe. Medical abortion (MA) refers to the use of a drug or a combination of drugs to terminate pregnancy. Mifepristone followed by misoprostol is the most effective and recommended regime. In setting...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/1742-4755-9-34
更新日期:2012-12-22 00:00:00
abstract::Traditional approaches to improving adolescent sexual and reproductive health (ASRH) have focused on changing individual behavior, with little emphasis on addressing the factors that contribute to this behavior: biological changes; the influence of family and friends; the communities in which young people live; and ac...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0191-3
更新日期:2016-06-13 00:00:00
abstract:BACKGROUND:The evidence regarding oral contraceptives and its effectiveness with concomitant ingestion of antibiotics is conflicting. Until evidence becomes clearer, patients should be aware of this possible interaction. The aim of this study was to assess the knowledge and the source of information about this interact...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0037-4
更新日期:2015-05-14 00:00:00
abstract:BACKGROUND:Up-to-date, genuine sexual and reproductive health (SRH) education programmes have been possible in Romania only since communism collapsed in 1990. Since 2006, Romania has had no national strategy in this field. Under current global circumstances (high labour mobility, internationally mixed marriages), issue...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-48
更新日期:2014-06-23 00:00:00
abstract:BACKGROUND:Despite improved health facility access relative to rural areas, distance and transportation remain barriers in some urban areas. Using household and facility data linked to residential and transportation geographic information we describe availability of health facilities offering long-acting reversible con...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0828-0
更新日期:2019-11-08 00:00:00
abstract:BACKGROUND:We thank Bijlmakers et al. for their interest in our article, "A never-before opportunity to strengthen investment and action on adolescent contraception, and what we must do to make full use of it", and are grateful for the opportunity to respond to their four key assertions. RESPONSE:First, we fully agree...
journal_title:Reproductive health
pub_type: 社论
doi:10.1186/s12978-018-0457-z
更新日期:2018-01-30 00:00:00
abstract::The ICPD agenda of reproductive health was declared as the most comprehensive one, which had actually broadened the spectrum of reproductive health and drove the states to embark upon initiatives to improve reproductive health status of their populations. However, like all other countries, Pakistan also seems to have ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-4
更新日期:2008-09-10 00:00:00
abstract:BACKGROUND:Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. METHODS:We present results from an experimental study in rural Pakistan. Village clusters were randomly as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-30
更新日期:2010-11-05 00:00:00
abstract:BACKGROUND:Paternal preconception risk factors such as smoking, exposure to environmental substances, medication use, overweight and advanced age correlate with the occurrence of malformations and birth defects in the offspring. Nonetheless, the prevalence of risk factors for adverse pregnancy outcomes in the male popu...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0156-6
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:Although vasectomy is effective and less expensive contraceptive method, only few men are using it in Africa. The main reason for low level use may be low knowledge about vasectomy among men. Only few studies tried to investigate level of knowledge of vasectomy among married men in Ethiopia. But these studie...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0314-5
更新日期:2017-04-18 00:00:00
abstract:BACKGROUND:Disrespectful and abusive treatment during childbirth is a violation of women's right to dignified, respectful healthcare throughout pregnancy and childbirth. Although reports point out that marginalized groups in society such as single mothers are particularly vulnerable to abusive and disrespectful care, t...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0290-9
更新日期:2017-03-04 00:00:00
abstract:BACKGROUND:Ultrasound during antenatal care (ANC) is proposed as a strategy for increasing hospital deliveries for complicated pregnancies and improving maternal, fetal, and neonatal outcomes. The First Look study was a cluster-randomized trial conducted in the Democratic Republic of Congo, Guatemala, Kenya, Pakistan a...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0647-8
更新日期:2018-12-12 00:00:00
abstract:BACKGROUND:Recent studies have demonstrated that it is common for women to report inconsistent fertility motivations and family planning behaviors. This study examines these inconsistencies among urban Honduran women interviewed at two points in time and presents reasons for inconsistent fertility motivations and contr...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-6-19
更新日期:2009-11-19 00:00:00
abstract:BACKGROUND:Worldwide, about 287 000 women die each year from mostly preventable complications related to pregnancy and childbirth. A disproportionately high number of these deaths occur in sub-Saharan Africa. The Abiye ('Safe Motherhood') project in the Ifedore Local Government Area (LGA) of Ondo-State of Nigeria aimed...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-8
更新日期:2014-01-20 00:00:00
abstract:BACKGROUND:While the relationship between hemoglobin (Hb) concentrations and pregnancy outcomes has been studied often, most reports have focused on a specific Hb cutoff used to define anemia. Fewer studies have evaluated pregnancy outcomes across the entire range of Hb values. Moreover, to date, most studies of the re...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01006-6
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-13
更新日期:2014-02-03 00:00:00
abstract:BACKGROUND:Sub-Saharan Africa has the highest maternal mortality ratio at 500 deaths per 100,000 live births. In Mozambique maternal mortality is estimated at 249-480 per 100,000 live births and eclampsia is the third leading cause of death. The objective of this study was to describe the community understanding of pre...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0135-y
更新日期:2016-06-08 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-020-00950-7
更新日期:2020-07-23 00:00:00
abstract::While much progress has been achieved globally in the fight against malaria, the significant financial investments made to date have not translated into scaled-up malaria in pregnancy (MiP) prevention efforts. Mothers and newborns remain at risk, and now is the time to refocus efforts. Against the backdrop of a new gl...
journal_title:Reproductive health
pub_type: 信件
doi:10.1186/s12978-018-0573-9
更新日期:2018-07-27 00:00:00
abstract:BACKGROUND:Greater paternal engagement is positively associated with improved access to and utilization of maternal services. Despite evidence that male involvement increased uptake of maternal and child services, studies show that few men are participating in MNCH programs. Community leaders have long been engaged in ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0752-3
更新日期:2019-06-21 00:00:00
abstract:BACKGROUND:Phthalates, a class of endocrine disruptors, have been demonstrated to accelerate loss of ovarian follicle pool via disrupting folliculogenesis, and lead to diminished ovarian reserve. However, human data are limited. Here, we aimed to examine whether urinary phthalate metabolites are correlated with markers...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0469-8
更新日期:2018-02-23 00:00:00
abstract:BACKGROUND:Postpartum haemorrhage (PPH) is the leading cause of maternal mortality in low-income countries and is a significant contributor to severe maternal morbidity and long-term disability. Carbetocin may be an underused uterotonic for prevention of PPH. A number of studies are being conducted that may challenge t...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-018-0529-0
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:Despite the vast literature examining disparities in medical care, little is known about racial/ethnic and mental health disparities in sexual health care. The objective of this study was to assess disparities in safe sex counseling and resultant behavior among a patient population at risk of negative sexual...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-35
更新日期:2012-12-31 00:00:00
abstract:BACKGROUND:Mother-to-child transmission of HIV (MTCT) accounts for over 95% of all paediatric HIV infections worldwide. Several studies have shown that male participation in the antenatal care of their spouses together with couple counselling and testing for HIV, increases use of the interventions for HIV prevention. T...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-12
更新日期:2010-06-23 00:00:00