Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.

The use of contraceptives for family planning improves women's lives and may prevent maternal deaths. However, many women in low and middle-income countries, including the Pacific region, still die from pregnancy-related complications. While most health centres offer family planning services wi...

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Autores principales:	Relmah Baritama Harrington, Nichole Harvey, Sarah Larkins, Michelle Redman-MacLaren
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/28f90446f3e74a4ea7831b9745a6632b
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spelling	oai:doaj.org-article:28f90446f3e74a4ea7831b9745a6632b2021-12-02T20:15:13ZFamily planning in Pacific Island Countries and Territories (PICTs): A scoping review.1932-620310.1371/journal.pone.0255080https://doaj.org/article/28f90446f3e74a4ea7831b9745a6632b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255080https://doaj.org/toc/1932-6203The use of contraceptives for family planning improves women's lives and may prevent maternal deaths. However, many women in low and middle-income countries, including the Pacific region, still die from pregnancy-related complications. While most health centres offer family planning services with some basic contraceptive methods, many people do not access these services. More than 60% of women who would like to avoid or delay their pregnancies are unable to do so. This scoping review identifies and analyses evidence about family planning service provision in Pacific Island Countries and Territories (PICTs), with the aim of better informing family planning services for improved maternal health outcomes in the Pacific. We used Arksey and O'Malley's scoping review guidelines, supported by Levac, Colquhoun and O'Brien to identify gaps in family planning service provision. Selected studies included peer-reviewed publications and grey literature that provided information about family planning services from 1994 to 2019. Publication data was charted in MS Excel. Data were thematically analysed and key issues and themes identified. A total of 45 papers (15 peer-reviewed and 30 grey literature publications) were critically reviewed. Five themes were identified: i) family planning services in the Pacific; ii) education, knowledge and attitudes; iii) geographical isolation and access; iv) socio-cultural beliefs, practices and influences; and v) potential enabling factors for improved family planning, such as appropriate family planning awareness by health care providers and services tailored to meet individual needs. While culture and religion were considered as the main barriers to accessing family planning services, evidence showed health services were also responsible for limiting access. Family planning services do not reach everyone. Making relevant and sustainable improvements in service delivery requires generation of local evidence. Further research is needed to understand availability, accessibility and acceptability of current family planning services for different age groups, genders, social and marital status to better inform family planning services in the Pacific.Relmah Baritama HarringtonNichole HarveySarah LarkinsMichelle Redman-MacLarenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255080 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Relmah Baritama Harrington Nichole Harvey Sarah Larkins Michelle Redman-MacLaren Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.
description	The use of contraceptives for family planning improves women's lives and may prevent maternal deaths. However, many women in low and middle-income countries, including the Pacific region, still die from pregnancy-related complications. While most health centres offer family planning services with some basic contraceptive methods, many people do not access these services. More than 60% of women who would like to avoid or delay their pregnancies are unable to do so. This scoping review identifies and analyses evidence about family planning service provision in Pacific Island Countries and Territories (PICTs), with the aim of better informing family planning services for improved maternal health outcomes in the Pacific. We used Arksey and O'Malley's scoping review guidelines, supported by Levac, Colquhoun and O'Brien to identify gaps in family planning service provision. Selected studies included peer-reviewed publications and grey literature that provided information about family planning services from 1994 to 2019. Publication data was charted in MS Excel. Data were thematically analysed and key issues and themes identified. A total of 45 papers (15 peer-reviewed and 30 grey literature publications) were critically reviewed. Five themes were identified: i) family planning services in the Pacific; ii) education, knowledge and attitudes; iii) geographical isolation and access; iv) socio-cultural beliefs, practices and influences; and v) potential enabling factors for improved family planning, such as appropriate family planning awareness by health care providers and services tailored to meet individual needs. While culture and religion were considered as the main barriers to accessing family planning services, evidence showed health services were also responsible for limiting access. Family planning services do not reach everyone. Making relevant and sustainable improvements in service delivery requires generation of local evidence. Further research is needed to understand availability, accessibility and acceptability of current family planning services for different age groups, genders, social and marital status to better inform family planning services in the Pacific.
format	article
author	Relmah Baritama Harrington Nichole Harvey Sarah Larkins Michelle Redman-MacLaren
author_facet	Relmah Baritama Harrington Nichole Harvey Sarah Larkins Michelle Redman-MacLaren
author_sort	Relmah Baritama Harrington
title	Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.
title_short	Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.
title_full	Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.
title_fullStr	Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.
title_full_unstemmed	Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.
title_sort	family planning in pacific island countries and territories (picts): a scoping review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/28f90446f3e74a4ea7831b9745a6632b
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Family planning in Pacific Island Countries and Territories (PICTs): A scoping review.

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