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

<h4>Background</h4>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...

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Autores principales:	Philip Anglewicz, Carolina Cardona, Titilope Akinlose, Peter Gichangi, Funmilola OlaOlorun, Elizabeth Omoluabi, Mary Thiongo, Pierre Akilimali, Amy Tsui, Patrick Kayembe, PMA Agile Principal Investigators Group
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b649d664f001444dbcd6e5b89cb780af
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spelling	oai:doaj.org-article:b649d664f001444dbcd6e5b89cb780af2021-12-02T20:18:00ZService delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis.1932-620310.1371/journal.pone.0254775https://doaj.org/article/b649d664f001444dbcd6e5b89cb780af2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254775https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Philip AnglewiczCarolina CardonaTitilope AkinlosePeter GichangiFunmilola OlaOlorunElizabeth OmoluabiMary ThiongoPierre AkilimaliAmy TsuiPatrick KayembePMA Agile Principal Investigators GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0254775 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Philip Anglewicz Carolina Cardona Titilope Akinlose Peter Gichangi Funmilola OlaOlorun Elizabeth Omoluabi Mary Thiongo Pierre Akilimali Amy Tsui Patrick Kayembe PMA Agile Principal Investigators Group Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis.
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.
format	article
author	Philip Anglewicz Carolina Cardona Titilope Akinlose Peter Gichangi Funmilola OlaOlorun Elizabeth Omoluabi Mary Thiongo Pierre Akilimali Amy Tsui Patrick Kayembe PMA Agile Principal Investigators Group
author_facet	Philip Anglewicz Carolina Cardona Titilope Akinlose Peter Gichangi Funmilola OlaOlorun Elizabeth Omoluabi Mary Thiongo Pierre Akilimali Amy Tsui Patrick Kayembe PMA Agile Principal Investigators Group
author_sort	Philip Anglewicz
title	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_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_sort	service delivery point and individual characteristics associated with the adoption of modern contraceptive: a multi-country longitudinal analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b649d664f001444dbcd6e5b89cb780af
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Service delivery point and individual characteristics associated with the adoption of modern contraceptive: A multi-country longitudinal analysis.

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