Background Programmes promoting the postpartum intrauterine device (PPIUD) have proliferated throughout South Asia and sub-Saharan Africa in recent years, with proponents touting this long-acting reversible contraceptive (LARC) method’s high efficacy potential to meet unmet need. While critiques of LARC-first programming abound Global North, there been few studies impact LARC-centric programmes on patient-centred outcomes South. Methods Here, we explore a PPIUD intervention at five Tanzanian...

This study uses a community food security (CFS) framework to understand how social capital and cohesion may address security. We assessed the presence of these constructs using confirmatory factor analysis in context assessment (N = 563). Social capital, cohesion, participation (e.g., CSAs, farmers' markets, gardens) were unique structures that could lead development testing community-based interventions improve security, access, health. provide discussion conceptualization measurement...

Background Postpartum women have high rates of unmet need for modern contraception in the two years following birth Nepal. We assessed whether providing contraceptive counseling during pregnancy and/or prior to discharge from hospital or after was associated with reduced postpartum Methods used data a larger stepped-wedge, cluster randomized trial, including counselling six tertiary hospitals. Group 1 hospitals (three hospitals) initiated intervention three months baseline collection, while...

Worldwide unmet need for contraception remains high at 21.6%. As access to health facilities is one of the potential barriers contraceptive uptake, aim our study was evaluate effect distance a facility, according its service availability, on uptake among married Turkish women.To calculate respondents' we used data from household survey conducted women, as well facility that were visited services by respondents. The collected Istanbul area Turkey under Willows Impact Evaluation project in...

<h3>ABSTRACT</h3> <h3>Background:</h3> This qualitative study assessed implementation of the Postpartum Intrauterine Device (PPIUD) Initiative in Tanzania, a country with high rates unintended pregnancy and low contraceptive prevalence. The PPIUD was implemented to reduce unmet need for contraception among new mothers through postpartum family planning counseling delivered during antenatal care offering insertion immediately following birth. <h3>Methods:</h3> We used outcomes framework an...

The unmet need for contraception in Malawi remains high, despite progress increasing knowledge and access over the past two decades. Understanding reasons this is critical to programme planning service delivery. In study, we conducted 30 in-depth interviews 13 focus group discussions with women men rural understand social, cultural relational barriers facilitators contraceptive use. We found that decisions were influenced by complex, often conflicting messages varying implications based on...

Purpose We evaluate contraceptive use and pregnancy two years following an intervention in Tanzania, which provided antenatal post-partum family planning counselling intrauterine device (PPIUD) services delivery.

Abstract Despite the numerous benefits of postpartum copper intrauterine device (PPIUD), which is inserted within 48 hours after giving birth, it underutilized in many resource‐constrained settings, including Tanzania. We conducted in‐depth interviews with 20 pregnant women who received contraceptive counseling during routine antenatal care 2016–2017 and 27 had a PPIUD 2018 to understand reasons for use versus nonuse continuation discontinuation. Primary motivators using included:...

Despite the extensive literature on women's perceptions about contraceptive methods, distinctions between specific methods have rarely been investigated, men often excluded and comparable data for users nonusers typically not collected. The lack of such information may limit family planning programs' effectiveness.Cross-sectional survey from 1,162 women 621 were used to examine perceived barriers facilitators use (the pill, injectable, subdermal implant, IUD male condoms). Conditional logit...

Abortions are difficult to measure; yet, accurate estimates critical in developing health programs. We implemented and tested the validity of a list experiment lifetime abortion prevalence Istanbul, Turkey. complemented our findings by understanding community perspectives using in-depth interviews with key informants.

Abstract Infertility and unintended pregnancy are dual burdens in Malawi, where 41% of pregnancies approximately 20% people report infertility. Although preventing has been a focus public health, infertility rarely explored as factor that may be associated with contraceptive use. Using cross‐sectional survey data (2017–2018; N = 749), we on the prevalence sociodemographic characteristics certainty becoming pregnant among women Malawi. We conducted multivariable logistic regressions examining...

Abstract Background A number of factors may determine family planning decisions; however, some be dependent on the social and cultural context. To understand these factors, we conducted a qualitative study with providers community stakeholders in diverse, low-income neighborhood Istanbul, Turkey. Methods We used purposeful sampling to recruit 16 respondents (eight service eight stakeholders) based their potential role influence matters related sexual reproductive health issues. Interviews...

Poverty has widespread impacts on health. In dealing with resource scarcity, individuals' thoughts are narrowed to address immediate limitations, thus crowding out other information, a phenomenon called the scarcity mindset. To assess for indication of mindset in sexual and reproductive decision making rural Malawi, setting extreme we collected qualitative data form eight focus group discussions 28 semi-structured, in-depth interviews women men varying ages marital status. Participants, who...

Background Accurately measuring abortion incidence poses many challenges. The list experiment is a method designed to increase the reporting of sensitive or stigmatized behaviors in surveys, but has only recently been applied measurement abortion. To further test utility for incidence, we conducted experiments two countries, over time periods. Materials and methods an indirect experiences that protects respondent confidentiality by hiding individual responses binary item (i.e., abortion)...

Abortion is particularly difficult to measure, especially in legally restrictive settings such as Pakistan. The List Experiment-a technique for measuring sensitive health behaviors indirectly-may minimize respondents' underreporting of abortion due stigma or legal restrictions, but has not been previously applied estimate prevalence Pakistan.A sample 4,159 married women reproductive age were recruited from two communities Karachi 2018. Participants completed a survey that included double...

Contraceptive counseling protocols tend to focus narrowly on pregnancy intentions, which may overlook other factors that contribute whether an individual wants or needs contraception. In this report, we demonstrate the potential of two measures contraceptive need could be assessed as part counseling: (1) a composite score constructed from sexual frequency, and perceived fecundity (2) direct measure ("do you feel it is necessary for using contraception right now?") We compare data Umoyo wa...

Infertility is a common experience among individuals and couples. may resolve without intervention, but little known about pregnancy intentions incidence of following infertility, particularly in low-resource settings.

Background Human papilloma virus (HPV), the causative agent for cervical cancer, can be tested using self-collected vaginal samples. Self-collection is promising HPV screening in hard-to-reach populations. To assess relationship between willingness to self-collect and subsequent uptake of self-collection, we conducted a longitudinal study reproductive-age women rural Malawi. Methods At baseline, asked if they would willing sample testing. follow-up (12–18 months later), offered same...