“So let me give you money, you give me what I want”: decision-making priorities around contraceptive method and source choice among young women in Kenya

Reproductive Health

Research

Eliya M. Zulu¹  Bernard Onyango¹  Erick Waga¹  Thomas van den Akker²  Mahua Mandal³  Courtney McGuire³  Lisa M. Calhoun⁴  Ilene S. Speizer⁵  Lenka Beňová⁶  Thérèse Delvaux⁶ 

[1] African Institute for Development Policy, Nairobi, Kenya;Athena Institute, Vrije Universiteit, Amsterdam, The Netherlands;Department of Obstetrics and Gynecology, Leiden University Medical Center, Leiden, The Netherlands;Carolina Population Center, University of North Carolina at Chapel Hill, 123 West Franklin Street, Suite 210, 27516, Chapel Hill, NC, USA;Carolina Population Center, University of North Carolina at Chapel Hill, 123 West Franklin Street, Suite 210, 27516, Chapel Hill, NC, USA;Athena Institute, Vrije Universiteit, Amsterdam, The Netherlands;Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium;Carolina Population Center, University of North Carolina at Chapel Hill, 123 West Franklin Street, Suite 210, 27516, Chapel Hill, NC, USA;Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium;

关键词: Family planning;    Youth;    Method choice;    Method source;    Service delivery point;   

DOI  :  10.1186/s12978-023-01641-9

 received in 2022-10-30, accepted in 2023-06-19,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundMany factors influence young women’s choice of contraceptive methods and where to source them, yet less is known about whether one of these choices (method or source) is prioritized and the relationship between these choices. This study qualitatively explored decision-making around contraceptive method and source choice among young women in Kenya.MethodsIn August–September 2019, 30 in-depth interviews were conducted with women ages 18–24 who had used two or more contraceptive methods and resided in three counties: Nairobi, Mombasa or Migori. Participants were recruited from public and private health facilities and pharmacies. Interview guides captured information about decision-making processes for each contraceptive method the respondent had ever used. Responses were audio-recorded, transcribed, translated into English, coded, and analyzed thematically.ResultsThe majority of respondents knew which method they wanted to use prior to seeking it from a source. This was true for all types of methods that women ever used. Of the small number of respondents who selected their source first, most were in the post-partum period or experiencing side effects and sought counseling at a source before choosing a method.ConclusionsThis study highlights the importance of providing young women with high quality counseling that provides full information about contraceptive options and addresses that young women’s needs vary along the reproductive health continuum of care. This will ensure that young women have information to inform future contraceptive decision-making prior to seeking care.

【 授权许可】

CC BY   
© The Author(s) 2023