Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal
CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers. METHODS: Survey data collected in 2011 for the evaluation of the Urban Re...
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Veröffentlicht in: | International perspectives on sexual and reproductive health 2014-12, Vol.40 (4), p.176-183 |
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creator | Sidze, Estelle M. Lardoux, Solène Speizer, Ilene S. Faye, Cheikh M. Mutua, Michael M. Badji, Fanding |
description | CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers.
METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15–29 who were either currently married or unmarried but sexually active. Data from a sample of family planning providers were used to examine the prevalence of contraceptive eligibility restrictions based on age and marital status, and differences in such restrictions by method, facility type and provider characteristics.
RESULTS: Modern contraceptive prevalence was 20% among young married women and 27% among young sexually active unmarried women; the levels of unmet need for contraception—mostly for spacing—were 19% and 11%, respectively. Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age.
CONCLUSIONS: Training and education programs for health providers should aim to remove unnecessary barriers to contraceptive access. |
doi_str_mv | 10.1363/4017614 |
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METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15–29 who were either currently married or unmarried but sexually active. Data from a sample of family planning providers were used to examine the prevalence of contraceptive eligibility restrictions based on age and marital status, and differences in such restrictions by method, facility type and provider characteristics.
RESULTS: Modern contraceptive prevalence was 20% among young married women and 27% among young sexually active unmarried women; the levels of unmet need for contraception—mostly for spacing—were 19% and 11%, respectively. Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age.
CONCLUSIONS: Training and education programs for health providers should aim to remove unnecessary barriers to contraceptive access.</description><identifier>ISSN: 1944-0391</identifier><identifier>ISSN: 1944-0405</identifier><identifier>EISSN: 1944-0405</identifier><identifier>DOI: 10.1363/4017614</identifier><identifier>PMID: 25565345</identifier><language>eng</language><publisher>United States: Guttmacher Institute</publisher><subject>Adolescent ; Adult ; Age ; Age Factors ; Aged ; Attitude of Health Personnel ; Birth Control ; Condoms ; Condoms - statistics & numerical data ; Constraints ; Contraception ; Contraception - methods ; Contraception - psychology ; Contraception - statistics & numerical data ; Contraceptive Agents, Female - supply & distribution ; Contraceptive Agents, Female - therapeutic use ; Contraceptives ; Developing countries ; Education ; Family Planning ; Female ; Females ; Health aspects ; Health care services accessibility ; Health facilities ; Health Knowledge, Attitudes, Practice ; Health Personnel - psychology ; Health Services Accessibility - statistics & numerical data ; Health Surveys ; Humans ; Injectable contraceptives ; Knowledge ; LDCs ; Male ; Marital Status ; Marital Status - statistics & numerical data ; Medical care utilization ; Methods ; Oral contraceptives ; Pregnancy ; Prevalence ; Reproductive health ; Reproductive Health Services ; Restrictions ; Senegal ; Social aspects ; Studies ; Urban Areas ; Urban Population ; Wives ; Women's health ; Womens health ; Young Adult ; Young women</subject><ispartof>International perspectives on sexual and reproductive health, 2014-12, Vol.40 (4), p.176-183</ispartof><rights>2014 Guttmacher Institute</rights><rights>COPYRIGHT 2014 Guttmacher Institute</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c548t-2a9a1bf039e09c5670db5d89777fb1abfe3289492ee2b77b1fc5ec66ad5d7f2c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,25353,27923,27924,33774</link.rule.ids><linktorsrc>$$Uhttps://www.jstor.org/stable/10.1363/4017614$$EView_record_in_JSTOR$$FView_record_in_$$GJSTOR</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25565345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sidze, Estelle M.</creatorcontrib><creatorcontrib>Lardoux, Solène</creatorcontrib><creatorcontrib>Speizer, Ilene S.</creatorcontrib><creatorcontrib>Faye, Cheikh M.</creatorcontrib><creatorcontrib>Mutua, Michael M.</creatorcontrib><creatorcontrib>Badji, Fanding</creatorcontrib><title>Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal</title><title>International perspectives on sexual and reproductive health</title><addtitle>Int Perspect Sex Reprod Health</addtitle><description>CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers.
METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15–29 who were either currently married or unmarried but sexually active. Data from a sample of family planning providers were used to examine the prevalence of contraceptive eligibility restrictions based on age and marital status, and differences in such restrictions by method, facility type and provider characteristics.
RESULTS: Modern contraceptive prevalence was 20% among young married women and 27% among young sexually active unmarried women; the levels of unmet need for contraception—mostly for spacing—were 19% and 11%, respectively. Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age.
CONCLUSIONS: Training and education programs for health providers should aim to remove unnecessary barriers to contraceptive access.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Attitude of Health Personnel</subject><subject>Birth Control</subject><subject>Condoms</subject><subject>Condoms - statistics & numerical data</subject><subject>Constraints</subject><subject>Contraception</subject><subject>Contraception - methods</subject><subject>Contraception - psychology</subject><subject>Contraception - statistics & numerical data</subject><subject>Contraceptive Agents, Female - supply & distribution</subject><subject>Contraceptive Agents, Female - therapeutic use</subject><subject>Contraceptives</subject><subject>Developing countries</subject><subject>Education</subject><subject>Family Planning</subject><subject>Female</subject><subject>Females</subject><subject>Health aspects</subject><subject>Health care services accessibility</subject><subject>Health facilities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Personnel - psychology</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Injectable contraceptives</subject><subject>Knowledge</subject><subject>LDCs</subject><subject>Male</subject><subject>Marital Status</subject><subject>Marital Status - statistics & numerical data</subject><subject>Medical care utilization</subject><subject>Methods</subject><subject>Oral contraceptives</subject><subject>Pregnancy</subject><subject>Prevalence</subject><subject>Reproductive health</subject><subject>Reproductive Health Services</subject><subject>Restrictions</subject><subject>Senegal</subject><subject>Social aspects</subject><subject>Studies</subject><subject>Urban Areas</subject><subject>Urban Population</subject><subject>Wives</subject><subject>Women's health</subject><subject>Womens health</subject><subject>Young Adult</subject><subject>Young women</subject><issn>1944-0391</issn><issn>1944-0405</issn><issn>1944-0405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqF0mFr3CAYB3AZG2vXjX2DIWxw24t0mmhM9u441q1QaOl6G3slxjxmlkSvmpTt29frXQcHV4ovFP0p-vdB6C0lx7Qoi8-MUFFS9gwd0pqxjDDCnz-Mi5oeoFcxXhNS8qJiL9FBznkaMn6Iut9-ch3-5Qdws4jnWkOMePRYuRYvI2Bv8MK7MSgNq9HeQvyCr_4AvvT9_dpF8Le2hRBn-BLiGKwerXcRW4eXoVEO_wAHnepfoxdG9RHebPsjtDz5erX4np2dfztdzM8yzVk1ZrmqFW1MujOQWvNSkLbhbVULIUxDVWOgyKua1TlA3gjRUKM56LJULW-FyXVxhD5uzl0FfzOlG8nBRg19rxz4Kcr7mEQlUmhP0xSY4JyTp2nJuKhomfNE329oejRI64xfZ7fmcs7Wf1EJQpPK9qguZRVU7x0Ym6Z3_PEen1oLg9V7N3za2ZDMCH_HTk0xytPzn7t2trE6-BgDGLkKdlDhn6RErstLbssryXfbHKZmgPa_e6inBD5swHUcfXj0nDt2H9BP</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Sidze, Estelle M.</creator><creator>Lardoux, Solène</creator><creator>Speizer, Ilene S.</creator><creator>Faye, Cheikh M.</creator><creator>Mutua, Michael M.</creator><creator>Badji, Fanding</creator><general>Guttmacher Institute</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>7X8</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>WZK</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope></search><sort><creationdate>20141201</creationdate><title>Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal</title><author>Sidze, Estelle M. ; Lardoux, Solène ; Speizer, Ilene S. ; Faye, Cheikh M. ; Mutua, Michael M. ; Badji, Fanding</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c548t-2a9a1bf039e09c5670db5d89777fb1abfe3289492ee2b77b1fc5ec66ad5d7f2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Attitude of Health Personnel</topic><topic>Birth Control</topic><topic>Condoms</topic><topic>Condoms - statistics & numerical data</topic><topic>Constraints</topic><topic>Contraception</topic><topic>Contraception - methods</topic><topic>Contraception - psychology</topic><topic>Contraception - statistics & numerical data</topic><topic>Contraceptive Agents, Female - supply & distribution</topic><topic>Contraceptive Agents, Female - therapeutic use</topic><topic>Contraceptives</topic><topic>Developing countries</topic><topic>Education</topic><topic>Family Planning</topic><topic>Female</topic><topic>Females</topic><topic>Health aspects</topic><topic>Health care services accessibility</topic><topic>Health facilities</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Personnel - psychology</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Injectable contraceptives</topic><topic>Knowledge</topic><topic>LDCs</topic><topic>Male</topic><topic>Marital Status</topic><topic>Marital Status - statistics & numerical data</topic><topic>Medical care utilization</topic><topic>Methods</topic><topic>Oral contraceptives</topic><topic>Pregnancy</topic><topic>Prevalence</topic><topic>Reproductive health</topic><topic>Reproductive Health Services</topic><topic>Restrictions</topic><topic>Senegal</topic><topic>Social aspects</topic><topic>Studies</topic><topic>Urban Areas</topic><topic>Urban Population</topic><topic>Wives</topic><topic>Women's health</topic><topic>Womens health</topic><topic>Young Adult</topic><topic>Young women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sidze, Estelle M.</creatorcontrib><creatorcontrib>Lardoux, Solène</creatorcontrib><creatorcontrib>Speizer, Ilene S.</creatorcontrib><creatorcontrib>Faye, Cheikh M.</creatorcontrib><creatorcontrib>Mutua, Michael M.</creatorcontrib><creatorcontrib>Badji, Fanding</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>MEDLINE - Academic</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><jtitle>International perspectives on sexual and reproductive health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Sidze, Estelle M.</au><au>Lardoux, Solène</au><au>Speizer, Ilene S.</au><au>Faye, Cheikh M.</au><au>Mutua, Michael M.</au><au>Badji, Fanding</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal</atitle><jtitle>International perspectives on sexual and reproductive health</jtitle><addtitle>Int Perspect Sex Reprod Health</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>40</volume><issue>4</issue><spage>176</spage><epage>183</epage><pages>176-183</pages><issn>1944-0391</issn><issn>1944-0405</issn><eissn>1944-0405</eissn><abstract>CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers.
METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15–29 who were either currently married or unmarried but sexually active. Data from a sample of family planning providers were used to examine the prevalence of contraceptive eligibility restrictions based on age and marital status, and differences in such restrictions by method, facility type and provider characteristics.
RESULTS: Modern contraceptive prevalence was 20% among young married women and 27% among young sexually active unmarried women; the levels of unmet need for contraception—mostly for spacing—were 19% and 11%, respectively. Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age.
CONCLUSIONS: Training and education programs for health providers should aim to remove unnecessary barriers to contraceptive access.</abstract><cop>United States</cop><pub>Guttmacher Institute</pub><pmid>25565345</pmid><doi>10.1363/4017614</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Age Factors Aged Attitude of Health Personnel Birth Control Condoms Condoms - statistics & numerical data Constraints Contraception Contraception - methods Contraception - psychology Contraception - statistics & numerical data Contraceptive Agents, Female - supply & distribution Contraceptive Agents, Female - therapeutic use Contraceptives Developing countries Education Family Planning Female Females Health aspects Health care services accessibility Health facilities Health Knowledge, Attitudes, Practice Health Personnel - psychology Health Services Accessibility - statistics & numerical data Health Surveys Humans Injectable contraceptives Knowledge LDCs Male Marital Status Marital Status - statistics & numerical data Medical care utilization Methods Oral contraceptives Pregnancy Prevalence Reproductive health Reproductive Health Services Restrictions Senegal Social aspects Studies Urban Areas Urban Population Wives Women's health Womens health Young Adult Young women |
title | Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal |
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