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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Quality of care and contraceptive use in urban Kenya</title><author><name sortKey="Tumlinson, Katherine" sort="Tumlinson, Katherine" uniqKey="Tumlinson K" first="Katherine" last="Tumlinson">Katherine Tumlinson</name></author><author><name sortKey="Pence, Brian W" sort="Pence, Brian W" uniqKey="Pence B" first="Brian W." last="Pence">Brian W. Pence</name></author><author><name sortKey="Curtis, Sian L" sort="Curtis, Sian L" uniqKey="Curtis S" first="Siân L." last="Curtis">Siân L. Curtis</name></author><author><name sortKey="Marshall, Stephen W" sort="Marshall, Stephen W" uniqKey="Marshall S" first="Stephen W." last="Marshall">Stephen W. Marshall</name></author><author><name sortKey="Speizer, Ilene S" sort="Speizer, Ilene S" uniqKey="Speizer I" first="Ilene S." last="Speizer">Ilene S. Speizer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26308259</idno><idno type="pmc">4548971</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548971</idno><idno type="RBID">PMC:4548971</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001A72</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001A72</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Quality of care and contraceptive use in urban Kenya</title><author><name sortKey="Tumlinson, Katherine" sort="Tumlinson, Katherine" uniqKey="Tumlinson K" first="Katherine" last="Tumlinson">Katherine Tumlinson</name></author><author><name sortKey="Pence, Brian W" sort="Pence, Brian W" uniqKey="Pence B" first="Brian W." last="Pence">Brian W. Pence</name></author><author><name sortKey="Curtis, Sian L" sort="Curtis, Sian L" uniqKey="Curtis S" first="Siân L." last="Curtis">Siân L. Curtis</name></author><author><name sortKey="Marshall, Stephen W" sort="Marshall, Stephen W" uniqKey="Marshall S" first="Stephen W." last="Marshall">Stephen W. Marshall</name></author><author><name sortKey="Speizer, Ilene S" sort="Speizer, Ilene S" uniqKey="Speizer I" first="Ilene S." last="Speizer">Ilene S. Speizer</name></author></analytic><series><title level="j">International perspectives on sexual and reproductive health</title><idno type="ISSN">1944-0391</idno><idno type="eISSN">1944-0405</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>CONTEXT</title><p id="P1">Family planning is highly beneficial to women’s overall health, morbidity, and mortality, particularly in developing countries. Yet, in much of sub-Saharan Africa, contraceptive prevalence remains low while unmet need for family planning remains high. It has been frequently hypothesized that the poor quality of family planning service provision in many low-income settings acts as a barrier to optimal rates of contraceptive use but this association has not been rigorously tested.</p></sec><sec id="S2"><title>METHODS</title><p id="P2">Using data collected from 3,990 women in 2010, this study investigates the association between family planning service quality and current modern contraceptive use in five cities in Kenya. In addition to individual-level data, audits of select facilities and service provider interviews were conducted in 260 facilities. Within 126 higher-volume clinics, exit interviews were conducted with family planning clients. Individual and facility-level data are linked based on the source of the woman’s current method or other health service. Adjusted prevalence ratios are estimated using binomial regression and we account for clustering of observations within facilities using robust standard errors.</p></sec><sec id="S3"><title>RESULTS</title><p id="P3">Solicitation of client preferences, assistance with method selection, provision of information by providers on side effects, and provider treatment of clients were all associated with a significantly increased likelihood of current modern contraceptive use and effects were often stronger among younger and less educated women.</p></sec><sec id="S4"><title>CONCLUSION</title><p id="P4">Efforts to strengthen contraceptive security and improve the content of contraceptive counseling and treatment of clients by providers have the potential to significantly increase contraceptive use in urban Kenya.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101504990</journal-id><journal-id journal-id-type="pubmed-jr-id">35828</journal-id><journal-id journal-id-type="nlm-ta">Int Perspect Sex Reprod Health</journal-id><journal-id journal-id-type="iso-abbrev">Int Perspect Sex Reprod Health</journal-id><journal-title-group><journal-title>International perspectives on sexual and reproductive health</journal-title></journal-title-group><issn pub-type="ppub">1944-0391</issn><issn pub-type="epub">1944-0405</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26308259</article-id><article-id pub-id-type="pmc">4548971</article-id><article-id pub-id-type="manuscript">NIHMS663993</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Quality of care and contraceptive use in urban Kenya</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Tumlinson</surname><given-names>Katherine</given-names></name><email>kt10@princeton.edu</email></contrib><contrib contrib-type="author"><name><surname>Pence</surname><given-names>Brian W.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Curtis</surname><given-names>Siân L.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Marshall</surname><given-names>Stephen W.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Speizer</surname><given-names>Ilene S.</given-names></name></contrib><aff id="A1">At the time this study was conducted, Katherine Tumlinson was a doctoral candidate in the Department of Epidemiology, a predoctoral trainee at the Carolina Population Center, and a research assistant on the Measurement, Learning & Evaluation Project, University of North Carolina, Chapel Hill, NC, USA. Brian Pence is an assistant professor and Stephen Marshall is a professor, Department of Epidemiology. Siân Curtis is research associate professor and Ilene Speizer is research professor, Department of Maternal and Child Health, and both are faculty fellows at the Carolina Population Center</aff></contrib-group><pub-date pub-type="nihms-submitted"><day>21</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>6</month><year>2016</year></pub-date><volume>41</volume><issue>2</issue><fpage>69</fpage><lpage>79</lpage><self-uri xlink:href="https://www.guttmacher.org/pubs/journals/4106915.html"></self-uri><abstract><sec id="S1"><title>CONTEXT</title><p id="P1">Family planning is highly beneficial to women’s overall health, morbidity, and mortality, particularly in developing countries. Yet, in much of sub-Saharan Africa, contraceptive prevalence remains low while unmet need for family planning remains high. It has been frequently hypothesized that the poor quality of family planning service provision in many low-income settings acts as a barrier to optimal rates of contraceptive use but this association has not been rigorously tested.</p></sec><sec id="S2"><title>METHODS</title><p id="P2">Using data collected from 3,990 women in 2010, this study investigates the association between family planning service quality and current modern contraceptive use in five cities in Kenya. In addition to individual-level data, audits of select facilities and service provider interviews were conducted in 260 facilities. Within 126 higher-volume clinics, exit interviews were conducted with family planning clients. Individual and facility-level data are linked based on the source of the woman’s current method or other health service. Adjusted prevalence ratios are estimated using binomial regression and we account for clustering of observations within facilities using robust standard errors.</p></sec><sec id="S3"><title>RESULTS</title><p id="P3">Solicitation of client preferences, assistance with method selection, provision of information by providers on side effects, and provider treatment of clients were all associated with a significantly increased likelihood of current modern contraceptive use and effects were often stronger among younger and less educated women.</p></sec><sec id="S4"><title>CONCLUSION</title><p id="P4">Efforts to strengthen contraceptive security and improve the content of contraceptive counseling and treatment of clients by providers have the potential to significantly increase contraceptive use in urban Kenya.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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