BARRIERS TO THE USE OF MODERN CONTRACEPTIVES AND IMPLICATIONS FOR WOMAN-CONTROLLED PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS IN MADAGASCAR
Identifieur interne : 003941 ( Istex/Corpus ); précédent : 003940; suivant : 003942BARRIERS TO THE USE OF MODERN CONTRACEPTIVES AND IMPLICATIONS FOR WOMAN-CONTROLLED PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS IN MADAGASCAR
Auteurs : Bodo Randrianasolo ; Teresa Swezey ; Kathleen Van Damme ; Maria R. Khan ; Noro Ravelomanana ; Ny Lovaniaina Rabenja ; Mbolatiana Raharinivo ; April J. Bell ; Denise Jamieson ; Frieda BehetsSource :
- Journal of Biosocial Science [ 0021-9320 ] ; 2008.
Abstract
Globally, unplanned pregnancies and sexually transmitted infections (STIs) persist as significant threats to women’s reproductive health. Barriers to the use of modern contraceptives by women might inhibit uptake of novel woman-controlled methods for preventing STIs/HIV. Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar, using qualitative research. The hypothetical acceptability of the diaphragm – a woman-controlled barrier contraceptive device that also holds promise of protecting against STIs/HIV – was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programmes in both family planning and STI prevention to improve women’s knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. In addition, involvement of men will probably be a critical component of increased uptake of woman-controlled pregnancy and STI/HIV prevention methods and improved health.
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DOI: 10.1017/S0021932007002672
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Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar, using qualitative research. The hypothetical acceptability of the diaphragm – a woman-controlled barrier contraceptive device that also holds promise of protecting against STIs/HIV – was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programmes in both family planning and STI prevention to improve women’s knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. 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Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programmes in both family planning and STI prevention to improve women’s knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. 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Biosoc. Sci.</title><idno type="pISSN">0021-9320</idno><idno type="eISSN">1469-7599</idno><idno type="publisher-id">JBS</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2008"></date><biblScope unit="volume">40</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="879">879</biblScope><biblScope unit="page" to="893">893</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2008</date></creation><langUsage><language ident="en">en</language></langUsage><abstract style="normal"><p>Globally, unplanned pregnancies and sexually transmitted infections (STIs) persist as significant threats to women’s reproductive health. Barriers to the use of modern contraceptives by women might inhibit uptake of novel woman-controlled methods for preventing STIs/HIV. Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar, using qualitative research. The hypothetical acceptability of the diaphragm – a woman-controlled barrier contraceptive device that also holds promise of protecting against STIs/HIV – was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programmes in both family planning and STI prevention to improve women’s knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. In addition, involvement of men will probably be a critical component of increased uptake of woman-controlled pregnancy and STI/HIV prevention methods and improved health.</p></abstract></profileDesc><revisionDesc><change when="2008">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-09-5">References added</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="corpus cambridge not found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="US-ASCII"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.2 20060430//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article dtd-version="2.2" article-type="research-article"><front><journal-meta><journal-id journal-id-type="publisher-id">JBS</journal-id><journal-title>Journal of Biosocial Science</journal-title><abbrev-journal-title>J. Biosoc. Sci.</abbrev-journal-title><issn pub-type="ppub">0021-9320</issn><issn pub-type="epub">1469-7599</issn><publisher><publisher-name>Cambridge University Press</publisher-name><publisher-loc>Cambridge, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.1017/S0021932007002672</article-id><article-id pub-id-type="pii">S0021932007002672</article-id><article-id pub-id-type="publisher-id">00267</article-id><title-group><article-title>BARRIERS TO THE USE OF MODERN CONTRACEPTIVES AND IMPLICATIONS FOR WOMAN-CONTROLLED PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS IN MADAGASCAR</article-title><alt-title alt-title-type="left-running">B. Randrianasolo <italic>et al.</italic></alt-title><alt-title alt-title-type="right-running">Barriers to modern contraceptive use</alt-title></title-group><contrib-group><contrib><name><surname>RANDRIANASOLO</surname><given-names>BODO</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib><name><surname>SWEZEY</surname><given-names>TERESA</given-names></name><xref ref-type="aff" rid="aff2"></xref></contrib><contrib><name><surname>VAN DAMME</surname><given-names>KATHLEEN</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="aff" rid="aff3"></xref></contrib><contrib><name><surname>KHAN</surname><given-names>MARIA R.</given-names></name><xref ref-type="aff" rid="aff2"></xref></contrib><contrib><name><surname>RAVELOMANANA</surname><given-names>NORO</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib><name><surname>LOVANIAINA RABENJA</surname><given-names>NY</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib><name><surname>RAHARINIVO</surname><given-names>MBOLATIANA</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib><name><surname>BELL</surname><given-names>APRIL J.</given-names></name><xref ref-type="aff" rid="aff4"></xref></contrib><contrib><name><surname>JAMIESON</surname><given-names>DENISE</given-names></name><xref ref-type="aff" rid="aff4"></xref></contrib><contrib><collab>THE MAD STI PREVENTION GROUP</collab></contrib><contrib><name><surname>BEHETS</surname><given-names>FRIEDA</given-names></name><xref ref-type="aff" rid="aff2"></xref></contrib></contrib-group><aff id="aff1"><institution>University of North Carolina</institution>, Madagascar (UNC-Mad), Antananarivo, <country>Madagascar</country></aff><aff id="aff2">Department of Epidemiology, School of Public Health, <institution>University of North Carolina</institution> at Chapel Hill, <country>USA</country></aff><aff id="aff3">Department of Medicine, <institution>University of North Carolina</institution> at Chapel Hill, <country>USA</country></aff><aff id="aff4"><institution>Centers for Disease Control and Prevention</institution>, Atlanta, GA, <country>USA</country></aff><pub-date pub-type="epub-ppub"><month>11</month><year>2008</year></pub-date><volume>40</volume><issue>6</issue><fpage>879</fpage><lpage>893</lpage><permissions><copyright-statement>Copyright © Cambridge University Press
2008</copyright-statement><copyright-year>2008</copyright-year><copyright-holder>Cambridge University Press</copyright-holder></permissions><abstract abstract-type="normal"><title>Summary</title><p>Globally, unplanned pregnancies and sexually transmitted infections (STIs) persist as significant threats to women’s reproductive health. Barriers to the use of modern contraceptives by women might inhibit uptake of novel woman-controlled methods for preventing STIs/HIV. Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar, using qualitative research. The hypothetical acceptability of the diaphragm – a woman-controlled barrier contraceptive device that also holds promise of protecting against STIs/HIV – was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programmes in both family planning and STI prevention to improve women’s knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. In addition, involvement of men will probably be a critical component of increased uptake of woman-controlled pregnancy and STI/HIV prevention methods and improved health.</p></abstract><counts><page-count count="15"></page-count></counts><custom-meta-wrap><custom-meta><meta-name>pdf</meta-name><meta-value>S0021932007002672a.pdf</meta-value></custom-meta></custom-meta-wrap></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>BARRIERS TO THE USE OF MODERN CONTRACEPTIVES AND IMPLICATIONS FOR WOMAN-CONTROLLED PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS IN MADAGASCAR</title></titleInfo><titleInfo type="alternative"><title>B. Randrianasolo et al.</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>BARRIERS TO THE USE OF MODERN CONTRACEPTIVES AND IMPLICATIONS FOR WOMAN-CONTROLLED PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS IN MADAGASCAR</title></titleInfo><name type="corporate"><namePart>THE MAD STI PREVENTION GROUP</namePart></name><name type="personal"><namePart type="given">BODO</namePart><namePart type="family">RANDRIANASOLO</namePart><affiliation>University of North Carolina, Madagascar (UNC-Mad), Antananarivo, Madagascar</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">TERESA</namePart><namePart type="family">SWEZEY</namePart><affiliation>Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">KATHLEEN</namePart><namePart type="family">VAN DAMME</namePart><affiliation>University of North Carolina, Madagascar (UNC-Mad), Antananarivo, Madagascar</affiliation><affiliation>Department of Medicine, University of North Carolina at Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MARIA R.</namePart><namePart type="family">KHAN</namePart><affiliation>Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">NORO</namePart><namePart type="family">RAVELOMANANA</namePart><affiliation>University of North Carolina, Madagascar (UNC-Mad), Antananarivo, Madagascar</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">NY</namePart><namePart type="family">LOVANIAINA RABENJA</namePart><affiliation>University of North Carolina, Madagascar (UNC-Mad), Antananarivo, Madagascar</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MBOLATIANA</namePart><namePart type="family">RAHARINIVO</namePart><affiliation>University of North Carolina, Madagascar (UNC-Mad), Antananarivo, Madagascar</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">APRIL J.</namePart><namePart type="family">BELL</namePart><affiliation>Centers for Disease Control and Prevention, Atlanta, GA, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">DENISE</namePart><namePart type="family">JAMIESON</namePart><affiliation>Centers for Disease Control and Prevention, Atlanta, GA, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">FRIEDA</namePart><namePart type="family">BEHETS</namePart><affiliation>Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Cambridge University Press</publisher><place><placeTerm type="text">Cambridge, UK</placeTerm></place><dateIssued encoding="w3cdtf">2008</dateIssued><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract type="normal">Globally, unplanned pregnancies and sexually transmitted infections (STIs) persist as significant threats to women’s reproductive health. Barriers to the use of modern contraceptives by women might inhibit uptake of novel woman-controlled methods for preventing STIs/HIV. Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar, using qualitative research. The hypothetical acceptability of the diaphragm – a woman-controlled barrier contraceptive device that also holds promise of protecting against STIs/HIV – was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programmes in both family planning and STI prevention to improve women’s knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. In addition, involvement of men will probably be a critical component of increased uptake of woman-controlled pregnancy and STI/HIV prevention methods and improved health.</abstract><relatedItem type="host"><titleInfo><title>Journal of Biosocial Science</title></titleInfo><titleInfo type="abbreviated"><title>J. Biosoc. Sci.</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0021-9320</identifier><identifier type="eISSN">1469-7599</identifier><identifier type="PublisherID">JBS</identifier><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>40</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>879</start><end>893</end><total>15</total></extent></part></relatedItem><identifier type="istex">AF592389794D2AD010CDE77A6E7414FCC6BBBC77</identifier><identifier type="ark">ark:/67375/6GQ-V53QQGG7-7</identifier><identifier type="DOI">10.1017/S0021932007002672</identifier><identifier type="PII">S0021932007002672</identifier><identifier type="ArticleID">00267</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © Cambridge University Press 2008</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-G3RCRD03-V">cambridge</recordContentSource><recordOrigin>Copyright © Cambridge University Press 2008</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/AF592389794D2AD010CDE77A6E7414FCC6BBBC77/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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