Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study
AbstractFamily planning researchers have traditionally focused efforts on understanding contraceptive non-use and promoting contraceptive uptake. Recently, however, more scholars have been exploring method dissatisfaction, questioning the assumption that contraceptive users necessarily have their ne...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Sexual and Reproductive Health Matters |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/26410397.2023.2174244 |
| _version_ | 1797825238045556736 |
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| author | Brooke W. Bullington Nathalie Sawadogo Katherine Tumlinson Ana Langer Abdramane Soura Pascal Zabre Ali Sie Leigh Senderowicz |
| author_facet | Brooke W. Bullington Nathalie Sawadogo Katherine Tumlinson Ana Langer Abdramane Soura Pascal Zabre Ali Sie Leigh Senderowicz |
| author_sort | Brooke W. Bullington |
| collection | DOAJ |
| description | AbstractFamily planning researchers have traditionally focused efforts on understanding contraceptive non-use and promoting contraceptive uptake. Recently, however, more scholars have been exploring method dissatisfaction, questioning the assumption that contraceptive users necessarily have their needs met. Here, we introduce the concept of “non-preferred method use”, which we define as the use of one contraceptive method while having the desire to use a different method. Non-preferred method use reflects barriers to contraceptive autonomy and may contribute to method discontinuation. We use survey data collected from 2017 to 2018 to better understand non-preferred contraceptive method use among 1210 reproductive-aged family planning users in Burkina Faso. We operationalise non-preferred method use as both (1) use of a method that was not the user’s original preference and (2) use of a method while reporting preference for another method. Using these two approaches, we describe the prevalence of non-preferred method use, reasons for using non-preferred methods, and patterns in non-preferred method use by current and preferred methods. We find that 7% of respondents reported using a method they did not desire at the time of adoption, 33% would use a different method if they could and 37% report at least one form of non-preferred method use. Many women cite facility-level barriers, such as providers refusing to give them their preferred method, as reasons for non-preferred method use. The high prevalence of non-preferred method use reflects the obstacles that women face when attempting to fulfil their contraceptive desires. Further research on reasons for use of non-preferred methods is necessary to promote contraceptive autonomy. |
| first_indexed | 2024-03-13T10:51:04Z |
| format | Article |
| id | doaj.art-364c14df259049538d263f857c8cc1c5 |
| institution | Directory Open Access Journal |
| issn | 2641-0397 |
| language | English |
| last_indexed | 2024-03-13T10:51:04Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Sexual and Reproductive Health Matters |
| spelling | doaj.art-364c14df259049538d263f857c8cc1c52023-05-17T15:36:01ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972023-12-0131110.1080/26410397.2023.2174244Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based studyBrooke W. Bullington0Nathalie Sawadogo1Katherine Tumlinson2Ana Langer3Abdramane Soura4Pascal Zabre5Ali Sie6Leigh Senderowicz7PhD Student, Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, USASenior Lecturer, Institut Supérieur des Sciences de la Population, Université Joseph Ki-ZERBO, Ouagadougou, Burkina FasoFaculty Fellow, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, USAProfessor of the Practice of Public Health, Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston MA, USADirector, Institut Supérieur des Sciences de la Population, Université Joseph Ki-ZERBO, Ouagadougou, Burkina FasoDemographer, Head of HDSS, Centre de Recherche en Santé de Nouna, Nouna, Burkina FasoDirector, Centre de Recherche en Santé de Nouna, Nouna, Burkina FasoAlumna, Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston MA, USAAbstractFamily planning researchers have traditionally focused efforts on understanding contraceptive non-use and promoting contraceptive uptake. Recently, however, more scholars have been exploring method dissatisfaction, questioning the assumption that contraceptive users necessarily have their needs met. Here, we introduce the concept of “non-preferred method use”, which we define as the use of one contraceptive method while having the desire to use a different method. Non-preferred method use reflects barriers to contraceptive autonomy and may contribute to method discontinuation. We use survey data collected from 2017 to 2018 to better understand non-preferred contraceptive method use among 1210 reproductive-aged family planning users in Burkina Faso. We operationalise non-preferred method use as both (1) use of a method that was not the user’s original preference and (2) use of a method while reporting preference for another method. Using these two approaches, we describe the prevalence of non-preferred method use, reasons for using non-preferred methods, and patterns in non-preferred method use by current and preferred methods. We find that 7% of respondents reported using a method they did not desire at the time of adoption, 33% would use a different method if they could and 37% report at least one form of non-preferred method use. Many women cite facility-level barriers, such as providers refusing to give them their preferred method, as reasons for non-preferred method use. The high prevalence of non-preferred method use reflects the obstacles that women face when attempting to fulfil their contraceptive desires. Further research on reasons for use of non-preferred methods is necessary to promote contraceptive autonomy.https://www.tandfonline.com/doi/10.1080/26410397.2023.2174244reproductive healthfamily planningcontraceptive autonomymethod dissatisfactionnon-preferred method use |
| spellingShingle | Brooke W. Bullington Nathalie Sawadogo Katherine Tumlinson Ana Langer Abdramane Soura Pascal Zabre Ali Sie Leigh Senderowicz Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study Sexual and Reproductive Health Matters reproductive health family planning contraceptive autonomy method dissatisfaction non-preferred method use |
| title | Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study |
| title_full | Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study |
| title_fullStr | Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study |
| title_full_unstemmed | Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study |
| title_short | Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study |
| title_sort | prevalence of non preferred family planning methods among reproductive aged women in burkina faso results from a cross sectional population based study |
| topic | reproductive health family planning contraceptive autonomy method dissatisfaction non-preferred method use |
| url | https://www.tandfonline.com/doi/10.1080/26410397.2023.2174244 |
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