Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in Pakistan

Plain English summary High proportion of married women do not use an effective contraceptive method and is a public health concern that is associated with unintended pregnancies, unwanted births, and unsafe abortions. This is also associated with increased risks of pregnancy and childbirth-related m...

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Main Authors: Mariyam Sarfraz, Saima Hamid, Patrick Rawstorne, Moazzam Ali, Rohan Jayasuriya
Format: Article
Language:English
Published: BMC 2021-05-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-021-01149-0
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author Mariyam Sarfraz
Saima Hamid
Patrick Rawstorne
Moazzam Ali
Rohan Jayasuriya
author_facet Mariyam Sarfraz
Saima Hamid
Patrick Rawstorne
Moazzam Ali
Rohan Jayasuriya
author_sort Mariyam Sarfraz
collection DOAJ
description Plain English summary High proportion of married women do not use an effective contraceptive method and is a public health concern that is associated with unintended pregnancies, unwanted births, and unsafe abortions. This is also associated with increased risks of pregnancy and childbirth-related maternal morbidity. The decision to initiate use and continue the use of contraceptives is influenced by a number of factors. A greater understanding of these factors will inform policymakers, programmers, and other stakeholders to strengthen family planning and other health intervention programs to achieve the SDGs targeted maternal and under-5 child mortality reduction. Thus, the main objective of this study was to understand the social influences in initiating and continuing use of an LARC methods for contraception in a rural setting in Pakistan, using qualitative research. The analysis was done from a total of 27 women, aged 15–49 years, who started the use of long acting reversible contraceptive in the year preceding the study. The findings have an implication for policymakers, programmers, health care providers, and other stakeholders to evaluate and strengthen the provision of different contraceptive methods and improve support provided to women through the family planning programs. The findings of this study strongly recommended the provision of quality counseling on side effects and availability of contraceptive methods, peer support, and support for decision-making regarding long acting reversible contraceptive use.
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spelling doaj.art-b5608e0a0e024ee48d76542712b245782022-12-21T20:40:57ZengBMCReproductive Health1742-47552021-05-0118111110.1186/s12978-021-01149-0Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in PakistanMariyam Sarfraz0Saima Hamid1Patrick Rawstorne2Moazzam Ali3Rohan Jayasuriya4Health Services AcademyHealth Services AcademySchool of Public Health and Community Medicine, University of New South WalesDepartment of Sexual and Reproductive Health, World Health OrganizationSchool of Public Health and Community Medicine, University of New South WalesPlain English summary High proportion of married women do not use an effective contraceptive method and is a public health concern that is associated with unintended pregnancies, unwanted births, and unsafe abortions. This is also associated with increased risks of pregnancy and childbirth-related maternal morbidity. The decision to initiate use and continue the use of contraceptives is influenced by a number of factors. A greater understanding of these factors will inform policymakers, programmers, and other stakeholders to strengthen family planning and other health intervention programs to achieve the SDGs targeted maternal and under-5 child mortality reduction. Thus, the main objective of this study was to understand the social influences in initiating and continuing use of an LARC methods for contraception in a rural setting in Pakistan, using qualitative research. The analysis was done from a total of 27 women, aged 15–49 years, who started the use of long acting reversible contraceptive in the year preceding the study. The findings have an implication for policymakers, programmers, health care providers, and other stakeholders to evaluate and strengthen the provision of different contraceptive methods and improve support provided to women through the family planning programs. The findings of this study strongly recommended the provision of quality counseling on side effects and availability of contraceptive methods, peer support, and support for decision-making regarding long acting reversible contraceptive use.https://doi.org/10.1186/s12978-021-01149-0Long acting reversible contraceptivesContraceptive use decision makingSocial networksPakistanMarried womenFamily planning
spellingShingle Mariyam Sarfraz
Saima Hamid
Patrick Rawstorne
Moazzam Ali
Rohan Jayasuriya
Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in Pakistan
Reproductive Health
Long acting reversible contraceptives
Contraceptive use decision making
Social networks
Pakistan
Married women
Family planning
title Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in Pakistan
title_full Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in Pakistan
title_fullStr Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in Pakistan
title_full_unstemmed Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in Pakistan
title_short Role of social network in decision making for increasing uptake and continuing use of long acting reversible (LARC) methods in Pakistan
title_sort role of social network in decision making for increasing uptake and continuing use of long acting reversible larc methods in pakistan
topic Long acting reversible contraceptives
Contraceptive use decision making
Social networks
Pakistan
Married women
Family planning
url https://doi.org/10.1186/s12978-021-01149-0
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