Barriers to the use of modern contraceptives and implications for woman-controlled prevention of sexually transmitted infections in Madagascar

Journal of Biosocial Science
Bodo RandrianasoloFrieda Behets

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 contrace...Continue Reading

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Citations

Jul 15, 2015·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Laura RobsonMamy Andriatsihosena
Feb 3, 2009·Contraception·Maria R KhanFrieda Behets
Jun 7, 2017·African Journal of AIDS Research : AJAR·Tabitha Alexandria Njeri Nyanja, Charlotte Tulinius
May 20, 2020·Sexually Transmitted Infections·Mihaja RaberahonaXavier Vallès
May 1, 2021·International Journal of Environmental Research and Public Health·Maria Lisa OdlandElisabeth Darj

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