Women's preferences for contraceptive counseling in Mexico: Results from a focus group study

Reproductive Health
Kelsey HoltAna Langer

Abstract

Client-centered contraceptive counseling is critical to meeting demand for contraception and protecting human rights. However, despite various efforts to optimize counseling, little is known outside of the United States about what individuals themselves value in counseling. In the present study we investigate women's preferences for contraceptive counseling in Mexico to inform efforts to improve service quality. We conducted applied qualitative research, using six focus group discussions with 43 women in two cities in Mexico with distinct sizes and sociocultural contexts (Mexico City and Tepeji del Río, Hidalgo) to assess contraceptive counseling preferences. We used a framework approach to thematically code and analyze the transcriptions from focus groups. Consistent with quality of care and human rights frameworks for family planning service delivery, participants expressed a desire for privacy, confidentiality, informed choice, and respectful treatment. They expanded on usual concepts of respectful care within family planning to include avoidance of sexual assault or harassment-in line with definitions of respectful care in maternal health. In contrast to counseling approaches with method effectiveness as the organizing prin...Continue Reading

References

Feb 5, 2004·Studies in Family Planning·Saumya RamaRao, Raji Mohanam
Dec 21, 2007·Perspectives on Sexual and Reproductive Health·Davida BeckerFreya L Sonenstein
Feb 26, 2010·Qualitative Health Research·Joaquina ErvitiRoberto Castro
Nov 16, 2010·Patient Education and Counseling·Nahla Abdel-Tawab, Saumya RamaRao
Nov 26, 2010·Patient Education and Counseling·Sarah L JohnsonKathryn Church
Sep 22, 2011·Journal of Biosocial Science·Anrudh K JainMarilou Costello
Sep 11, 2012·Contraception·Tessa MaddenJeffrey F Peipert
Nov 28, 2012·Contraception·Christine DehlendorfJody Steinauer
Jul 22, 2014·Perspectives on Sexual and Reproductive Health·Christine DehlendorfJody Steinauer
Feb 2, 2016·American Journal of Obstetrics and Gynecology·Christine DehlendorfJody Steinauer
May 15, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Blair G DarneyMaria I Rodriguez
Jul 29, 2016·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Kathryn M CurtisMaura K Whiteman
Jan 11, 2017·Contraception·Christine DehlendorfJody Steinauer
Feb 27, 2017·Patient Education and Counseling·Christine DehlendorfMiriam Kuppermann

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