ArticleInternational perspectives on sexual and reproductive health2015
Contraceptive Dynamics in Rural Northern Malawi: A Prospective Longitudinal Study.
Article in International perspectives on sexual and reproductive health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Contraceptive uses among married women in Bangladesh: a systematic review and meta-analyses.Journal of health, population, and nutrition · 2024Pooled it
- Women's perspectives on relationship dynamics with their partners and their role in HIV acquisition, HIV disclosure, hormonal contraceptive uptake, and condom use.African journal of AIDS research : AJAR · 2021Trial
- Duration and Predictors of "In-Need" Contraceptive Discontinuation in Ethiopia: A Competing Risks Analysis Using the Fine-Gray Subdistribution Hazards Model.BioMed research international · 2026Article
- Contraceptive Use Patterns and Associated Determinants in a Rural Population of Narayanganj District, Bangladesh.Public health challenges · 2025Article
- Understanding the dynamics of sexual and reproductive health outcomes in sub-Saharan Africa using the Demographic and Health Survey: the need for longitudinal studies.Reproductive health · 2025Article
- Modeling Contraception and Pregnancy in Malawi: A Thanzi La Onse Mathematical Modeling Study.Studies in family planning · 2023Article
- "I know my body and I just can't get pregnant that easily" - Women's use and non-use of the injection to manage fertility.SSM. Qualitative research in health · 2022Article
- Women's contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services.PloS one · 2022Article
- Article
- Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation.BMC women's health · 2021Article
- Infertility, Perceived Certainty of Pregnancy, and Contraceptive Use in Malawi.Studies in family planning · 2021Article
- Article
- Influence of the preference for sons on contraceptive use in Bangladesh: A multivariate analysis.Heliyon · 2020Article
- Multilevel analysis of factors associated with unmet need for family planning among Malawian women.BMC public health · 2020Article
- Article
- Individual and community-level impact of infertility-related stigma in Malawi.Social science & medicine (1982) · 2020Article
- Understanding 'missed appointments' for pills and injectables: a mixed methods study in Senegal.BMJ global health · 2018Article
- "New Users" Are Confusing Our Counting: Reaching Consensus on How to Measure "Additional Users" of Family Planning.Global health, science and practice · 2017Article
- Unintended Childbearing and Child Growth in Northern Malawi.Maternal and child health journal · 2017Article
- Incidence of induced abortion in Malawi, 2015.PloS one · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
contextIncreased use of contraceptives in Malawi has not translated into a commensurate reduction in fertility, but the reason is unknown. Insight into contraceptive switching and discontinuation may shed light on this conundrum and on whether the commonly used modern contraceptive prevalence rate (mCPR) is the best indicator of family planning program performance.
methodsA one-year prospective longitudinal data set was created from patient-held family planning cards of 4,678 reproductive-age women living in a demographic surveillance site in rural northern Malawi. Contraceptive service data recorded on the women's cards by providers were linked to their socioeconomic, demographic and health data. Contraceptive point prevalence estimates calculated from these data were compared with mCPR estimates from cross-sectional surveys. Survival analyses examined contraceptive adherence.
resultsThe contraceptive point prevalence of 35% was slightly lower than comparable cross-sectional estimates of mCPR. Only 51% of users of the injectable-the most widely used modern method-received their first reinjection on time, and just 15% adhered to the method for 12 months. Although various study variables were associated with contraceptive use, none were associated with adherence.
conclusionsGaps in and discontinuation of use of the injectable may play a role in the discrepancy between mCPR and fertility. Interventions to help women adhere to injectable use and to promote long-acting methods should be strengthened.
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