SynthesisStudies in family planning2016
How User Fees Influence Contraception in Low and Middle Income Countries: A Systematic Review.
Synthesis in Studies in family planning, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- Inequalities in contraceptive prevalence among married women of reproductive age in Sierra Leone, 2008-2019.Archives of public health = Archives belges de sante publique · 2025Article
- Barriers to contraceptive use among people living with diabetes and/or hypertension: a qualitative study.BMC public health · 2025Article
- Household cost of accessing contraceptive services among women in Urban communities in Ghana.PloS one · 2025Article
- National Policy Influences of Contraceptive Prevalence and Method Mix Strategy: A Longitudinal Analysis of 59 Low- and Middle-Income Countries, 2010-2021.Global health, science and practice · 2024Article
- Non-Hormonal Contraception.Journal of clinical medicine · 2023Review
- Sexual behaviors, contraception use and barriers among adolescents and young adults in rural Haiti.BMC women's health · 2023Article
- Unmet need for family planning and related difficulties among married women of childbearing age in Bandung Slum, Indonesia.Journal of public health in Africa · 2022Article
- Differences in contraceptive prices between and within family planning outlets in urban and semiurban Nigeria: a prospective cohort study.AJOG global reports · 2022Article
- Does abolishing user fees for family planning increase contraception use? An impact evaluation of the national policy in Burkina Faso.Journal of global health · 2022Article
- Using experience to create evidence: a mixed methods process evaluation of the new free family planning policy in Burkina Faso.Reproductive health · 2022Article
- Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub-Saharan Africa.Studies in family planning · 2021Article
- SMS-based family planning communication and its association with modern contraception and maternal healthcare use in selected low-middle-income countries.BMC medical informatics and decision making · 2020Article
- A Mobile Phone-Based Support Intervention to Increase Use of Postabortion Family Planning in Cambodia: Cost-Effectiveness Evaluation.JMIR mHealth and uHealth · 2020Article
- Perceptions of Contraception and Patterns of Switching Contraceptive Methods Among Family-planning Acceptors in West Nusa Tenggara, Indonesia.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2019Article
- Who pays and how much? A cross-sectional study of out-of-pocket payment for modern contraception in Kenya.BMJ open · 2019Article
- Quality and Cost Interventions During the Extended Perinatal Period to Increase Family Planning Use in Kinshasa, DRC: Results From an Initial Study.Global health, science and practice · 2018Article
- Method-Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements.Studies in family planning · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Accessible and quality reproductive health services are critical for low- and middle-income countries (LMICs). After a decade of waning investment in family planning, interest and funding are growing once again. This article assesses whether introducing, removing, or changing user fees for contraception has an effect on contraceptive use. We conducted a search of 14 international databases. We included randomized controlled trials, interrupted-time series analyses, controlled before-and-after study designs, and cohort studies that reported contraception-related variables as an outcome and a change in the price of contraceptives as an intervention. Four studies were eligible but none was at low risk of bias overall. Most of these, as well as other studies not included in the present research, found that demand for contraception was not cost-sensitive. We could draw no robust summary of evidence, strongly suggesting that further research in this area is needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.