ArticleGlobal health, science and practice2019
Association Between the Quality of Contraceptive Counseling and Method Continuation: Findings From a Prospective Cohort Study in Social Franchise Clinics in Pakistan and Uganda.
Article in Global health, science and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social franchising in healthcare: a systematic review and narrative synthesis of implementation and outcomes.BMJ global health · 2025Pooled it
- Closing the counselling gap: a qualitative study to strengthen rights-based family planning in Pakistan.BMJ open · 2026Article
- Family planning service quality and contraceptive discontinuation among short-acting contraceptive users in Indonesia: a survival analysis of the 2017 Indonesia demographic health survey.BMC women's health · 2026Article
- Article
- Operationalizing Client-Centered Care: A Strategic Framework and Measurement Approach to Guide Sexual and Reproductive Health Programming.Global health, science and practice · 2025Article
- Moving Past a Legacy of Controlling Women: Key Frameworks to Center Women and Girls' Choice and Agency in Sexual and Reproductive Health Measurement.Studies in family planning · 2025Article
- Evaluation of immediate and sustained effects of transitioning quality long-acting reversible contraceptives (LARCs) services to public sector health facilities in Ghana: a pre-post intervention study.Reproductive health · 2025Article
- Predictors of quality of family planning counselling in Ethiopia: multilevel analysis of the SPA survey 2021/22.Frontiers in reproductive health · 2025Article
- Article
- Using the 5C Vaccine Hesitancy Framework to Elucidate and Measure Contraceptive Acceptability in sub-Saharan Africa.Global health, science and practice · 2024Article
- Quality adjusted coverage of family planning services in low- and middle-income countries: Analysis of 33 countries using Demographic and Health Survey data.Journal of global health · 2024Article
- Contraceptive use among women who desire no more children in Indonesia: a cross-sectional study of a national survey.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024Article
- Mixed-methods, cross-sectional assessment of a client-facing, family planning counseling chatbot in Côte d'Ivoire.Oxford open digital health · 2024Article
- Identifying what contraceptive side effects women are told about during counseling using nationally representative PMA Ethiopia 2019 cross-sectional data.PLOS global public health · 2024Article
- Choices and Challenges: Visualizing Contraceptive Use Dynamics Data in 15 Low- and Middle-Income Countries.Global health, science and practice · 2023Article
- Informed choice and its associated factors among women received immediate postpartum long-acting reversible contraceptives at public hospitals in Sidama Regional State, Ethiopia, 2022.Contraception and reproductive medicine · 2023Article
- Evaluating Counseling for Choice in Malawi: A Client-Centered Approach to Contraceptive Counseling.Global health, science and practice · 2023Article
- Validation and Predictive Utility of a Person-Centered Quality of Contraceptive Counseling (QCC-10) Scale in Sub-Saharan Africa: A Multicountry Study of Family Planning Clients and a New Indicator for Measuring High-Quality, Rights-Based Care.Studies in family planning · 2023Article
- Improving provider and client communication around family planning in Togo: Results from a cross-sectional survey.PLOS global public health · 2023Article
- Determinants of Implanon discontinuation among women who use Implanon at Debre Berhan town public health institutions in Northeast Ethiopia: a case-control study.Frontiers in global women's health · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Quality of family planning counseling is likely associated with whether or not women continue to use the same contraceptive method over time. The Method Information Index (MII) is a widely available measure of contraceptive counseling quality but little is known about its association with rates of method continuation. The index ranges from 0 to 3 based on a client's answer to whether she was told about other methods, potential side effects with her chosen method, and what to do if she experienced side effects. Using data from a prospective cohort study of 1,998 social franchise clients in Pakistan and Uganda, we investigated the relationship between reported baseline MII and the risk of method continuation over 12 months using survival analysis and Cox proportional hazard models. At baseline, about 65% of women in Pakistan and 73% of women in Uganda reported receiving information about all 3 MII aspects. In Pakistan, 59.4% of the 165 women who stopped using their modern method did so while still in need of contraception. In Uganda, of the 77 women who stopped modern method use, 64.9% discontinued while in need. Despite important differences in the demographics and method mix between the 2 countries, we found similar associations between baseline MII and discontinuation: in both countries as the MII score increased, the risk of discontinuation while in need decreased. In Pakistan, the risk of contraceptive discontinuation was 64% lower (crude hazard ratio [HR
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