ArticleBMC health services research2019
Choice of contraceptive methods in public and private facilities in rural India.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
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- Article
- Assessment of contraceptive methods choice among women during childbearing age in Mosul, Iraq.Saudi medical journal · 2024Article
- Rights-based reproductive services in medical schools in Rajasthan, Gujarat and Chandigarh, India: baseline findings of mixed-methods implementation research.Contraception and reproductive medicine · 2024Article
- Article
- Expanding contraceptive choice among first-time mothers age 15-24 in Kinshasa: The Momentum pilot project.Frontiers in global women's health · 2023Article
- Article
- To use or not to use: Exploring factors influencing the uptake of modern contraceptives in urban informal settlements of Mumbai.PLOS global public health · 2023Article
- Sterilization incentives and associated regret among ever married women in India, NFHS, 2015-16.BMC health services research · 2022Article
- Inequalities in short-acting reversible, long-acting reversible and permanent contraception use among currently married women in India.BMC public health · 2022Article
- Effect of COVID-19 pandemic on home delivery of contraceptives by community health workers in India: Time to (re) evaluate and innovate.Journal of family medicine and primary care · 2022Article
- Article
- Informed Choice of Contraceptive Methods among Women in Ethiopia: Further Analysis of the 2016 Ethiopian Demographic Health Survey.Open access journal of contraception · 2021Article
- Client-provider interaction: understanding client experience with family planning service providers through the mystery client approach in India.Sexual and reproductive health matters · 2020Article
- "You better use the safer one… leave this one": the role of health providers in women's pursuit of their preferred family planning methods.BMC women's health · 2020Article
- Quality of care in sterilization services at the public health facilities in India: A multilevel analysis.PloS one · 2020Article
- Validation of the Interpersonal Quality of Family Planning Scale in a rural Indian setting.Contraception: X · 2020Article
- Infection prevention preparedness and practices for female sterilization services within primary care facilities in Northern India.BMC health services research · 2019Article
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Authors and funding
15 authors.
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Abstract
backgroundClient-centric quality of care (QoC) in family planning (FP) services are imperative for contraceptive method adoption and continuation. Less is known about the choice of contraceptive method in India beyond responses to the three common questions regarding method information, asked in demographic and health surveys. This study argues for appropriate measurement of method choice and assesses its levels and correlates in rural India.
methodsA cross-sectional study was conducted with new acceptors of family planning method (N = 454) recruited from public and private health facilities in rural Bihar and Uttar Pradesh, the two most populous states in India. The key quality of care indicator 'method choice' was assessed using four key questions from client-provider interactions that help in making a choice about a particular method: (1) whether the provider asked the client about their preferred method, (2) whether the provider told the client about at least one additional method, (3) whether the client received information without any single method being promoted by the provider, and (4) client's perception about receipt of method choice. The definition of method choice in this study included women who responded "yes" to all four questions in the survey. The relationship between contraceptive communication and receipt of method choice was assessed using logistic regression analyses, after adjusting for socio-demographic characteristics of the respondents.
resultsAlthough 62% of clients responded to a global question and reported that they received the method of their choice, only 28% received it based on responses about client-provider interactions. Receipt of the information on side-effects of the selected method (Adjusted Odds Ratio [AOR]: 7.4, 95% Confidence Interval [CI]: 3.96-13.86) and facility readiness to provide a range of contraceptive choice (AOR: 2.67, 95% CI: 1.48-4.83) were significantly associated with receipt of method choice.
conclusionsFindings demonstrated that women's choice of contraceptive could be improved in rural India if providers give full information prior to and during the acceptance of a method and if facilities are equipped to provide a range of choice of contraceptive methods.
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