ArticleBMC women's health2020
Side effect concerns and their impact on women's uptake of modern family planning methods in rural Ghana: a mixed methods study.
Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review and Meta-Analysis on Post-Abortion Contraceptive Utilization and Associated Factors in Ethiopia.Frontiers in public health · 2022Pooled it
- Impact of FP2020 Program on High-Risk Pregnancies and Under-Five Mortality in the Democratic Republic of the Congo: Evidence from a Quasi-Experimental Analysis Using Demographic and Health Surveys (2013-2023).Healthcare (Basel, Switzerland) · 2026Article
- Why are so many pregnancies still unintended in Ghana? A closer look at factors influencing reproductive autonomy.PLOS global public health · 2026Article
- Method-specific beliefs associated with the choice of future contraception among women in refugee settlements in Uganda.Frontiers in reproductive health · 2026Article
- Sexual function and wellbeing of women using modern contraceptive methods in Rwanda: a multicenter cross-sectional study.Frontiers in global women's health · 2026Article
- Article
- Exploring service providers' perspectives on facilitators and barriers to contraceptive uptake among women: implications for policy reform in Ghana.Contraception and reproductive medicine · 2025Article
- Contraceptive-induced menstrual changes in low- and middle-income countries: a systematic scoping review.Communications medicine · 2025Article
- Effect of healthcare worker vs. non-health worker delivered health education on modern contraceptive uptake among women in Malawi: a quasi-experimental study.BMC health services research · 2025Article
- Intention to switch from short-acting to long-acting reversible contraceptives among refugee women in Ethiopia: application of the theory of planned behavior.Contraception and reproductive medicine · 2025Article
- Married women's modern contraceptive method selection in Wolaita, South Ethiopia: a modified grounded theory exploration.Reproductive health · 2025Article
- Individual and community level factors influencing modern contraceptive use among women of reproductive age in South Africa: a multilevel analysis.Contraception and reproductive medicine · 2025Article
- Use of modern family planning methods and its association with quality of life among Rwandan women: a multi-center cross-sectional study.Contraception and reproductive medicine · 2025Article
- Determinant factors in the use of modern contraception in urban and rural areas in Western Indonesia.BMC public health · 2025Article
- Spatial variations and determinants of modern contraceptive utilization among sexually active rural women in Ethiopia using mini EDHS 2019 data: spatial and multilevel analysis.BMC public health · 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
- "They say it may cause cancer:" A Qualitative Exploration of Filipinos' Contraceptive Misconceptions and Primary Healthcare Interventions.Acta medica Philippina · 2025Article
- Exploring machine learning algorithms to predict not using modern family planning methods among reproductive age women in East Africa.BMC health services research · 2024Article
- Intimate partner violence influences modern family planning use among married women in Tanzania: cross-sectional study.BMC public health · 2024Article
- Why do most young women not take up contraceptives after post-abortion care? An ethnographic study on the effectiveness and quality of contraceptive counselling after PAC in Kilifi County, Kenya.Sexual and reproductive health matters · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDespite availability of modern contraceptive methods and documented unmet need for family planning in Ghana, many women still report forgoing modern contraceptive use due to anticipated side effects. The goal of this study was to examine the use of modern family planning, in particular hormonal methods, in one district in rural Ghana, and to understand the role that side effects play in women's decisions to start or continue use.
methodsThis exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old in the Amansie West District of Ghana between May and July 2018. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects.
resultsThe prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n = 135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Side effects mentioned include menstrual changes (heavier bleeding, amenorrhea or oligomenorrhea), infertility and childbirth complications.
conclusionAs programs have improved women's ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women's needs in low-income countries.
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