ArticleCulture, health & sexuality2021
Messages around contraceptive use and implications in rural Malawi.
Article in Culture, health & sexuality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants of contraceptive discontinuation among sexually active women in Nigeria: a systematic review.BMC public health · 2026Pooled it
- From fertility intentions to contraceptive behaviour: evidence among women with children in Malawi.Frontiers in reproductive health · 2026Article
- Correlates of reproductive coercion among women of reproductive age in Kingston, Jamaica and Hanoi, Vietnam.PLOS global public health · 2026Article
- Capturing the Dynamic Nature of Choice: Qualitative Perspectives on Contraceptive Acceptability from Cameroon and Kenya.Studies in family planning · 2025Article
- Demand for and use of modern contraception among young women aged 15-24 years in Malawi: evidence from the Malawi demographic health survey, 2015-2016.Frontiers in reproductive health · 2025Article
- Using the 5C Vaccine Hesitancy Framework to Elucidate and Measure Contraceptive Acceptability in sub-Saharan Africa.Global health, science and practice · 2024Article
- Relationship Dynamics and Young Women's Contraceptive Use.Sexuality research & social policy : journal of NSRC : SR & SP · 2024Article
- A bivariate Poisson regression to analyse impact of outlier women on correlation between female schooling and fertility in Malawi.BMC women's health · 2024Article
- "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
- The Provider Role and Perspective in the Denial of Family Planning Services to Women in Malawi: A Mixed-Methods Study.International journal of environmental research and public health · 2022Article
- Are rural Malawian women using their preferred contraceptive method and that of their male partners?Contraception · 2021Article
- Infertility, Perceived Certainty of Pregnancy, and Contraceptive Use in Malawi.Studies in family planning · 2021Article
- Gender Differences in Perceived Benefits of and Barriers to Use of Modern Contraceptive Methods in Rural Malawi.International perspectives on sexual and reproductive health · 2020Article
Corrections and comments
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Authors and funding
4 authors.
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Abstract
The unmet need for contraception in Malawi remains high, despite progress increasing knowledge and access over the past two decades. Understanding the reasons for this unmet need is critical to programme planning and service delivery. In this study, we conducted 30 in-depth interviews and 13 focus group discussions with women and men in rural Malawi to understand social, cultural and relational barriers and facilitators to contraceptive use. We found that contraceptive decisions were influenced by complex, often conflicting messages with varying implications based on individual and contextual factors. Common factors that influence contraceptive use, such as spousal support, side effects and social norms that dictated acceptable users of contraception could act as both barriers and facilitators to use depending on context. While strides have been made in increasing access to contraception, findings indicate a need for public health programmes to take a nuanced approach to increasing contraceptive use that does not presume particular factors will be a barrier or facilitator across groups. Instead, programmes should seek to understand how social, cultural and relational factors influencing contraceptive use differ across groups.
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