ArticleReproductive health2021
Delivery strategies for optimizing uptake of contraceptives among adolescents aged 15-19 years in Nsanje District, Malawi.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- From fertility intentions to contraceptive behaviour: evidence among women with children in Malawi.Frontiers in reproductive health · 2026Article
- Utilization of youth corners: a model for improving youth-friendly health services in Neno District, Southern Malawi.Global health action · 2025Article
- Non utilization of modern contraceptives among sexually active adolescent girls and young women aged 10-24 years in selected districts of Busoga region, Eastern Uganda: a cross-sectional study.Contraception and reproductive medicine · 2025Article
- Differentiated service delivery strategies to optimize modern contraceptive uptake among adolescents with HIV in Northern Uganda.African health sciences · 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
- Fertility awareness, perceived factors and approaches to improve contraceptive uptake among sexually active adolescent girls in Phalombe, Malawi: a mixed-methods study.Reproductive health · 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
- Naïve, uninformed and sexually abused: circumstances surrounding adolescent pregnancies in Malawi.Reproductive health · 2023Article
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Authors and funding
3 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite documented benefits of contraceptives, uptake among young people aged 20-24 years is high compared to adolescents aged 15-19 years in Malawi. As the world's population of 15-19-year-olds continues to grow the need to meet the increasing demand for contraceptive services and information that address adolescent-specific needs cannot be underestimated. To inform Sexual and Reproductive health services for the youth, we explored strategies for optimizing uptake of contraceptives among this age group.
methodsAn exploratory qualitative cross-sectional study was conducted at Nsanje District Hospital and Nyamadzere Community Day Secondary School guided by Social-Ecological Framework to understand strategies that may optimize the uptake of contraceptives among adolescents aged 15-19. Nsanje district was purposively selected based on the reason that it is the second district in Malawi with the highest rate of adolescent childbearing of girls aged 15-19 years. We conducted a Focus Group Discussion (FGD) with 9 traditional leaders, 11 Key Informant Interviews (KIIs) with health workers, 20 In-depth Interviews (IDIs) with 12 adolescents, 4 teachers, and 4 parents. All data were digitally recorded, transcribed verbatim into English. The data was analyzed and managed using deductive thematic analysis guided by Social-Ecological Framework.
resultsAdolescents suggested accessing contraceptives from local drug stores, pharmacies and hospitals at a health system level and through Youth Centres, clubs, and corners at a Community level. There is a need to ensure a continuous supply of various kinds of contraceptives and the presence of youth-friendly health care workers in the specified areas.
conclusionThere is no one way of delivering contraceptives to adolescents. Multiple avenues existent at the health facility and community could be leveraged to optimize delivery and uptake of contraceptives in a manner that is not intimidating to an adolescent while involving key stakeholders.
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