ArticleReproductive health2021
A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya.
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 35 papers, 3 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Determinants of contraceptive discontinuation among sexually active women in Nigeria: a systematic review.BMC public health · 2026Pooled it
- The sex effect: the prevalence of sex life reasons for contraceptive discontinuation. A systematic review and meta-analysis.Sexual and reproductive health matters · 2025Pooled it
- Prevalence of unmet need for family planning and unintended pregnancies among women of reproductive age living with HIV in sub-Saharan Africa: a systematic review and meta-analysis.African health sciences · 2024Pooled it
- Alleviating price and information barriers to long-acting contraception uptake in Kenyan pharmacies using patient and provider incentives: a cluster randomized control trial.EClinicalMedicine · 2026Article
- Understanding contraception-use intentions among women of reproductive age not currently using contraceptives in sub-Saharan Africa: key insights from Demographic and Health Surveys.International health · 2026Article
- Women's postpartum family planning use and intention in Ethiopia: Disparities in the agrarian and pastoral contexts from a community-based cross-sectional study.PLOS global public health · 2026Article
- Permanent Contraception: Women's Desire for Their Spouse and Future Uptake.Obstetrics and gynecology international · 2026Article
- The Role of Ideation on Intention to Use Contraceptives Among Married Women in Shenen Dhugo District, Eastern Ethiopia.BioMed research international · 2026Article
- Acceptability and utilization of modern contraceptives and associated factors among childbearing-aged women in Northern Ghana: a cross-sectional study.Contraception and reproductive medicine · 2025Article
- Modern Contraceptive Use Among Young Women in Kampala Slums: Research Findings from the TOPOWA Study.International journal of environmental research and public health · 2025Article
- The unmet needs for family planning and associated risk factors in Alexandria, Egypt: a hospital-based survey.BMC women's health · 2025Article
- Understanding women's preferences for long-acting reversible contraceptives in Gondar, Ethiopia: a discrete choice experiment.Health economics review · 2025Article
- Married women's modern contraceptive method selection in Wolaita, South Ethiopia: a modified grounded theory exploration.Reproductive health · 2025Article
- Contraceptive Use Patterns and Associated Determinants in a Rural Population of Narayanganj District, Bangladesh.Public health challenges · 2025Article
- The role of social networks in motivating access and use of contraceptives among adolescent girls and young women living in resource-constrained settings in Cape Town, South Africa.Reproductive health · 2025Article
- Barriers and facilitators to utilization of family planning among married women in Nyabiheke camp, Rwanda.Reproductive health · 2025Article
- Knowledge, attitudes, and practices of Lebanese women toward the use of oral contraceptive pills.BMC women's health · 2025Article
- How does the rise in contraceptive usage predict pregnancy termination among young women in Kenya? an in-depth multilevel analysis.BMC public health · 2025Article
- Decision-making pathways for contraceptive use among refugee and host populations in Adjumani district, Uganda; an exploratory study.BMC women's health · 2024Article
- A Digital Sexual Health Education Web Application for Resource-Poor Regions in Kenya: Implementation-Oriented Case Study Using the Intercultural Research Model.JMIR formative research · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAddressing the unmet need for modern contraception underpins the goal of all family planning and contraception programs. Contraceptive discontinuation among those in need of a method hinders the attainment of the fertility desires of women, which may result in unintended pregnancies. This paper presents experiences of contraceptive use, reasons for discontinuation, and future intentions to use modern contraceptives.
methodsQualitative data were collected in two rural counties in Kenya in 2019 from women with unmet need for contraception who were former modern contraceptive users. Additional data was collected from male partners of some of the women interviewed. In-depth interviews and focus group discussions explored previous experience with contraceptive use, reasons for discontinuation, and future intentionality to use. Following data collection, digitally recorded data were transcribed verbatim, translated, and coded using thematic analysis through an inductive approach.
resultsUse of modern contraception to prevent pregnancy and plan for family size was a strong motivator for uptake of contraceptives. The contraceptive methods used were mainly sourced from public health facilities though adolescents got them from the private sector. Reasons for discontinued use included side effects, method failure, peer influence, gender-based violence due to covert use of contraceptives, and failure within the health system. Five reasons were provided for those not willing to use in the future: fear of side effects, cost of contraceptive services, family conflicts over the use of modern contraceptives, reduced need, and a shift to traditional methods.
conclusionThis study expands the literature by examining reasons for contraceptive discontinuation and future intentionality to use among women in need of contraception. The results underscore the need for family planning interventions that incorporate quality of care in service provision to address contraceptive discontinuation. Engaging men and other social influencers in family planning programs and services will help garner support for contraception, rather than focusing exclusively on women. The results of this study can inform implementation of family planning programs in Kenya and beyond to ensure they address the concerns of former modern contraception users.
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