ArticleReproductive health2021
Factors influencing contraceptive decision making and use among young adolescents in urban Lilongwe, Malawi: a qualitative study.
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 26 papers.
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Who cites it
26 citing papers in PubMed, 41 citations in OpenAlex.
- Development and Validation of the Sexual Health Literacy Scale for Young Adults and Adults.Health literacy research and practice · 2026Article
- Perspectives of adolescent girls (10-19 years) in Mahama camp on factors affecting accessibility of contraceptive services in the camp in 2022.Reproductive health · 2026Article
- Psychosocial Determinants of Intention to Use Dual Contraception Among Thai Female Students: Integrating the Health Belief Model and Theory of Planned Behavior.International journal of women's health · 2026Article
- Measuring social norms endorsement and normative influence on contraceptive use among youth (15-24) in northeastern Uganda.Frontiers in global women's health · 2026Article
- Exploring barriers, facilitators, and preferences for the uptake of contraceptive methods among adolescents aged 15-19 years in Neno district, Malawi: a qualitative study.Sexual and reproductive health matters · 2025Article
- Sexual knowledge and contraceptive use in adolescents with type 1 diabetes in comparison with their healthy peers.Endocrine · 2025Article
- Urban-rural differences in caregivers' willingness to support adolescent girls' contraceptive use in Ghana: a comparative study.Contraception and reproductive medicine · 2025Article
- Assessing sexual health literacy among Thai female adolescents in non-formal education: A mixed-methods study.Belitung nursing journal · 2025Article
- Household cost of accessing contraceptive services among women in Urban communities in Ghana.PloS one · 2025Article
- Article
- 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
- Women alone modern contraceptive use decision making and its correlates, evidence from PMA CS 2021 survey.BMC women's health · 2024Article
- A Qualitative Exploration of Perceptions and Experiences of Adolescent Girls and Young Women on Modern Contraceptive Methods Use in Malinyi District, Morogoro, Tanzania.The East African health research journal · 2024Article
- Article
- Factors influencing the utilisation of Youth Friendly Health Services in Blantyre, Malawi.Health SA = SA Gesondheid · 2024Article
- Understanding adolescent girls' experiences with accessing and using contraceptives in Zambia.BMC public health · 2023Article
- Association of migration and family planning use among women in Malawi: Evidence from 2019/2020 Malawi Multiple Indicators Survey.Contraception and reproductive medicine · 2023Article
- A retrospective analysis of the trends in modern contraceptive use among adolescents and young women (15-24 years) in the Democratic Republic of the Congo in the last two decades.Journal of family medicine and primary care · 2023Article
- Motivators and Influencers of Adolescent Girls' Decision Making Regarding Contraceptive Use in Four Districts of Zambia.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevalence of teenage pregnancies in Malawi is 29%. About 25% of those are married while 30% are unmarried adolescents (15-19 years old) who use contraceptives. Data on contraceptive use has focused on older adolescents (15-19 years old) leaving out the young adolescents (10-14 years old). This study assessed factors that influence contraceptive decision-making and use among young adolescents aged 10-14 years.
methodsThis was a qualitative study that used the Theory of Reasoned Action (TRA) model to understand the processes that influence contraceptive decision-making among young adolescents (10-14 years old) in urban Lilongwe. The study was conducted in six youth health-friendly service centers and 12 youth clubs. Two focus group discussions and 26 in-depth interviews were conducted among sexually active in and out of school young adolescents and key informants. The results are organized into themes identified during the analysis.
resultsResults showed that contraceptive decision-making is influenced by social factors (individual, interpersonal, society) and adolescents' perceptions regarding hormonal contraceptives. There is also a disconnect between Education and Adolescent Sexual and Reproductive Health policies.
conclusionThe findings suggest that interventions that scale up contraceptive use need male and female involvement in decision making. Addressing myths around contraceptives, and harmonization of Education and Sexual and Reproductive Health policies in the country would motivate adolescents to use contraceptives.
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