ArticleBMJ global health2024
Preference-aligned fertility management among married adolescent girls in Northern Nigeria: assessing a new measure of contraceptive autonomy.
Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Assessing the association between a postpartum intrauterine device intervention and perceived pressure to adopt contraception in Sri Lanka.Contraception · 2026Trial
- Article
- Rethinking family planning success metrics: moving beyond coverage.Frontiers in global women's health · 2026Article
- Psychosocial determinants of contraceptive desire and use among sexually-active adolescent girls in Kenya and Nigeria: implications for girl-centered contraceptive programs.Contraception and reproductive medicine · 2025Article
- Adolescent Girls' Agency in an Integrated Sexual and Reproductive Health and Economic Empowerment Intervention Pilot.Journal of adolescence · 2025Article
- Contraceptive Concordance.Studies in family planning · 2025Article
- Person-Centered Measurement: Ensuring Prioritization of Individuals' Values, Needs, and Preferences Within the Global Contraceptive Measurement Ecosystem.Studies in family planning · 2025Article
- The State of Person-Centered Measurement for Family Planning Need and Use: A Scoping Review.Studies in family planning · 2025Article
- Advancing a Measure of Sexual and Reproductive Well-Being Aligned With Core Values of Reproductive Justice and Human Rights.American journal of public health · 2025Article
- Measuring Unmet Need for Contraception Using a Person-Centered Algorithm: An Application With a Community-Based Sample of Married Rohingya Women in Bangladesh.Studies in family planning · 2025Article
- Moving Past a Legacy of Controlling Women: Key Frameworks to Center Women and Girls' Choice and Agency in Sexual and Reproductive Health Measurement.Studies in family planning · 2025Article
- Exploring Adolescents' Contraceptive Preferences and Trade-Offs: Findings From a Discrete Choice Experiment in Kenya.Studies in family planning · 2025Article
- Measuring misaligned contraceptive use among reproductive-aged women in Kisumu, Kenya: a cross-sectional, population-based study.BMJ public health · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUniversal access to sexual and reproductive healthcare-including family planning (FP)-is a global priority, yet there is no standard outcome measure to evaluate rights-based FP programme performance at the regional, national or global levels.
methodsWe collected a modified version of preference-aligned fertility management (PFM), a newly proposed rights-based FP outcome measure which we operationalised as concordance between an individual's desired and actual current contraceptive use. We also constructed a modified version (satisfaction-adjusted PFM) that reclassified current contraceptive users who wanted to use contraception but who were dissatisfied with their method as not having PFM. Our analysis used data collected 3.5 months after contraceptive method initiation within an ongoing prospective cohort of married adolescent girls aged 15-19 years in Northern Nigeria. We described and compared prevalence of contraceptive use and PFM in this population.
resultsNinety-seven per cent (n=1020/1056) of respondents were practising PFM 3.5 months after initiating modern contraception, while 93% (n=986/1056) were practising satisfaction-adjusted PFM. Among participants not practising satisfaction-adjusted PFM (n=70), most were using contraception but did not want to be (n=30/70, 43%) or wanted to use contraception but were dissatisfied with their method (n=34/70, 49%), while the remaining 9% (n=6/70) wanted but were not currently using contraception.
conclusionPFM captured meaningful discordance between contraceptive use desires and behaviours in this cohort of married Nigerian adolescent girls. Observed discordance in both directions provides actionable insights for intervention. PFM is a promising rights-focused FP outcome measure that warrants future field-testing in programmatic and population-based research.
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