Sarah Huber‐krum
Biographic Data
| ID | 4470691 |
|---|---|
| NAME | Sarah Huber‐krum |
| GIVEN NAMES | Sarah |
| FAMILY NAME | Huber‐krum |
| SIGNATURE | KRUM S H |
| AFFILIATIONS | Harvard University |
| ORCID | 0000-0003-0938-252X |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 7 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2019 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
Association Between Emotional Intimate Partner Violence Around the Time of Pregnancy and Postpartum Contraceptive Use
This study assessed the relationships between emotional intimate partner violence (IPV) before, during, and after pregnancy and postpartum contraceptive use. We used 2016–2021 Pregnancy Risk Assessment Monitoring System data from seven sites ( n = 30,125). We used multivariable logistic regression to assess indicators of emotional IPV and provider counseling associated with postpartum contraceptive use. Emotional IPV 12 months before, during, and…
Pregnancy and pregnancy intention after experiencing infertility
Background Infertility is a common experience among individuals and couples. Infertility may resolve without intervention, but little is known about pregnancy intentions and incidence of pregnancy following infertility, particularly in low-resource settings. Methods Data come from UTHA, a longitudinal cohort study in Central Malawi, with baseline and follow up surveys conducted from 2014–2019 (N = 1,030 reproductive-aged women). We assessed bivar…
Path Analysis of Adverse Childhood Experiences, Early Marriage, Early Pregnancy, and Exposure to Intimate Partner Violence Among Young Women in Honduras
Measuring Nuance in Individual Contraceptive Need
Contraceptive counseling protocols tend to focus narrowly on pregnancy intentions, which may overlook other factors that contribute to whether an individual wants or needs contraception. In this report, we demonstrate the potential of two measures of individual contraceptive need that could be assessed as part of contraceptive counseling: (1) a composite score constructed from pregnancy intentions, sexual frequency, and perceived fecundity and (2…
“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
women use the injection to achieve their desired family size. In 2018, we conducted 20 in-depth interviews with women who were part of a cohort study in rural Malawi. Interviews focused on contraceptive decision-making. Data were indexed (summarized) and coded using narrative, process, and thematic codes. Women described the importance of knowing about their "natural" fertility by having children prior to ever using contraception because women co…
The Effect of Family Planning Counseling on Incident Pregnancy in Nepal
An intervention aimed at institutionalizing postpartum intrauterine device (PPIUD) services was introduced in Nepal between 2015 and 2019. The intervention was evaluated using a cluster‐randomized stepped‐wedge trial, with data on women being collected immediately after delivery and at one‐ and two‐year postpartum follow‐ups. The sample consists of 19,155 women. We used intention‐to‐treat (ITT) analysis and structural equation model (SEM) to inve…
‘I haven’t heard much about other methods’
BACKGROUND: Programmes promoting the postpartum intrauterine device (PPIUD) have proliferated throughout South Asia and sub-Saharan Africa in recent years, with proponents touting this long-acting reversible contraceptive (LARC) method's high efficacy and potential to meet contraceptive unmet need. While critiques of LARC-first programming abound in the Global North, there have been few studies of the impact of LARC-centric programmes on patient-…
Messages around contraceptive use and implications in rural Malawi
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 f…
Infertility, Perceived Certainty of Pregnancy, and Contraceptive Use in Malawi
Infertility and unintended pregnancy are dual burdens in Malawi, where 41% of pregnancies are unintended and approximately 20% of people report infertility. Although preventing unintended pregnancy has been a focus in public health, infertility has rarely been explored as a factor that may be associated with contraceptive use. Using cross‐sectional survey data (2017–2018; N = 749), we report on the prevalence of and sociodemographic characteristi…
An Application of the List Experiment to Estimate Abortion Prevalence in Karachi, Pakistan
CONTEXT: Abortion is particularly difficult to measure, especially in legally restrictive settings such as Pakistan. The List Experiment-a technique for measuring sensitive health behaviors indirectly-may minimize respondents' underreporting of abortion due to stigma or legal restrictions, but has not been previously applied to estimate abortion prevalence in Pakistan. METHODS: A sample of 4,159 married women of reproductive age were recruited fr…
Gender Differences in Perceived Benefits of and Barriers to Use of Modern Contraceptive Methods in Rural Malawi
CONTEXT: Despite the extensive literature on women's perceptions about contraceptive methods, distinctions between specific methods have rarely been investigated, men have often been excluded and comparable data for contraceptive users and nonusers have typically not been collected. The lack of such information may limit family planning programs' effectiveness. METHODS: Cross-sectional survey data from 1,162 women and 621 men were used to examine…
Scarcity mindset in reproductive health decision making
Poverty has widespread impacts on health. In dealing with resource scarcity, individuals’ thoughts are narrowed to address immediate resource limitations, thus crowding out other information, a phenomenon called the scarcity mindset. To assess for indication of a scarcity mindset in sexual and reproductive decision making in rural Malawi, a setting with extreme resource scarcity, we collected qualitative data in the form of eight focus group disc…
Women's Perspectives on Postpartum Intrauterine Devices in Tanzania
Despite the numerous benefits of the postpartum copper intrauterine device (PPIUD), which is inserted within 48 hours after giving birth, it is underutilized in many resource‐constrained settings, including Tanzania. We conducted in‐depth interviews with 20 pregnant women who received contraceptive counseling during routine antenatal care in 2016–2017 and 27 postpartum women who had a PPIUD inserted in 2018 to understand reasons for use versus no…
Measuring Nuance in Individual Contraceptive Need
Contraceptive counseling protocols tend to focus narrowly on pregnancy intentions, which may overlook other factors that contribute to whether an individual wants or needs contraception. In this report, we demonstrate the potential of two measures of individual contraceptive need that could be assessed as part of contraceptive counseling: (1) a composite score constructed from pregnancy intentions, sexual frequency, and perceived fecundity and (2…
Infertility, Perceived Certainty of Pregnancy, and Contraceptive Use in Malawi
Infertility and unintended pregnancy are dual burdens in Malawi, where 41% of pregnancies are unintended and approximately 20% of people report infertility. Although preventing unintended pregnancy has been a focus in public health, infertility has rarely been explored as a factor that may be associated with contraceptive use. Using cross‐sectional survey data (2017–2018; N = 749), we report on the prevalence of and sociodemographic characteristi…
Path Analysis of Adverse Childhood Experiences, Early Marriage, Early Pregnancy, and Exposure to Intimate Partner Violence Among Young Women in Honduras
Women's Perspectives on Postpartum Intrauterine Devices in Tanzania
Despite the numerous benefits of the postpartum copper intrauterine device (PPIUD), which is inserted within 48 hours after giving birth, it is underutilized in many resource‐constrained settings, including Tanzania. We conducted in‐depth interviews with 20 pregnant women who received contraceptive counseling during routine antenatal care in 2016–2017 and 27 postpartum women who had a PPIUD inserted in 2018 to understand reasons for use versus no…
Scarcity mindset in reproductive health decision making
Poverty has widespread impacts on health. In dealing with resource scarcity, individuals’ thoughts are narrowed to address immediate resource limitations, thus crowding out other information, a phenomenon called the scarcity mindset. To assess for indication of a scarcity mindset in sexual and reproductive decision making in rural Malawi, a setting with extreme resource scarcity, we collected qualitative data in the form of eight focus group disc…
Women's Perspectives on Postpartum Intrauterine Devices in Tanzania
Despite the numerous benefits of the postpartum copper intrauterine device (PPIUD), which is inserted within 48 hours after giving birth, it is underutilized in many resource‐constrained settings, including Tanzania. We conducted in‐depth interviews with 20 pregnant women who received contraceptive counseling during routine antenatal care in 2016–2017 and 27 postpartum women who had a PPIUD inserted in 2018 to understand reasons for use versus no…
An Application of the List Experiment to Estimate Abortion Prevalence in Karachi, Pakistan
CONTEXT: Abortion is particularly difficult to measure, especially in legally restrictive settings such as Pakistan. The List Experiment-a technique for measuring sensitive health behaviors indirectly-may minimize respondents' underreporting of abortion due to stigma or legal restrictions, but has not been previously applied to estimate abortion prevalence in Pakistan. METHODS: A sample of 4,159 married women of reproductive age were recruited fr…
Gender Differences in Perceived Benefits of and Barriers to Use of Modern Contraceptive Methods in Rural Malawi
CONTEXT: Despite the extensive literature on women's perceptions about contraceptive methods, distinctions between specific methods have rarely been investigated, men have often been excluded and comparable data for contraceptive users and nonusers have typically not been collected. The lack of such information may limit family planning programs' effectiveness. METHODS: Cross-sectional survey data from 1,162 women and 621 men were used to examine…
‘I haven’t heard much about other methods’
BACKGROUND: Programmes promoting the postpartum intrauterine device (PPIUD) have proliferated throughout South Asia and sub-Saharan Africa in recent years, with proponents touting this long-acting reversible contraceptive (LARC) method's high efficacy and potential to meet contraceptive unmet need. While critiques of LARC-first programming abound in the Global North, there have been few studies of the impact of LARC-centric programmes on patient-…
Messages around contraceptive use and implications in rural Malawi
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 f…
Infertility, Perceived Certainty of Pregnancy, and Contraceptive Use in Malawi
Infertility and unintended pregnancy are dual burdens in Malawi, where 41% of pregnancies are unintended and approximately 20% of people report infertility. Although preventing unintended pregnancy has been a focus in public health, infertility has rarely been explored as a factor that may be associated with contraceptive use. Using cross‐sectional survey data (2017–2018; N = 749), we report on the prevalence of and sociodemographic characteristi…
“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
women use the injection to achieve their desired family size. In 2018, we conducted 20 in-depth interviews with women who were part of a cohort study in rural Malawi. Interviews focused on contraceptive decision-making. Data were indexed (summarized) and coded using narrative, process, and thematic codes. Women described the importance of knowing about their "natural" fertility by having children prior to ever using contraception because women co…
The Effect of Family Planning Counseling on Incident Pregnancy in Nepal
An intervention aimed at institutionalizing postpartum intrauterine device (PPIUD) services was introduced in Nepal between 2015 and 2019. The intervention was evaluated using a cluster‐randomized stepped‐wedge trial, with data on women being collected immediately after delivery and at one‐ and two‐year postpartum follow‐ups. The sample consists of 19,155 women. We used intention‐to‐treat (ITT) analysis and structural equation model (SEM) to inve…
Pregnancy and pregnancy intention after experiencing infertility
Background Infertility is a common experience among individuals and couples. Infertility may resolve without intervention, but little is known about pregnancy intentions and incidence of pregnancy following infertility, particularly in low-resource settings. Methods Data come from UTHA, a longitudinal cohort study in Central Malawi, with baseline and follow up surveys conducted from 2014–2019 (N = 1,030 reproductive-aged women). We assessed bivar…
Path Analysis of Adverse Childhood Experiences, Early Marriage, Early Pregnancy, and Exposure to Intimate Partner Violence Among Young Women in Honduras
Measuring Nuance in Individual Contraceptive Need
Contraceptive counseling protocols tend to focus narrowly on pregnancy intentions, which may overlook other factors that contribute to whether an individual wants or needs contraception. In this report, we demonstrate the potential of two measures of individual contraceptive need that could be assessed as part of contraceptive counseling: (1) a composite score constructed from pregnancy intentions, sexual frequency, and perceived fecundity and (2…
Association Between Emotional Intimate Partner Violence Around the Time of Pregnancy and Postpartum Contraceptive Use
This study assessed the relationships between emotional intimate partner violence (IPV) before, during, and after pregnancy and postpartum contraceptive use. We used 2016–2021 Pregnancy Risk Assessment Monitoring System data from seven sites ( n = 30,125). We used multivariable logistic regression to assess indicators of emotional IPV and provider counseling associated with postpartum contraceptive use. Emotional IPV 12 months before, during, and…
Medicine (13 works) · Population (11 works) · Environmental health (10 works) · Reproductive Health and Contraception (10 works) · Pregnancy (9 works) · Family planning (8 works) · Global Maternal and Child Health (7 works) · Gynecology (7 works) · Obstetrics (7 works) · Adolescent Sexual and Reproductive Health (5 works)