Barriers and Enablers Influencing Women's Adoption and Continuation of Vaginally Inserted Contraceptive Methods
A Literature Review
Dados Bibliográficos
Most vaginally inserted methods have limited availability and use despite offering characteristics that align with many women's stated preferences (e.g., nonhormonal and/or on demand). The objective of this review was to identify enablers and barriers to women's adoption and continuation of vaginally inserted contraceptive methods in low‐ and middle‐income countries (LMICs). We searched three databases (PubMed, Embase, and Web of Science) and 18 websites using keywords related to five vaginally inserted contraceptive methods (diaphragm, vaginal ring, female condom, copper intrauterine device [IUD], hormonal IUD) and terms associated with their adoption and continuation. Searches were limited to resources published between January 2010 and September 2020. Studies eligible for inclusion in our review presented results on women's use and perspectives on the enablers and barriers to adoption and continuation of the vaginally inserted contraceptive methods of interest in LMICs. Relevant studies among women's partners were also included, but not those of providers or other stakeholders. Data were coded, analyzed, and disaggregated according to a framework grounded in family planning (FP) literature and behavioral theories common to FP research and program implementation. Our initial search yielded 13,848 results, with 182 studies ultimately included in the analysis. Across methods, we found common enablers for method adoption, including quality contraceptive counseling as well as alignment between a woman's preferences and a method's duration of use and side effect profile. Common barriers included a lack of familiarity with the methods and product cost. Notably, vaginal insertion was not a major barrier to adoption in the literature reviewed. Vaginally inserted methods of contraception have the potential to fill a gap in method offerings and expand choice. Programmatic actions should address key barriers and enable voluntary use
Condom · Environmental health · Family medicine · Family planning · Gynecology · Human immunodeficiency virus (HIV) · Population · Research methodology · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Reproductive Health and Contraception
Historical Origins of the Health Belief Model
Understanding Female Condom Use and Negotiation Among Young Women in Cape Town, South Africa
Uptake and continuous use of copper intrauterine device in a cohort of HIV-positive women
User experiences and acceptability attributes of the diaphragm and lubricant gel in an HIV prevention trial in southern Africa
A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings
Assessing the experiences of intra-uterine device users in a long-term conflict setting
The new female condom (FC2) in Uganda
Level of awareness and uptake of the female condom in women aged 18 to 49 years in Bindura district, Mashonaland Central province, Zimbabwe
Short-term acceptability of the Woman’s Condom and influencing factors among internal migrants in China
Intentions to use contraceptives in Pakistan
Is Larc for Everyone? A Qualitative Study of Sociocultural Perceptions of Family Planning and Contraception Among Refugees in Ethiopia
A Randomized Crossover Study Evaluating the Use and Acceptability of the SILCS Diaphragm Compared to Vaginal Applicators for Vaginal Gel Delivery
Young Women’s Ratings of Three Placebo Multipurpose Prevention Technologies for HIV and Pregnancy Prevention in a Randomized, Cross-Over Study in Kenya and South Africa
End-Users’ Product Preference Across Three Multipurpose Prevention Technology Delivery Forms
Barriers to Intrauterine Device Uptake in a Rural Setting in Ghana
Female-Initiated Barrier Methods for the Prevention of STI/HIV
Using Theory to Design Effective Health Behavior Interventions
Do Women Find the Progesterone Vaginal Ring Acceptable? Findings from Kenya, Nigeria, and Senegal
Women's Perspectives on Postpartum Intrauterine Devices in Tanzania
Unintended Pregnancy
It's a Different Condom, Let's See How It Works”
The female condom
Understanding motives for intravaginal practices amongst Tanzanian and Ugandan women at high risk of HIV infection
Female condom acceptability in urban India
| Obras citantes distintas | 3 |
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| Citações por ano | 1,5 |
| Intervalo de citações | 2024 - 2025 (2) |
| Velocidade de citação | recent |
| Altamente citado | Não |
| Tipos de citação | Neutras: 3 |