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Title Bridging user and provider perspectives: Family planning access and utilization in rural Mozambique
Full text https://escholarship.org/uc/item/9vq1w0t8
Date 2015
Author(s) Agadjanian, Victor; Hayford, Sarah R; Luz, Luciana; Yao, Jing
Abstract ObjectivesTo examine how the contraceptive behavior of women in rural southern Mozambique is shaped by their individual and household characteristics; community characteristics; access to family planning services; and characteristics of health facilities.MethodsQuantitative and qualitative data were collected mostly between January 20 and December 15, 2011, in rural areas of four districts in Gaza Province, Mozambique. The data included: a retrospective household-based survey of women of reproductive age (the analytical sample consisted of 1554 non-pregnant women in marital union); qualitative interviews with a subsample of surveyed women; a survey of communities where the women resided (n=56); and a survey of all health facilities in the study area (n=56). Binomial and multinomial logistic models were fitted to predict current use of modern contraceptive methods. Statistical analyses were complemented by insights from qualitative data.ResultsPositive associations were detected between contraceptive use and education, household wealth, and perceived HIV infection status. Distance to the clinic was negatively associated with contraceptive use. These effects were additive, with some varying by type of contraceptive method. Examination of qualitative data highlighted frequent cognitive dissonance between service providers and users.ConclusionA simultaneous consideration of user-level and provider-level perspectives on contraceptive use improves our understanding of contraceptive dynamics and can usefully inform policy.
Subject(s) Reproductive Medicine; Biomedical and Clinical Sciences; Behavioral and Social Science; Prevention; Health Services; Clinical Research; Contraception/Reproduction; Pediatric; Good Health and Well Being; Adult; Attitude of Health Personnel; Contraception; Contraception Behavior; Educational Status; Family Characteristics; Family Planning Services; Female; Health Knowledge; Attitudes; Practice; Health Personnel; Health Services Accessibility; Humans; Logistic Models; Marital Status; Middle Aged; Mozambique; Qualitative Research; Residence Characteristics; Retrospective Studies; Rural Population; Socioeconomic Factors; Young Adult; Contraceptive methods; Family planning; Mixed methods; Provider-user interaction; Rural areas; Sub-Saharan Africa; Paediatrics and Reproductive Medicine; Obstetrics & Reproductive Medicine; Reproductive medicine
Coverage e47 - e51
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source International Journal of Gynecology & Obstetrics, vol 130, iss 0 3
Rights public
Identifier qt9vq1w0t8
Repository Berkeley - University of California
Added to C-A: 2023-11-13;08:53:03