| Autor: |
Celia Karp, Shira Tikofsky, Solomon Shiferaw, Assefa Seme, Mahari Yihdego, Linnea Zimmerman |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Contraception: X, Vol 6, Iss , Pp 100114- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2590-1516 |
| DOI: |
10.1016/j.conx.2024.100114 |
| Popis: |
Objectives: To estimate levels of person-centered contraceptive counseling among current and recent contraceptive users, assess for whom counseling differs, and examine the relationship between counseling and contraceptive practices, specifically use of provider-dependent methods and use of one’s preferred method, among women in Ethiopia. Study design: This cross-sectional study uses nationally representative data collected by the Performance Monitoring for Action Ethiopia project among current and recent contraceptive users (n = 2731) aged 15–49 between October and November 2021. Descriptive analyses estimated person-centered counseling levels via the recently validated quality of contraceptive counseling short scale (QCC-10). Bivariable and multivariable logistic regression estimated associations with contraceptive practices. Results: Contraceptive users in Ethiopia receive moderate quality counseling (mean QCC-10 score=2.69, range: 1.1–4.0) with significant social inequities in the receipt of person-centered care. Women who are younger, uneducated, not in union, from poorer households, or who sourced their method from a non-public facility reported less person-centered care. Strong relationships were observed between higher quality counseling and women’s contraceptive practices. Those receiving highest quality counseling had nearly double the odds of using provider-dependent methods compared to those reporting lowest quality counseling (AOR: 1.92; 95% CI: 1.16–3.18). Among current users, women reporting highest quality counseling had 62% higher odds of using their preferred method relative to women receiving poorest quality care (95% CI: 1.06–2.48). Conclusion: Poorer quality care is associated with use of non-preferred methods and reliance on provider-independent methods. Efforts to reduce reproductive health disparities and promote contraceptive autonomy should prioritize a person-centered approach to contraceptive counseling for all. Implications: Inequitable delivery of person-centered contraceptive care based on individuals’ sociodemographic characteristics, such as education or marital status, undermines women’s reproductive autonomy and hinders contraceptive experiences. Person-centered contraceptive counseling should be provided to all women in Ethiopia, regardless of their background, to support individuals in achieving their reproductive goals. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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