Contraceptive use and method choice among young people in sub-Saharan Africa
Notice bibliographique
Résumé
Family planning (FP) has been shown to have numerous health and social benefits for women, men and their families, including reduction of infant and maternal mortality, improved health of children due to birth spacing, and enabling young women to remain in school or pursue income generating activities. Yet, there are gaps in access to and use of voluntary contraception, particularly for adolescents and youth. The Full Access, Full Choice (FAFC) project aims to generate and synthesize evidence on contraceptive method choice among adolescents and youth in sub-Saharan Africa and Asia through the analysis of secondary data and collection of primary data. This thesis explores the influencing factors and barriers to adolescents and youth (ages 15-24) accessing and using the contraceptive method of their choice in Ethiopia, Kenya and Niger. Each of the empirical chapters addresses a different research question. Chapter 2 describes the influence of perceptions of peers’ contraceptive use on contraceptive method choice among male and female youth. In Chapters 3 and 4, qualitative data from a study in Kenya describes contraceptive use trajectories throughout adolescence as well as explores decision-making regarding method choice and where to obtain the method. In Chapter 5, we qualitatively explore what factors influence client satisfaction with FP services in Niger. Finally, the association between receipt of FP information and contraceptive use along the maternal, newborn and child health continuum of care among young women in Ethiopia is explored in Chapter 6. Overall, several implications for programs and policy in Ethiopia, Kenya and Niger emerge from this thesis. Programs in these settings, including demand and supply-side programming, should be tailored to the stage and sub-population given that adolescents and youth are a diverse group, and transition through many key life stages during this time period. This may include expanding access to a full range of methods through pharmacies, a common source of FP for youth. To address knowledge gaps, new avenues to provide FP information should be explored, and efforts should be made to provide this information at facility visits, particularly along the maternal, newborn and child health continuum of care. Future research efforts should include longitudinal studies to understand changes over time in key outcomes, including during pregnancy. In addition, studies should include male youth, as they play an important role in method use and choice. In conclusion, decisions about SRH should be based on what young women and men determine is best for them in each setting. Programs and research should incorporate the ideas, knowledge and experience of youth in order to ensure that barriers are addressed and youth are able to exercise their right to free and voluntary use of contraception.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».