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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Women's ability to self-screen for contraindications to combined oral contraceptive pills in Tanzanian drug shops
International Journal of Gynecology and Obstetrics, Volume 123, No. 1, Year 2013
Notification
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Description
Objective To estimate the accuracy of self-screening for contraindications to combined oral contraceptive pills (COCs) and to estimate the proportion of women with contraindications to hormonal methods among those using drug shops in Tanzania. Methods Trained nurses interviewed 1651 women aged 18-39 years who self-screened for contraindications to COCs with the help of a poster at drug shops in Tanzania. Nurse assessment of the women served as the gold standard for comparison with self-assessment. Blood pressure was also measured onsite. Results Nurses reported that 437 (26.5%) women were not eligible to use COCs, compared with 485 (29.4%) according to self-report. Overall, 133 (8.1%) women who said that they were eligible were deemed ineligible by nurses. The rate of ineligibility was artificially high owing to participant and nurse assessments that were incorrectly based on adverse effects of pill use and cultural reasons, and because of the sampling procedure, which intercepted women regardless of their reasons for visiting the drug shop. Adjusted rates of ineligibility were 8.6% and 12.7%, respectively, according to nurse and participant assessment. Both nurses and women underestimated the prevalence of hypertension in the present group. Conclusion Self-screening among women in rural and peri-urban Tanzania with regard to contraindications to COC use was comparable to assessment by trained nurses. © 2013 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Chin-Quee, Dawn S.
United States, Durham
Fhi 360
Ngadaya, Esther Stanslaus
Tanzania, Tanga
National Institute for Medical Research Tanga
Kahwa, Amos M.
Tanzania, Tanga
National Institute for Medical Research Tanga
Mwinyiheri, Thomas
Tanzania, Tanga
National Institute for Medical Research Tanga
Otterness, Conrad M.
United States, Durham
Fhi 360
Mfinanga, Sayoki Godfrey Mrinde
Tanzania, Tanga
National Institute for Medical Research Tanga
Nanda, Kavita
United States, Durham
Fhi 360
Statistics
Citations: 9
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1016/j.ijgo.2013.04.024
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Noncommunicable Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Locations
Tanzania
Participants Gender
Female