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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Barriers to the use of modern contraceptives and implications for woman-controlled prevention of sexually transmitted infections in Madagascar
Journal of Biosocial Science, Volume 40, No. 6, Year 2008
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Description
Globally, unplanned pregnancies and sexually transmitted infections (STIs) persist as significant threats to women's reproductive health. Barriers to the use of modern contraceptives by women might inhibit uptake of novel woman-controlled methods for preventing STIs/HIV. Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar, using qualitative research. The hypothetical acceptability of the diaphragm - a woman-controlled barrier contraceptive device that also holds promise of protecting against STIs/HIV - was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programmes in both family planning and STI prevention to improve women's knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. In addition, involvement of men will probably be a critical component of increased uptake of woman-controlled pregnancy and STI/HIV prevention methods and improved health. Copyright © 2008 Cambridge University Press.
Authors & Co-Authors
Randrianasolo, Bodo Sahondra
Madagascar, Antananarivo
University of North Carolina
Swezey, Teresa A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
van Damme, Kathleen
Madagascar, Antananarivo
University of North Carolina
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Khan, Maria Rabia
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Ravelomanana, Noro Lantoniaina Rosa
Madagascar, Antananarivo
University of North Carolina
Lovaniaina Rabenja, Ny
Madagascar, Antananarivo
University of North Carolina
Raharinivo, Mbolatiana S.M.
Madagascar, Antananarivo
University of North Carolina
Bell, April J.
United States, Atlanta
Centers for Disease Control and Prevention
Jamieson, Denise J.
United States, Atlanta
Centers for Disease Control and Prevention
Behets, Frieda M.T.F.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Hickman, Angela
Unknown Affiliation
Legardy-Williams, Jennifer K.
Unknown Affiliation
MacAluso, Maurizio
Unknown Affiliation
Newman, Daniel R.
Unknown Affiliation
Turner, Abigail Norris
Unknown Affiliation
Penman-Aguilar, Ana
Unknown Affiliation
Pettifor, Audrey E.
Unknown Affiliation
Rasolofomanana, Justin Ranjalahy
Unknown Affiliation
Warner, Lee
Unknown Affiliation
Williams, D'Nyce
Unknown Affiliation
Statistics
Citations: 32
Authors: 20
Affiliations: 3
Identifiers
Doi:
10.1017/S0021932007002672
e-ISSN:
14697599
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Approach
Qualitative
Study Locations
Madagascar
Participants Gender
Male
Female