Family Planning and Reproductive Health
- Using a Rapid Knowledge Translation Approach for Better Sexual and Reproductive Health and Rights in Bangladesh, Burundi, Indonesia, and Jordan
There is a growing need for approaches to support rapid knowledge translation processes that can create changes in policy and practice and that can apply to different country contexts. The collaborative rapid improvement model for knowledge translation in sexual and reproductive health and rights (SRHR) implemented in 4 countries improved SRHR practice and policies.
- Let's Talk About Sex: Improving Measurement of Contraceptive Use in Cross-Sectional Surveys by Accounting for Sexual Activity Recency
Findings suggest that the contraceptive use of unmarried women and those who were not recently sexually active are less likely to be captured in standard measures of current contraceptive use. Incorporating information from questions about contraceptive use at last sex may better capture coital-dependent method use and provide a more accurate assessment of who is protected against an unintended pregnancy at next sex.
- Improving Maternal and Reproductive Health in Kigoma, Tanzania: A 13-Year Initiative
The 13-year Program to Reduce Maternal Deaths in Tanzania employed multifaceted maternal, newborn, and reproductive health interventions that contributed to increasing the availability and utilization of high-quality obstetric and family planning services and reducing maternal and perinatal mortality in Kigoma.
- A New Contraceptive Diaphragm in Niamey, Niger: A Mixed Methods Study on Acceptability, Use, and Programmatic Considerations
Through a pilot introduction in Niamey, Niger, we found that expanding method options to include the Caya diaphragm, a new self-care contraceptive product without side effects for most users, may address some of the challenges that contribute to very low contraceptive use.
- What Distinguishes Women Who Choose to Self-Inject? A Prospective Cohort Study of Subcutaneous Depot Medroxyprogesterone Acetate Users in Ghana
Family planning projects and programs seeking to introduce, scale up, or market subcutaneous depot medroxyprogesterone acetate self-injection should first focus efforts on new family planning users, those never married, and those with at least a high school education level.
- Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions
The Most Significant Change technique used in monitoring and evaluation has facilitated learning about the project scale-up and adaptive management of evidence-based family planning interventions across diverse project stakeholders in 11 countries in Asia and sub-Saharan Africa.
- What Do We Demand? Responding to the Call for Precision and Definitional Agreement in Family Planning’s “Demand” and “Need” Jargon
This commentary offers a response to the call to improve family planning language that describes “need” and “demand” and proposes a set of recommendations to add precision, improve measurement, and foster shared understanding in family planning.
- Language and Measurement of Contraceptive Need and Making These Indicators More Meaningful for Measuring Fertility Intentions of Women and Girls
We examine current “need”-based family planning measures that are based on women’s fertility desires and contraceptive use, identify challenges with language and use of need-based measures, and recommend ways to improve language and measurement.
- Introducing Long-Acting Contraceptive Removal Indicators in a Pilot Study in Mozambique: Dynamics of Discontinuation and Implications for Quality of Care
Tracking information about long-acting reversible contraceptive removals in the national health management information system is feasible and useful for improving the quality of family planning services in Mozambique.
- Evaluation of 2 Intervention Models to Integrate Family Planning Into Worker Health and Livelihood Programs in Egypt: A Difference-in-Differences Analysis
Integrating family planning and reproductive health messages into worker health programs and livelihood programs may offer a unique approach for raising young people's awareness of family planning and reproductive health.