TY - JOUR
T1 - Healthcare provider interaction and other predictors of long-acting reversible contraception adoption among women in Nigeria
AU - Kalra, Naira
AU - Ayankola, John
AU - Babalola, Stella
N1 - Funding Information:
The authors would like to acknowledge the Bill and Melinda Gates Foundation for their financial support, Emily Holman for her role in the design and implementation of the survey, and Lisa Cobb, Mojisola Odeku, and Akinsewa Akinsode for their technical input into the survey design.
Publisher Copyright:
© 2018 International Federation of Gynecology and Obstetrics
PY - 2019/2
Y1 - 2019/2
N2 - Objective: To test the association between healthcare provider communication and adoption of long-acting reversible contraception (LARC) among women in Nigeria. Methods: The present cross-sectional observational secondary analysis included women aged 18–49 who were interviewed between June 1 and July 31, 2014, at selected family planning sites in Ibadan and Kaduna, Nigeria. A multivariate generalized estimating equation was utilized to assess the predictors of LARC adoption. Results: 597 women were interviewed, and the study showed that each unit increase on the GATHER index—a self-reported measure of interaction with the provider—was significantly associated with a 16% increased likelihood (adjusted odds ratio [AOR] 1.16, 95% confidence interval [CI] 1.03–1.32) of adopting LARCs. Joint decision making with a partner (AOR 1.51, 95% CI 1.0–2.20), desire to have children in the next 2 years (AOR 0.36, 95% CI 0.18–0.74), whether or not a pregnancy in the next 6 months would be a problem (AOR 1.69, 95% CI 1.16–2.46), and LARC use in the past (AOR 4.15, 95% CI 1.19–14.50) were associated with LARC uptake. Conclusion: Improved patient–provider communication involving patient preferences, information about all methods of contraception, and planned follow-up could play a central role in increasing the demand for, and uptake of, LARCs.
AB - Objective: To test the association between healthcare provider communication and adoption of long-acting reversible contraception (LARC) among women in Nigeria. Methods: The present cross-sectional observational secondary analysis included women aged 18–49 who were interviewed between June 1 and July 31, 2014, at selected family planning sites in Ibadan and Kaduna, Nigeria. A multivariate generalized estimating equation was utilized to assess the predictors of LARC adoption. Results: 597 women were interviewed, and the study showed that each unit increase on the GATHER index—a self-reported measure of interaction with the provider—was significantly associated with a 16% increased likelihood (adjusted odds ratio [AOR] 1.16, 95% confidence interval [CI] 1.03–1.32) of adopting LARCs. Joint decision making with a partner (AOR 1.51, 95% CI 1.0–2.20), desire to have children in the next 2 years (AOR 0.36, 95% CI 0.18–0.74), whether or not a pregnancy in the next 6 months would be a problem (AOR 1.69, 95% CI 1.16–2.46), and LARC use in the past (AOR 4.15, 95% CI 1.19–14.50) were associated with LARC uptake. Conclusion: Improved patient–provider communication involving patient preferences, information about all methods of contraception, and planned follow-up could play a central role in increasing the demand for, and uptake of, LARCs.
KW - Contraception
KW - Domestic violence
KW - Family planning
KW - Healthcare provider
KW - LARC
KW - Provider communication
KW - Sexual and reproductive health
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U2 - 10.1002/ijgo.12705
DO - 10.1002/ijgo.12705
M3 - Article
C2 - 30407627
AN - SCOPUS:85057547379
SN - 0020-7292
VL - 144
SP - 153
EP - 160
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 2
ER -