Factors Influencing Choice Of Contraceptives
Dec. 01, 2020
The approach taken in provision of contraceptives assumes a holistic view of clients, this includes taking into account client's sexual and reproductive health care needs. Appropriate eligibility criteria and practice recommendations in helping clients choose and use a contraception method need to be considered (WHO, 2006).
Data analyses from British and German national contraception surveys were used to examine the principal demographic determinants of contraceptive use by women (Oddens 10 and Lehert 1997). Contraceptive use appeared to be determined mainly by reference to 'reproductive status', that is the combined impact of age, marital status, parity and future child wish. It was found that women who wanted to postpone pregnancies were using oral contraceptives, while those who wanted no more children proffered intrauterine devices or sterilization. The differences found between the countries indicated that the choice of contraceptive method was greatly influenced by health care policy, the organization of the relevant services and differential provider preferences.
Service access and quality are important factors for not only contraceptive acceptance but also use and continuation. This ultimately affects its prevalence and reproductive health status of the region. The difference between access and quality can be analytically used in evaluating the policies and identifying problems that may need different program management responses. According to" (Bertrand, 1994; Bertrand, 1995), the concept of access is heavily linked to "getting clients to the clinic"; while quality is linked to "keeping them wanting to come back''.
Access to services may include; distance to health posts, travel time, and the quantity and care provided by existing facilities near the people (Chayovan et al, 1984; Tsui, Ochoa, 1992). May also include other factors such as economic, administrative, cognitive (Foreit et al, 1978) and psycho - social (Bertrand, 1994). Several authors (Bertrand, 1995; Bruce, 1990; Veney et al, 1993) have pointed to a continued lack of consideration for the client's perspective.
Identifying the factors that clients perceive as problems in service is a very critical point for measuring service quality, since the client has the right to makes the choice about contraceptive that best fit them. Acceptability varies according to personal choices, local factors, and to women's perceptions concerning safety, effectiveness and convenience (WHO, 1980).
The variety of methods available plays an important role in acceptance of contraception and continuation of use. One's ability to choose from a range of contraceptive methods is very essential in increasing its prevalence, and thus should be a part of family planning programs offered (Ross et al, 2002).