| Examining Progress and Equity in Information Received by Women Using a Modern Method in 25 Developing Countries |
| Authors: |
Anrudh K. Jain |
| Source: |
International Perspectives on Sexual and Reproductive Health (formerly: International Family Planning Perspectives), 42(3): 131–140; DOI: 10.1363/42e1616 |
| Topic(s): |
Contraception
Education
Family planning
Rural-urban differentials
Wealth Index
|
| Country: |
More than one region
Multiple Regions
|
| Published: |
SEP 2016 |
| Abstract: |
CONTEXT: The information exchanged during a contraceptive visit is important because providers need to
understand clients’ reproductive intentions and clients need to receive adequate information about methods and
possible method-related side effects and problems. Little is known about how information exchange has changed
over time and how it might vary across countries or subgroups within a country.
METHODS: Demographic and Health Survey data from 25 developing countries were used to calculate the Method
Information Index (MII), a Family Planning 2020 indicator that reflects some aspects of contraceptive information
exchanged between providers and clients. For each country, the MII was calculated from each of two surveys about
five years apart to examine change in the indicator over time. In addition, the MII was examined for all countries
combined and by region.
RESULTS: The average MII for all 25 countries increased from 34% at the earlier survey time to 39% at the later
survey time; the index values of individual countries ranged from 19% to 64% at survey time 1 and from 13% to
65% at survey time 2. The MII increased over time in 15 countries and declined in 10. In analyses by contraceptive
method type, the MII tended to be highest among implant users and lowest among women relying on sterilization. The index was generally higher among women living in urban areas than among those in rural areas, and tended
to rise with increases in women’s education and household wealth.
CONCLUSIONS: On the basis of the MII, developing countries have room to improve information exchange between
providers and clients. Such improvements would require concerted efforts by programs and donors. |
| Web: |
https://www.jstor.org/stable/pdf/10.1363/42e1616.pdf?ab_segments=0%2Fbasic_expensive%2Fcontrol&refreqid=search%3A47fa375d318298d0bdb4f3a21afa77fd |