Reconceptualizing measurement of emergency contraceptive use : comparison of approaches to estimate the use of emergency contraception
Auteurs & affiliatie
Elizabeth Larson, Antonia Morzenti, Georges Guiella, Peter Gichangi, Fredrick Makumbi, Yoonjoung Choi
Abstract
Estimated use of emergency contraception (EC) remains low, and one reason is measurement challenges. The study aims to compare EC use estimates using five approaches. Data come from Performance Monitoring and Accountability 2020 surveys from 10 countries, representative sample surveys of women aged 15 to 49 years. We explore EC use employing the five definitions and calculate absolute differences between a reference definition (percentage of women currently using EC as the most effective method) and each of the subsequent four, including the most inclusive (percentage of women having used EC in the past year). Across the 17 geographies, estimated use varies greatly by definition and EC use employing the most inclusive definition is statistically significantly higher than the reference estimate. Impact of using various definitions is most pronounced among unmarried sexually active women. The conventional definition of EC use likely underestimates the magnitude of EC use, which has unique programmatic implications.
Gerelateerde publicaties
James Orwa, Michaela Mantel, Micheal Mugerwa, Sharon Brownie, Eunice Siaity Pallangyo, Loveluck Mwasha, Kahabi Isangula, Leonard Subi, Secilia Mrema, Grace Edwards, David Siso, Edna Selestine, Tumbwene Mwansisya, Columba Mbekenga, Marleen Temmerman
2011 Prevalence, motivations, and adverse effects of vaginal practices in Africa and Asia : findings from a multicountry household surveyTerence Hull, Adriane Martin Hilber, Matthew Chersich, Brigitte Bagnol, Aree Prohmmo, Jennifer A Smit, Ninuk Widyantoro, Iwu Diswetyani Utomo, Isabelle Francois, Nazarius Mbona Tumwesigye, Marleen Temmerman