Longitudinal Study of Long-Acting Reversible Contraception Acceptors in Senegal

Description

This mixed-methods study investigated factors associated with long-acting, reversible contraceptive (LARC) discontinuation in the first 12 months of use in Senegal and explored how LARC users cope with side effects. This study involved quantitative interviews with 1245 LARC acceptors at 5 time points (day of method receipt, and then at 1, 3, 6, and 12 months post-receipt), and qualitative interviews with a subset of women who experienced side effects and either continued, switched, or discontinued the LARC. Survey question topics at baseline covered demographics, reasons for method choice, method counseling, past use of contraception, and reasons women thought they might discontinue in the future. At each follow-up, women were asked about whether they were still using the same method and side effects or problems they experienced. Qualitative interview questions obtained more detailed information about side effects experienced, thier impact on the woman's life, and reasons behind continuation, swtiching methods, or discontinuation. The study was conducted from February 2018 and April 2019 in 28 sites in four regions of Senegal: Dakar, Thiès, Kaffrine and Diourbel. Selection was stratified by service delivery channel to ensure broad representation of the various contexts where women may obtain LARCs. The three channels are public clinics, social franchises, and mobile clinics.

Resources

Name Format Description Link
21 https://data.usaid.gov/d/6k64-x8if
21 https://data.usaid.gov/d/ev8p-bekf

Tags

  • larc-family-planning-fhi360-fhi-360-senegal-side-effects-discontinuation-quantitative-qualitati
  • senegal

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