wow-inequalities/02-data/intermediate/wos_sample/382ba71e356d765d22b351a54be4d57a-brooks-mohamad-i.-a/info.yaml

abstract: 'BackgroundThe Republic of Niger has the highest rate of early marriage

  and adolescent fertility in the world. Recent global health initiatives,

  such as Family Planning 2020, have reinvigorated investments in family

  planning in low- and middle-income countries (LMICs). As part of this

  initiative, Niger has implemented ambitious plans to increase

  contraceptive prevalence through policies designed to increase coverage

  and access to family planning services. One strategy involves the

  deployment of volunteer community health workers (relais communautaires)

  in rural settings to improve access to family planning services,

  especially among adolescents and youth. The objective of this article is

  to determine if visits by relais are associated with increased use of

  modern contraception among young married women in rural

  Niger.MethodsCross-sectional data from a household survey were collected

  from young married women between the ages of 13 and 19 in three rural

  districts in the region of Dosso, Niger from May to August 2016.

  Multivariate logistic regression was conducted to assess the odds of

  married female youth reporting current use of modern contraceptive

  methods based on being visited by a relais in the past three

  months.ResultsA total of 956 young married women were included in the

  final analysis. Among study participants, 9.3\% reported a relais visit

  to discuss health issues in the past three months and 11.4\% reported

  currently using a modern method of contraception. Controlling for

  socio-demographic variables, the odds of current use of modern

  contraceptive methods were higher among young married women who were

  visited by a relais in the last three months compared to those not

  visited by a relais during this period (AOR=1.94{[}95\% CI 1.07-3.51]).

  In this study setting, relais were less likely to visit nulliparous

  women and women that worked in the past 12months.ConclusionYoung married

  women visited by relais were more likely to use modern contraceptive

  methods compared to those not visited by a relais. These results are

  consistent with similar family planning studies from sub-Saharan Africa

  and suggest that relais in Niger may be able to provide access to

  essential family planning services in rural and hard-to-reach areas.

  Additional efforts to understand the contraceptive barriers faced by

  nulliparous women and working women should be a key research priority in

  Niger.Trial registrationClinical trial registration number 2016-1430;

  registered on October 7, 2016 (retrospectively registered).

  AbstractContexteLa Republique du Niger a le taux le plus eleve de

  mariages precoces et de fecondite des adolescentes du monde. Les

  recentes initiatives mondiales pour la sante, telles que Planification

  Familiale 2020 (FP2020), ont redynamise les investissements dans la

  planification familiale dans les pays a revenu faible ou intermediaire.

  Dans le cadre de cette initiative, le Niger a mis en OEuvre des plans

  ambitieux pour accroitre la prevalence de la contraception par le biais

  de politiques concues pour accroitre la couverture et l''acces aux

  services de planification familiale. Une des strategies consiste au

  deploiement d''agents de sante communautaires volontaires (relais

  communautaires) en milieu rural pour ameliorer l''acces aux services de

  planification familiale, en particulier chez les adolescents et les

  jeunes. L''objectif de cet article est. de determiner si les visites a

  domicile conduites par des relais sont associees a une utilisation

  accrue de la contraception moderne chez les jeunes femmes mariees des

  zones rurales du Niger.

  MethodesLes donnees transversales d''une enquete-menages ont ete

  collectees aupres de jeunes femmes mariees agees de 13 a 19 ans dans

  trois districts ruraux de la region de Dosso, au Niger, de Mai a Aout

  2016. Une regression logistique multivariee a ete menee pour evaluer la

  probabilite que les jeunes femmes mariees declarant utiliser

  actuellement des methodes contraceptives modernes apres avoir ete

  visitees par un relai au cours des trois derniers mois.ResultatsAu

  total, 956 jeunes femmes mariees ont ete incluses dans l''analyse finale.

  Parmi les participants a l''etude, 9,3\% ont signale une visite de relais

  pour discuter de problemes de sante au cours des trois derniers mois et

  11,4\% ont declare utiliser actuellement une methode de contraception

  moderne. En tenant compte des variables sociodemographiques, les

  probabilites d''utilisation actuelle de methodes contraceptives modernes

  etaient plus elevees chez les jeunes femmes mariees visitees par un

  relai au cours des trois derniers mois par rapport a celles qui

  n''avaient pas ete visitees par un relai au cours de cette periode

  (AOR=1,94 {[}95\% IC 1,07-3,51]). Dans cette etude, les relais etaient

  moins susceptibles de rendre visite aux femmes nullipares et aux femmes

  ayant travaille au cours des 12 derniers mois.ConclusionLes jeunes

  femmes mariees visitees par les relais etaient plus susceptibles

  d''utiliser des methodes de contraception modernes que celles qui

  n''etaient pas visitees par les relais. Ces resultats concordent avec

  ceux d''etudes similaires sur la planification familiale menees en

  Afrique subsaharienne et suggerent que les relais au Niger pourraient

  donner acces a des services essentiels de planification familiale dans

  les zones rurales et difficiles d''acces. Des efforts supplementaires

  pour comprendre les barrieres contraceptives rencontrees par les femmes

  nullipares et les travailleuses devraient constituer une priorite de

  recherche essentielle au Niger.'
affiliation: 'Brooks, MI (Corresponding Author), Pathfinder Int, Watertown, MA 02472
  USA.

  Brooks, Mohamad I., Pathfinder Int, Watertown, MA 02472 USA.

  Johns, Nicole E.; Quinn, Anne K.; Boyce, Sabrina C.; Silverman, Jay G., Univ Calif
  San Diego, Ctr Gender Equ \& Hlth, La Jolla, CA 92093 USA.

  Fatouma, Ibrahima A.; Oumarou, Alhassane O.; Sani, Aliou, Pathfinder Int, Niamey,
  Niger.'
article-number: '38'
author: Brooks, Mohamad I. and Johns, Nicole E. and Quinn, Anne K. and Boyce, Sabrina
  C. and Fatouma, Ibrahima A. and Oumarou, Alhassane O. and Sani, Aliou and Silverman,
  Jay G.
author-email: bbrooks@pathfinder.org
author_list:
- family: Brooks
  given: Mohamad I.
- family: Johns
  given: Nicole E.
- family: Quinn
  given: Anne K.
- family: Boyce
  given: Sabrina C.
- family: Fatouma
  given: Ibrahima A.
- family: Oumarou
  given: Alhassane O.
- family: Sani
  given: Aliou
- family: Silverman
  given: Jay G.
da: '2023-09-28'
doi: 10.1186/s12978-019-0701-1
files: []
issn: 1742-4755
journal: REPRODUCTIVE HEALTH
keywords-plus: REPRODUCTIVE HEALTH; FAMILY; SERVICES
language: English
month: MAR 25
number-of-cited-references: '28'
papis_id: 93dd144381f82826e87c314d96125171
ref: Brooks2019cancommunity
times-cited: '14'
title: Can community health workers increase modern contraceptive use among young
  married women? A cross-sectional study in rural Niger
type: article
unique-id: WOS:000462745900002
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '16'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2019'