216 lines
7.2 KiB
YAML
216 lines
7.2 KiB
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'
|