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Skewed contraceptive method mix: why it happens, why it matters
Tara M Sullivan1, Jane T Bertrand, Janet Rice
1Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, USA.
Journal of Biosocial Science
|June 10, 2006
Summary
Family planning research often overlooks contraceptive method mix. This study found 34 countries exhibit method skew, where one method dominates, potentially limiting contraceptive choice and access.
Area of Science:
- Public Health
- Reproductive Health
- Demography
Background:
- Contraceptive prevalence is a key focus in family planning research.
- Method mix, reflecting contraceptive availability and choice, has received less attention.
- A skewed method mix, where one method dominates, may indicate underlying issues in reproductive healthcare access.
Purpose of the Study:
- To define and identify instances of 'method skew' in global contraceptive use.
- To analyze the patterns and potential causes of dominant contraceptive methods in various countries.
- To highlight the implications of skewed method mix for contraceptive choice and access.
Main Methods:
- Operationally defined 'method skew' as a single contraceptive method accounting for 50% or more of use in a country.
- Analyzed data from 96 countries to identify those with skewed method mix.
- Reviewed literature to understand patterns and reasons for method skew in identified countries.
Main Results:
- 34 out of 96 countries analyzed exhibit method skew.
- Skewed method mix clusters into three main groups: traditional methods (16 countries, mainly sub-Saharan Africa), female sterilization (4 countries), and single reversible methods (14 countries).
- Reasons for method skew vary, including cultural preferences, restrictive policies, limited access, and provider bias.
Conclusions:
- A significant number of countries display a skewed contraceptive method mix.
- Understanding the drivers of method skew is crucial for improving contraceptive access and choice.
- Addressing factors contributing to method skew can enhance comprehensive family planning services.
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