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Developing acceptable contraceptive methods: Mixed-method findings on preferred method characteristics from Burkina
Aurélie Brunie1, Rebecca L Callahan2, Amelia Mackenzie2
1Health Services Research, FHI 360, Washington, DC, USA.
Gates Open Research
|January 28, 2020
Summary
New contraceptive methods should prioritize effectiveness, duration, minimal side effects, and affordability to meet high unmet needs in developing regions. User preferences are key for successful adoption of new family planning technologies.
Area of Science:
- Reproductive Health
- Family Planning
- Contraceptive Technology
Background:
- High unmet need for contraception persists in developing regions.
- Novel contraceptive technologies offer potential to improve uptake and continuation.
- Understanding user preferences is crucial for developing effective family planning solutions.
Purpose of the Study:
- To identify desirable product characteristics for new contraceptive methods.
- To explore user and provider perspectives on contraceptive method attributes.
- To inform product development for family planning in Burkina Faso and Uganda.
Main Methods:
- Quantitative survey module integrated into PMA2020 surveys.
- Qualitative data collection through 50 women's focus group discussions (FGDs), 10 men's FGDs, and 37 provider in-depth interviews (IDIs).
- Semi-structured ranking exercises on product characteristics within FGDs and IDIs.
Main Results:
- Effectiveness, duration, few side effects, cost, and access are paramount.
- Many women desire methods lasting at least one year and causing amenorrhea.
- Users prefer discreet, non-user-dependent methods with minimal, predictable side effects; cost is a significant factor.
Conclusions:
- Contraceptive product development must align with user preferences for successful implementation.
- Addressing concerns about side effects, invasiveness, and cost is essential.
- Discreetness and convenience are highly valued attributes in contraceptive method selection.
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