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Values and preferences for contraception: A global systematic review.

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Contraceptive users globally share common values and preferences regarding family planning methods, prioritizing factors like side effects and effectiveness. While user satisfaction is generally high, inconsistent reporting hinders comprehensive synthesis of these important insights.

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ContraceptionHealth worker preferencesPatient preferencesSystematic review

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Area of Science:

  • Reproductive Health
  • Family Planning
  • Social Sciences

Background:

  • Understanding user values and preferences is crucial for effective family planning programs.
  • Previous research has not comprehensively synthesized global perspectives on contraceptive method selection.
  • Health worker insights are also vital for patient-centered care.

Purpose of the Study:

  • To systematically review and synthesize original research on contraceptive user values, preferences, and concerns.
  • To explore perspectives from both end-users and health workers regarding family planning methods.
  • To identify key themes influencing contraceptive choice across diverse global settings.

Main Methods:

  • Systematic review of qualitative and quantitative studies.
  • Searched 10 electronic databases for research published between 2005 and 2020.
  • Data extracted in duplicate from 423 articles across 93 countries.

Main Results:

  • Common themes include side effects, effectiveness, ease of use, and impact on sexual and partner relations.
  • Menstrual effects, reversibility, counseling, cost, autonomy, and discreet use were also significant factors.
  • Users generally reported satisfaction and accurate knowledge of their chosen methods.

Conclusions:

  • Contraceptive users exhibit diverse yet consistent core values and preferences globally.
  • The identified literature highlights the importance of person-centered care in family planning.
  • Varied reporting of findings limited the robust synthesis and quantification of review results.