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Are Contraceptive Method Preferences Stable? Measuring Change in the Preferred Method among Kenyan Women.

Carolina Cardona, Dana Sarnak, Alison Gemmill

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    Summary

    Women's contraceptive preferences change over time, influenced by life events like pregnancy or marital status shifts. Understanding these dynamic preferences is key for effective family planning programs and reproductive health outcomes.

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    Area of Science:

    • Reproductive Health
    • Demography
    • Sociology

    Background:

    • Current surveys inadequately measure contraceptive preferences, assuming users are satisfied with their chosen method.
    • Limited data exists on the measurement, distribution, and dynamics of contraceptive preferences.

    Purpose of the Study:

    • To assess changes in women's contraceptive preferences over one year in Kenya.
    • To identify factors associated with shifts in contraceptive preferences among users and non-users.

    Main Methods:

    • Utilized three rounds of nationally representative longitudinal data from Kenya.
    • Analyzed changes in preferred contraceptive methods among women over a 12-month period.

    Main Results:

    • 18% of contraceptive users and 46% of non-users reported changes in their preferred method within one year.
    • Pregnancy, childbirth, and changes in marital status were significantly associated with altered contraceptive preferences for both users and non-users.

    Conclusions:

    • Contraceptive preferences are dynamic and evolve in response to life course events.
    • Family planning programs must offer diverse contraceptive methods to accommodate changing user circumstances and preferences.