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Related Experiment Videos

Geographic information systems, spatial network analysis, and contraceptive choice

B Entwisle1, R R Rindfuss, S J Walsh

  • 1Carolina Population Center, University of North Carolina, Chapel Hill 27516-3997, USA. entwisle.cpc@mhs.unc.edu

Demography
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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Family planning accessibility significantly influences contraceptive method choice. Spatial analysis reveals travel time, road conditions, alternative supply sources, and program history are key factors affecting choices in Thailand.

Area of Science:

  • Public Health
  • Spatial Epidemiology
  • Demography

Background:

  • Understanding factors influencing contraceptive choice is crucial for effective family planning programs.
  • Geographic accessibility to family planning services is a known determinant of contraceptive use.
  • Previous studies often lack detailed spatial measures of accessibility.

Purpose of the Study:

  • To develop and evaluate novel spatial measures of family planning accessibility.
  • To assess the impact of these spatial measures on temporary contraceptive method choice.
  • To investigate the role of travel time, road composition, alternative supply, and program history.

Main Methods:

  • Utilized spatial analysis techniques, including maps and Global Positioning System (GPS) data.

Related Experiment Videos

  • Combined spatial data with sociodemographic information from surveys and administrative records.
  • Employed a multilevel statistical model to analyze temporary method choice in Nang Rong, Thailand.

    • Main Results:

    • Significant travel time effects on contraceptive choice were observed, even for nearby facilities.
    • Road composition independently influenced contraceptive method selection.
    • Alternative sources of family planning supply and the historical placement of programs were also significant factors.

    Conclusions:

    • Geographically derived measures of family planning accessibility provide critical insights into contraceptive choice.
    • Accessibility is multifaceted, encompassing travel time, infrastructure, alternative providers, and historical context.
    • These findings can inform the design and implementation of more effective family planning interventions.