Three papers on side effects and modern contraceptive use among women in Ghana

Type Thesis or Dissertation - PhD
Title Three papers on side effects and modern contraceptive use among women in Ghana
Publication (Day/Month/Year) 2009
Page numbers 0-0
This thesis investigates the issue of side effects and how they may act as a barrier to the use of modern contraceptive methods among women in Ghana. Three papers are presented each addressing the issue using different sources of data and different methodologies. The disparate nature of the data sources and techniques used provides each paper with its own perspective on the research question and each paper gives a unique insight into the topic. The aim of the first paper is to use a qualitative focus group methodology to explore in-depth the way individuals perceive information about family planning. The study seeks to better define what is meant by the term fear of side effect in this particular social context and to determine on what information and from what sources is this fear constructed. Overall the findings of this study show that fear of side effects does act as a significant barrier to the use of temporary methods and these fears result mainly from a large amount of negative information regarding side effects being passed through the social network. However the events being recounted cannot be dismissed as myth or rumour as they are most often based in real experiences. The second paper uses monthly data on contraceptive use and the experience of side effects from the calendar section of a longitudinal survey of women in Southern Ghana. Using life tables and a multi-level logistic discrete-time hazards model this study analyses contraceptive discontinuation and how it relates to the concurrent self-reported experience of side effects. The results show that experiencing side effects is associated with a higher probability of discontinuation of the method and that counselling from health workers is extremely important in minimizing discontinuation rates. The third paper uses a sub-sample of women who are not current contraceptive users from the 2003 GDHS. The study uses multiple logistic regression to determine the association between exposure to family planning information, through mass media and interpersonal channels, and the probability that a respondent will cite fear of side effects as their main reason for not intending to use a contraceptive method in the future. The results show that the only family planning communication variable which does have a significant effect is receiving a message from a health worker which increases the odds of fear of side effects being the main reason for not intending to use a method in the future. Overall the socio-economic characteristics of those not intending to use a method in the future due to a fear of side effects is more similar to current users than to those who are not intending to use in the future for other reasons.

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