Intervention model in reducing the unmet need for contraception: a systematic literature review on technology-based, community, and health worker interventions

Submitted: 21 August 2024
Accepted: 6 September 2024
Published: 23 September 2024
Abstract Views: 42
PDF: 11
Supplementary Materials: 2
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

The unmet need for contraception is a serious public health problem, and efforts to reduce the unmet need for family planning are a challenge due to the many and complex factors that contribute to the unmet needs. The aim of this study was to systematically review scientific evidence on intervention models that effectively reduce the unmet need for contraception. This study used a systematic review to identify relevant scientific articles. The article search was based on the PICO approach and used a database from https://www.scopus.com/, https://www.sciencedirect.com/, https://pubmed.ncbi.nlm.nih.gov/, https://www.mdpi.com/, https://www.jstor.org/, https://www.nature.com/, https://link.springer.com/. The reviewed material was full-text articles and open-access articles published from 2013 to 2023. Data extraction included author, country, type of intervention, research design, sample, and main research findings. Twelve studies were included in our qualitative synthesis. Technology-based interventions, such as mobile phone instant messaging apps, were implemented in countries like Tajikistan, Bolivia, and Mozambique. Community-based interventions included the Community Family Health=Family Wealth program in Uganda, the Tékponon Jikuagou (TJ) program in Benin, and the Married Adolescent Girls Club (MAG club) and Participatory Women's Group Intervention in Bangladesh. Health worker-led interventions involved community health volunteers in Nepal, postpartum contraceptive counseling, contraceptive counseling for all ages, structured counseling for childbearing couples in Indonesia, and the "Consult and Choose" client-centered family service in Jordan. The findings underscore that varying intervention models can significantly enhance contraceptive use, tailored to specific cultural and regional contexts. These interventions, therefore, hold substantial implications for public health practices aiming to address and reduce the global unmet need for contraception. This systematic review provides valuable insights into the effectiveness of diverse interventions and suggests avenues for public health strategies to expand contraceptive access and use globally.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Bishwajit G, Tang S, Yaya S, Feng Z. Unmet need for contraception and its association with unintended pregnancy in Bangladesh. BMC Pregnancy and Childbirth 2017;17:186. DOI: https://doi.org/10.1186/s12884-017-1379-4
Badan Kependudukan dan, Keluarga Berencana Nasional. Rencana Strategis (RENSTRA) Tahun 2020-2024. Jakart, Indonesia: Badan Kependudukan dan Keluarga Berencana Nasional; 2020.
Utomo B, Sucahya PK, Romadlona NA, et al. The impact of family planning on maternal mortality in Indonesia: what future contribution can be expected? Population Health Metrics. 2021;19:2. DOI: https://doi.org/10.1186/s12963-020-00245-w
Lawrence ER, Klein TJ, Beyuo TK. Maternal Mortality in Low and Middle-Income Countries. Obstetrics and Gynecology Clinics of North America 2022;49:713-33. DOI: https://doi.org/10.1016/j.ogc.2022.07.001
Sedgh G, Ashford LS, Hussain R. Unmet Need for Contraception in Developing Countries: Examining Women’s Reasons for Not Using a Method. 2016. Available from: https://www.guttmacher.org/report/unmet-need-for-contraception-in-developing-countries
D’Souza P, Phagdol T, D’Souza SRB, et al. Interventions to support contraceptive choice and use: a global systematic map of systematic reviews. The European Journal of Contraception & Reproductive Health Care 2023;28:83-91. DOI: https://doi.org/10.1080/13625187.2022.2162337
ROBINS-E Development Group. Risk of bias tools - ROBINS-E tool. 2023. Available from: https://www.riskofbias.info/welcome/robins-e-tool
McCarthy O, Ahamed I, Kulaeva F, et al. A randomized controlled trial of an intervention delivered by mobile phone app instant messaging to increase the acceptability of effective contraception among young people in Tajikistan. Reprod Health 2018;15:28. DOI: https://doi.org/10.1186/s12978-018-0473-z
Sileo KM, Muhumuza C, Wanyenze RK, et al. A pilot quasi-experimental controlled trial of a community-based, multilevel family planning intervention for couples in rural Uganda: evidence of feasibility, acceptability, and effect on contraceptive uptake among those with an unmet need for family planning. Contraception 2023;125:110096. DOI: https://doi.org/10.1016/j.contraception.2023.110096
Thapa K, Dhital R, Rajbhandari S, et al. Improving post-partum family planning services provided by female community health volunteers in Nepal: a mixed methods study. BMC Health Serv Res 2020;20:123. DOI: https://doi.org/10.1186/s12913-020-4969-1
Kim TY, Igras S, Barker KM, et al. The power of women’s and men’s Social Networks to catalyse normative and behavioural change: evaluation of an intervention addressing Unmet need for Family Planning in Benin. BMC Public Health 2022;22:672. DOI: https://doi.org/10.1186/s12889-022-12681-4
McCarthy OL, Aliaga C, Palacios MET, et al. An intervention delivered by mobile phone instant messaging to increase acceptability and use of effective contraception among Young Women in Bolivia: Randomized controlled trial. J Med Internet Res 2020;22:e14073. DOI: https://doi.org/10.2196/14073
Pradhan E, Canning D, Shah IH, et al. Integrating postpartum contraceptive counseling and IUD insertion services into maternity care in Nepal: Results from stepped-wedge randomized controlled trial. Reprod Health 2019;16:69. DOI: https://doi.org/10.1186/s12978-019-0738-1
Huber-Krum S, Khadka A, Pradhan E, Rohr J, Puri M, Maharjan D, et al. The effect of antenatal counseling and intrauterine device insertion services on postpartum contraceptive use in Nepal: Results from a stepped-wedge randomized controlled trial. Contraception 2020;101:384-92. DOI: https://doi.org/10.1016/j.contraception.2019.12.014
Huda FA, Mahmood HR, Ahmmed F, et al. The effect of a club in making differences in knowledge, attitude, and practices on family planning among married adolescent girls in urban slums in Bangladesh. Int J Environ Res Public Health 2019;16. DOI: https://doi.org/10.3390/ijerph16204037
Kamhawi S, Underwood C, Murad H, Jabre B. Client-centered counseling improves client satisfaction with family planning visits: Evidence from Irbid, Jordan. Glob Health Sci Pract 2013;1:180-92. DOI: https://doi.org/10.9745/GHSP-D-12-00051
Simanjuntak H, Lestari BW, Anwar AD. The effect of structured counseling towards knowledge, attitude, and participation of modern contraceptive among unmet need couples. Kesmas 2016;10:184-90. DOI: https://doi.org/10.21109/kesmas.v10i4.644
Harris-Fry HA, Azad K, Younes L, et al. Formative evaluation of a participatory women’s group intervention to improve reproductive and women’s health outcomes in rural Bangladesh: a controlled before and after study. J Epidemiol Community Health 2016;70:663-70. DOI: https://doi.org/10.1136/jech-2015-205855
Leight J, Hensly C, Chissano M, et al. The effects of text reminders on the use of family planning services: evidence from a randomised controlled trial in urban Mozambique. BMJ Glob Health 2022;7:e007862. DOI: https://doi.org/10.1136/bmjgh-2021-007862
Nuryana D, Cahyani RA, Rahayu S, et al. Unmet Need for Family Planning in Indonesia and Its Associated Factors. Makara J Health Res 2023;27:25-35.
Zimmerman LA, Sarnak DO, Karp C, et al. Family Planning Beliefs and Their Association with Contraceptive Use Dynamics: Results from a Longitudinal Study in Uganda. Stud Fam Plann 2021;52:241-58. DOI: https://doi.org/10.1111/sifp.12153
Machiyama K, Casterline JB, Mumah JN, et al. Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: protocol for a multi-site cohort study. Reprod Health 2017;14:23. DOI: https://doi.org/10.1186/s12978-016-0268-z
Bhatt N, Bhatt B, Neupane B, et al. Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: a qualitative study. PLoS One 2021;16:e0252184. DOI: https://doi.org/10.1371/journal.pone.0252184
Aung B, Mitchell JW, Braun KL. Effectiveness of mHealth Interventions for Improving Contraceptive Use in Low- and Middle-Income Countries: a Systematic Review. Glob Health Sci Pract 2020;8:813-26. DOI: https://doi.org/10.9745/GHSP-D-20-00069
Smith C, Gold J, Ngo TD, et al. Mobile phone‐based interventions for improving contraception use. Cochrane Database Syst Rev 2015;2015:CD011159. DOI: https://doi.org/10.1002/14651858.CD011159.pub2
Harris B, Ajisola M, Alam RM, et al. Mobile consulting as an option for delivering healthcare services in low-resource settings in low- and middle-income countries: a mixed-methods study. Digit Health 2021;7:20552076211033425. DOI: https://doi.org/10.1177/20552076211033425
Bria EI. Correlation Between The Role of Health Care Provider in Family Planning Counseling with The Use of Contraceptive Device in Women at Puskesmas Rafae Belu East Nusa Tenggara. 2014. Available from: http://lib.unair.ac.id
Scott VK, Gottschalk LB, Wright KQ, et al. Community Health Workers’ Provision of Family Planning Services in Low- and Middle-Income Countries: a Systematic Review of Effectiveness. Stud Fam Plann 2015;46:241-61. DOI: https://doi.org/10.1111/j.1728-4465.2015.00028.x
Damayanti NA, Wulandari RD, Ridlo IA. Maternal Health Care Utilization Behavior, Local Wisdom, and Associated Factors Among Women in Urban and Rural Areas, Indonesia. Int J Womens Health 2023;15:665-77. DOI: https://doi.org/10.2147/IJWH.S379749
Erhardt-Ohren B, Brooks M, Aliou S, et al. Sustained impact of community-based interventions on contraceptive use among married adolescent girls in rural Niger: Results from a cluster randomized controlled trial. Int J Gynaecol Obstet 2023;160:468-75. DOI: https://doi.org/10.1002/ijgo.14378

Supporting Agencies

The Indonesia Endowment Fund for Education (LPDP) for the Ph.D. scholarship fund awarded to the first author

How to Cite

Nurdini, L., Anggraeni, L., Sekarrini, L., Mahmud, P. E., & Prasetyo, S. (2024). Intervention model in reducing the unmet need for contraception: a systematic literature review on technology-based, community, and health worker interventions. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.12948