TY - JOUR
T1 - Health workers’ values and preferences regarding contraceptive methods globally
T2 - A systematic review
AU - Soin, Komal S.
AU - Yeh, Ping Teresa
AU - Gaffield, Mary E.
AU - Ge, Christina
AU - Kennedy, Caitlin E.
N1 - Funding Information:
Funding: This manuscript was developed with the support of the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored programme executed by the World Health Organization (WHO). This manuscript is made possible by the generous support of the American people through the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) through an interagency agreement with the United States Agency for International Development (USAID), cooperative agreement #No. AID-OAA-A-15-00045. The contents of this paper are the sole responsibility of the authors and do not necessarily reflect the views of USAID or the United States Government.
Funding Information:
This review was supported by the World Health Organization, Department of Sexual and Reproductive Health and Research. We would like to thank the 2014 WHO MEC Guideline Development Group for their inputs and the Johns Hopkins Bloomberg School of Public Health graduate students who contributed to the screening and data abstraction process.
Publisher Copyright:
© 2022
PY - 2022/7
Y1 - 2022/7
N2 - Objective: We sought to systematically review the literature on health workers’ values and preferences related to contraceptive methods. Study design: As part of a larger review, we searched ten electronic databases for published articles from January 1, 2005 through July 27, 2020. We included studies that reported qualitative or quantitative data from the perspective of health workers providing family planning services globally. Results: Forty-one studies met our inclusion criteria. These studies included 12,643 health workers and were conducted in 27 countries. Health worker values and preferences for contraceptive methods were affected by factors related to contraceptive method characteristics (e.g., bleeding pattern and convenience), the contraceptive user (e.g., medical history, parity), and the health worker themselves (e.g., training, environment). Differences were also noted between various professions/specialties (e.g., comfort level with contraceptive methods, depth of experience). While contraceptive counseling and provision were influenced by health worker values and preferences, they were also affected by health worker misconceptions and biases. Conclusion: Health worker values and preferences for contraception are affected by the client's history, medical eligibility, and the health worker context. Provision of contraception that is affected by harmful bias towards certain populations or about certain methods can negatively affect patient-centered care. Future work should address knowledge gaps and health worker biases by improving and standardizing education and training globally, to ensure high-quality, rights-based, and patient-centered contraceptive services.
AB - Objective: We sought to systematically review the literature on health workers’ values and preferences related to contraceptive methods. Study design: As part of a larger review, we searched ten electronic databases for published articles from January 1, 2005 through July 27, 2020. We included studies that reported qualitative or quantitative data from the perspective of health workers providing family planning services globally. Results: Forty-one studies met our inclusion criteria. These studies included 12,643 health workers and were conducted in 27 countries. Health worker values and preferences for contraceptive methods were affected by factors related to contraceptive method characteristics (e.g., bleeding pattern and convenience), the contraceptive user (e.g., medical history, parity), and the health worker themselves (e.g., training, environment). Differences were also noted between various professions/specialties (e.g., comfort level with contraceptive methods, depth of experience). While contraceptive counseling and provision were influenced by health worker values and preferences, they were also affected by health worker misconceptions and biases. Conclusion: Health worker values and preferences for contraception are affected by the client's history, medical eligibility, and the health worker context. Provision of contraception that is affected by harmful bias towards certain populations or about certain methods can negatively affect patient-centered care. Future work should address knowledge gaps and health worker biases by improving and standardizing education and training globally, to ensure high-quality, rights-based, and patient-centered contraceptive services.
KW - Contraception
KW - Health Care providers
KW - Health workers
KW - Preferences
KW - Systematic review
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U2 - 10.1016/j.contraception.2022.04.012
DO - 10.1016/j.contraception.2022.04.012
M3 - Article
C2 - 35526598
AN - SCOPUS:85130423362
SN - 0010-7824
VL - 111
SP - 61
EP - 70
JO - Contraception
JF - Contraception
ER -