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Elizabeth Westley, Consorcio Internacional de Anticoncepción de Emergencia, ICEC Beth Yeager, Management Sciences for Health, MSH Milka Dinev, Coalición de Insumos para la Salud Reproductiva Las traducciones de francés y español fueron revisadas y editadas por Catherine Lalonde y Lamia Harik, y Fernanda Aguilar y Maria Faget respectivamente ...
Elizabeth WESTLEY | Executive Director/Coordinator | Research profile. About. 24. Publications. 2,692. Reads. 378. Citations since 2017. 0 Research Items. 180 Citations. 2017 2018 2019 2020...
21 de sept. de 2016 · Elizabeth Westly and Monica Kerrigan explore the challenges millions of women face with unintended pregnancies and how a simple tool such as emergency contraception can and should be made...
- Methods
- Results
- Discussion
Data and Sample
Data used in this analysis come from Demographic and Health Surveys (DHS), population-level household surveys that provide high-quality data for a wide range of indicators related to population, health and nutrition. For our analysis, we used data from the 45 countries whose most recent survey occurred between 2000 and 2012 and included information on emergency contraception.*Since 1999, questions about emergency contraception have been included in the women’s questionnaire, which is typicall...
Measures
The primary outcomes of interest in this study were women’s having heard of and having ever used emergency contraception. DHS interviewers first asked women what methods of family planning they had heard about. They then asked about specific methods not spontaneously mentioned by the woman, using locally known terms. Emergency contraception was referred to as the "morning-after pill" and by locally available brand names. For each method for which the woman indicated knowledge, including emerg...
Statistical Analysis
We described percentages of women reporting knowledge and use of emergency contraception by country and sample characteristics.To investigate characteristics independently associated with having heard of and having used emergency contraception, we ran country-specific multivariate logistic models, using knowledge and use of the method as separate outcome variables and controlling for all individual-, household- and community-level variables.‡ Appropriate sample weights were used, and all anal...
Global and Regional Overview
The proportion of women who had heard of emergency contraception was highest in Colombia (66%) and Ukraine (49%) and lowest in Chad (2%) and Timor-Leste (3%; Table 1). Among women who had ever been sexually active, the proportion reporting having ever used emergency contraception ranged from less than 0.1% in Chad to 12% in Colombia. Knowledge and use of the method varied considerably within regions. In Africa, awareness of emergency contraception ranged from 2% (Chad) to 40% (Kenya), and amo...
Africa
•Knowledge and women’s characteristics. Compared with currently married women, never-married women had lower odds of having heard of emergency contraception in eight of 24 countries (odds ratio range, 0.5 in Mali to 0.8 in Namibia), while formerly married women had elevated odds of having heard of it in two of 24 countries, Benin (1.4) and Liberia (1.9; Web Appendix Tables 1 and 2). In Swaziland, however, never-married women were significantly more likely than currently married women to have...
Asia
Unmarried women in Indonesia, the Maldives and Pakistan were not asked about contraceptive knowledge and use. In the other five Asian countries in our sample, compared with married women, never-married women were less likely to know of emergency contraception in three countries (odds ratio range, 0.01 in Nepal to 0.6 in Timor-Leste) and more likely to know about it in the Philippines (1.4; Web Appendix Table 5). Older women were more likely than 15–19-year-olds to know of emergency contracept...
Overall, rates of having heard of or used emergency contraception were low in the countries studied. In 36 of the 45 countries, the rate of use was less than 3% among women who had ever had sex. This evidence is contrary to claims in some settings that use of the method is widespread. For instance, media reports of overuse in India and Kenya are no...
Tia Palermo 1 , Jennifer Bleck , Elizabeth Westley. Affiliation. 1 Assistant Professor, Program in Public Health, Department of Preventive Medicine, Stony Brook University, State University of New York, tia.palermo@stonybrook.edu. PMID: 25051579. DOI: 10.1363/4007914. Abstract.
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