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Enabling women to access preferred methods of contraception : a rapid review and behavioural analysis

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Ayorinde, Abimbola A., Boardman, Felicity K., McGranahan, Majel, Porter, Lucy, Eze, Nwamaka A., Sallis, Anna, Buck, Rosanna, Hadley, Alison, Ludeke, Melissa, Mann, Sue and Oyebode, Oyinlola (2021) Enabling women to access preferred methods of contraception : a rapid review and behavioural analysis. BMC Public Health, 21 (1). 2176. doi:10.1186/s12889-021-12212-7

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Official URL: https://doi.org/10.1186/s12889-021-12212-7

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Abstract

Background:
Many pregnancies in the UK are either unplanned or ambivalent. This review aimed to (i) explore barriers and facilitators to women choosing and accessing a preferred method of contraception in the United Kingdom, and (ii) identify opportunities for behavioural interventions based on examination of interventions that are currently available nationally.

Methods:
Three databases were searched, and experts contacted to identify grey literature for studies presenting barriers and facilitators to women choosing and accessing a preferred method of contraception, conducted in the UK and published between 2009 and October 2019. Information on barriers and facilitators were coded into overarching themes, which were then coded into Mechanisms of Actions (MoAs) as listed in the Theory and Techniques Tool. National interventions were identified by consulting stakeholders and coded into the Behaviour Change Wheel. The match between barriers/facilitators and intervention content was assessed using the Behaviour Change Wheel.

Results:
We included 32 studies and identified 46 barrier and facilitator themes. The most cited MoA was Environmental Context and Resources, which primarily related to the services women had access to and care they received. Social Influences, Beliefs about Consequences (e.g., side effects) and Knowledge were also key. The behavioural analysis highlighted four priority intervention functions (Modelling, Enablement, Education and Environmental Restructuring) that can be targeted to support women to choose and access their preferred method of contraception. Relevant policy categories and behaviour change techniques are also highlighted.

Conclusions:
This review highlights factors that influence women’s choices and access to contraception and recommends opportunities that may be targeted for future interventions in order to support women to access preferred contraception.
Registration

Protocol was registered with PROSPERO (an international database of prospectively registered systematic reviews in health and social care) in December 2019, CRD42019161156.

Item Type: Journal Article
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Contraception , Contraceptives
Journal or Publication Title: BMC Public Health
Publisher: BioMed Central Ltd.
ISSN: 1471-2458
Official Date: 27 November 2021
Dates:
DateEvent
27 November 2021Published
10 November 2021Accepted
Volume: 21
Number: 1
Article Number: 2176
DOI: 10.1186/s12889-021-12212-7
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDPublic Health Englandhttp://dx.doi.org/10.13039/501100002141

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