Knowledge, attitudes, and perceptions of long‐acting reversible contraceptive methods among healthcare workers in sub‐Saharan Africa

Objective To assess the knowledge, attitudes and perceptions (KAP) of long‐acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in sub‐Saharan Africa (SSA). Methods A systematic review and meta‐analysis were conducted following the PRISMA method. Two authors independently s...

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Published inTropical medicine & international health Vol. 26; no. 8; pp. 840 - 861
Main Authors Rouncivell, Laura, Takuva, Simbarashe, Ledibane, Neo, Musekiwa, Alfred, Leong, Trudy D
Format Journal Article
LanguageEnglish
Published England Blackwell Publishing Ltd 01.08.2021
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Abstract Objective To assess the knowledge, attitudes and perceptions (KAP) of long‐acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in sub‐Saharan Africa (SSA). Methods A systematic review and meta‐analysis were conducted following the PRISMA method. Two authors independently searched three electronic databases for studies published between 2000 and January 2020 reporting on the KAP of LARC methods among HCWs in SSA. Titles and s were screened against eligibility criteria, data were extracted and the included studies were assessed for risk of bias. A meta‐analysis of proportions for 11 pre‐determined questions relating to LARC KAP was performed. Heterogeneity was explored using the I2‐statistic and publication bias investigated using funnel plots and Egger's tests. Results Twenty‐two studies comprising 11,272 HCWs from 11 SSA countries were included. 50% (95% CI: 34%, 67%) of HCWs had received intrauterine contraceptive device (IUCD) insertion training while 63% (95% CI: 44%, 81%) expressed a desire for training. Only 27% (95% CI: 18%, 36%) deemed IUCD appropriate for HIV‐infected women. Restrictions for IUCD and injectables based on a minimum age were imposed by 56% (95% CI: 33%, 78%) and 60% (95% CI: 36%, 84%), respectively. Minimum parity restrictions were observed among 29% (95% CI: 9%, 50%) of HCWs for IUCDs and 36% (95% CI: 16%, 56%) for injectable contraceptives. Heterogeneity was high and publication bias was present in two of the 11 questions. Conclusion The systematic review and meta‐analysis indicate that unnecessary provider‐imposed restrictions may hinder the uptake of LARC methods by women in SSA.
AbstractList ObjectiveTo assess the knowledge, attitudes and perceptions (KAP) of long‐acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in sub‐Saharan Africa (SSA).MethodsA systematic review and meta‐analysis were conducted following the PRISMA method. Two authors independently searched three electronic databases for studies published between 2000 and January 2020 reporting on the KAP of LARC methods among HCWs in SSA. Titles and abstracts were screened against eligibility criteria, data were extracted and the included studies were assessed for risk of bias. A meta‐analysis of proportions for 11 pre‐determined questions relating to LARC KAP was performed. Heterogeneity was explored using the I2‐statistic and publication bias investigated using funnel plots and Egger's tests.ResultsTwenty‐two studies comprising 11,272 HCWs from 11 SSA countries were included. 50% (95% CI: 34%, 67%) of HCWs had received intrauterine contraceptive device (IUCD) insertion training while 63% (95% CI: 44%, 81%) expressed a desire for training. Only 27% (95% CI: 18%, 36%) deemed IUCD appropriate for HIV‐infected women. Restrictions for IUCD and injectables based on a minimum age were imposed by 56% (95% CI: 33%, 78%) and 60% (95% CI: 36%, 84%), respectively. Minimum parity restrictions were observed among 29% (95% CI: 9%, 50%) of HCWs for IUCDs and 36% (95% CI: 16%, 56%) for injectable contraceptives. Heterogeneity was high and publication bias was present in two of the 11 questions.ConclusionThe systematic review and meta‐analysis indicate that unnecessary provider‐imposed restrictions may hinder the uptake of LARC methods by women in SSA.
Objective To assess the knowledge, attitudes and perceptions (KAP) of long‐acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in sub‐Saharan Africa (SSA). Methods A systematic review and meta‐analysis were conducted following the PRISMA method. Two authors independently searched three electronic databases for studies published between 2000 and January 2020 reporting on the KAP of LARC methods among HCWs in SSA. Titles and s were screened against eligibility criteria, data were extracted and the included studies were assessed for risk of bias. A meta‐analysis of proportions for 11 pre‐determined questions relating to LARC KAP was performed. Heterogeneity was explored using the I2‐statistic and publication bias investigated using funnel plots and Egger's tests. Results Twenty‐two studies comprising 11,272 HCWs from 11 SSA countries were included. 50% (95% CI: 34%, 67%) of HCWs had received intrauterine contraceptive device (IUCD) insertion training while 63% (95% CI: 44%, 81%) expressed a desire for training. Only 27% (95% CI: 18%, 36%) deemed IUCD appropriate for HIV‐infected women. Restrictions for IUCD and injectables based on a minimum age were imposed by 56% (95% CI: 33%, 78%) and 60% (95% CI: 36%, 84%), respectively. Minimum parity restrictions were observed among 29% (95% CI: 9%, 50%) of HCWs for IUCDs and 36% (95% CI: 16%, 56%) for injectable contraceptives. Heterogeneity was high and publication bias was present in two of the 11 questions. Conclusion The systematic review and meta‐analysis indicate that unnecessary provider‐imposed restrictions may hinder the uptake of LARC methods by women in SSA.
To assess the knowledge, attitudes and perceptions (KAP) of long-acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in sub-Saharan Africa (SSA). A systematic review and meta-analysis were conducted following the PRISMA method. Two authors independently searched three electronic databases for studies published between 2000 and January 2020 reporting on the KAP of LARC methods among HCWs in SSA. Titles and abstracts were screened against eligibility criteria, data were extracted and the included studies were assessed for risk of bias. A meta-analysis of proportions for 11 pre-determined questions relating to LARC KAP was performed. Heterogeneity was explored using the I -statistic and publication bias investigated using funnel plots and Egger's tests. Twenty-two studies comprising 11,272 HCWs from 11 SSA countries were included. 50% (95% CI: 34%, 67%) of HCWs had received intrauterine contraceptive device (IUCD) insertion training while 63% (95% CI: 44%, 81%) expressed a desire for training. Only 27% (95% CI: 18%, 36%) deemed IUCD appropriate for HIV-infected women. Restrictions for IUCD and injectables based on a minimum age were imposed by 56% (95% CI: 33%, 78%) and 60% (95% CI: 36%, 84%), respectively. Minimum parity restrictions were observed among 29% (95% CI: 9%, 50%) of HCWs for IUCDs and 36% (95% CI: 16%, 56%) for injectable contraceptives. Heterogeneity was high and publication bias was present in two of the 11 questions. The systematic review and meta-analysis indicate that unnecessary provider-imposed restrictions may hinder the uptake of LARC methods by women in SSA.
Author Rouncivell, Laura
Ledibane, Neo
Takuva, Simbarashe
Leong, Trudy D
Musekiwa, Alfred
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CitedBy_id crossref_primary_10_1016_j_fertnstert_2022_03_013
crossref_primary_10_2147_OAJC_S394590
crossref_primary_10_1177_11786329241245218
crossref_primary_10_1080_13625187_2023_2272005
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Issue 8
Keywords sub-Saharan Africa
long-acting reversible contraception
perceptions
healthcare workers
meta-analysis
contraception
attitude
knowledge
Language English
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Snippet Objective To assess the knowledge, attitudes and perceptions (KAP) of long‐acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in...
To assess the knowledge, attitudes and perceptions (KAP) of long-acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in sub-Saharan...
ObjectiveTo assess the knowledge, attitudes and perceptions (KAP) of long‐acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in...
OBJECTIVETo assess the knowledge, attitudes and perceptions (KAP) of long-acting reversible contraceptive (LARC) methods among healthcare workers (HCWs) in...
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wiley
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SubjectTerms attitude
Attitudes
Bias
Constrictions
contraception
Contraceptives
Health care
healthcare workers
Heterogeneity
HIV
Human immunodeficiency virus
knowledge
long‐acting reversible contraception
Medical personnel
Meta-analysis
perceptions
Questions
sub‐Saharan Africa
Systematic review
Training
Title Knowledge, attitudes, and perceptions of long‐acting reversible contraceptive methods among healthcare workers in sub‐Saharan Africa
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Ftmi.13586
https://www.ncbi.nlm.nih.gov/pubmed/33848393
https://www.proquest.com/docview/2559594863
https://search.proquest.com/docview/2512733790
Volume 26
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