Measuring Cognitive and Psychosocial Accessibility to Modern Contraception: A Comprehensive Framework  

作　　者：Lonkila Moussa Zan Clémentine Rossier Caroline Moreau Lonkila Moussa Zan;Clémentine Rossier;Caroline Moreau(INSD/ISSP, Universit Joseph KI-ZERBO, Ouagadougou, Burkina Faso;IDESO, University of Geneva, Geneva, Switzerland;Gates Institute, Johns Hopkins University, Baltimore, United States)

机构地区：[1]INSD/ISSP, Universit Joseph KI-ZERBO, Ouagadougou, Burkina Faso [2]IDESO, University of Geneva, Geneva, Switzerland [3]Gates Institute, Johns Hopkins University, Baltimore, United States

出　　处：《Health》2024年第7期578-591,共14页健康（英文）

摘　　要：Nowadays, more than ever, the improvement of access to family planning (FP) has become an international goal. What constitutes access to FP? Current human rights-based contraceptive guidelines indicate that access begins as soon as women or couples express a desire to avoid pregnancy and their risk of unintended pregnancy is established. However, few studies have sought to define and measure cognitive and psychosocial access to contraception. To propose a comprehensive framework for the cognitive and psychosocial accessibility of contraception, we critically analyzed the literature on attitudes toward FP. The main dimensions that emerged were knowledge about FP, fear of side effects, approval of contraception, and contraceptive agency. We then identified and adjusted some questions that can capture these dimensions more comprehensively. As a result, we developed a questionnaire module comprising 15 questions, which was integrated into the 6th round of the PMA2020 survey in Burkina Faso in 2019. This research highlighted that previous studies have collected separate dimensions of contraceptive access, and the psychosocial dimension tended to be neglected. Our results demonstrate that it is possible to collect comprehensive data on cognitive and psychosocial dimensions of access to family planning.Nowadays, more than ever, the improvement of access to family planning (FP) has become an international goal. What constitutes access to FP? Current human rights-based contraceptive guidelines indicate that access begins as soon as women or couples express a desire to avoid pregnancy and their risk of unintended pregnancy is established. However, few studies have sought to define and measure cognitive and psychosocial access to contraception. To propose a comprehensive framework for the cognitive and psychosocial accessibility of contraception, we critically analyzed the literature on attitudes toward FP. The main dimensions that emerged were knowledge about FP, fear of side effects, approval of contraception, and contraceptive agency. We then identified and adjusted some questions that can capture these dimensions more comprehensively. As a result, we developed a questionnaire module comprising 15 questions, which was integrated into the 6th round of the PMA2020 survey in Burkina Faso in 2019. This research highlighted that previous studies have collected separate dimensions of contraceptive access, and the psychosocial dimension tended to be neglected. Our results demonstrate that it is possible to collect comprehensive data on cognitive and psychosocial dimensions of access to family planning.

关 键 词：Cognitive Dimensions Psychosocial Dimensions CONTRACEPTION Intention To Use Side Effects 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]