CONTRACEPTIVE USE DYNAMICS IN INDIA: AN OVERVIEW

2021 ◽  
pp. 23-25
Author(s):  
Rajalakshmi R ◽  
Renuka K
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Subcutaneous Injection ◽  
Contraceptive Use ◽  
Care Providers ◽  
Effective Form ◽  
Long Acting

Injectable contraception, or the shot: is an extensively used form of productive contraception worldwide. Currently new forms of injectable contraception have been advanced which admit for subcutaneous injection (under the skin), rather than IM injection. These new formulations may admit women to prefer self-injecting contraception more easily as it don't require a provider to inject them, this is the point to be noted as injectable contraception must be taken every 3 months once. Few people using injectable contraception may choose to self-inject for reasons of their privacy or convenience, and in the places where there are not adequate health care providers to administer reinjections, this has the ability to develop access to this safe and effective form of long-acting contraception.

scholarly journals Patient and Health Care Provider Perspectives on Long Acting Injectable Antipsychotics in Schizophrenia and the Introduction of Olanzapine Long-Acting Injection

2011 ◽  
Vol 3 ◽  
pp. JCNSD.S4091 ◽  
Author(s):  
Heidi J. Wehring ◽  
Sheryl Thedford ◽  
Maju Koola ◽  
Deanna L. Kelly
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Treatment Options ◽  
Care Providers ◽  
Provider Attitudes ◽  
Provider Perspectives ◽  
Long Acting ◽  
Acting Agent

Olanzapine long acting injection has joined risperidone and paliperidone as the second generation long acting antipsychotic injection options for treatment of patients with schizophrenia. Long acting injections are important alternatives to oral medications for patients who have difficulty adhering to daily or multiple daily medication administrations, yet may be underutilized or not well understood. Patient perceptions, adherence, and preferences are important issues for health care providers to address when discussing treatment options with their patients. Reviewed here are overall patient and health care provider attitudes and perceptions regarding long acting injections and the details of olanzapine long acting injectable, the newest agent, and how it will fit in the marketplace. In addition, efficacy, safety, dosing and use data regarding this newest long acting agent are reviewed and compared to other available long acting agents.

scholarly journals Postpartum Visit Attendance Increases the Use of Modern Contraceptives

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Saba W. Masho ◽  
Susan Cha ◽  
RaShel Charles ◽  
Elizabeth McGee ◽  
Nicole Karjane ◽  
...  
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Care Organization ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Good Opportunity ◽  
Modern Contraceptive Use ◽  
Managed Care Organization

Background. Delays in postpartum contraceptive use may increase risk for unintended or rapid repeat pregnancies. The postpartum care visit (PPCV) is a good opportunity for women to discuss family planning options with their health care providers. This study examined the association between PPCV attendance and modern contraceptive use using data from a managed care organization. Methods. Claims and demographic and administrative data came from a nonprofit managed care organization in Virginia (2008–2012). Information on the most recent delivery for mothers with singleton births was analyzed (N = 24,619). Routine PPCV (yes, no) and modern contraceptive use were both dichotomized. Descriptive analyses provided percentages, frequencies, and means. Multiple logistic regression was conducted and ORs and 95% CIs were calculated. Results. More than half of the women did not attend their PPCV (50.8%) and 86.9% had no modern contraceptive use. After controlling for the effects of confounders, women with PPCV were 50% more likely to use modern contraceptive methods than women with no PPCV (OR = 1.50, 95% CI = 1.31, 1.72). Conclusions. These findings highlight the importance of PPCV in improving modern contraceptive use and guide health care policy in the effort of reducing unintended pregnancy rates.

“We’re a Little Biased”: Medicine and the Management of Bias through the Case of Contraception

2021 ◽  
pp. 002214652110032
Author(s):  
Jamie L. Manzer ◽  
Ann V. Bell
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Management Strategies ◽  
The United States ◽  
Care Providers ◽  
Patient Counseling ◽  
Patient Centered ◽  
American Health Care System ◽  
Centered Care

There is a wealth of literature demonstrating the presence of bias throughout the American health care system. Despite acknowledging such presence, however, little is known about how bias functions within medical encounters, particularly how providers grapple with bias in their patient counseling and decision-making. We explore such processes through the case of contraceptive counseling, a highly raced, classed, and gendered context. In-depth interviews with 51 health care providers reveal that providers use four primary strategies to navigate and minimize bias in their care—using scientific rationale, employing “safe” biases, standardizing counseling, and implementing patient-centered care. Paradoxically, using these strategies can exacerbate rather than resolve bias. Understanding these bias management strategies reveals provider-held biases, how they manifest within appointments, and the potential consequences for patients’ health autonomy. Such knowledge informs interventions that promote contraceptive use among women in the United States, addresses bias in health care broadly, and thus ultimately helps combat health disparities.

scholarly journals Knowledge and attitude towards contraceptive use among adolescents in Africa: a systematic review

2021 ◽  
Vol 10 (11) ◽  
pp. 4292
Author(s):  
Shallon Atuhaire ◽  
Jonas Ngendakumana ◽  
Ali Galadima ◽  
Ayoub Adam ◽  
Rodrigue B. Muderhwa
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Cultural Beliefs ◽  
Negative Attitude ◽  
Google Scholar ◽  
Care Providers ◽  
Unintended Pregnancies ◽  
Knowledge And Attitude

A 46% rate of unintended pregnancies among adolescents in Africa is a glaring notification of the barriers to contraception. There is little documentation of the knowledge and attitude towards contraceptive use among adolescents in Africa especially from systematic review perspective, which purposed this study. An E-literature search of the studies on the topic was conducted through PubMed, and Google Scholar, considering a period between January 2015 to August 2021. The search strategy used; “knowledge and attitude towards contraceptive use among adolescents in Africa”, which was sorted by date. The search resulted in 14,468 journal articles: 14,300 from Google Scholar, and 168 from PubMed but only 27 studies qualified for inclusion. Results indicate inadequate knowledge of contraception but this varies by age, level of education, marital status and geographical distribution. The majority of adolescents are aware of emergency contraception and traditional methods such as abstinence, lactational amenorrhea, and coïtus interruptus. Even with this knowledge, a larger proportion of adolescents do not use contraception due to limited access, misinformation on side effects and the negative attitude shaped by religious and socio-cultural beliefs and attitude of health care providers to them. Adolescent boys have more knowledge of contraception than the adolescent girls do but their use of contraceptives is not well documented. The low level of knowledge and negative attitude limits the use of these services and could be addressed by a well-informed approach on sexuality literacy and contraception that involves not only adolescents but also parents, the community and health care providers.

scholarly journals Barriers to Contraceptive Use Among Urban Adolescents and Youth in Conakry, in 2019, Guinea

2021 ◽  
Vol 2 ◽  
Author(s):  
Nafissatou Dioubaté ◽  
Hawa Manet ◽  
Charlotte Bangoura ◽  
Sidikiba Sidibé ◽  
Mariama Kouyaté ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Urban Adolescents ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Care System

Background: Despite efforts to improve access to family planning, contraceptive prevalence remains relatively low among adolescents and youth in Guinea. The objective of this study was to understand the barriers to the use of modern contraceptive methods among urban adolescents and youth (15–24 years) in Conakry, Guinea.Methods: This was a qualitative study using an exploratory design. It was conducted in the capital city of Guinea, Conakry in 2019. Respondents included adolescents and youth aged 15–24 years, health care providers, and parents of adolescents and youth. In-depth individual interviews (IDIs) and focus group discussions (FGDs) were used to collect the data. Sixty IDIs and ten FGDs were planned in Conakry. These data were recorded and transcribed, when applicable, from the local languages into French in an anonymous manner. The data were analyzed using a mixed (inductive and deductive) thematic approach following the elements of the socio-ecological model.Results: Overall, 56 IDIs and 10 FGDs were conducted with 136 participants and included in this analysis. Respondents were adolescents (16%), youth (30%), and key informants (54%) who were health care providers (public and private), decision-makers, parents of adolescents and youth, and neighbors. Among adolescent respondents, 75% were female, and of the youth, 61% were female. Our analysis indicates various and interrelated barriers that limit the access and use of contraceptives by adolescents and youth. These included the individual (fear of side effects, cost, and rumor-related misinformation), interpersonal or family (spouse perception and sexuality taboo and perception of sexual activity before marriage), sociocultural (religious prohibitions and ethnicity), and health care system (breakdown of contraceptive methods in public health facilities, perception of service delivery, provider attitudes, visiting hours, geographic proximity of services, and quality of training received by health care providers) barriers.Conclusion: In our context, the use of modern contraceptive methods by adolescents and youth is influenced by an interaction of various barriers, including individual, interpersonal, sociocultural, and health care system factors. Strengthening contraceptive uptake interventions by involving different stakeholders, including adolescents, parents, religious, and community leaders, and improving the quality of sexual and reproductive health services would help in reducing barriers to contraceptive use among adolescents and youth.

Intravascular Injection of Long-Acting Penicillin

PEDIATRICS ◽  
1987 ◽  
Vol 79 (1) ◽  
pp. 165-165
Author(s):  
PHILIP D. WALSON ◽  
GARY GALLETTA
Keyword(s):  
Health Care ◽  
Physical Properties ◽  
Health Care Providers ◽  
Delivery Systems ◽  
Care Providers ◽  
Intravascular Injection ◽  
Continued Education ◽  
Long Acting

To the Editor.— Recent discussions in Pediatrics (1985;75:785-786 and 1986;77:783-784) have pointed out the problems associated with intravascular injection of long-acting penicillins. There is an obvious need for continued education of health care providers concerning the physical properties of these agents and their delivery systems. Wyeth, the manufacturer of the Tubex cartridge system, has recently redesigned their product so that the flow of any aspirated blood is directed to one side of the glass barrel, immediately past the hub, where it can be more easily seen.

Identifying appropriate candidates for long-acting antiretroviral therapy: findings from a survey of health care providers in the ATLAS-2M trial

2020 ◽  
Vol 21 (4) ◽  
pp. 105-113
Author(s):  
Miranda Murray ◽  
Deanna Kerrigan ◽  
Krischan J. Hudson ◽  
Nicola Walters ◽  
Tahilin Sanchez Karver ◽  
...  
Keyword(s):  
Health Care ◽  
Antiretroviral Therapy ◽  
Health Care Providers ◽  
Care Providers ◽  
Long Acting

scholarly journals Multi-level considerations for optimal implementation of long-acting injectable antiretroviral therapy to treat people living with HIV: perspectives of health care providers participating in phase 3 trials

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea Mantsios ◽  
Miranda Murray ◽  
Tahilin S. Karver ◽  
Wendy Davis ◽  
Noya Galai ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health System ◽  
Health Care Providers ◽  
The United States ◽  
Provider Communication ◽  
Care Providers ◽  
Patient Provider Communication ◽  
Multi Level ◽  
Long Acting

Abstract Background Long-acting injectable antiretroviral therapy (LA ART) has been shown to be non-inferior to daily oral ART, with high patient satisfaction and preference to oral standard of care in research to date, and has recently been approved for use in the United States and Europe. This study examined the perspectives of health care providers participating in LA ART clinical trials on potential barriers and solutions to LA ART roll-out into real world settings. Methods This analysis draws on two data sources: (1) open-ended questions embedded in a structured online survey of 329 health care providers participating in the ATLAS-2 M trial across 13 countries; and (2) in-depth interviews with 14 providers participating in FLAIR/ ATLAS/ATLAS-2 M trials in the United States and Spain. Both assessments explored provider views and clinic dynamics related to the introduction of LA ART and were analyzed using thematic content analysis. The Consolidated Framework for Implementation Research (CFIR) was drawn on as the conceptual framework underpinning development of a model depicting study findings. Results Barriers and proposed solutions to LA ART implementation were identified at the individual, clinic and health system levels. Provider perceptions of patient level barriers included challenges with adhering to frequent injection appointments and injection tolerability. Proposed solutions included patient education, having designated staff for clinic visit retention, and clinic flexibility with appointment scheduling. The main provider concern was identifying appropriate candidates for LA ART; proposed solutions focused on patient provider communication and decision making. Clinic level barriers included the need for additional skilled individuals to administer injections, shifts in workflow as demand increases and the logistics of cold-chain storage. Proposed solutions included staff hiring and training, strategic planning around workflow and logistics, and the possibility of offering injections in other settings, including the home. Health system level barriers included cost and approvals from national regulatory bodies. Potential solutions included governments subsidizing treatment, ensuring cost is competitive with oral ART, and offering co-pay assistance. Conclusions Results suggest the importance of multi-level support systems to optimize patient-provider communication and treatment decision-making; clinic staffing, workflow, logistics protocols and infrastructure; and cost-related factors within a given health system.

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