Factors to using non-medical contraceptive methods in sub-saharan africa: an umbrella review
Mots-clés :
natural family planning, female, condom, Burkina FasoRésumé
Introduction: Non-medical contraceptive methods, including natural methods, traditional methods, and barrier methods, have long been used worldwide to regulate fertility. With the advent of modern methods, these methods have fallen into disuse due to their low effectiveness. However, the use of these methods is resurfacing. No systematic review of the factors influencing the use of these methods has been found in the scientific literature. This study aims to identify the factors influencing the use of these methods in the sub-Saharan context.
Methods: This was an umbrella review. We conducted a literature search in the PubMed, Embase, CINHAL and Web of Science databases. Two independent authors made the selection. Three authors assessed the quality of included studies using the AMSTAR tool. We then carried out a narrative synthesis by grouping the factors according to the socio-ecological model.
Results: Seven (7) articles met the eligibility criteria. The main individual factors were age, medical history, standard of living and perceived benefits. Interpersonal factors included religious beliefs and spousal influence. Structural factors included the availability and accessibility of these methods.
Conclusion: The use of non-medical contraceptive methods poses a challenge for family planning programs. Communication strategies that include spouses and training for healthcare staff on these methods are needed. In addition, family planning providers should include advice on non-medical methods, not just medical methods, in order to better support women who choose these methods. This could help women to take greater control of their bodies in managing their fertility.
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