Measuring misaligned contraceptive use among reproductive-aged women in Kisumu, Kenya: a cross-sectional, population-based study
Measuring misaligned and non-preferred contraceptive method use has implications for family planning measurement and programming. Our results demonstrate the importance of capturing contraceptive desires rather than assuming an implicit desire for contraception among those who do not desire pregnancy. Further, incorporating method preferences into misaligned use provides additional detail on who does and does not have their contraceptive desires met. Finally, measuring misaligned and non-preferred method use highlights subsets of populations who may benefit from additional contraceptive programming to improve contraceptive access or enable method discontinuation or switching, and therefore can be imperative to ensuring that individuals have their reproductive desires realised.
Authors
- Leigh Senderowicz (ORCID: https://orcid.org/0000-0002-6713-1473)
- Ginger Golub (ORCID: https://orcid.org/0000-0002-0669-4758)
- Brooke W. Bullington (ORCID: https://orcid.org/0000-0002-3341-087X)
- Brian G. Frizzelle (ORCID: https://orcid.org/0000-0002-7705-0204)
- Katherine Tumlinson (ORCID: https://orcid.org/0000-0001-8314-8219)
- Dickens Onyango (ORCID: https://orcid.org/0000-0002-1634-0531)
- Emilia Goland (ORCID: https://orcid.org/0009-0007-7407-4298)
- Ben Wekesa
- C. Rothschild (ORCID: https://orcid.org/0000-0002-2419-9881)
- Stephanie Chung (ORCID: https://orcid.org/0000-0002-2383-0512)
- Abigael Mwanyiro
Institutions
- University of North Carolina at Chapel Hill (US)
- Family Health International 360 (US)
- Innovations for Poverty Action (US)
- University of Wisconsin–Madison (US)
- Population Services International (US)
- Great Lakes University of Kisumu (KE)
Publication Details
- Journal
- BMJ Public Health
- Published
- 2025-03-01
- DOI
- https://doi.org/10.1136/bmjph-2024-001671
- Citations
- 4
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 13.98
Funders
- National Institutes of Health
- National Institute of Child Health and Human Development
- Carolina Population Center, University of North Carolina at Chapel Hill