IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0236018.html
   My bibliography  Save this article

The influence of health facility-level access measures on modern contraceptive use in Kinshasa, DRC

Author

Listed:
  • Saleh Babazadeh
  • Philip Anglewicz
  • Janna M Wisniewski
  • Patrick K Kayembe
  • Julie Hernandez
  • Jane T Bertrand

Abstract

Expanding access to family planning (FP) is a principal objective of global family planning efforts and has been a driving force of national family planning programs in recent years. Many country programs are working alongside with the international family planning community to expand access to modern contraceptives. However, there is a challenging need for measuring all aspects of access. Measuring access usually requires linking information from multiple sources (e.g., individual women and facilities). To assess the influence of access to family planning services on modern contraceptive use among women, we link four rounds of individual women and service delivery points survey data from PMA2020 in Kinshasa. Multilevel logistics regression on pooled data is performed to test the influence of facility-level access factors on individual-level contraceptive use. We add variables tailored from a conceptual framework to cover elements of access to family planning: administrative access, geographic or physical access, economic access or affordability, cognitive access, service quality, and psychological access. We find that the effect of community and facility-level access factors varies extensively but having fewer stocked-out facilities and more facilities with long-acting permanent methods (LAPM) increases the odds of using modern contraceptives among women in Kinshasa. Our study shows that reliable supply chain with a broad array of method mix will increase the odds of modern contraceptive use at community level among women in Kinshasa. Using to community-oriented practices and service delivery along with empowering women to make health-related decisions should become a priority of family planning programs and international stakeholders in the country.

Suggested Citation

  • Saleh Babazadeh & Philip Anglewicz & Janna M Wisniewski & Patrick K Kayembe & Julie Hernandez & Jane T Bertrand, 2020. "The influence of health facility-level access measures on modern contraceptive use in Kinshasa, DRC," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-20, July.
    • Handle: RePEc:plo:pone00:0236018
    DOI: 10.1371/journal.pone.0236018
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0236018
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0236018&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0236018?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Stephenson, R. & Tsui, A.O., 2003. "Contextual Influences on Reproductive Wellness in Northern India," American Journal of Public Health, American Public Health Association, vol. 93(11), pages 1820-1829.
    2. Kruk, M.E. & Paczkowski, M. & Mbaruku, G. & De Pinho, H. & Galea, S., 2009. "Women's preferences for place of delivery in rural Tanzania: A population-based discrete choice experiment," American Journal of Public Health, American Public Health Association, vol. 99(9), pages 1666-1672.
    3. Barbara Entwisle & Ronald Rindfuss & Stephen Walsh & Tom Evans & Sara Curran, 1997. "Geographic information systems, spatial network analysis, and contraceptive choice," Demography, Springer;Population Association of America (PAA), vol. 34(2), pages 171-187, May.
    4. Yao, Jing & Murray, Alan T. & Agadjanian, Victor, 2013. "A geographical perspective on access to sexual and reproductive health care for women in rural Africa," Social Science & Medicine, Elsevier, vol. 96(C), pages 60-68.
    5. Amy Tsui & Dennis Hogan & Jay Teachman & Carlos Welti-Chanes, 1981. "Community availability of contraceptives and family limitation," Demography, Springer;Population Association of America (PAA), vol. 18(4), pages 615-625, November.
    6. Gauthier, Bernard & Wane, Waly, 2011. "Bypassing health providers: The quest for better price and quality of health care in Chad," Social Science & Medicine, Elsevier, vol. 73(4), pages 540-549, August.
    7. Stock, Robert, 1983. "Distance and the utilization of health facilities in rural Nigeria," Social Science & Medicine, Elsevier, vol. 17(9), pages 563-570, January.
    8. Ryan Engstrom & Caetlin Ofiesh & David Rain & Henry Jewell & John Weeks, 2013. "Defining neighborhood boundaries for urban health research in developing countries: a case study of Accra, Ghana," Journal of Maps, Taylor & Francis Journals, vol. 9(1), pages 36-42, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bezu, Sosina & Binyaruka, Peter & Mæstad, Ottar & Somville, Vincent, 2021. "Pay-for-performance reduces bypassing of health facilities: Evidence from Tanzania," Social Science & Medicine, Elsevier, vol. 268(C).
    2. Patrick Guillaumont, 2011. "Aid effectiveness for poverty reduction:macroeconomic overview and emerging issues," CERDI Working papers halshs-00554285, HAL.
    3. Anooj Pattnaik & Diwakar Mohan & Amy Tsui & Sam Chipokosa & Hans Katengeza & Jameson Ndawala & Melissa A Marx, 2021. "The aggregate effect of implementation strength of family planning programs on modern contraceptive use at the health systems level in rural Malawi," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-16, November.
    4. Aoun, Nael & Matsuda, Hirotaka & Sekiyama, Makiko, 2015. "Geographical accessibility to healthcare and malnutrition in Rwanda," Social Science & Medicine, Elsevier, vol. 130(C), pages 135-145.
    5. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    6. Gulati, Namrata & Ray, Tridip, 2016. "Inequality, neighbourhoods and welfare of the poor," Journal of Development Economics, Elsevier, vol. 122(C), pages 214-228.
    7. Murawski, Lisa & Church, Richard L., 2009. "Improving accessibility to rural health services: The maximal covering network improvement problem," Socio-Economic Planning Sciences, Elsevier, vol. 43(2), pages 102-110, June.
    8. Lawrence N Kazembe, 2013. "A Bayesian Two Part Model Applied to Analyze Risk Factors of Adult Mortality with Application to Data from Namibia," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-10, September.
    9. Miho Sato & Deogratias Maufi & Upendo John Mwingira & Melkidezek T Leshabari & Mayumi Ohnishi & Sumihisa Honda, 2017. "Measuring three aspects of motivation among health workers at primary level health facilities in rural Tanzania," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-17, May.
    10. Bayu Begashaw & Fasil Tessema & Hailay Abrha Gesesew, 2016. "Health Care Seeking Behavior in Southwest Ethiopia," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-13, September.
    11. Sushma Rajbanshi & Mohd Noor Norhayati & Nik Hussain Nik Hazlina, 2021. "Perceptions of Good-Quality Antenatal Care and Birthing Services among Postpartum Women in Nepal," IJERPH, MDPI, vol. 18(13), pages 1-13, June.
    12. Tamar Goldenberg & Rob Stephenson, 2019. "Applying a deviance framework to understand modern contraceptive use in sub-Saharan Africa," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    13. Ikuo Ishibashi & Noriaki Matsushima, 2012. "Should Public Sectors Be Complements of Private Sectors?," Journal of Institutional and Theoretical Economics (JITE), Mohr Siebeck, Tübingen, vol. 168(4), pages 712-730, December.
    14. Yang Yu & Yijin Wu & Xin Xu & Yun Chen & Xiaobo Tian & Li Wang & Siyun Chen, 2021. "Spatial Disparities and Correlated Variables of Community Care Facility Accessibility in Rural Areas of China," Sustainability, MDPI, vol. 13(23), pages 1-14, December.
    15. Neely, Abigail H. & Ponshunmugam, Arunsrinivasan, 2019. "A qualitative approach to examining health care access in rural South Africa," Social Science & Medicine, Elsevier, vol. 230(C), pages 214-221.
    16. Holger Weckmüller & Carles Barriocanal & Roser Maneja & Martí Boada, 2019. "Factors Affecting Traditional Medicinal Plant Knowledge of the Waorani, Ecuador," Sustainability, MDPI, vol. 11(16), pages 1-12, August.
    17. Johns, Benjamin & Steinhardt, Laura & Walker, Damian G. & Peters, David H. & Bishai, David, 2013. "Horizontal equity and efficiency at primary health care facilities in rural Afghanistan: A seemingly unrelated regression approach," Social Science & Medicine, Elsevier, vol. 89(C), pages 25-31.
    18. Patrick GUILLAUMONT, 2009. "Aid effectiveness for poverty reduction: macroeconomic overview and emerging issues," Working Papers P05, FERDI.
    19. Arnab Bhattacharjee & Cornilius Chikwama & João Lourenço Marques, 2021. "Connections between research and policy: The case of fertility diffusion and regional demographic policy in Portugal," Regional Science Policy & Practice, Wiley Blackwell, vol. 13(3), pages 729-743, June.
    20. M. Hodgson & Soren Jacobsen, 2009. "A hierarchical location-allocation model with travel based on expected referral distances," Annals of Operations Research, Springer, vol. 167(1), pages 271-286, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0236018. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.