The Population Council is an international, nonprofit, non-governmental organization. The Council conducts research in biomedicine, social science, and public health and helps build research capacities in developing countries. One-third of its research relates to HIV and AIDS; while its other major program areas are in reproductive health and its relation to poverty, youth, and gender. For example, the Population Council strives to teach boys that they can be involved in contraceptive methods regardless of stereotypes that limit male responsibility in child bearing. The organization held the license for Norplant contraceptive implant, and now holds the license for Mirena intrauterine system. The Population Council also publishes the journal Population and Development Review, which reports scientific research on the interrelationships between population and socioeconomic development. It also provides a forum for discussion on related issues of public policy and Studies in Family Planning, which focuses on public health, social science, and biomedical research involving sexual and reproductive health, fertility, and family planning..
OBJECTIVES:Several novel male contraceptive methods are currently in development, yet data on women's perspectives in their male partners' use is limited. We sought to understand US women's interest in new male contraceptive methods, reasons for interest, and identify subgroups most interested. STUDY DESIGN:In a national online survey of women aged 18-44 years old, recruited via Prime Panels, participants were asked about their interest in potential new male contraceptive methods. Multivariable regression analyses modeled the likelihood of expressing interest in these methods. RESULTS:1029 women completed the online survey (mean age 28.6 years), from 49 US states; 30.9% Black/African American; 11.6% Hispanic/Latina; 71.6% nulliparous; 49.0% not wanting a(nother) child). Two-thirds (67.5%) reported interest in their partners using a new male method. Reasons included shared responsibility (60.6%), dual protection (42.2%), and avoiding side effects (36.0%). Nearly three-quarters (72.5%) of interested women thought their partner would be willing to try a new male method. Adjusted multivariable logistic regression analysis showed that for each additional prior contraceptive method used and reason previous contraceptive method(s) was discontinued, there was 26% increased odds of interest in male methods (95% CIs 1.12, 1.40 and 1.04, 1.52, respectively). Having a child(ren) was associated with half (0.52) the odds of interest in a male method (95% CI 0.34, 0.81). Other socio-demographic/attitudinal variables were not associated. CONCLUSIONS:Over two-thirds of surveyed women expressed interest in new male methods. Women who used more contraceptive types and did not have children may be more likely to accept new male methods. IMPLICATIONS:Many U.S. women are interested in male methods of contraception and believe their partners would be willing to try such methods. Research regarding male contraception should continue to integrate men's and their partners' perspectives to effectively expand available family planning options.
BackgroundChildren exposed to polyvictimization (exposure to multiple types of victimization), experience severe impacts on health and well-being across the life course. While the prevalence, risk factors, and health consequences of polyvictimization have been well documented in lower-middle-income countries, there remains a significant knowledge gap regarding the situation in humanitarian contexts, particularly in refugee settings.ObjectivesWe examined the prevalence, risk, and protective factors of polyvictimization and its association with mental health outcomes in refugee settings in Uganda and Ethiopia.Data and methodsWe utilized data from the Uganda Humanitarian Violence Against Children and Youth Survey (HVACS) 2022, which included 1,338 females and 927 males, and the Ethiopia HVACS 2024, which comprised 1,937 females and 1,536 males. These were representative, cross-sectional household surveys of females and males aged 13-24 years living in refugee settlements in Uganda and Ethiopia. Analysis entailed cross-tabulation with chi-square test and estimation of a multivariate logistic regression model.ResultsIn both settings, males experienced higher rates of polyvictimization than females (49% vs.30% in Uganda and 33% vs. 29%. in Ethiopia). Several risk factors for childhood polyvictimization were identified at the individual level, including having a disability and endorsing intimate partner violence against women, and at the family level, such as having a difficult relationship with one's father and household food insecurity. Conversely, living in a female-headed household was found to be protective against childhood polyvictimization across both settings. Additionally, polyvictimization was significantly associated with higher odds of mental distress, self-harm, and suicidal ideation/attempts among females and males in both Uganda and Ethiopia refugee settings.ConclusionOur findings confirm that childhood polyvictimization is prevalent among refugee populations in Uganda and Ethiopia, with nuanced insights into the risk and protective factors. The challenging circumstances within these refugee settings may exacerbate polyvictimization and its consequences. Therefore, it is essential to prioritize preventive measures alongside response strategies in addressing polyvictimization in these contexts, starting much earlier in the life course.
BACKGROUND:Despite investments by the Nigerian government and international organisations in childhood immunisation to combat child mortality, coverage in many northern states remains below the national average, thereby increasing the risk of vaccine-preventable diseases. This paper examines the barriers to immunisation in six states in northeast and northwest Nigeria, which have the lowest vaccination coverage rates in the country. METHOD:We conducted 24 focus group discussions (FGDs) with mothers/caregivers and community influencers who collaborate with health workers to provide routine immunisation. The socio-ecological framework informed the design of the FGDs. We thematically analysed inductively and deductively coded data on NVivo version 12. RESULTS:Barriers to immunisation uptake included: Individual and interpersonal level - limited female mobility, adverse events after immunisation; community level - misconceptions and myths about vaccines, religious beliefs and norms, health provider-patient gender discordance, mistrust of immunisation; system level - poor health worker attitude, ineffective documentation of immunisation appointments, distance to health facilities, inadequate human resource capacity at health facilities, vaccine supply shortages, and lack of incentives. CONCLUSION:This study highlights the intricate barriers to immunisation uptake in northern Nigeria. Key recommendations include engaging male caregivers through tailored social and behavioural change initiatives and capacity building for health workers to improve their counselling skills on vaccine side effects. Findings from the study provide valuable insights for policymakers and programme implementers. Implementing these interventions can tackle ongoing challenges and improve routine immunisation in these states.
Abstract Background Premarital sex in India is hugely stigmatized. With the widespread use of mobile phones and the internet, attitudes and behaviors towards premarital sexual activities are inevitably shifting. This study investigates the impact of digital exposure, specifically mobile phones and the internet on premarital sex and contraception use among unmarried Indian youths. Methodology Utilizing data from the 5th National Family Health Survey, the analysis includes 172,568 women and 33,397 men aged 15–29 years. The study applies univariate, bivariate, and multivariate statistical methods, such as Chi-square tests and Multiple Logistic Regression. Propensity Score matching addresses selection bias, estimating the impact of digital exposure on premarital sexual activities and condom use. Results The findings show that youth exposed to mobile phones and the internet are more likely to engage in premarital sex and use condoms during their first sexual encounter. Specifically, 13.46% of men and 2.83% of women reported premarital sex, with 60.84% of men using condoms at first sex. These behaviors are significantly associated with age, education, urban residence, and mass media exposure. Conclusion Digital exposure significantly influences premarital sexual behaviors and contraception use among unmarried Indian youth. Adoption of mobile devices and internet usage in India should be accompanied by the implementation of holistic and culturally appropriate technology-driven interventions to provide sex education in India.
BACKGROUND:Long-acting reversible contraceptives (LARCs), including implants and intrauterine contraceptive devices (IUCDs), are essential in preventing unintended pregnancies and empowering women by providing long-term, reliable contraception that supports informed decision-making about family planning and reproductive health. However, their uptake and acceptability remain low in Ethiopia due to various individual, social, and systemic barriers. This study systematically reviews the factors influencing LARC acceptability and utilization among Ethiopian women, adolescents, and healthcare providers, using the Capability, Opportunity, Motivation, and Behaviour (COM-B) framework. METHODS:A systematic search of PubMed, Embase, Scopus, African Journals OnLine, and EBSCOhost (CINAHL) was conducted, along with gray literature sources, to identify studies published between January 2021 and June 2024. Inclusion criteria encompassed studies conducted in Ethiopia that examined the acceptability and utilization of LARCs, focusing on implants and IUCDs. The types of studies considered included quantitative, qualitative, and mixed-method designs, focusing on postpartum, post-abortion, and nonpostpartum women, adolescents, and healthcare providers. Data on barriers, facilitators, and associated factors of acceptability and utilization were extracted, and the findings were mapped to the COM-B framework. Atlas.ti v.9 software was used in the analysis process. RESULTS:A total of 58 cross-sectional, qualitative, and mixed-method studies were included, encompassing diverse Ethiopian populations and geographies. Among immediate and extended postpartum women, barriers included limited awareness and fear of insertion pain for IUCDs, low awareness, and limited access to LARCs, while postpartum counselling emerged as a facilitator. For adolescents, social stigma, male partner disapproval, and misconceptions about LARC side effects were prominent barriers; school-based education and youth-friendly services supported acceptability. Healthcare providers noted inadequate training on family planning methods as a barrier, while targeted training improved their confidence in recommending LARCs. Nonpostpartum women frequently cited partner opposition and cultural beliefs as barriers, but family planning programs with partner engagement facilitated greater acceptance. CONCLUSIONS:The findings highlight an urgent need to expand community-based education programs to dispel myths and misconceptions about LARCs, particularly in rural and pastoral regions. Prioritizing provider training to improve counselling and service delivery, alongside engaging male partners in family planning discussions, is essential for enhancing LARC utilization and meeting reproductive health needs in Ethiopia. SYSTEMATIC REVIEW REGISTRATION:PROSPERO CRD42024594288.
