“I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in Tanzania
Drawing on 29 in-depth interviews with health care providers in Dar es Salaam, Tanzania, this paper describes providers’ attitudes and beliefs about contraceptive methods and the extent to which providers consider client choice and autonomy when providing contraceptive care. Interviews were analyzed...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | SSM: Qualitative Research in Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667321524001148 |
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| author | Alexandra Wollum Jessica D. Gipson Amon Sabasaba Mohamad I. Brooks Corrina Moucheraud |
| author_facet | Alexandra Wollum Jessica D. Gipson Amon Sabasaba Mohamad I. Brooks Corrina Moucheraud |
| author_sort | Alexandra Wollum |
| collection | DOAJ |
| description | Drawing on 29 in-depth interviews with health care providers in Dar es Salaam, Tanzania, this paper describes providers’ attitudes and beliefs about contraceptive methods and the extent to which providers consider client choice and autonomy when providing contraceptive care. Interviews were analyzed thematically using the constant comparative approach. Providers described a preference for long-acting reversible methods (i.e., implants and IUDs) primarily due to concerns regarding injectables’ slow return to fertility, exposure to hormones, and concerns about client adherence to pills or injectables. Providers understood the importance of centering a client’s preference to use a specific method and to have a method removed when the client desired. However, providers also described counseling clients toward their own preferences, highlighting a tension between what providers wanted for their clients and client preferences. While most providers described prioritizing client choice even when it contradicted their recommendation, some providers insisted on a certain outcome (e.g., a client taking up an implant), contradicting tenets of informed, full, and autonomous choice. Attention is needed to ensure providers center client autonomy and preferences and guarantee freedom from coercion in contraceptive care. |
| format | Article |
| id | doaj-art-179be393cac049e294bf4f4995db79de |
| institution | DOAJ |
| issn | 2667-3215 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Qualitative Research in Health |
| spelling | doaj-art-179be393cac049e294bf4f4995db79de2025-08-20T02:50:16ZengElsevierSSM: Qualitative Research in Health2667-32152024-12-01610050510.1016/j.ssmqr.2024.100505“I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in TanzaniaAlexandra Wollum0Jessica D. Gipson1Amon Sabasaba2Mohamad I. Brooks3Corrina Moucheraud4Department of Community Health Sciences, University of California, Los Angeles, USA; Corresponding author. 650 Charles E Young Dr S, Los Angeles, CA, 90095, USA.Department of Community Health Sciences, University of California, Los Angeles, USAHealth For a Prosperous Nation, TanzaniaPathfinder International, Washington D.C, USADepartment of Public Health Policy & Management, New York University, USADrawing on 29 in-depth interviews with health care providers in Dar es Salaam, Tanzania, this paper describes providers’ attitudes and beliefs about contraceptive methods and the extent to which providers consider client choice and autonomy when providing contraceptive care. Interviews were analyzed thematically using the constant comparative approach. Providers described a preference for long-acting reversible methods (i.e., implants and IUDs) primarily due to concerns regarding injectables’ slow return to fertility, exposure to hormones, and concerns about client adherence to pills or injectables. Providers understood the importance of centering a client’s preference to use a specific method and to have a method removed when the client desired. However, providers also described counseling clients toward their own preferences, highlighting a tension between what providers wanted for their clients and client preferences. While most providers described prioritizing client choice even when it contradicted their recommendation, some providers insisted on a certain outcome (e.g., a client taking up an implant), contradicting tenets of informed, full, and autonomous choice. Attention is needed to ensure providers center client autonomy and preferences and guarantee freedom from coercion in contraceptive care.http://www.sciencedirect.com/science/article/pii/S2667321524001148ContraceptionQuality of careProvidersLong-acting reversible contraception |
| spellingShingle | Alexandra Wollum Jessica D. Gipson Amon Sabasaba Mohamad I. Brooks Corrina Moucheraud “I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in Tanzania SSM: Qualitative Research in Health Contraception Quality of care Providers Long-acting reversible contraception |
| title | “I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in Tanzania |
| title_full | “I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in Tanzania |
| title_fullStr | “I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in Tanzania |
| title_full_unstemmed | “I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in Tanzania |
| title_short | “I am forced to just give it to her because she is the one who wants it”: A qualitative study of providers’ perspectives on contraceptive counseling in Tanzania |
| title_sort | i am forced to just give it to her because she is the one who wants it a qualitative study of providers perspectives on contraceptive counseling in tanzania |
| topic | Contraception Quality of care Providers Long-acting reversible contraception |
| url | http://www.sciencedirect.com/science/article/pii/S2667321524001148 |
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