Document Detail

Menstruation requirements as a barrier to contraceptive access in Kenya.
MedLine Citation:
PMID:  10442109     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In many countries, non-menstruating women are routinely denied contraceptive services even when pregnancy can easily be ruled out. OBJECTIVE: To determine whether menstruation requirements in Kenya constitute a barrier to access for potential family planning clients. DESIGN: Prospective and retrospective observational study. SETTING: Nine family planning clinics in western Kenya. SUBJECTS: Women presenting as new clients at Ministry of Health family planning clinics. INTERVENTIONS: Researchers used prospective tracking and retrospective record reviews to compare the menstrual status of women presenting for family planning services with that of women who received methods in family planning clinics. MAIN OUTCOME MEASURES: Dichotomous outcomes (menstruating versus non-menstruating women). RESULTS: During the eight-week period that tally sheets were used in the one hospital and eight health centres, 45% of the 760 women presenting for services as new clients were not menstruating (clinic range = 19%-70%). In contrast, information from clinic registers and client records in the same nine clinics showed that the (weighted) proportion of registered new clients who were menstruating was 85% (n = 102). We estimated that 78% of non-menstruating women (35% of all potential new clients) were sent away without services. CONCLUSION: For most women turned away, it is likely that pregnancy could be ruled out easily with a history and an examination. Menstruation as a pre-condition for provision of contraception wastes valuable resources and denies women their right to contraception.
J Stanback; T Nutley; J Gitonga; Z Qureshi
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  East African medical journal     Volume:  76     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-08-31     Completed Date:  1999-08-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  KENYA    
Other Details:
Languages:  eng     Pagination:  124-6     Citation Subset:  IM    
Family Health International, Research Triangle Park, NC 27709, USA.
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MeSH Terms
Ambulatory Care Facilities / statistics & numerical data*
Contraceptive Agents
Family Planning Policy*
Health Services Accessibility
Prospective Studies
Refusal to Treat*
Retrospective Studies
Reg. No./Substance:
0/Contraceptive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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