Undie Chi-Chi, RamaRao Saumya, Mbow Fatou Bintou
Reproductive Health Program, Population Council, Nairobi, Kenya.
Reproductive Health Program, Population Council, New York, NY, USA.
Patient Prefer Adherence. 2020 Sep 28;14:1761-1770. doi: 10.2147/PPA.S265503. eCollection 2020.
This study explored experiences of selecting and utilizing a newly introduced contraceptive - the progesterone vaginal ring (PVR) - among women seeking a contraceptive method in 3 African capital cities (Abuja, Nairobi, and Senegal). The study explored women's perceptions of, and lived experiences with, using the new product to better understand their reception of a new contraceptive. This understanding will help inform the design of programs to support women in their adoption and continued use of the PVR and other new contraceptives.
This longitudinal, qualitative study drew on an interpretive phenomenological approach, involving multiple in-depth interviews (IDIs) with 9 study participants over a 6-month period. Participants involved in the study were postpartum women seeking contraceptive services at participating clinics. A total of 25 IDIs were conducted, and a detailed "within-case" and "cross-case" analysis of participants' accounts was carried out to identify similar and dissimilar themes along descriptive, linguistic, and conceptual lines.
Four overarching themes emerged from the analysis. These themes circulated around the unconventionality of the PVR, which heightened its desirability among participants; the sense of comfort that women gained from opting to use the PVR over other FP methods; narratives of consideration that centered on women's partners, and that were important for ensuring the sustainability of women's PVR use; and the conundrums that women grappled with as they prepared to disengage from the PVR after two cycles of use.
The PVR is an acceptable contraceptive method to postpartum women in urban African settings. However, prior to its introduction into new country contexts, formative data on women's perceptions of, and reactions to, the product need to inform country preparation processes. Such information would be useful for tailoring counseling around this contraceptive, as well as for product marketing and robust uptake of the method.
本研究探讨了在3个非洲首都城市（阿布贾、内罗毕和达喀尔）寻求避孕方法的女性中选择和使用新引入的避孕药具——孕激素阴道环（PVR）的经历。该研究探究了女性对使用这种新产品的看法和实际体验，以更好地了解她们对新避孕药具的接受情况。这种了解将有助于为支持女性采用并持续使用PVR及其他新避孕药具的项目设计提供信息。
本纵向定性研究采用解释现象学方法，在6个月期间对9名研究参与者进行了多次深入访谈（IDI）。参与研究的参与者是在参与研究的诊所寻求避孕服务的产后妇女。共进行了25次IDI，并对参与者的叙述进行了详细的“个案内”和“跨案例”分析，以从描述、语言和概念层面确定相似和不同的主题。
分析得出了四个总体主题。这些主题围绕着PVR的非常规性展开，这增强了其在参与者中的吸引力；女性选择使用PVR而非其他计划生育方法所获得的舒适感；以女性伴侣为中心的考虑因素的叙述，这对于确保女性持续使用PVR很重要；以及女性在使用两个周期后准备停用PVR时所面临的难题。
在非洲城市环境中，PVR是产后女性可接受的避孕方法。然而，在将其引入新的国家环境之前，关于女性对该产品的看法和反应的形成性数据需要为国家准备过程提供信息。这些信息对于围绕这种避孕药具进行针对性咨询以及产品营销和该方法的广泛采用将是有用的。
