Chilinda Idesi, Cooke Alison, Lavender Dame Tina
The University of Manchester, School of Health Sciences, Division of Nursing, Midwifery and Social Work.
Afr J Reprod Health. 2021 Apr;25(2):162-170. doi: 10.29063/ajrh2021/v25i2.16.
Contraceptive use in sub-Saharan Africa remains low, with a minimal rise from 23.6% to 28.5% between 2008 and 2015. Unmet needs for contraception remain a public health concern in low and middle-income countries. The objectives of this systematic review were to explore the perceptions of women and men accessing family planning services; and the perceptions of healthcare professionals delivering family planning services in low and middle-income countries. Literature search was limited to studies published in English in the period from 2000 to 2017. Thirty studies included in this review were identified from CINAHL, BNI, EMBASE, PsycINFO, MIDIRS and MEDLINE databases. A narrative synthesis, was adopted to synthesise the findings. Findings indicate a lack of awareness of contraception amongst women and men. Experienced and perceived side effects of contraceptives influence contraceptive continuation and discontinuation. Evidence from this review points to the need for awareness of contraception to dispel myths and misperceptions regarding modern contraception.
撒哈拉以南非洲地区的避孕措施使用率仍然很低，2008年至2015年间仅从23.6% 微升至28.5%。在低收入和中等收入国家，未满足的避孕需求仍然是一个公共卫生问题。本系统综述的目的是探讨接受计划生育服务的女性和男性的看法；以及在低收入和中等收入国家提供计划生育服务的医疗保健专业人员的看法。文献检索仅限于2000年至2017年期间以英文发表的研究。本综述纳入的30项研究是从CINAHL、BNI、EMBASE、PsycINFO、MIDIRS和MEDLINE数据库中识别出来的。采用叙述性综合法来综合研究结果。研究结果表明，女性和男性对避孕措施缺乏认识。避孕药具的实际和感知副作用会影响继续使用和停止使用避孕药具。本综述的证据表明，需要提高对避孕措施的认识，以消除有关现代避孕方法的误解和错误观念。
