Amy O Tsui 1, Carolina Cardona 1, Varsha Srivatsan 1, Funmilola OlaOlorun 2, Elizabeth Omoluabi 3 4, Pierre Akilimali 5, Peter Gichangi 6 7 8, Mary Thiongo 6; PMA Agile Team 9; Scott Radloff 1, Philip Anglewicz 1
Affiliations
- 1Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
- 2University of Ibadan, Ibadan, Nigeria.
- 3Center for Research, Evaluation Resources and Development, Ile-Ife, Osun, Nigeria.
- 4Statistics and Population Studies Department, University of the Western Cape, Bellville, South Africa.
- 5University of Kinshasa, Kinshasa, Democratic Republic of Congo.
- 6International Center for Reproductive Health, Nairobi, Kenya.
- 7Technical University of Mombasa, Mombasa, Kenya.
- 8Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Gent, Belgium.
- 9The following are other members of the PMA Agile Team: Titilope Akinlose, United Nations Foundation, Washington DC, USA; Georges Guiella and Bazie Fiacre, Institut Supérieur des Sciences de la Population, Joseph Ki-Zerbo University, 03 BP 7118 Ouagadougou, Burkina Faso; P. R. Sodani and Anupam Mehrotra, Indian Institute of Health Management and Research, Jaipur, India; Sani Oumarou and Souleymane Alzouma, Institut National de la Statistique du Niger, Niamey, Niger.
PMID: 34383305 DOI: 10.1111/sifp.12172
Abstract
The consistency of self-reported contraceptive use over short periods of time is important for understanding measurement reliability. We assess the consistency of and change in contraceptive use using longitudinal data from 9,390 urban female clients interviewed in DR Congo, India, Kenya, Niger, Nigeria, and Burkina Faso. Clients were interviewed in-person at a health facility and four to six months later by phone. We compared reports of contraceptive use at baseline with recall of baseline contraceptive use at follow-up. Agreement between these measures ranged from 59.1 percent in DR Congo to 84.4 percent in India. Change in both contraceptive method type (sterilization, long-acting, short-acting, nonuse) and use status (user, nonuser, discontinuer, adopter, switcher) was assessed comparing baseline to follow-up reports and retrospective versus current reports within the follow-up survey. More change in use was observed with panel reporting than within the cross section. The percent agreement between the two scenarios of change ranged from 64.8 percent in DR Congo to 84.5 percent in India, with cross-site variation. Consistently reported change in use status was highest for nonusers, followed by users, discontinuers, adopters, and switchers. Inconsistency in self-reported contraceptive use, even over four to six months, was nontrivial, indicating that studying measurement reliability of contraceptive use remains important.
© 2021 The Authors. Studies in Family Planning published by Wiley Periodicals LLC on behalf of Population Council.
Link
