{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T01:23:31Z","timestamp":1790904211119,"version":"4.1.0"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1163880"],"award-info":[{"award-number":["OPP1163880"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1079004"],"award-info":[{"award-number":["OPP1079004"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Universal access to quality sexual and reproductive health (SRH) services is pivotal to ensuring gender equality. In high-income countries, patient-provider interactions have been shown to shape women\u2019s decisions about contraception, with poor exchanges decreasing method uptake and satisfaction. While significant progress has been made to increase women\u2019s access to SRH services, in low- and middle-income countries, little is known about the quality of family planning patient-provider interactions. The primary objective of this analysis was to explore the role of health care providers in women\u2019s family planning decision-making in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From July to August 2017, 10 focus group discussions (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200980) and 30 in-depth interviews were conducted with women aged 15\u201349 and men aged 18+ recruited via purposive sampling from urban and rural sites in Ethiopia. Semi-structured interview guides explored women\u2019s and girls\u2019 empowerment in SRH surrounding sex, childbearing, and contraception. All interviews were conducted in Amharic, audio-recorded, and transcribed verbatim into English. Inductive thematic analysis was used to analyze data. Eleven codes specific to provider services for family planning were reviewed and matrixes creates for synthesis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three primary themes emerged: the role of providers in women\u2019s awareness of and demand for family planning services; selection and uptake of contraceptive methods; and discontinuation and switching of contraceptive methods. Results indicate that health extension workers were central to women\u2019s awareness of family planning, and health providers\u2019 endorsements were instrumental in decisions to adopt methods. The majority of respondents described positive interactions with providers and appreciated thorough counseling when considering using or switching methods. Some women, however, described health providers directing them toward long-acting methods by communicating inaccurate information or emphasizing disadvantages of short-acting methods. A few women described provider reluctance or resistance to switching methods, especially from implants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women shared many narratives about the central roles health providers played in their awareness and decision-making for family planning. Those narratives also included provider bias against women\u2019s preferred methods. Further research and program assessments are needed to ascertain the extent to which these biases hinder women\u2019s decision-making autonomy in using contraception.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12905-020-01034-1","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T08:03:47Z","timestamp":1597219427000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["\u201cYou better use the safer one\u2026 leave this one\u201d: the role of health providers in women\u2019s pursuit of their preferred family planning methods"],"prefix":"10.1186","volume":"20","author":[{"given":"Robel","family":"Yirgu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4389-3526","authenticated-orcid":false,"given":"Shannon N.","family":"Wood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celia","family":"Karp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Tsui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Moreau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,8,12]]},"reference":[{"key":"1034_CR1","unstructured":"UN Women. Spotlight on sustainable development goal 5: achieve gender equality and empower all women and girls. New York: United Nations; 2017."},{"key":"1034_CR2","unstructured":"International Planned Parenthood Federation. Sexual and reproductive health and rights \u2013 the key to gender equality and women\u2019s empowerment. London: International Planned Parenthood Federation (IPPF); 2015."},{"key":"1034_CR3","unstructured":"United Nations. The sustainable development goals report. New York: United Nations; 2019."},{"key":"1034_CR4","doi-asserted-by":"publisher","unstructured":"Blanc AK. The effect of power in sexual relationships on sexual and reproductive health: an examination of the evidence. Stud Fam Plan. 2001;32(3):189\u2013213.\u00a0https:\/\/doi.org\/10.1111\/j.1728-4465.2001.00189.x.","DOI":"10.1111\/j.1728-4465.2001.00189.x"},{"key":"1034_CR5","unstructured":"Kavanaugh ML, Anderson RM. Contraception and beyond: the health benefits of services provided at family planning centers. 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Informed consent was obtained from all participants; consent to participate was verbal in Ethiopia in accordance with AAU IRB and the National Research Ethics Committee guidelines, and is consistent with standard PMA2020 procedures for Ethiopia.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"170"}}