Publications by authors named "Alexandra Angel"

RésuméLe diaphragme Caya, de taille unique, est une méthode de contraception efficace dans multiples contextes. Pourtant, la recherche sur son acceptabilité, utilisation, et continuation en Afrique de l'Ouest francophone reste limitée. Ce projet pilote a introduit Caya à Cotonou et Bohicon, Bénin pour mieux comprendre comment Caya est utilisé.

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Introduction: High-quality contraceptive counseling is critical for supporting full, free, and informed contraceptive decision-making. However, the quality of family planning counseling remains poor globally and is too often not tailored to the individual client. The Counseling for Choice (C4C) approach comprises provider tools and training to structure counseling to center clients' self-identified priorities and to provide relevant information and anticipatory side effects counseling.

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Introduction: Diaphragms have never been widely available in West Africa, a region with very low contraceptive use due in part to health system constraints and low demand for other modern methods of contraception. Research has demonstrated the single-size Caya contoured diaphragm to be a safe and effective barrier method of nonhormonal, self-care contraception, offering features that improve upon the design of traditional diaphragms. No studies have measured continuation of Caya.

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Despite considerable investment and effort, unmet need for contraception remains an obstacle to improved family planning outcomes. One influencing factor is the frequency of contraceptive discontinuation among users who desire to prevent pregnancy, often due to method-related concerns and side effects. Contraceptive users have the right to be supported during counseling to voluntarily choose methods that align with their individual needs and preferences.

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