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Article

Misconceptions and Unmet Need for Modern Contraception among Cambodian Females: A Mix Methods Study

1
Faculty of Health, School of Health and Social Development, Deakin University, Burwood, VIC 3125, Australia
2
Faculty of Health, Arts & Design, Department of Health Sciences and Biostatistics, Swinburne University, Hawthorn, VIC 3122, Australia
3
Deakin Biostatistics Unit, Faculty of Health, Deakin University, Geelong, VIC 3220, Australia
*
Author to whom correspondence should be addressed.
Received: 14 October 2020 / Revised: 25 October 2020 / Accepted: 30 October 2020 / Published: 12 November 2020
(1) Background: Women using unreliable traditional contraception need to be included in the proportion of women having an ‘unmet need for modern contraception’ instead of the current classification which presumes they have a ‘met need’. (2) Methods: Mix methods research design comprising initial quantitative analyses utilizing data from the nationally representative 2014 Cambodian Demographic and Health Survey (CDHS) for 4823 Cambodian, sexually active females aged 15–29 years. Then a qualitative phase explored knowledge about the menstrual cycle and misconceptions about modern contraception with 30 females aged 15–29 years in urban Cambodia using semi-structured interviews, transcribed verbatim with quality checks. Purposive and snowball sampling strategies were used until data saturation was reached. Inductive thematic data analysis was conducted; (3) Results: Unmet need for modern contraception increased to 25.4% when traditional contraception users were included. The qualitative themes show women have a lack of information about the menstrual cycle and misconceptions about modern contraception which contributed to increased use of traditional contraception; (4) Conclusion: Major drivers of increased unmet need for modern contraception include lack of literacy, misconceptions and low autonomy to choose modern contraception. Cambodia needs to endorse a policy shift to implement targeted, countrywide sexual and reproductive health literacy and family planning services. View Full-Text
Keywords: adolescents; unintended pregnancies; contraception failure; abortion, induced; family planning services; sexual and reproductive health adolescents; unintended pregnancies; contraception failure; abortion, induced; family planning services; sexual and reproductive health
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MDPI and ACS Style

Rizvi, F.; Williams, J.W.; Bowe, S.J.; Hoban, E. Misconceptions and Unmet Need for Modern Contraception among Cambodian Females: A Mix Methods Study. Sexes 2020, 1, 41-59. https://0-doi-org.brum.beds.ac.uk/10.3390/sexes1010005

AMA Style

Rizvi F, Williams JW, Bowe SJ, Hoban E. Misconceptions and Unmet Need for Modern Contraception among Cambodian Females: A Mix Methods Study. Sexes. 2020; 1(1):41-59. https://0-doi-org.brum.beds.ac.uk/10.3390/sexes1010005

Chicago/Turabian Style

Rizvi, Farwa, Joanne W. Williams, Steven J. Bowe, and Elizabeth Hoban. 2020. "Misconceptions and Unmet Need for Modern Contraception among Cambodian Females: A Mix Methods Study" Sexes 1, no. 1: 41-59. https://0-doi-org.brum.beds.ac.uk/10.3390/sexes1010005

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