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Recognizing and Addressing the Contraceptive Hesitancy-Acceptability Continuum: Adopting Lessons Learned From the Immunization Field

Year: 2024

Type: article

Abstract: Key Messages Given the similarities the family planning (FP) and immunization fields share, we recommend that the FP community consider adopting vaccine hesitancy lessons to take a promising new measurement, investigation, and programming direction. Specifically, building from the 5C scale for measuring vaccine hesitancy—with its components of confidence, constraints, complacency, calculation, and collective responsibility—the FP community can develop and use a new framework to identify and track the major drivers of contraceptive-related behaviors at individual- and community-levels, dubbed the “contraceptive hesitancy-acceptability continuum.” The continuum helps to reorient FP’s measurement approach from a largely binary focus on contraceptive use/non-use, need/met need to a multifaceted focus on the psychosocial context in which individuals make and act on decisions about their reproductive lives. Ultimately, this measurement reorientation will better position FP programs to help address individuals’ sexual and reproductive health needs, aspirations, and rights.

Source: Global Health Science and Practice

DOI: 10.9745/ghsp-d-24-00220

Authors: Madeleine Short Fabic, Amy Ong Tsui

Institutions: United States Agency for International Development, Johns Hopkins University

Language: English

Topic: Reproductive Health and Contraception

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404691584