Family planning in Pacific Island countries and territories (PICTs): a scoping review

Harrington, Relmah, Harvey, Nichole, Larkins, Sarah, and Redman-MacLaren, Michelle (2021) Family planning in Pacific Island countries and territories (PICTs): a scoping review. PLoS ONE, 16 (8). e0255080.

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Abstract

The use of contraceptives for family planning improves women’s lives and may prevent maternal deaths. However, many women in low and middle-income countries, including the Pacific region, still die from pregnancy-related complications. While most health centres offer family planning services with some basic contraceptive methods, many people do not access these services. More than 60% of women who would like to avoid or delay their pregnancies are unable to do so. This scoping review identifies and analyses evidence about family planning service provision in Pacific Island Countries and Territories (PICTs), with the aim of better informing family planning services for improved maternal health outcomes in the Pacific. We used Arksey and O’Malley’s scoping review guidelines, supported by Levac, Colquhoun and O’Brien to identify gaps in family planning service provision. Selected studies included peer-reviewed publications and grey literature that provided information about family planning services from 1994 to 2019. Publication data was charted in MS Excel. Data were thematically analysed and key issues and themes identified. A total of 45 papers (15 peer-reviewed and 30 grey literature publications) were critically reviewed. Five themes were identified: i) family planning services in the Pacific; ii) education, knowledge and attitudes; iii) geographical isolation and access; iv) socio-cultural beliefs, practices and influences; and v) potential enabling factors for improved family planning, such as appropriate family planning awareness by health care providers and services tailored to meet individual needs. While culture and religion were considered as the main barriers to accessing family planning services, evidence showed health services were also responsible for limiting access. Family planning services do not reach everyone. Making relevant and sustainable improvements in service delivery requires generation of local evidence. Further research is needed to understand availability, accessibility and acceptability of current family planning services for different age groups, genders, social and marital status to better inform family planning services in the Pacific.

Item ID: 69579
Item Type: Article (Research - C1)
ISSN: 1932-6203
Keywords: Contraception; Family Planning; Pacific Island Countries; Maternal Health
Copyright Information: Copyright: © 2021 Harrington et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Research Data: https://research.jcu.edu.au/data/published/07d0933d17f3070f5e5e38da36bfdfff/
Date Deposited: 15 Oct 2021 01:49
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion @ 40%
42 HEALTH SCIENCES > 4204 Midwifery > 420499 Midwifery not elsewhere classified @ 20%
42 HEALTH SCIENCES > 4205 Nursing > 420503 Community and primary care @ 40%
SEO Codes: 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200509 Women's and maternal health @ 100%
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