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Women's preferences for contraceptive counseling in Mexico: Results from a focus group study.

Kelsey HoltIcela ZavalaXimena QuinteroDoroteo MendozaMarie C McCormickChristine DehlendorfEllice LiebermanAna Langer
Published in: Reproductive health (2018)
Findings shed light on under-represented perspectives of clients related to counseling preferences. They highlight specific avenues for service delivery improvement in Mexico to ensure clients experience privacy, confidentiality, informed choice, respectful treatment, and personalized counseling-including around reasons for higher IUD expulsion rates postpartum-during contraceptive visits. Findings suggest interventions to improve provider counseling should prioritize a focus on relationship-building to foster trust, and needs assessment skills to facilitate personalization of decision-making support without imposition of a provider's personal opinions. Trust is particularly important to address in family planning given historical abuses against women's autonomy that may still influence perspectives on contraceptive programs. Findings can also be used to improve quantitative client experience measures.
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