Developing a theoretical framework for understanding the role of contextual influences on contraceptive choice

Issues: Little is known about the social and economic influences that drive women'sr choice in contraception. Additionally, women's individual needs change as their life circumstances evolve. Identifying influences within these contexts, and modeling the evolution of these factors, is an important step towards supporting women in choosing their own reproductive path. Once these influences are better understood, researchers will be able to support women in choosing methods that meet their needs, for each of their life stages, and avoid unintended pregnancy. Description: This project aims to develop a theoretical framework for organizing and understanding the factors influencing women's contraceptive choice. Research in this field has primarily focused on individual factors affecting contraceptive choice for specific populations. A comprehensive, multi-level model for understanding when and where possible influences originate is not available. This framework will be a tool for researchers to use to investigate and quantify influences in order to improve adoption of effective contraceptive methods. Lessons Learned: Using the ecological systems theory, theory of gender and power, life course perspective and social cognitive theory, I have designed a framework that will be useful in categorizing factors found to be significant in previous research as well as identifying gaps for future investigation. Recommendations: It has become increasingly important for researchers to work together to explore all avenues for improving access to contraception that meets women's diverse needs. The adoption of this framework will allow researchers and advocates to contribute to an inclusive model that outlines new research and intervention opportunities.