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Participants
Participants
Highlights and tentative recommendations
Highlights and tentative recommendations
While it's too early to draw firm conclusions from the preliminary, descriptive analysis, there are some initial highlights that stand out.
Knowledge
Most participants considered that they (initially) had poor knowledge about contraceptive options. This suggests that providing more detailed information about contraception, including LARC, needs to happen earlier, preferably at school age.
Method choice
The effectiveness of a contraceptive method was not always participant's the main consideration, in line with international studies. This points to the need for caregivers to appreciate and respect the different preferences, profiles, and situations that will lead some to choose a LARC and others not.
Interactions in contraceptive care
The clear preference was for a shared approach to decision-making and a more collaborative relationship between caregivers and patients. This is important because international research shows that the quality of the care-giving relationship and contraceptive counselling received influences women's overall satisfaction with their chosen method and the likelihood that they will maintain use of their chosen contraceptive method.15,21
Person-centred (or patient-centred) care appears to be especially important for Māori patients, who made reference to stigmatising experiences, whakamā, and silencing associated with these experiences and/or potentially talking about sexual matters. Further, some also expressed the preference that some expressed for having members of the whānau involved in contraceptive care. Key principles of client-centred care that would assist with these issues—and optimise care for all—are shown in the diagram alongside.
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