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An application of Systematic Anomalous Case Analysis to improve models predicting contraceptive use in the Philippines

Published online by Cambridge University Press:  05 April 2021

Subasri Narasimhan Open the ORCID record for Subasri Narasimhan [Opens in a new window]  and
Jessica D. Gipson Open the ORCID record for Jessica D. Gipson [Opens in a new window]
Subasri Narasimhan*
Affiliation:
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA Center for Reproductive Health Research in the Southeast, Emory University, Atlanta, GA, USA
Jessica D. Gipson
Affiliation:
Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA, USA
*
*Corresponding author. Email: subasrinara@emory.edu
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Abstract

Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) – a mixed-methods technique – was employed to examine predictors of women’s lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998–2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013–2014) for further examination. Qualitative findings from 24 women highlighted ‘control over life circumstances’ was critical, prompting the addition of two items to the original quantitative models predicting any contraceptive use (n=532). Each of the items, ‘what happens to [them] is their own doing’ and ‘[I] do not [have] enough control over direction life is taking [me]’, significantly and independently predicted any contraceptive use (aOR: 2.37 (CI: 1.24–4.55) and aOR: 0.46 (CI: 0.28–0.77), respectively). The findings demonstrate the utility of SACA to improve the understanding and measurement of sexual and reproductive health outcomes and underscore the importance of integrating psychosocial constructs into existing models of fertility and reproductive behaviour in the Philippines to improve sexual and reproductive health outcomes.

Keywords

PhilippinesContraceptionMixed methods
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 3 , May 2022 , pp. 384 - 397
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Adair, LS, Popkin, BM, Akin, JS, Guilkey, DK, Gultiano, S and Borja, J (2011) Cohort profile: the Cebu Longitudinal Health and Nutrition Survey. International Journal of Epidemiology 40(3), 619–625.CrossRefGoogle ScholarPubMed
Austria, CSR (2004) The church, the state and women’s bodies in the context of religious fundamentalism in the Philippines. Reproductive Health Matters 12(24), 96–103.CrossRefGoogle Scholar
Avila, JL and Wong, EL (2001) When face and husbands prevail: Dynamics of decisions and behavior regarding family planning in Cebu, Philippines. Phillippine Quarterly of Culture and Society 29(1/2), 79–104.Google Scholar
Axinn, WG and Pearce, LD (2006) Systematic anomalous case analysis. In Axinn, WG and Pearce, LD (eds) Mixed Method Data Collection Strategies. Cambridge University Press, New York.CrossRefGoogle Scholar
Biddlecom, AE, Casterline, JB and Perez, AE (1997) Spouses’ views of contraception in the Philippines. International Family Planning Perspectives 23(3), 108–115.CrossRefGoogle Scholar
Bongaarts, J (1978) A framework for analyzing the proximate determinants of fertility. Population and Development Review 4(1), 105–132.CrossRefGoogle Scholar
Cabral, E (2013) Reproductive health law in the Philippines. Journal of the ASEAN Federation of Endocrine Societies 28(1), 26–29.CrossRefGoogle Scholar
Casterline, JB, Perez, AE and Biddlecom, AE (1997) Factors underlying unmet need for family planning in the Philippines. Studies in Family Planning 28(3), 173–191.CrossRefGoogle ScholarPubMed
Congress of the Philippines (2013) Republic Act No. 10354, July 23, 2012. URL: http://www.gov.ph/2012/12/21/republic-act-no-10354 (accessed 12th December 2020).Google Scholar
Feranil, AB, Gultiano, SA and Adair, LS (2008) The Cebu longitudinal health and nutrition survey: two decades later. Asia-Pacific Population Journal 23(3), 39–54.CrossRefGoogle Scholar
Ford, L (2013) Philippines: where Catholics, condoms and conservatism collide over health. The Guardian. URL: https://www.theguardian.com/global-development/2013/may/30/philippines-catholics-condoms-conservatism (accessed 12th December 2020).Google Scholar
Gipson, JD, Gultiano, SA, Avila, JL and Hindin, MJ (2012) Old ideals and new realities: the changing context of young people’s partnerships in Cebu, Philippines. Culture Health & Sexuality 14(6), 613–627.CrossRefGoogle ScholarPubMed
Gipson, JD, Hicks, AL and Gultiano, SA (2014) Gendered differences in the predictors of sexual initiation among young adults in Cebu, Philippines. Journal of Adolescent Health 54(5), 599–605.CrossRefGoogle ScholarPubMed
Gipson, JD, Uysal, J, Narasimhan, S and Gultiano, S (2020) Using systematic anomalous case analysis to examine sexual and reproductive health outcomes in the Philippines. Studies in Family Planning 51(2), 139–159.CrossRefGoogle ScholarPubMed
Glaser, BG (1965) The constant comparative method of qualitative analysis. Social Problems 12(4), 436–445.CrossRefGoogle Scholar
Greene, ME and Biddlecom, AE (2000) Absent and problematic men: demographic accounts of male reproductive roles. Population and Development Review 26(1), 81–115.CrossRefGoogle Scholar
Hartmann, M, Gilles, K, Shattuck, D, Kerner, B and Guest, G (2012) Changes in couples’ communication as a result of a male-involvement family planning intervention. Journal of Health Communication 17(7), 802–819.CrossRefGoogle ScholarPubMed
Hussain, R and Finer, LB (2013) Unintended Pregnancy and Unsafe Abortion in the Philippines: Context and Consequences. Guttmacher Institute. URL: http://www.guttmacher.org/pubs/IB-unintended-pregnancy-philippines.pdf (accessed 12th December 2020).Google ScholarPubMed
ICF (2012) The DHS Program STATcompiler. URL: http://www.statcompiler.com (accessed 12th December 2020).Google Scholar
Law, S, Abdur-Rahman, A, Avni, M and Schaefer, L (2020) Defining and advancing gender-competent family planning service providers: a competency framework and technical brief. Human Resources for Health 2030, Chemonics International. URL: extension://oemmndcbldboiebfnladdacbdfmadadm/https://hrh2030program.org/wp-content/uploads/2020/07/HRH2030-Gender-Competencies-Brief.pdf (accessed 12th December 2020).Google Scholar
Law, S, Polig, A,and Tangcalagan, K (2019) Four Takeaways: Testing the Gender Competency Framework in the Philippines. URL: https://hrh2030program.org/four-takeaways-testing-the-gender-competency-framework-in-the-philippines/ (accessed 12th Decmeber 2020).Google Scholar
Lucea, MB, Hindin, MJ, Gultiano, S, Kub, J and Rose, L (2013) The context of condom use among young adults in the Philippines: implications for HIV prevention. Health Care Women International 34(3–4), 227–248.CrossRefGoogle ScholarPubMed
Marquez, MP, Kabamalan, MM and Laguna, E (2018) Traditional and modern contraceptive method use in the Philippines: trends and determinants 2003–2013. Studies in Family Planning 49(2), 95–113.CrossRefGoogle ScholarPubMed
Mason, KO and Smith, HL (2000) Husbands’ versus wives’ fertility goals and use of contraception: the influence of gender context in five Asian countries. Demography 37(3), 299–311.CrossRefGoogle ScholarPubMed
Medina, BTG (2015) The Filipino Family. University of Philippines Press, Quezon City.Google Scholar
Moore, AM, Keogh, S, Kavanaugh, M, Bankole, A, Mulambia, C and Mutombo, N (2014) Bucking social norms: examining anomalous fertility aspirations in the face of HIV in Lusaka, Zambia. Social Science & Medicine 119, 88–97.CrossRefGoogle ScholarPubMed
Ozaki, A, Guadalupe, A, Saquido, AB, Gepte, DF, Higuchi, A, Morita, T and Tanimoto, T (2017) Family planning as a possible measure to alleviate poverty in the Philippines – beyond sociocultural norms and pervasive opposition. International Journal of Health Policy and Management 6(11), 683–684.CrossRefGoogle ScholarPubMed
Pearce, LD (2002) Integrating survey and ethnographic methods for systematic anomalous case analysis. In Stolzenberg, RM (ed.) Sociological Methodology, Vol. 32, Blackwell Publishing, Malden, pp. 103–132.Google Scholar
Prata, N, Fraser, A, Huchko, MJ, Gipson, JD, Withers, M, Lewis, S et al. (2017) Women’s empowerment and family planning: a review of the literature. Journal of Biosocial Science 49(6), 713–743.CrossRefGoogle ScholarPubMed
Preciado, MA, Krull, JL, Hicks, A and Gipson, JD (2016) Using a dyadic logistic multilevel model to analyze couple data. Contraception 93(2), 113–118.CrossRefGoogle ScholarPubMed
PSA (2018) Quickstat. Philippine Statistics Authority. URL: https://psa.gov.ph/content/cebu-quickstat-june-2018 (accessed 12th December 2020).Google Scholar
PSA and ICF (2018) Philippines National Demographic and Health Survey 2017. Philippine Statistics Authority. URL: https://dhsprogram.com/pubs/pdf/FR347/FR347.pdf (accessed 12th December 2020).Google Scholar
Shattuck, D, Kerner, B, Gilles, K, Hartmann, M, Ng’ombe, T and Guest, G (2011) Encouraging contraceptive uptake by motivating men to communicate about family planning: the Malawi Male Motivator project. American Journal of Public Health 101(6), 1089–1095.CrossRefGoogle ScholarPubMed
Tsai, LC (2017) The process of managing family financial pressures upon community reentry among survivors of sex trafficking in the Philippines: a grounded theory study. Journal of Human Trafficking 3(3), 211–230.CrossRefGoogle Scholar
Upadhyay, UD, Gipson, JD, Withers, M, Lewis, S, Ciaraldi, EJ, Fraser, A, Huchko, M and Prata, N (2014) Women’s empowerment and fertility: a review of the literature. Social Science & Medicine 115, 111–120.CrossRefGoogle ScholarPubMed
Upadhyay, UD and Hindin, MJ (2006) Do perceptions of friends’ behaviors affect age at first sex? Evidence from Cebu, Philippines. Journal of Adolescent Health 39(4), 570–577.CrossRefGoogle ScholarPubMed
Upadhyay, UD, Hindin, MJ and Gultiano, S (2006) Before first sex: gender differences in emotional relationships and physical behaviors among adolescents in the Philippines. International Family Planning Perspectives 32(3), 110–119.CrossRefGoogle ScholarPubMed
USAID and Progress in Family Planning (2012) Increasing Men’s Engagement to Improve Family Planning Programs in South Asia. FHI 360, US Agency for International Development. URL: https://www.fhi360.org/resource/increasing-mens-engagement-improve-family-planning-programs-south-asia (accessed 12th December 2020).Google Scholar
Wiles, M, Agustin, S, Narasimhan, S and Gipson, JD (2018) Reproductive consequences of unwanted sexual debut among young adult women from Metro Cebu, Philippines. Health Care for Women International 39(8), 1–18.CrossRefGoogle Scholar