Oral Contraceptives: Analyzing Effectiveness and Utilization Challenges to Improve Reproductive Health Outcomes

Balisa Mosisa Ejeta¹*, Malay K Das ¹, Sanjoy Das ¹

This analysis is crucial for identifying barriers to oral contraceptive use, enhancing effectiveness, and improving reproductive health outcomes for diverse populations.

Abstract

Background: Oral contraceptives (OCs) are widely used for preventing unintended pregnancies and offering various reproductive health benefits. However, their utilization is influenced by numerous factors, including access, education, and cultural beliefs. This meta-analysis aims to systematically review studies from 2019 to 2023 focusing on OC utilization patterns and effectiveness. Methods: A comprehensive search across PubMed, Scopus, and Google Scholar identified 50 relevant articles, from which nine studies were selected based on predefined criteria. Data extraction included demographic factors, adherence rates, side effects, access to OCs, and pregnancy outcomes. Quality assessments were performed using the Newcastle-Ottawa Scale and the Cochrane Risk of Bias tool, followed by statistical analysis using random-effects models. Results: The analysis revealed a pregnancy rate as low as 0.3% among perfect OC users, showcasing their high effectiveness. However, significant barriers persist, including poor adherence, discontinuation due to side effects, and disparities in access, particularly in low-income regions. Cultural perceptions and insufficient education further hinder optimal OC utilization. Conclusion: While OCs represent a reliable contraceptive method with substantial health benefits, ongoing challenges impede their optimal use. A multifaceted approach focusing on improved education, enhanced healthcare provider counseling, and targeted access initiatives is essential to increase OC utilization and reproductive health outcomes globally. Addressing these challenges will empower individuals to make informed family planning decisions, ultimately reducing unintended pregnancies and enhancing quality of life.

Keywords: Oral Contraceptives, Utilization Patterns, Effectiveness, Adherence, Reproductive Health

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