Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 18
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Delany-Moretlwe, Sinéad Mullick, Saiqa Eakle, Robyn and Rees, Helen 2016. Planning for HIV preexposure prophylaxis introduction. Current Opinion in HIV and AIDS, Vol. 11, Issue. 1, p. 87.

    Laryea, Dennis Odai Ankobeah, Frank Morhe, Emmanuel S. K. Amoako, Yaw Ampem and Spangenberg, Kathryn 2016. Characteristics and contributory factors for injectable contraceptive usage among women in Kumasi, Ghana. Contraception and Reproductive Medicine, Vol. 1, Issue. 1,

    Schwandt, Hilary M. Skinner, Joanna Saad, Abdulmumin and Cobb, Lisa 2016. “Doctors are in the best position to know…”: The perceived medicalization of contraceptive method choice in Ibadan and Kaduna, Nigeria. Patient Education and Counseling, Vol. 99, Issue. 8, p. 1400.

    Tilahun, Y. Mehta, S. Zerihun, H. Lew, C. Brooks, M. I. Nigatu, T. Hagos, K. L. Asnake, M. Tasissa, A. Ali, S. Desalegn, K. and Adane, G. 2016. Expanding Access to the Intrauterine Device in Public Health Facilities in Ethiopia: A Mixed-Methods Study. Global Health: Science and Practice, Vol. 4, Issue. 1, p. 16.

    Ugaz, J. I. Chatterji, M. Gribble, J. N. and Banke, K. 2016. Is Household Wealth Associated With Use of Long-Acting Reversible and Permanent Methods of Contraception? A Multi-Country Analysis. Global Health: Science and Practice, Vol. 4, Issue. 1, p. 43.

    Curry, D. W. Rattan, J. Huang, S. and Noznesky, E. 2015. Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results. Global Health: Science and Practice, Vol. 3, Issue. 1, p. 25.

    Ross, J. Keesbury, J. and Hardee, K. 2015. Trends in the Contraceptive Method Mix in Low- and Middle-Income Countries: Analysis Using a New "Average Deviation" Measure. Global Health: Science and Practice, Vol. 3, Issue. 1, p. 34.

    Snow, Rachel C. Laski, Laura and Mutumba, Massy 2015. Sexual and reproductive health: Progress and outstanding needs. Global Public Health, Vol. 10, Issue. 2, p. 149.

    Rossier, Clémentine Senderowicz, Leigh and Soura, Abdramane 2014. Do Natural Methods Count? Underreporting of Natural Contraception in Urban Burkina Faso. Studies in Family Planning, Vol. 45, Issue. 2, p. 171.

    ROSS, JOHN and HARDEE, KAREN 2013. ACCESS TO CONTRACEPTIVE METHODS AND PREVALENCE OF USE. Journal of Biosocial Science, Vol. 45, Issue. 06, p. 761.

    Neukom, Josselyn Chilambwe, Jully Mkandawire, Joseph Mbewe, Reuben Kamoto and Hubacher, David 2011. Dedicated providers of long-acting reversible contraception: new approach in Zambia. Contraception, Vol. 83, Issue. 5, p. 447.

    Stuart, Gretchen S Moses, Agnes Corbett, Amanda Phiri, Grace Kumwenda, Wiza Mkandawire, Nkhafwire Chintedze, Joseph Malunga, Gabriel Hosseinipour, Mina Cohen, Myron S Stanczyk, Frank Z and Kashuba, Angela D.M 2011. Combined Oral Contraceptives and Antiretroviral PK/PD in Malawian Women: Pharmacokinetics and Pharmacodynamics of a Combined Oral Contraceptive and a Generic Combined Formulation Antiretroviral in Malawi. JAIDS Journal of Acquired Immune Deficiency Syndromes, Vol. 58, Issue. 2, p. e40.

    Prata, Ndola Passano, Paige Sreenivas, Amita and Gerdts, Caitlin Elisabeth 2010. Maternal mortality in developing countries: challenges in scaling-up priority interventions. Women's Health, Vol. 6, Issue. 2, p. 311.

    Tsui, A. O. McDonald-Mosley, R. and Burke, A. E. 2010. Family Planning and the Burden of Unintended Pregnancies. Epidemiologic Reviews, Vol. 32, Issue. 1, p. 152.

    Cleland, John 2009. Contraception in historical and global perspective. Best Practice & Research Clinical Obstetrics & Gynaecology, Vol. 23, Issue. 2, p. 165.

    Stuart, Gretchen S. 2009. Fourteen million women with limited options: HIV/AIDS and highly effective reversible contraception in sub-Saharan Africa. Contraception, Vol. 80, Issue. 5, p. 412.

    d'Arcangues, Catherine 2007. Worldwide use of intrauterine devices for contraception. Contraception, Vol. 75, Issue. 6, p. S2.

    Cleland, John Bernstein, Stan Ezeh, Alex Faundes, Anibal Glasier, Anna and Innis, Jolene 2006. Family planning: the unfinished agenda. The Lancet, Vol. 368, Issue. 9549, p. 1810.



  • DOI:
  • Published online: 23 August 2005

Contraceptive prevalence has been central to family planning research over the past few decades, but researchers have given surprisingly little consideration to method mix, a proxy for method availability or choice. There is no ‘ideal’ method mix recognized by the international community; however, there may be reason for concern when one or two methods predominate in a given country. In this article method skew is operationally defined as a single method constituting 50% or more of contraceptive use in a given country. Of 96 countries examined in this analysis, 34 have this type of skewed method mix. These 34 countries cluster in three groups: (1) sixteen countries in which traditional methods dominate, most of which are in sub-Saharan Africa; (2) four countries in which female sterilization predominates (India, Brazil, Dominican Republic and Panama); and (3) fourteen countries that rely on a single reversible method (the pill in Algeria, Kuwait, Liberia, Morocco, Sudan and Zimbabwe; the IUD in Cuba, Egypt, Kazakhstan, Kyrgyz Republic, Moldova, Turkmenistan and Uzbekistan; and the injectable in Malawi). A review of available literature on method choice in these countries provides substantial insight into the different patterns of method skew. Method skew in some countries reflects cultural preferences or social norms. Yet it becomes problematic if it stems from restrictive population policies, lack of access to a broad range of methods, or provider bias.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Journal of Biosocial Science
  • ISSN: 0021-9320
  • EISSN: 1469-7599
  • URL: /core/journals/journal-of-biosocial-science
Please enter your name
Please enter a valid email address
Who would you like to send this to? *