Acceptability of an on-demand pericoital oral contraceptive pill: a systematic scoping review

A total of 6260 unique references were identified; after screening, 30 papers met the inclusion criteria for the scoping review (see Fig. 1). The characteristics of the final 30 papers are summarised in Table 3.

Fig. 1figure 1

Flow chart showing the selection process

Table 3 Summary of paper characteristics

Papers reported on research conducted in 16 countries across five WHO regions: nine countries in Africa, including Benin [29], the Democratic Republic of Congo (DRC) [35], Ethiopia [26, 31], Ghana [11, 33, 36, 38, 39], Kenya [12, 27, 28, 30], Nigeria [27, 28, 30, 32], Somalia [34], Uganda [37] and Zambia [39]; three countries in the Americas, including the US [42, 44], Brazil [40, 43, 45] and Argentina [41]; two countries in South East Asia, including India [46, 48, 49] and Nepal [47]; one country in Eastern Mediterranean, in Iran [50]; and two countries in Europe, in Spain [52] and Serbia [51]. One paper reported on data from multiple international settings [10]; no research was identified from the Western Pacific.

Overall, 27 papers reported on data from urban settings [10,11,12, 26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44, 46,47,48,49,50], one paper on data from rural areas [35], and one on peri-urban areas [12]. Three papers did not specify urban or rural location [45, 51, 52].

The reviewed papers used qualitative (n = 12) [26, 31, 32, 34,35,36,37, 39, 40, 42, 44, 49], quantitative survey (n = 14) [27,28,29,30, 33, 38, 41, 43, 45,46,47,48, 50, 51], intervention or trial (n = 3) [10,11,12] and surveillance (n = 1) [52] approaches. Twenty four papers reported on the perspectives of end users (e.g., younger women, women of reproductive age, university students, male sexual partners) [10,11,12, 26,27,28,29,30,31,32,33,34,35,36,37,38,39, 41,42,43,44, 49, 52], nine papers on service providers (e.g., pharmacists, GPs, clinicians, midwives, community health workers) [26, 34, 40, 45,46,47,48, 50, 51], and four on other stakeholders (e.g., donors, policy makers, NGO workers) [26, 34, 37, 46].

With regard to type of on-demand oral contraceptive pill, 26 papers reported on ECPs [26, 28,29,30,31,32,

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