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Choices and constraints in reproductive health decision making among Malawian women

Dr. Alison Norris, College of Public Health, Epidemiology
Rank at time of award: Assistant Professor
and
Dr. Abigail Norris-Turner,  College of Public Health, Epidemiology
College of Medicine, Infectious Diseases
Rank at time of award: Assistant Professor

Abstract

We seek to study the health and well-being of women of reproductive age in Malawi by initiating a transdisciplinary collaboration between faculty at Ohio State and research partners in sub-Saharan Africa. With this innovative collaboration, we will collect pilot data which will, in turn, provide the foundation for a future large longitudinal cohort study in Malawi. This pilot project aims to assess women’s experiences, choices, and constraints in two realms: 1) fertility, family planning, pregnancy, and childbirth; and 2) HIV and sexually transmitted infection (STI) testing and treatment. The goals of this project are directly relevant to population science research by investigating decision-making and other behavioral aspects related to reproduction, fertility, contraception, and HIV/STI prevention. This research brings together scientists from OSU’s Colleges of Arts and Sciences, Medicine, and Public Health, as well as from Baylor College of Medicine and Malawi College of Medicine, who share a common interest in the health and well-being of reproductive age women, from three (often separate) perspectives: fertility and family planning, infectious diseases, and safe motherhood.

Publications resulting from this seed grant

2022. Hood R, Norris AH, Huber-Krum S, Garver S, Chapotera G, Turner AN. Food Insecurity and Adverse Pregnancy Outcomes among Rural Malawian Women. International Journal of Gynecology and Obstetrics. 2022 Feb; 156(2): 309–315. PMCID: PMC9808894 

2021. Bornstein M, Gipson J, Huber-Krum S, Norris AH. Infertility, perceived certainty of pregnancy, and contraceptive use in Malawi. Studies in Family Planning. 2021 DOI: 10.1111/sifp.12152 PMID:33899222 PMC9727708 

2021. Huber-Krum S, Bornsten M, Garver S, Gipson J, Chapotera G, Norris AH. Are rural Malawian women using their preferred contraceptive method and that of their male partners?  Contraception. DOI: 10.1016/j.contraception.2021.03.028 PMID: 33823139 PMC9721264

2020. Bornstein M, Huber-Krum S, Kaloga M, Norris AH. Messages around contraceptive use and implications in rural Malawi. Culture, Health & Sexuality. Jul 3:1-16. doi: 10.1080/13691058.2020.1764625. Online ahead of print. PMID: 32619393

2020. Huber-Krum S, Norris AH. Gender differences in perceived benefits of and barriers to modern contraceptive methods in rural Malawi. International Perspectives on Sexual and Reproductive Health. Aug 25;46:135-146. doi: 10.1363/46e9520. PMID: 32863268  

2020. Hood RB, Turner AN, Huber-Krum S, Lancaster K, Mwapasa V, Poindexter T, Nampandeni P, Esber A, Norris AH. For Human Papillomavirus Self-Sampling, Stated Willingness Does Not Correspond With Subsequent Uptake by Rural Malawian Women. Sexually Transmitted Diseases. 47(4):275-279. PMID: 32168286

2020. Chakraborty P, Norris AH, Huber-Krum S, Garver S, Hood R, Banda V, Esber A, Carr Reese P, Krysiak R, Norris Turner A. An Assessment of Risk Factors for HSV-2 Infection in Malawian Women and Men Using Two Classifications for the HerpeSelect 2 Test. Sexually Transmitted Diseases. 47(3):192-196. PMID: 31876866 

2019. Huber-Krum S, Garver S, Gipson J, Chapotera G, Norris AH. Contraceptive methods and features: What are women’s preferences in rural Malawi? African Journal of Reproductive Health.

2019. Harrington BJ, Turner AN, Chemey E, Esber A, Kwiek JJ, Norris AH. Who has yet to test? A risk score for predicting never having tested for HIV among women and men in rural Malawi. Sexually Transmitted Diseases. 46(6):416-421. PMID: 31095104
 

2019. Harrington BJ, Turner AN, Chemey E, Esber A, Kwiek JJ, Norris AH. Who has yet to test? A risk score for predicting never having tested for HIV among women and men in rural Malawi. Sexually Transmitted Diseases. 2019;46(6):416-421. PMID: 31095104 / PMCID: PMC6589335 

2019. Norris AH, Rao N, Huber-Krum S, Garver S, Chemey E, Turner AN. Scarcity mindset in reproductive health decision making: A qualitative study from rural Malawi. Culture, Health & Sexuality. DOI: 10.1080/13691058.2018.1562092. PMID: 30762482 

2018. Rao N, Esber A, Turner AN, Mowpia G, Banda J, Norris AH. Infertility and self-rated health among Malawian women. Women and Health. 2017; 14:1-13. PMID: 29240537

2018. Esber A, Norris AH, Jumbe E, Kandodo J, Nampandeni P, Reese PC, Turner AN.  Feasibility, validity and acceptability of self-collected samples for human papillomavirus (HPV) testing in rural Malawi. Malawi Medical Journal.; 30(2).  PMCID: PMC6307066

2017. Rao N*, Turner A, Harrington B, Nampandeni P, Banda V, Norris A. Correlations between intimate partner violence and spontaneous abortion, stillbirth, and neonatal death in rural Malawi. International Journal of Gynecology and Obstetrics. Jul; 138(1): 74–78. PMCID: PMC5987526

2017. Huber S, Esber A, Garver S, Banda V, Norris A. The Relationship Between Ambivalent and Indifferent Pregnancy Desires and Contraceptive Use Among Malawian Women. International Perspectives on Sexual and Reproductive Health (1). PMID: 28930624  

2016. Rao N*, Esber A, Turner A,, Chilewani J, Banda, V, Norris A. The impact of joint partner decision making on obstetric choices and obstetric outcomes among Malawian women. International Journal of Gynecology and Obstetrics (accepted April 2016) PMCID:PMC5881379
 
2016. Esber A*, Turner A, Gladson M, Norris A. Intravaginal practices among a cohort of women in rural Malawi. Sexual Health. April 2016. PMCID:PMC5117649