What question did this study set out to answer?

To examine how women navigate family planning counseling and enact agency in contraceptive decision-making within clinical interactions in Senegal.

August 26, 2026Frontiers in Global Women s HealthOpen Access

When choice is not performative: the struggle for agency among women accessing family planning services in Senegal

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To examine how women navigate family planning counseling and enact agency in contraceptive decision-making within clinical interactions in Senegal.
Conducted a qualitative study across four Senegalese regions (Dakar, Tambacounda, Ziguinchor, and Matam) with 256 participants (130 men and 126 women).
Collected data through purposive sampling using 116 semi-structured interviews and 16 focus group discussions (8–10 participants each), followed by thematic analysis.
Participants reported that healthcare providers strongly favored long-acting reversible contraceptives (LARCs), often presenting the implant as the primary or only option, omitting key side effects, and refusing implant removal requests.
Constrained client-provider dynamics led some women to discontinue contraception entirely as a means of asserting personal agency, undermining their ability to plan pregnancy timing and spacing.

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Implication

Qualitative study reveals provider counseling practices constrain contraceptive agency in Senegalese women, highlighting the urgent need for rights-based family planning.

Cite This Study

González-Capella et al. (2026) studied this question.

synapsesocial.com/papers/6aae470156c00412bab69a30 https://doi.org/10.3389/fgwh.2026.1826792

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Implication

Qualitative study reveals provider counseling practices constrain contraceptive agency in Senegalese women, highlighting the urgent need for rights-based family planning.

When choice is not performative: the struggle for agency among women accessing family planning services in Senegal

Key Points

Discussion

Implication

Cite This Study

When choice is not performative: the struggle for agency among women accessing family planning services in Senegal

Key Points

Discussion

Implication

Cite This Study

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