Contraceptive product development efforts, to date, have largely been premised on the notion that if we build it, they will come. Primary attention has been paid to making products that work, with the assumption that if women want to avoid pregnancy, they will use them. While the desire to avoid pregnancy is an extremely powerful motivator, it is not enough. For many women, the fear of contraceptive side effects or the challenge associated with accessing and using contraceptives is greater than the burden of another pregnancy.
Some argue that to improve uptake and continuation rates, we need to improve provider counseling around contraceptive side effects and address socio-cultural barriers, such as inequitable gender norms, that prevent women from using contraceptives. These efforts – while essential – are still insufficient. Even the most informed and empowered women can have unintended pregnancies when they don’t have access to acceptable contraceptives – methods that meet their particular needs in their particular life stage and context.
As researchers, how do we shift the model of contraceptive development to focus first on what users want from an ideal contraceptive?