Leigh Senderowicz

Position title: Assistant Professor of Gender & Women's Studies, and Obstetrics & Gynecology

Email: senderowicz@wisc.edu

Website: Dr. Senderowicz's CV

3314 Sterling Hall

Dr. Leigh Senderowicz

Dr. Leigh Senderowicz (she/her) is a public health researcher and feminist social demographer focusing on global sexual and reproductive health and rights, race, gender, and coloniality. Her mixed-methods research focuses on contraceptive autonomy, exploring the ways that new approaches to measurement and evaluation can promote person-centered care, health equity and reproductive freedom.



Recent publications:

Senderowicz L, Sokol N, Pearson E, Francis JM, Ulenga N, Bärnighausen T.
The effect of a postpartum intrauterine device programme on choice of contraceptive method in Tanzania: a secondary analysis of a cluster-randomized trial.
Health Policy and Planning. (2022) DOI:10.1093/heapol/czac094

Senderowicz L, Karp C, Bullington B, Tumlinson K, Zimmerman L, OlaOlorun F, Zakirai MS.
Facility readiness to remove subdermal contraceptive implants in 6 sub-Saharan African countries.
American Journal of Obstetrics and Gynecology: Global Reports. 2(4) 100132. (2022) DOI:10.1016/j.xagr.2022.100132

Senderowicz L, Kolenda A.
“She told me no, that you cannot change”: Provider refusal to remove implants in an anonymized sub-Saharan African country Social Science and Medicine- Qualitative Research in Health(2022) DOI:10.1016/j.ssmqr.2022.100154  

Senderowicz L, Maloney N.
Supply-Side Versus Demand-Side Unmet Need: Implications for Family Planning Programs
Population and Development Review.(2022)  DOI:10.1111/padr.12478  

Tumlinson K, Britton L, Williams C, Wambua D, Onyango D, Senderowicz L.
Contraceptive method denial as downward contraceptive coercion: a mixed-methods mystery client study in Western Kenya
Contraception. (2022)  DOI:10.1016/j.contraception.2022.06.014  

Higgins J, Kramer R, Senderowicz L, Everett B, Turok D, Sanders J.  (2022)
Sex, Poverty, and Public Health: Connections between Economic Resources and Sexual Wellbeing
among 2,500 Reproductive Health Clients

Perspectives on Sexual and Reproductive Health. 1-4. (2022) DOI:10 1363/psrh.12189

Senderowicz L Pearson E, Hackett K, Huber-Krum S, Francis J, Ulenga N, Bärnighausen T.
“I haven’t heard much about other methods”: Quality of care and person-centeredness in a LARC-first Tanzanian family planning intervention
BMJ Global Health. 6:e005775 (2021)  DOI:10 1136/bmjgh-2021-005775 

Senderowicz L.
Contraceptive autonomy: Conceptions and measurement of a novel family planning indicator
Studies in Family Planning. 51(2):161-176 (2020) DOI:10 1111/sifp 12114 

Senderowicz L, Higgins J.
Reproductive autonomy is nonnegotiable, even in the time of COVID-19 
Perspectives on Sexual and Reproductive Health  52(2) (2020) DOI:10 1363/psrh 12152      

Ouedraogo R, Senderowicz L, Ngbichi C.
“I wasn’t ready”: Abortion decision-making pathways in Ouagadougou, Burkina Faso  International Journal of Public Health. 65: 477-486 (2020) DOI:10 1007/s00038-020-01359-6 

Senderowicz L.
“I was obligated to accept”: A qualitative exploration of contraceptive coercion 
Social Science and Medicine. 239:112531 (2019) DOI:10 1016/j socscimed 2019 112531 

Senderowicz L, Sanhueza P, Langer A.
Education, place of residence and utilization of legal abortion services in Mexico City from 2013-2015 
International Perspectives on Sexual and Reproductive Health. 44(2):43-50 (2018) DOI:10 1363/44e6318 

  • Senderowicz, L., and A. Kolenda. “She Told Me No, That You Cannot change”: Understanding Provider Refusal to Remove Contraceptive implants. Vol. 2, SSM - Qualitative Research in Health, 2022.

    Enthusiasm for long-acting reversible contraception (LARC) is growing among donors and NGOs throughout the global reproductive health field. There is an emerging concern, however, that the push to insert these methods has not been accompanied by a commensurate push for access to method removal. We use data from 17 focus group discussions with women of reproductive age in an anonymized African setting to understand how users approach providers to request method removal, and how they understand whether or not such a request will be granted. Focus group participants described how providers took on a gatekeeping role to removal services, adjudicating which requests for LARC removal they deemed legitimate enough to be granted. Participants reported that providers often did not consider a simple desire to discontinue the method to be a good enough reason to remove LARC, nor the experience of painful side-effects. Respondents discussed the deployment of what we call legitimating practices, in which they marshalled social support, medical evidence, and other resources to convince providers that their request for removal was indeed serious enough to be honored. This analysis examines the starkly gendered nature of contraceptive coercion, in which women are expected to bear the brunt of contraceptive side-effects, while men are expected to tolerate no inconvenience at all, even vicarious. This evidence of contraceptive coercion and medical misogyny demonstrates the need to center contraceptive autonomy not only at the time of method provision, but at the time of desired discontinuation as well.

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  • Senderowicz, L., C. Karp, B. Bullington, K. Tumlinson, L. Zimmerman, F. OlaOlorun, and M. Zakirai. “Facility Readiness to Remove Subdermal Contraceptive Implants in 6 Sub-Saharan African Countries. ”. American Journal of Obstetrics and Gynecology: Global Reports, Vol. 2, no. 4, Elsevier, 2022.
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  • Senderowicz, L., N. Sokol, J. Francis, N. Ulenga, and T. Bärnighausen. “The Effect of a Postpartum Intrauterine Device Programme on Choice of Contraceptive Method in Tanzania: A Secondary Analysis of a Cluster-Randomized Trial. ”. Health Policy and Planning, Vol. 38, no. 1, 2023, pp. 38-48.
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