DETERMINANTS OF EXPOSURE TO MASS MEDIA FAMILY PLANNING MESSAGES AMONG INDIGENOUS PEOPLE IN BANGLADESH: A STUDY ON THE GARO

2009 ◽  
Vol 41 (2) ◽  
pp. 221-229 ◽  
Author(s):  
M. RAKIBUL ISLAM ◽  
M. AMIRUL ISLAM ◽  
BANYA BANOWARY

SummaryThis paper evaluates exposure to mass media family planning (FP) messages among the Garo, an indigenous community in Bangladesh. A sample of 223 currently married Garo women were selected purposively from two districts where most of the Garo population live. The analysis demonstrated that television was the most significant form of mass media to disseminate FP messages among the recipients – more so than radio and newspapers. About 80·6% of the respondents had heard of FP messages through television, while for the radio and newspapers the percentages were 55·3% and 22·7% respectively. The contraceptive prevalence rate is much higher (79·5%) in the study area than the national level (55·8%). A linear logistic regression model was employed to identify the confluence of different demographic and socioeconomic characteristics on mass media FP messages. Regarding exposure to FP messages, four independent variables out of six had significant effects on the exposure to FP messages through any one of the types of media, i.e. radio, television and newspapers. These independent variables were age, level of education, occupation and number of children.

2019 ◽  
Vol 3 ◽  
pp. 1541
Author(s):  
Khaing Nwe Tin ◽  
Jessica Williamson ◽  
Emily Sonneveldt

Background: Although Myanmar has made good progress in family planning by increased contraceptive prevalence rate (CPR) from 41% in 2007 to 52.2% in 2016, it remains lower than the target of 60% by 2020. There are also huge disparities sub-nationally, ranging from 25% to 60%. While there is a strong need to monitor the progress of family planning program regularly at the national and sub-national level, Myanmar has limited surveys, data quality and methodological issues in its Health Management Information System (HMIS), and a scattered rollout of the Logistic Management Information System (LMIS). Methods: To identify viable options for annual monitoring, four data sources: modelled contraceptive prevalence rate for modern methods (mCPR) estimates from Track20’s  Family Planning Estimation Tool (FPET); method-specific prevalence from the  2015-16 Myanmar Demographic and Health Survey (DHS); mCPR estimates and method prevalence from  HMIS and estimates of modern method use (EMU) based on commodity consumption data from LMIS, were compared for the years 2015-2017. Estimates of mCPR from HMIS were tested for accuracy based on whether they fell within the 95% confidence interval of mCPR estimates from the FPET for the corresponding years. EMU from LMIS was also tested for those years and states/regions where available. Results: For annual tracking of mCPR, direct estimates of HMIS were considered carefully, as they were much higher than those of the DHS survey and were not matched by FPET results, except in Chin and Kayin. To monitor the method mix, HMIS data can be used as these are similar pattern with DHS in both national and State/Regional level except Chin and Kayin. LMIS could be used in annual tracking when there are high reporting rates and valid information of consumption. Conclusions: Track20’s FPET is the method of choice to get valid information for annual monitoring of family planning program.


2017 ◽  
Vol 1 ◽  
pp. 15 ◽  
Author(s):  
Michelle Weinberger ◽  
Emily Sonneveldt ◽  
John Stover

Most frameworks for family planning include both access and demand interventions. Understanding how these two are linked and when each should be prioritized is difficult. The maximum contraceptive prevalence ‘demand curve’ was created based on a relationship between the modern contraceptive prevalence rate (mCPR) and mean ideal number of children to allow for a quantitative assessment of the balance between access and demand interventions. The curve represents the maximum mCPR that is likely to be seen given fertility intentions and related norms and constructs that influence contraceptive use. The gap between a country’s mCPR and this maximum is referred to as the ‘potential use gap.’ This concept can be used by countries to prioritize access investments where the gap is large, and discuss implications for future contraceptive use where the gap is small. It is also used within the FP Goals model to ensure mCPR growth from access interventions does not exceed available demand.


2019 ◽  
Vol 3 ◽  
pp. 1541
Author(s):  
Khaing Nwe Tin ◽  
Jessica Williamson ◽  
Emily Sonneveldt

Background: Although Myanmar has made good progress in family planning by increased contraceptive prevalence rate (CPR) from 41% in 2007 to 52.2% in 2016, it remains lower than the target of 60% by 2020. There are also huge disparities sub-nationally, ranging from 25% to 60%. While there is a strong need to monitor the progress of family planning program regularly at the national and sub-national level, Myanmar has limited surveys, data quality and methodological issues in its Health Management Information System (HMIS), and a scattered rollout of the Logistic Management Information System (LMIS). Methods: To identify viable options for annual monitoring, four data sources: modelled contraceptive prevalence rate for modern methods (mCPR) estimates from Track20’s  Family Planning Estimation Tool (FPET); method-specific prevalence from the  2015-16 Myanmar Demographic and Health Survey (DHS); mCPR estimates and method prevalence from  HMIS and estimates of modern method use (EMU) based on commodity consumption data from LMIS, were used to compare for the years 2015-2017. Estimates of mCPR from HMIS were tested for accuracy based on whether they fell within the 95% confidence interval of mCPR estimates from the FPET for the corresponding years. EMU from LMIS was also tested for those years and states/regions where available. Results: For annual tracking of mCPR, direct estimates of HMIS were considered; they were much higher than those of the DHS survey and were not matched by FPET results, except in Chin and Kayin. To monitor the method mix, HMIS data can be used as these are similar pattern with DHS in both national and State/Regional level except Chin and Kayin. LMIS could be used in annual tracking when there are high reporting rates and valid information of consumption. Conclusions: Track20’s FPET is the method of choice to get valid information for annual monitoring of family planning program.


2018 ◽  
Vol 1 (3) ◽  
pp. 242-251
Author(s):  
Rifqi Nur Fahmy

The aim of this research is to analyze the influence of dependent variable of family dependent, education level, age, marital status, and distance partially to workforce’s decision to migrate from Surakarta to Karanganyar Regency. This research used binary logistic regression analysis method. The sample in this research is 100 respondents. The result of binary logistic regression model analysis in this research shows that from five independent variables, there are two variables that have significant effect on workforce’s decision to do the commuter migration that is dependent variable of family and marital status. While the variable level of education, age, and distance have no effect on workforce’s decisions to do the commuter migration. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh variabel dependen dependen keluarga, tingkat pendidikan, usia, status perkawinan, dan jarak secara parsial terhadap keputusan tenaga kerja untuk bermigrasi dari Surakarta ke Kabupaten Karanganyar. Penelitian ini menggunakan metode analisis regresi logistik biner. Sampel dalam penelitian ini adalah 100 responden. Hasil analisis model regresi logistik biner dalam penelitian ini menunjukkan bahwa dari lima variabel independen, ada dua variabel yang berpengaruh signifikan terhadap keputusan angkatan kerja untuk melakukan migrasi komuter yang merupakan variabel dependen keluarga dan status perkawinan. Sedangkan tingkat variabel pendidikan, usia, dan jarak tidak berpengaruh pada keputusan tenaga kerja untuk melakukan migrasi komuter.  


Author(s):  
Nidhi Chauhan ◽  
Saurabh Rattan

Background: The utilization of family planning services has improved over the decade, but still the SDG’s health target to ensure universal access to sexual and reproductive health care services is yet to be achieved, unmet need being one of the  imperative component.Methods: A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to June 2019. Total sample size calculated was 316. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymous interview schedule was administered after taking consent.Results: The mean age of the participants was 30.2±6.1 years. The modern contraceptive prevalence rate (mCPR) was found to be 67.7% among women of reproductive age group (15-49 years). Male condom (36%), followed by female sterilisation (30%) were the most common methods preferred. Unmet need of family planning was found to be 10.4%.Conclusions: Besides male condoms and female sterilisation, other methods of contraception were adopted by meagre number of women. Though, the unmet need for family planning was lesser in this study, still, efforts are needed to plunge it, for ameliorating the contraceptive prevalence rate. Also, the availability of basket of contraceptive choices in government sector need sheer assiduity.


2016 ◽  
Vol 1 (4) ◽  
Author(s):  
Jacob Daube ◽  
Viktoria Chamberman ◽  
Eliza Raymond

<p><strong>Background</strong>: Improving access to family planning in the Pacific region has been slow, especially for those living in remote and rural areas. Pacific countries consistently report contraceptive prevalence rates well below the United Nations’ global averages for ‘less developed’ regions.  The most recent data available on family planning usage in Kiribati from 2009 reported that the modern contraceptive prevalence rate was just 18.0% and total contraceptive prevalence rate just 22.3%.</p><div><p>The aim of the study was to investigate knowledge and use of family planning and identify barriers to contraceptive uptake for men and women of reproductive age in South Tarawa, Kiribati, to inform future approaches aimed at increasing access to family planning.</p><p><strong>Methods:</strong> A mixed methods approach was used. A community survey of men and women of reproductive age (15-49 years) (n=500) was carried out to identify current levels of knowledge, contraceptive use and barriers to use. Focus groups (n=4) of target populations (men 15-24, men 25-49, women 15-24, women 25-49) were undertaken and in-depth interviews (n=14) were conducted with health professionals and government officials to interpret survey results, further investigate barriers and generate ideas for improving service delivery.</p><p><strong>Findings:</strong> Considerable barriers to family planning use were observed in the community survey and explored in the interviews and focus groups. They can be categorised into four thematic groups: disinterest in family planning; knowledge gaps; personal, family and social objections; and unsuitable service delivery.<strong><em></em></strong></p></div><p><strong>Conclusion:</strong> A broad range of solutions were identified and fourteen service delivery recommendations were made for family planning service providers in South Tarawa. The recommendations may also hold relevance to other Pacific countries, however we encourage service providers to consider their country context before initiating any recommendations provided in this study. </p>


Author(s):  
Ajit Kumar Dey

Background: India, which accounts for world's 17.5 percent population, is the second most populous country in the world next only to China (19.4%). The major objective of the NFHS surveys has been to strengthen India’s demographic and health database, to anticipate and meet the country’s needs for data on emerging health and family welfare issues. The objectives of the study were to study the different background characteristics of women adopting different family planning methods and to analyze the associated socio-demographic factors..Methods: Secondary data analysis of NFHS 4 datasets obtained from DHS program portal. Appropriate statistical testing of associated socio-demographic variables done and interpreted accordingly.Results: Out of total 63696 couples, 99.2% women and 98.6% men knew modern method of contraception, 48.6% were currently using modern method of contraception and 7.4% traditional method. The majority (34%) women adopted female sterilization as current method of contraception. There is interstate variation in the contraceptive prevalence rate highest (80.60%) in Chandigarh compared to least (26.64%) in Goa. There is significant association observed between place of residence, religion, wealth index, women education, education of husband towards current contraceptive use.Conclusions: About 45% of population increase is contributed by births above two children per family. The adoption of appropriate method of contraception by couples made available through quality family planning services and empowering women by proper behavior change communication will help improve the present contraceptive prevalence rate especially among the vulnerable groups.


2021 ◽  
Vol 4 ◽  
pp. 160
Author(s):  
Kristin Bietsch ◽  
Ali Arbaji ◽  
Jennifer Mason ◽  
Rebecca Rosenberg ◽  
Malak Al Ouri

Background: Between the two most recent Population and Family Health Surveys, Jordan saw a dramatic decline in the Total Fertility Rate (TFR) from 3.5 to 2.7 in 5.5 years.  Over the same period, modern contraceptive use also declined, from 61.2% to 51.8% among married women.  This decrease in both TFR and the contraceptive prevalence rate (CPR) diverges from the typical relationship seen between these two factors whereby historically as CPR increases, TFR decreases.  This paper explores this unique pattern using multiple methodologies.  Methods: First, we validate the survey data using nationally collected data on fertility and contraceptive distribution.  Second, we look to changes that have historically influenced changes in CPR and TFR, including changes in ideal family size and wanted fertility rates. Third, we explore proximate determinants and other influences on fertility and changes in contraception, examining the changes in the method mix and unmet need; marriage patterns, including the demographics of the married population, spousal separation, and time since last sex; postpartum insusceptibility; infecundity, both primary and secondary; and abortion, to see if any have shifted significantly enough to allow for fertility to decline with less contraceptive use. Results: We find that the decline in fertility in Jordan was driven by a reduction in mistimed or unwanted pregnancies and there was a significant increase in the share of reproductive aged women who are infecund. We also concluded that the changes in fertility and contraceptive use are driven by changes in Jordanian nationals, not by the growing Syrian refugee population. Conclusions: Jordan is not the only country to be experiencing a shift in the typical relationship between CPR and TFR.  Results can inform both future approaches for family planning programs and our expectations regarding what kind of change our family planning investments might buy.


2020 ◽  
Vol 9 (2) ◽  
pp. 87
Author(s):  
Kiki Adi Mutiari ◽  
Kuntoro Kuntoro

One of the indicators determine the wellness of Family Planning Program is the high number of participants enrolling, or commonly known as the Contraceptive Prevalence Rate (CPR) and the number of children born known as the Total Fertility Rate (TFR) of a maximum of 2 children. There are several regions in East Java where the situation of TFR and CPR does not show the ideal conditions. This shows that there are problems in the current family planning program. This research was conducted to map districts and cities in East Java based on TFR and CPR data respectively in quadrant form. This type of research is on-reactive research which utilizes secondary data from Indonesia - National Socio-Economic Survey in 2015. The research method used is recapitulating data and classifying districts and cities in the form of quadrants by comparing to data on achievement of TFR and CPR in East Java using SPSS. The results of the study have mapped districts and cities in East Java which are described in quadrant form. The regions that need major attention from the government are regions in quadrants I and II. Quadrant III is included in an abnormal condition and quadrant IV is a quadrant that has an area where TFR and CPR conditions are ideal. The conclusions of this study are the areas in quadrant I, namely: Sampang (district), Blitar (city), Blitar (district), Tulungagung (district), Ponorogo (district), Madiun (city), and Pasuruan (city) are the priority in getting the FP program improvements. The advice that can be given is to evaluate the ongoing family planning program to find out the factors that cause the TFR and CPR conditions are not in line with government expectations.


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