scholarly journals Contraceptive method skew in India 1992-2016

Author(s):  
Aalok Ranjan Chaurasia

This paper analyses the contraceptive method skew in districts of India over more than two decades. The analysis reveals clear regional pattern in the method skew. In the northern and eastern regions, method skew is low and average but high or very high in the southern part of the country where factors such as poverty, education, social class, religion contributes little to deciding the method skew. In the central region, religious composition of the population has an impact on the method skew. In northern and eastern regions, poverty and education have an impact on the method skew. The analysis indicates that India has focussed on only one method - female sterilisation - to promote family planning, reduce fertility and curtail population growth. Increase in the prevalence of other family planning methods, especially, modern spacing methods, appears to be the need of the time. This requires improving the organisational efficiency and strengthening the administrative capacity of the official family planning services is the need of the time.

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Ghzl Ghazi Alenezi ◽  
Hassan Kasim Haridi

Abstract Background Evaluation of awareness and use of family planning methods is important to improve services and policies. This study aimed to assess awareness and use of family planning methods among women in an urban community in the north of Saudi Arabia. A cross-sectional study was carried out in a maternity hospital and 12 primary health care (PHC) centers in Hail City between December 1st, 2019, and May 30, 2020. Results Four hundred married sexually active women aged 18–49 years were interviewed using a pretested structured questionnaire. The mean age of the participant was 32.0±7.5 years, 73.5% were university educated, and 58% were housewives. More than two-thirds of them (67.6%) had ≥3 living children. Most women (85%) ever used, and 66.5% were currently using any method of contraception; however, only one in five who get counseling for the contraceptive method used, and 40% of the last births were unplanned for. Almost all women reported unavailable family planning clinics in their primary healthcare centers. Most participants (83.0%) desired to have >3 children, which indicates that the main purpose of family planning was child spacing rather than limitation. Relying on natural methods as being safer (36.3%), desire to have more children (19%), being afraid from side effects (15.3%), and possibility of difficulty getting pregnant or might cause infertility (13.0%) were reasons the participants viewed for unsung modern contraceptives. Conclusion This study revealed that most women in urban Hail community, northern Saudi Arabia, were aware about and have a positive attitude towards family planning. The majority of the participants ever used, and two-thirds were currently using any contraceptive method/s, which is higher than the national estimate for Saudi Arabia. However, only one in five counseled by healthcare providers for the type of contraceptive method used. Unavailability of family planning services in primary health care centers impedes getting professional counseling. It is imperious to consider family planning clinics to provide quality family planning services.


2020 ◽  
Vol 7 (1) ◽  
pp. 14-20
Author(s):  
Intan Monik Pratami

Indonesia is currently enjoying a demographic bonus period where the number of productive agepopulation is more than non-productive age, which is more than 68% of the total population. Inthis case the government through BKKBN try to improve family planning services as it is expectedto prevent the explosion of population by means of family planning (KB). There are various typesof contraception, one of them is injection. Its high effectiveness can be relied upon as acontraceptive method so the number of acceptors is very high compared to other methods. Thereare various factors that influence, among others, the level of knowledge and support of thehusband. 3-month injection contraception is a contraceptive in the form of a liquid that containsonly the hormone progesterone and is injected into a woman's body periodically that is 3 months(MOH RI. 2002). Based on the Research Results 35 respondents (100%) Injecting KB acceptors, 9respondents (25.72%) with high knowledge, medium knowledge 11 respondents (31.43%), lowknowledge 15 respondents (42.85%). Husbands who gave support were 20 respondents (57.115%)and those who did not support 15 respondents (42.85%). Health workers played an important rolein providing information about Family Planning methods for prospective acceptors, in this casespecifically fertile age couples. Provision of this information is done through counseling using KBDecision-Making Aids (ABPK).


Author(s):  
Y. Widyastuti Y. Widyastuti

  ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW).                                      ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik  Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya  9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik  di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki  umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden  (55%) dan yang memiliki  paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB  di RS. Bhayangkara Palembang  agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).    


Author(s):  
Neelam Joharwal ◽  
Shital Kapadia

Background: Population explosion has been major challenge for India since Independence. The adoption of contraceptive methods remains the best solution to this problem. The objective of this study was to determine the factors for non-acceptance of different contraceptive methods among married women of postnatal ward in tertiary care hospital, Ahmedabad, Gujarat, India. The aim of the study was to analyse about the level of awareness and attitude towards different methods of contraception among married women of reproductive age groups.Methods: It was a prospective observational study carried out in the department of obstetrics and gynaecology, B. J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India, a tertiary care teaching hospital from June 2019 to November 2020. 200 patients meeting inclusion criteria were included. Case sheets were analysed to obtain data regarding reasons for non-acceptance of contraceptive methods.Results: In our study, we found that among study population 64% women use family planning methods, which was still low as compared to developed countries. 36% women were non-users in study population. The main reason of non-acceptance of contraceptive method were desire for male child, non-allowance by religion/custom, the myth regarding price of contraceptive method, desire of more children and worry about side effects.Conclusions: To increase the use of contraceptive among women, we can increase awareness about different family planning method with counselling about various available contraceptives. It is also important to increase participation of husbands as they often influence the decision regarding reproductive health of women.


2006 ◽  
Vol 38 (6) ◽  
pp. 735-744
Author(s):  
LEVENT AKIN ◽  
NILUFER OZAYDIN

The aim of this study was to determine the consistency of spouses’ declarations about contraceptive use and child desire in Turkey. Husbands eligible for the study were currently married to eligible women, i.e. those who generally lived in the same household or who stayed in the household the night before the interview. Husband questionnaires were completed by 1971 men. It was found that 88·9% of the couples had not talked about family planning with each other in the last two months. The percentage of answers on current contraceptive use for all methods that were consistent for husbands and wives was 70·2%. The consistency among partners who stated they would like to have children in the future was found to be 94·8%, and that among partners who were planning to use a contraceptive method was found to be 88·3%.


Author(s):  
Mansi Shukla ◽  
Mallika Fonseca ◽  
Prasad Deshmukh

Background: India, with one of the world’s fastest growing populations, is a nation very much in need of contraceptive counselling. To assess the knowledge and attitude regarding family planning methods and contraceptive practices among women of reproductive age group.Methods: A cross-sectional study was performed in which 547 women in the reproductive age group i.e., 15-45 years, attending a tertiary care hospital in Mumbai were interviewed with predesigned validated questionnaire. A total of 547 women were interviewed using a semi-structured questionnaire from January 2016 to December 2016. The proforma included details such as socio-demographic features, questions related to knowledge, attitude and practices (KAP) regarding contraceptive use.Results: Out of 547 women interviewed, 498 (i.e. 91%) had displayed an awareness of family planning methods (permanent/temporary). Out   of these 498 women, about 78% had procured the information from family and friends. 13% got their information through mass media. Only 9% of women had been counselled in detail by health personnel about the various contraceptive options available. Out of 547 women interviewed, 342 (62.5%) were using contraception. More than a third of these women (26.8%), resort to barrier contraception as a contraceptive method of choice for spacing and to prevent an unwanted pregnancy. Only 17% women used OC Pills as a contraceptive method though 66% women knew about them. Though 59.4% of the women knew about IUCDs only 3.5% were actually using IUCD. Most of the women were in the younger age group of 21-30years (62%) and already had one or two children.Conclusions: Ignorance regarding use and side effects various contraceptive methods is the reason for inadequate practice of family planning methods. There should be emphasis on focused awareness programs, based on bridging the knowledge gaps among the women in reproductive age group.


2020 ◽  
Vol 28 (8) ◽  
pp. 476-484 ◽  
Author(s):  
Andualem Tamiru ◽  
Alemi Kebede ◽  
Tesfaye Dagne ◽  
Mulugeta Berhanu ◽  
Muluneh Getachew ◽  
...  

Background This study aimed to assess factors associated with quality of family planning services in the Jimma zone, Ethiopia, 2018. Method Cross-sectional study was conducted at health posts in the Jimma zone from 13 March to 13 April 2018. Logistic regression analysis was used to identify client satisfaction on family planning services and qualitative data were presented by triangulating with quantitative findings. Conclusion Less than 50% of clients were satisfied with family planning services which significantly associated with availability of family planning methods and attending family planning education. Therefore, family planning education and availing different family planning methods is important to improve family planning services at the Jimma zone health posts.


Author(s):  
Rubina Tariq ◽  
Aymen Javed ◽  
Zahida Noreen

Pakistan is a low resource, developing country. (1) The incidence of grand multiparity is very high due to various reasons like lack of education, poor knowledge, and availability of family planning methods, various social and cultural reasons. Grand multiparity is mostly associated with increasing maternal age, which is an independent risk factor for various antepartum, intrapartum, and postpartum complications. (2)


Author(s):  
B. R. Sharma ◽  
Poojan Dogra ◽  
Reena Sharma ◽  
Sushruti Kaushal

<p class="abstract"><strong>Background:</strong> Family planning services have important role in improving the quality of the lives of a couple and their economic welfare. The objective of the study was to assess the level of awareness and acceptance of different family planning methods among women undergoing to medical termination of pregnancy (MTP).</p><p class="abstract"><strong>Methods:</strong> This study was done at IGMC KNSHM&amp;C Shimla on 1168 women who reported for MTP in department of Obstetrics and Gynaecology. This study was conducted to find out the awareness about the contraceptive practices, source of information and knowledge, the most preferred method and impact of MTP on acceptance of contraception.  </p><p class="abstract"><strong>Results:</strong> Majority about 97.5% had knowledge about the contraceptive methods and only 2.5% were unaware of any method. Source of information was health and family planning staff. The next source was friends, relatives and mass media, teaching institutions had least role. In spite of knowledge only about 49% were practicing contraception prior to MTP that too OCP and CC only.</p><p class="abstract"><strong>Conclusions:</strong> Majority of women had optimal knowledge but only less than half of them were using contraceptives. Lacuna is still there, we need to educate and motivate couples to improve family planning services. There is a great need to strengthen the awareness, education and communication regarding various family planning methods in women of reproductive age group.</p>


Author(s):  
Tamirat Tesfaye Dasa ◽  
Teshager Worku Kassie ◽  
Aklilu Abrham Roba ◽  
Elias Bekele Wakwoya ◽  
Henna Umer Kelel

Abstract Background Even though the modern contraceptive use was improved in Ethiopia, the utilization of long-acting family planning services is still low because of numerous factors. The aim of this systematic review was to synthesize logical evidence about factors associated with long acting family planning service utilization in Ethiopia. Methods The participants of the study were married women of reproductive age in Ethiopia. This search included all published and unpublished observational studies written in the English language conducted before April 30, 2018, in Ethiopia. Electronic and non-electronic sources were used. PubMed, MEDLINE (EBSCO), CINHAL (EBSCO), Embase (EBSCO), POPLINE and the search engines like Google, Google Scholar Mednar and world cat log were used. The overall selected search results were 15 studies. Each study was evaluated using the Joanna Briggs Institute Quality Assessment Tool for Observational Studies. Data synthesis and statistical analysis were conducted using ReviewManagerVersion5.3.5. Results Women’s inadequate knowledge level [OR, 0.29; 95% CI: 0.10, 0.83, P = 0.02], women’s age between 15 and 34 [OR, 0.82; 95% CI: 0.53, 0.93, P = 0.01], not having electronic media [OR, 0.65; 95% CI: 0.53, 0.79, P < 0.0001] and women from rural area [OR = 0.65;95% CI:0.50, 0.81, P = 0.0009] were less likely associated in the use of long-acting family planning services. The odds of utilizing long acting family planning methods were high among non-government- employed women and husband [OR, 1.77; 95% CI: 1.29, 2.43, P = 0.0004], [OR, 1.69; 95% CI: 1.33, 2.15, P < 0.0001] respectively. Having no previous exposure to any modern family planning method [OR = 2.29; 95%CI: 1.83, 2.86, P < 0.00001] and women having no discussion with husband [OR = 1.92 (95%CI: 1.50, 2.45) P < 0.00001] were more likely associated in the utilization of long-acting family planning services. Conclusion Lack of information and knowledge, having discussion with husband, being women of younger age, having less than five living children, being government-employed women and husband, not having electronic media, and being residents in rural area were significant barriers for underutilization of long acting family planning methods in Ethiopia. Hence, the investigators suggest that key stakeholders should design interventions strategies to avert attitudinal, cultural and informational barriers towards long-acting family planning methods. Systematic review registration PROSPERO: 2018: CRD42018096373.


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