Addressing unmet need and religious barrier towards the use of family planning method among Muslim women in India

2015 ◽  
Vol 8 (1) ◽  
pp. 22-35 ◽  
Author(s):  
Shraboni Patra ◽  
Rakesh Kumar Singh
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Muslim Women ◽  
Planning Method ◽  
Family Planning Method ◽  
Cultural Barriers ◽  
Intention To Use ◽  
Content Type ◽  
Future Intention ◽  
Women In India

Purpose – The purpose of this paper is to find out the prevalence and determinants of unmet need with a special focus on religious barrier towards the use of contraception among Muslim women in India. The study also addresses their future intention to use family planning method. Design/methodology/approach – Data from the latest round of District Level Household and Facility Survey (DLHS-3) in India is used. A multi-stage stratified probability proportion to size sampling design was adopted. The present analysis is based on 70,016 currently married Muslim women across the country. Findings – The prevalence of total unmet need is the highest in Bihar (48.5 per cent), which is two times higher than the national level (27.6 per cent). About 9 per cent Muslim women in India do not use contraception due to religious opposition. There is considerable gap in the future intention to use family planning method between Muslim (9.2 per cent) and non-Muslim (19.6 per cent) women particularly for limiting birth. The logistic regression analysis shows non-Muslim women are significantly more likely (OR=1.540, p<0.001) to have the intention to use family planning method in the future than Muslim women. Research limitations/implications – Men are not included to explore the differences in the perception of men and women towards family planning. Interventions targeting men and aiming at overcoming cultural barriers to using family planning method are equally imperative. Couple's knowledge, attitude and perception towards acceptance of family planning methods need to be addressed simultaneously by interviewing the couples separately. Practical implications – Public-private collaboration to promote family planning programme and providing services in the high prevalence (unmet need) states is required. Support from the religious leaders to overcome the cultural barriers towards the use of family planning is also needed. Originality/value – This is the first ever effort to address the existing unmet need for family planning among Muslim women in India, which is an important determinant of high fertility among Muslim women.

scholarly journals Self-injected Depot–Medroxyprogesterone Acetate Subcutaneous (DMPA-SC) Uptake in Nigeria: A Paradigm Shift

2021 ◽  
Vol 8 (3) ◽  
pp. 80-101
Author(s):  
Kehinde Osinowo
Keyword(s):  
Family Planning ◽  
Health Management ◽  
Unmet Need ◽  
Secondary Data ◽  
Planning Method ◽  
Family Planning Method ◽  
Health Management Information System ◽  
Modern Contraceptive ◽  
National Family Planning ◽  
The Government

Self-injection of DMPA-SC method is one of the Government of Nigeria’s (GON) national family planning goals to address the unmet need for contraception. Some studies on DMPA-SC/SI have demonstrated its feasibility to improve modern contraceptive uptake. However, there is a gap in the predictors of method uptake and continuation across self-injecting and provider-administered in Nigeria. This study explored the uptake of self-injection DMPA-SC contraceptives among women in two geopolitical zones of Nigeria. The study employed 20 focused group discussions (FGDs) and 40 In-depth interviews (IDIs). Self-structured pretested questionnaire to elicit information from 844 women registered for Family Planning in selected health facilities. Descriptive statistics were calculated and multivariate logistic regression was used to model determinants of DMPA-SC/SI family planning uptake. Six months of Secondary Data from the Health Management Information system (HMIS) was used to triangulate the trends in uptake. About 97.6% reported ever heard DMPA-SC/SI family planning method; 78.4% reported its uptake; while 88.5% reported ever heard of self-injection as an option of family planning method. Data for each State showed a remarkable increase in uptake of DMPA-SC/SI. The motivations to use DMPA-SC/Self Injection were ease of accessibility, convenience, and self-administer/care. Factors that encourage the uptake of DMPA-SC/SI were; health benefits, the prevailing economic situation and its effectiveness. Findings from the study showed that interventions that deploy health education, awareness, social mobilization, advocacy, policy implementation, and public sensitization, making contraceptive services available for free, will increase the uptake of Keywords: Determinants, DMPA-SC/SI, Practice, Self-injection, Uptake. DMPA-SC/SI in the study areas.

scholarly journals ANALYSIS OF THE EFFECT OF UNMET NEED FOR FAMILY PLANNING ON UNINTENDED PREGNANCY AT PANTI WILASA CITARUM HOSPITAL SEMARANG

2018 ◽  
Vol 7 (2) ◽  
pp. 80
Author(s):  
Ester Ratnaningsih
Keyword(s):  
Family Planning ◽  
Pregnant Women ◽  
Unintended Pregnancy ◽  
Unmet Need ◽  
Planning Method ◽  
Family Planning Method ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Central Java

Unmet need for family planning is defined as the percentage of women of reproductive age ,either married  or in a union, who want to stop or delay childbearing until 24 months but are not using any method of contraception to prevent pregnancy.Unmet need for family planning is a multidimentional  problem because it is influenced  on various  factors. Unmet need for family planning rate at Central Java in 2015 was 10,48%.This study aims to determine relationship between the incidence of unmet need for family planning and unintended  pregnancy.This study was ananalytic  survey with cross-sectional design. This study was  conducted among pregnant women who did not use any contraception method at Panti Wilasa Citarum Hospital Semarang in September-December 2017. The study samples were pregnant women as many as 92. Study instrument used here was aquestionnaire about unmet need for family planning, pregnancy and women knowledge on the types of contraception /family planning method which contained 20 questions.The results showed that 25 women (27,2%) were pregnant because they did not use any contraception method. The results indicated that unmet need for family planning had an effect on unintended pregnancy (p=0.001). There were effects of age, number of children and knowledge about the types of contraception /family planning method on unintended pregnancy. There was no significant correlation between education  with unintended pregnancy (p-value>0.05).It can be concluded that unmet need for family planning had a correlation with unintended pregnancy.

scholarly journals Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal

2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Kusum Thapa ◽  
Rolina Dhital ◽  
Sameena Rajbhandari ◽  
Shikha Thapa ◽  
Sabina Pokhrel ◽  
...  
Keyword(s):  
Family Planning ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
Planning Method ◽  
Family Planning Method ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Postpartum Family Planning ◽  
Ethical Approval ◽  
Service Coverage

Introduction: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese governmentand with the support from the International Federation of Obstetrics and Gynecology hasimplemented an initiative to institutionalize postpartum family planning services in selected majorreferral facilities of Nepal to address the gap of low uptake of postpartum family planning in Nepal.The aim of the study is to find the prevalence of the service coverage of postpartum contraception inthe selected facilities. Methods: A descriptive cross-sectional study was conducted in seven major referral facilities acrossNepal. Data were collected from the hospital records of all women who delivered in these facilitiesbetween October 2018 and March 2019. Ethical approval for this study was obtained from NepalHealth Research Council. Data analysis was done with SPSS version 23. Results: Among the 29,072 deliveries from all the facilities, postpartum family planning counselingcoverage was 27,301 (93.9%). The prevalence of uptake of Postpartum Intrauterine Device is 1581(5.4%) and female sterilization is 1830 (6.3%). In total 11387 mothers (52.2%) had the intention tochoose a postpartum family planning method. However, 36% of mothers neither used nor had theintention to choose a postpartum family planning method. Conclusions: The coverage of Postpartum Intrauterine Device counseling service coverage in Nepal ishigher in 2018 as compared to 2016-2017 and in other countries implementing Postpartum IntrauterineDevice initiatives. However, the prevalence of service coverage of immediate Postpartum FamilyPlanning methods, mainly Postpartum Intrauterine Device in 2018 is lower in Nepal as compared to2016-2017, and other countries implementing Postpartum Intrauterine Device initiative. More effortsare needed to encourage mothers delivering in the facilities to use the postpartum family planningmethod.

scholarly journals Theory of Planned Behavior: Determinants of the Use of Modern Family Planning Method

2019 ◽  
Vol 4 (5) ◽  
pp. 369-379
Author(s):  
Yuliana Agus ◽  
◽  
Eti Poncorini Pamungkasari ◽  
RB. Soemanto ◽  
◽  
...  
Keyword(s):  
Family Planning ◽  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Planning Method ◽  
Family Planning Method ◽  
Modern Family ◽  
Modern Family Planning

scholarly journals Comparison of preventive health service provision before and after reorganization of primary care in Turkey: a community-based study

2019 ◽  
Vol 20 ◽  
Author(s):  
Çiğdem Apaydın Kaya ◽  
Mehmet Akman ◽  
Pemra Cöbek Ünalan ◽  
Serap Çifçili ◽  
Arzu Uzuner ◽  
...  
Keyword(s):  
Primary Care ◽  
Vitamin D ◽  
Family Planning ◽  
Preventive Health ◽  
Planning Method ◽  
Family Planning Method ◽  
Healthy Children ◽  
Community Based ◽  
Care Services ◽  
At Home

Abstract Aim To investigate the changes in the provision of preventive health services in terms of woman and child health after reorganization of the primary health care services. Background The primary care system in Turkey has undergone fundamental changes as a part of Health Transformation Program during last decade. But there was no community-based study to evaluate these changes. Method This community-based and cross-sectional study was conducted in 2010, just before the reorganization of primary care services and in 2015, five year after the reforms. The 30×7 cluster sampling method was used in Zümrütevler quarter of Maltepe District. The socio-demographic characteristics of the participants, the presence of the physician who can be consulted for any health problem, the presence of smokers at home were questioned. The women aged 18 years or older and gave consent provided information about history of pregnancy and birth, the number of follow-ups during pregnancy, family planning method usage, cervical and breast cancer screening, breastfeeding duration, vaccinations, and prophylactic iron and vitamin D supplementation for their children. Findings After the reorganization of primary care, more people stated that they had physicians to whom they could consult for all kinds of health problems (27.8 versus 44.7%; P<0.001) and that physician was the primary care physician (30.2 versus 64.7%; P<0.001). The reported frequency of at least one smoker at home was decreased after reorganization of primary care (63.6 versus 53.1%; P=0.034). There were no significant differences in terms unplanned pregnancy, the use of family planning method, the number of pregnancy follow-ups and the frequency of Pap smears and mammography. There are no significant differences in terms of healthy children follow-ups, vaccination, vitamin D and iron supplementation (P>0.05). It was found that the duration of total breastfeeding increased after reorganization of primary care (P<0.001).

scholarly journals Lactational amenorrhoea among adolescent girls in low-income and middle-income countries: a systematic scoping review

2020 ◽  
Vol 5 (10) ◽  
pp. e002492
Author(s):  
Martines N S Figaroa ◽  
Saverio Bellizzi ◽  
Therese Delvaux ◽  
Lenka Benova
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Planning Method ◽  
Family Planning Method ◽  
Publication Date ◽  
Potential Contribution ◽  
Middle Income ◽  
Middle Income Countries ◽  
Postpartum Family Planning ◽  
Wide Range

IntroductionFertility levels among adolescents remain high in many settings. The objective of this paper was to review the available literature about postpartum and lactational amenorrhoea among adolescents in low-income and middle-income countries (LMICs).MethodsWe searched Medline, Embase, Global Health and CINAHL Plus databases using terms capturing adolescence and lactational or postpartum amenorrhoea. Inclusion criteria included publication date since 1990, data from LMICs, and topic related to lactational amenorrhoea as a postpartum family planning method or as an effect of (exclusive) breast feeding among adolescents. Thematic analysis and narrative synthesis were applied to summarise and interpret the findings.ResultsWe screened 982 titles and abstracts, reviewed 75 full-text articles and included nine. Eight studies assessed data from a single country (three from India, two from Bangladesh, two from Turkey, one from Nigeria). One study using Demographic and Health Survey data included 37 different LMICs. The five studies measuring duration of postpartum or lactational amenorrhoea reported a wide range of durations across the contexts examined. Four studies (from Bangladesh, Nigeria and Turkey) examined outcomes related to the use of lactational amenorrhoea as a family planning method among adolescents. We did not find any studies assessing adolescents’ knowledge of lactational amenorrhoea as a postpartum family planning method. Likewise, little is known about the effectiveness of lactational amenorrhoea method among adolescents using sufficiently large samples and follow-up time.ConclusionThe available evidence on lactational amenorrhoea among adolescents in LMICs is scarce. Given the potential contribution of lactational amenorrhoea to prevention of short interpregnancy intervals among adolescents and young women, there is a need for a better understanding of the duration of lactational amenorrhoea, and the knowledge and effective use of lactational amenorrhoea method for family planning among adolescents in a wider range of LMIC settings.

scholarly journals Knowledge, attitude and practice study on immediate postpartum intrauterine contraceptive device method of family planning

2017 ◽  
Vol 4 (8) ◽  
pp. 2981
Author(s):  
Nidhi Gupta ◽  
Renuka Sinha ◽  
Abha Mangal
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Planning Method ◽  
Family Planning Method ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Intrauterine Contraceptive ◽  
Knowledge Attitude And Practice

Background: The objectives of the study were to assess knowledge, attitude and practice in post-partum intrauterine contraceptive device method of family planning and to know about willingness for post-partum intrauterine contraceptive device (PPIUCD) when knowledge is provided for the same.Methods: This is a cross sectional observational study including 1200 patients of immediate post-partum period (<48 hrs of delivery), delivered at Safdarjung hospital. Women were evaluated with the help of a pre-designed and pre-tested questionnaire.Results: Out of 1200 women 864 (72%) were aware of some family planning method but only 672 (56%) had used some family planning method in the past. 108 (9%) women had knowledge regarding Post-partum intrauterine contraceptive device (PPIUCD). Among these, 72 (6%) women opted for PPIUCD. After knowledge regarding PPIUCD had been given, 80 more women adopted this as a method of contraception. So total 152 (12.67%) opted PPIUCD.Conclusions: This study highlights that awareness and knowledge does not always lead to use of contraceptives. A lot of educational and motivational activities are needed.

scholarly journals Maternal Health Care Service Utilization and Its Role in Postpartum Family Planning Use in Nepal

2015 ◽  
Vol 26 ◽  
pp. 79-91
Author(s):  
Momal Prasad Dulal
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Maternal Health ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Planning Method ◽  
Family Planning Method ◽  
Unintended Birth

Family planning and maternal health care programme has been initiated in an integrated approach for a long time in Nepal. However, the use status of family planning method could not be presented at good instance. The International Conference on Population and Development (ICPD), 1994 and later millennium development goal 2002, both paved the way out for the situation mostly in the developing countries. Nepal also has made some changes in its services aiming to reduce high maternal mortality and promote to use family planning method. Use of family planning method within 12 months after childbirth could be a right solution for many developing countries like Nepal having high unintended birth. Therefore, this paper aims to analyse the role of maternal health care service utilization in initiating use of family planning method after post-partum period. Women’s data file from Nepal Demographic Health Survey, 2011 has been used for the analysis. Bivariate and multivariate analysis result have revealed that the role of delivery care, controlling other variables seems to be much appreciable in getting family planning use within 12 months of delivery. Effects of some study variables besides delivery care remains unchanged in different models. Therefore, embracing family planning programme along with maternity care components would have implications towards - increasing current use of family planning, reducing the chances of unwanted/unintended birth, providing opportunities to control over female own body, contribution in achieving replacement level fertility and maintaining good health for both mother and the baby.

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