scholarly journals Determinants of Modern Contraceptive Methods Discontinuation among Women within Reproductive Age in Dire Dawa City, Eastern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Gizaw T. Yifru ◽  
Mesfin T. Haileyesus ◽  
Belay Tafa Regassa

Background. Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown that there are many instances in which women might discontinue contraception methods that put women’s health at risk. Objectives. To assess and identify Determinants of Modern Contraceptive Methods Discontinuation among Women in Reproductive age interval in Dire Dawa City. Method. A cross-sectional study design was employed. A total of 811 respondent women with one-year history of modern contraceptive method usage were considered in the study. A stratified random sampling method was used to select the study participants. Data was collected using a structured questionnaire and analyzed by descriptive statistics and binary logistic regression. Result. The study indicated that 634 (78.20%) of respondent mothers continued using the method that they have used before a year. Whereas 177 (21.80%) of women discontinued using the method within a year. The factors age, number of children, who made the decision on the choice of the method used, the type of contraceptive method used, and taking counseling before using the method were found significant at 5% level of significance. Conclusion. Young women, respondents who have no or a small number of children, and not the decision maker on the choice of the method were more likely to discontinue. Whereas women who did not take counseling are less likely to discontinue. When compared to women who used implant those women who used pills and injectables are more likely to discontinue. Thus, the study identified factors that contribute to the discontinuation of modern contraception methods.

2019 ◽  
Vol 9 (3) ◽  
pp. 22-28
Author(s):  
Rajani Shah ◽  
Dinesh Kumar Malla

 Background: Family planning contributes in preventing maternal and child mortality and empowers women. For the past ten years contraceptive prevalence rate has remained stagnant in Nepal. This study aimed at iden­tifying the use and factors associated with modern contraceptive methods in Piple, Chitwan, Nepal. Methods: It was a cross-sectional study. Piple village development com­mittee was selected purposively, in which two wards were randomly se­lected. Married women of reproductive age (n=332) of each household were interviewed. Descriptive, bivariate and multivariate analysis were performed. Results: About half (49%) of the respondents had used a modern contra­ceptive method. Women in the age groups 25-39 years [aOR: 2.39; 95% CI: 1.16 - 4.92] and 40-49 years [aOR: 4.67; 95% CI: 1.71 - 12.70] were more likely to use modern contraceptives compared to the women in the age group 15-24 years. Similarly, women having 3 or more living children [aOR: 2.98; 95% CI: 1.19 - 7.50] were more likely to use the modern contracep­tives than women with upto two children. Women whose husbands would approve of using the contraceptives [aOR: 11.33; 95% CI: 3.93-32.62] were more likely to use the methods than those who got or perceived no ap­proval from husband. Conclusions: Information and service on modern contraceptive methods should be focused to younger women. Involvement of husbands in family planning program would contribute to use of modern contraceptives by women.


2019 ◽  
Vol 8 (4) ◽  
pp. 213-218
Author(s):  
Naiha Sagheer ◽  
Saleem Ullah ◽  
Noureen Latif ◽  
Tabinda Zaman

Background: Approximeately 24 percent of married women of reproductive age in Pakistan would like to adopt family planning, but are unable to avail the means to practice contraception. This study has been conducted to find out frequency and perception about family planning practices and further to explore and analyze the causes of failure to meet the demand for contraception. Methods: A cross-sectional study was conducted on married females of reproductive age group and married males while visiting the outpatient departments of two hospitals of Quetta from January to September 2017. They were interviewed by researchers through a structured, reliable and pretested questionnaire. The data obtained and analyzed by using SPSS 21 version. Results: 76% of participants were in favour of practicing yet only 33.8% had actually practiced it sometime during their reproductive years. The major reasons for not using family planning were the apprehension of harmful effects of contraceptive methods (52.6%), non-supportive partner (30%), unavailability of services (11.4%) and religious constraints (6%). The mass media was the main source of motivational information(69%) followed by Lady health workers. Conclusion: The current prevalence of family planning is still not at the expected level, There is a dire need of the continued use of mass media and services of community health workers to raise awareness. The practice of modern contraceptive methods can be enhanced by provision of client-centered quality services.. An increase in the number of family planning centers along with an efficient functioning, monitoring, and evaluation are also required to address unmet needs of the community near their doorstep.


2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods. 


Author(s):  
Smaranita Sabat ◽  
Dhaneswari Jena ◽  
Durga Madhab Satapathy ◽  
Sithun Patro ◽  
Radhamadhab Tripathy

Background: Unmet need for family planning refers to the percentage of fecund women of reproductive age either married or in union, women who either wish to postpone the next birth (spacers) or who wish to stop child bearing (limiters) but are not using a contraceptive method. This clearly indicates a gap between a woman’s reproductive intention and current contraceptive behaviour. The objectives of the present study was to determine the prevalence of unmet need for family planning, to assess the association between socio-demographic characteristics and unmet need of family planning, to identify the reasons for unmet need.Methods: It was a cross-sectional study conducted from June to August 2018 in Ankuli (UHTC). A total of 188 ever married women in the reproductive age group were selected by simple random sampling.Results: Out of 188 women, 41 (21.8%) had no need for contraception and needs for family planning of 78 (41.5%) women had been met. The prevalence of unmet need for family planning was 36.7% consists of 24 (12.8%)  spacing need and 45 (23.9%)  limiting need. It was found that age, education of women, age at marriage, number of living children, contraceptive knowledge and inter-spousal communication were significantly associated with unmet need for family planning. The most common reason for not using any contraceptive method was fear of side effects (40.6%).Conclusions: The unmet need for family planning was high and in order to reduce the gap, the program should address the above reasons.


Author(s):  
Alemu Kebede ◽  
Sileshi G. Abaya ◽  
Elias Merdassa ◽  
Tariku Tesfaye Bekuma

Abstract Background Family planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregnancy. So, women’s demand for contraceptive utilization to limit, space, or delay the number of family size can be increased by integrating family planning service at each service delivery points. Objective The main aim of this study was to assess the demand for modern contraceptive and associated factors among currently married women of the reproductive age group in rural kebeles of Nunu Kumba District, 2015. Methods A community-based cross-sectional study design was conducted from January 15–30, 2015 among 584 systematically selected currently married women of reproductive age in six rural kebeles of Nunu Kumba District. A pre-tested and interviewer-administered questionnaire was used to collect the data. Data were analyzed using SPSS version 20. Descriptive statistics were done to summarize the data. A multivariate logistic regressions analysis method was employed and odds ratio with 95% confidence interval was used to control for possible confounders. P-value < 0.05 was used to declare a significant association. Results The total demand for modern methods of contraceptive was 450 (77.1%) of which 325 (55.7%) of them were current user and 125 (21.4%) of them were had unmet need for modern contraceptive methods. Being in the younger age group (15–24 and 25–34 years [AOR = 0.196; 95% CI: 0.055, 0.692] and [AOR = 0.179, 95% CI: 0.043, 0.745] respectively, husband having no intention for more children [AOR = 4.124, 95% CI: 1.891, 8.996], number of children alive [AOR = 2.617, 95% CI: 1.056, 6.486], and couples ever not discussed on family planning [AOR = 0.340, 95% CI: 0.187, 0.619] were factors associated with demand for modern methods of contraception. Conclusion The total demand for modern methods of contraceptive was high in the study area except for long-acting and permanent methods with high unmet need for spacing than for limiting. Therefore, any program aimed at promoting family planning at the district level should look for ways and means of increasing demand for long-acting and permanent family planning methods and encouraging husband involvement to increase its utilization.


2020 ◽  
Vol 17 (2) ◽  
pp. 548-557
Author(s):  
Belma Toptaş ◽  
Hilmiye Aksu

The aim of this study was to determine contraceptive method use in perimenopausal women. This cross-sectional study was carried out in XXXXXXXXXXX Hospital between 6 June and 7 September in 2016. The study sample included 243 women selected through random sampling, a non-probability sampling. Data were collected with a questionnaire created by the researchers in light of the literature. The analysis of the data obtained from the research was carried out in the SPSS 20.0 package program. Percentage ratios, arithmetic mean and standard deviation, chi square test have been used in analysis of data. The mean age of the women was 47.7±3.4 years. At the time of the study, 77.4% of the women were using a contraceptive method, but 22.6% of the women were not using any contraceptive methods. The most frequent method was intrauterine device at the rate of 25.1%. Twenty-three-point nine percent of the women had tubal ligation and 14.8% of the women were using withdrawal. Formerly, the most frequently used modern contraceptive method had been contraceptive pills at the rate of 53.8%. The second most frequent former method had been male condom at the rate of 46.5% and the third most frequent former method had been copper intrauterine device at the rate of 32.9%. Nine-point nine percent of the women had not used any contraceptive methods previously. Fifty-four-point three percent of the women did not know how long they should use a contraceptive method after their periods ended due to menopause. The decreased rate of contraceptive use and not knowing how long contraceptives should be used in perimenopausal women reveal an unfulfilled need for counseling in these women. It can be recommended that perimenopausal women should be provided counseling appropriate for their age and needs. ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet Bu araştırmanın amacı perimenopozal dönemdeki kadınların kontraseptif yöntem kullanım durumlarını belirlemektir. Kesitsel tipteki bu çalışma XXXXXXXXXXX Hastanesi’nde 06/06/2016 ile 07/09/2016 tarihleri arasında yapılmıştır. Araştırmanın örneklemini 243 kadın oluşturmuş ve örnekleme alınacak kadınları belirlemede olasılıksız örnekleme yöntemlerinden gelişigüzel örnekleme yöntemi seçilmiştir. Araştırma verileri, araştırmacılar tarafından literatüre uygun elde edilen soru formu ile toplanmıştır. Verilerin analizi SPSS 20,0 paket programında gerçekleştirilmiştir. Verilerin analizinde, yüzdelik oranlar, aritmetik ortalama, standart sapma, ve Ki kare testi kullanılmıştır. Kadınların yaş ortalamaları 47,7±3,4’dir.  Kadınların %77,4’ü halen gebelikten korunmak için bir yöntem kullanırken %22,6’sı hiçbir yöntem kullanmamaktadır. Şuanda kullanılan kontraseptif yöntemin en yüksek oranda (%25,1) rahim içi araç (RİA) olduğu belirlenmiştir. Kadınlar %23,9 oranında tüp ligasyon ve %14,8 oranında ise geri çekme yöntemi ile gebelikten korunmaktadırlar. Araştırmaya katılan kadınların yarıdan fazlası (%53,8) geçmişte gebelikten korunmak için modern yöntem olarak hap kullanmıştır. Erkek kondomu %46,5 oranı ile ikinci sırada yer alırken, %32,9 oranı ile bakırlı RİA üçüncü sırada kullanılmıştır. Yöntem kullanmayan kadın oranı ise %9,9’dur. Kadınların %54,3’ü menopoz nedeni ile adetten kesildikten sonra ne kadar süre daha gebelikten korunmaları gerektiğini bilmemektedir. Perimenopozal dönemde yöntem kullanımının azalması ve bu dönemde ne kadar süre gebelikten korunması gerektiğinin bilinmemesi kadınların karşılanamayan danışmanlık gereksinimlerinin olduğunu ortaya koymaktadır. Bu danışmanlığın kadının yaşına ve ihtiyacına uygun verilmesi önerilebilir.


Author(s):  
Jibi Stephen George ◽  
Hemant Kumar

Background: India with 50% percent of its population in reproductive age group is the second most populous country in the world with an estimated population of 1.37 billion and if measures are not taken; it is likely to rise to 1.68 billion by the year 2050.The answer lies in promoting small family norms by modern contraceptive methods with the proposed goal of 75% coverage by 2030. In the backdrop of above present research was conceived to study, the knowledge, attitude and practices of contraception among urban women in Mangaluru, Karnataka.Methods: Present study is a cross sectional study. A total of 110 urban women were evaluated with the help of a pre-designed and pre-tested questionnaire for the knowledge, attitude and practices on various prevalent contraceptive methods.Results: Though all the participants were found to be aware of available contraceptives, only 57.3% of them had used one or the other method in their life time. The attitude of large majority (82.7%) of study subjects was found to be positive. The most commonly used contraceptive was condom 73.9%, followed by oral pills (39.2%) and Copper -T (23.9%). Desire for male child (30.1%), lack of awareness (15.1%) and fear of side effects (11.3%) were cited as the main barriers to the use of contraceptives.Conclusions: The study brings out the need for health educational strategies to create awareness in the community on family planning and contraceptive methods.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e030980 ◽  
Author(s):  
Joseph Lasong ◽  
Yuan Zhang ◽  
Simon Afewerki Gebremedhin ◽  
Sampson Opoku ◽  
Chrissie Stansie Abaidoo ◽  
...  

ObjectiveZambia is among the world’s top 10 countries with higher fertility rate (5.5 births/woman); unmet family planning need for births spacing (14%) and limiting births (7%). Women in rural Zambia (24%) are reported to have unmet need for family planning than those in urban areas (17%). This study was conducted to ascertain factors associated with modern contraceptive use among rural Zambian women.DesignCross-sectional study.SettingRural Zambia.ParticipantsSecondary data of 4903 married or cohabiting rural women (15–49 years) after filtering out the pregnant, urban based and unmarried women from 2013 to 2014 Zambian Demographic and Health Survey (ZDHS) were analysed using SPSS V.22. Multiple logistic regression, Pearson’s χ2and descriptive statistics were performed to examine factors associated with modern contraceptive use.ResultsFactors that were positively associated with contraceptive use were respondent’s education (secondary adjusted ORs (AOR = 1.61, p≤0.002); higher (AOR = 2.39, p≤0.050)), wealth index (middle class, (AOR = 1.35, p≤0.005); rich (AOR = 2.04, p≤0.001) and richest (AOR = 1.95, p≤0.034)), high parity (1–2 (AOR = 5.31, p≤0.001); 3–4 (AOR = 7.06, p≤0.001); 5+ (AOR = 8.02, p≤0.001)), men older than women by <10 years (AOR = 1.50, p≤0.026) and women sensitised about family planning at health facility (AOR = 1.73, p≤0.001). However, old age (40–49 years (AOR = 0.49, p≤0.001)), other religions (Protestants, African traditionalists and Muslims) (AOR = 0.77, p≤0.007), ever had pregnancy miscarried, aborted or stillbirth (AOR = 0.78, p≤0.026) and women without knowledge of number of children husband desires (AOR = 0.71, p≤0.001) were negatively associated with contraceptive use.ConclusionModern contraceptive use in rural Zambia among currently married women of reproductive age group is relatively low (43%). We recommend that appropriate interventions are instituted to increase contraceptive access and use especially among uneducated older rural Zambian women.


2020 ◽  
Vol 15 (1) ◽  
pp. 40
Author(s):  
Christiana Rialine Titaley ◽  
Ninik Sallatalohy

Maluku Province is one among provinces in Indonesia with a contraceptive prevalence rate (CPR) lower than the national average. This study aimed toexamine factors associated with the utilization of family planning contraceptives among women of reproductive age living in the coastal area of South BuruDistrict, Maluku, Indonesia. Data were derived from a household health survey conducted in five subdistricts in South Buru, e.g., Namrole, Leksula, Waesama,Kapala Madan and Ambalau Subdistricts on November 2017 by the Faculty of Medicine, Pattimura University in Ambon. Information on contraceptive usewere collected from 390 married women aged 20 - 49 years. Bivariate and multivariate logistic regression analysis were employed to examine the factorsassociated with utilization of family planning contraceptives. This study found a low rate of utilization of family planning contraceptives (38.5%). The odds ofutilization modern contraceptive significantly reduced among women living in Ambalau and Leksula Subdistricts, aged 41 - 49 years, those who intend to havemore number of children, and with a low level of knowledge about family planning contraceptive methods.


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