scholarly journals Accessibility of long-term family planning methods: a comparison study between Output Based Approach (OBA) clients verses non-OBA clients in the voucher supported facilities in Kenya

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Boniface Oyugi ◽  
Urbanus Kioko ◽  
Stephen Mbugua Kaboro ◽  
Shadrack Gikonyo ◽  
Clarice Okumu ◽  
...  
2019 ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  

Abstract Background: Despite availability of modern family planning methods and a desire for smaller families, many women decide to forgo modern methods due to anticipated side effects. The goal of this study was to examine the use of modern family planning in one district in rural Ghana, and to understand the role that side effects play in women’s decisions to start or continue use. Methods: This exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old from the Amansie West District of Ghana. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects. Results: The prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n=135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Conclusion: As programs have improved women’s ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women’s needs in low-income countries.


2019 ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  

Abstract Background: Despite availability of modern family planning methods and a desire for smaller families, many women decide to forgo modern methods due to anticipated side effects. The goal of this study was to examine the use of modern family planning in one district in rural Ghana, and to understand the role that side effects play in women’s decisions to start or continue use. Methods: This exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old from the Amansie West District of Ghana. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects. Results: The prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n=135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Conclusion: As programs have improved women’s ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women’s needs in low-income countries.


2020 ◽  
Vol 5 (4) ◽  
pp. 36
Author(s):  
Mwangi John Hiuhu ◽  
Maina Eva Mumbi ◽  
Mutinda Lewis Muendo ◽  
Maingi Nancy Nyambura

Purpose: the main objective of the study was to assess male partner involvement in long term contraceptive uptake among selected couples in Murang’a county central Kenya Methodology: This was a descriptive, cross-sectional study employing both qualitative and quantitative approaches. Data collection tools were Interviewer administered - Semi Structured Questionnaires, Key Informant interviews guide and Focused Group Discussions guide .Pre-test of Instruments was done at Othaya Sub County in Nyeri. Eligible couples were systematically sampled using the EPI spatial sampling methods adopted by WHO for use in low income countries Data was analyzed using SPSS version 20 software. Descriptive statistics, chi square, binary and multiple logistic regressions was computed. Those variables that were significant at P-value ≤ 0.05 were entered into multivariate analysis. The odds ratio was calculated to assess the association and strength of association of variables. P-value < 0.05 was taken as a cut point. Qualitative data was triangulated with the quantitative data to enhance validity and reliability of the study findings. Findings: Majority of couples interviewed (73%) reported being in a long-term relationship Most participants (61%) cited male involvement as male partner participation and contribution, which they believed was important in family planning services utilization. Whereas most women(57%)  reported that the partner’s permission was not necessary and the decision to use any family planning method was their own, key informant indicated that despite receiving information about benefits of long-term family planning method, many women remained (53%) reluctant to undergo some procedures without first obtaining their partners permission. Most of the male partners(51%)  were not willing to undergo vasectomy as they equated it with castration and the stigma which was to accompany the tag. Unique contribution to theory, practice and policy: There is need to increase the level of knowledge and awareness among male partners on long term family planning methods and their benefits. Future research should explore the feasibility and effectiveness of engaging male partners in utilization of long-term family planning methods


1989 ◽  
Vol 19 (3) ◽  
pp. 114-117 ◽  
Author(s):  
O Fakeye ◽  
O Babaniyi

This study reports the main reasons given for nonuse of contraception by non-pregnant women aged 15–44 years, who are at risk of unplanned pregnancy and living in the Ilorin Local Government Area of Kwara State, Nigeria. Six hundred and forty-six women were derived from a stratified cluster sample and interviewed using a questionnaire. Almost one-third (31.4%) of respondents gave male opposition to family planning as the reason for current non-use. Another 13.3% expressed fear of methods, 6.3% did not want to use contraception until the first child was born, and 13.6% until the desired number of children were born. Sociodemographic variables including age, educational level, religion, and residence as reasons for non-use were reported. Other important findings included a high awareness of, low availability of, or poor accessibility to contraceptive methods. Short and long term intervention strategies using information, education and communication materials are proposed to combat low levels of contraceptive use in this area.


2021 ◽  
Vol 14 (1) ◽  
pp. 105
Author(s):  
Tri Yunita Fitria Damayanti ◽  
Dwi Kurnia Purnama Sari ◽  
Umu Qonitun

Abstrak. Capaian Akseptor Metode Kontrasepsi Jangka Panjang (MKJP) sangat rendah dibandingkan dengan KB Non-MKJP. Penelitian ini membahas analisa hubungan jenis pekerjaan ibu dengan pemilihan KB metode kontrasepsi jangka panjang yang dipilih. Pendekatan cross sectional digunakan dalam penelitian ini. Populasi dan sampel dalam penelitian ini adalah Seluruh Akseptor yang menggunakan KB jangka panjang Di Dusun Kenthu, Desa Tahulu Kecamatan Merakurak, Kabupaten Tuban Bulan Juli-Agustus 2020. Variabel independen dalam penelitian ini adalah jenis pekerjaan ibu, sedangkan jenis kontrasepsi jangka panjang merupakan variabel dependen. Analisa data dengan menggunakan korelasi Spearman. Berdasarkan analisa hasil penelitian menunjukkan bahwa jenis pekerjaan tidak berhubungan dengan pemilihan KB Metode kontrasepsi jangka panjang. Jenis pekerjaan dapat dipastikan tidak berhubungan dengan pemilihan metode KB, maka untuk meningkatkan capaian program KB MKJP, pemerintah dapat melakukan penyuluhan tentang efek samping, indikasi, kontraindikasi, cara kerja semua alat kontrasepsi, dan komplikasi MKJP.  Kata kunci : MKJP, Keluarga berencana, Jenis Pekerjaan   The Corellation between Type of Work and Selection of Long Acting Contraception Method In Kenthu Hamlet, Tahul Village, Merakurak District, Tuban Regency in 2020  Abstract. The accomplishment of acceptors of long-term contraceptive methods is very low compared to long-term non-contraceptive methods. This study discusses the analysis of the relationship between the type of mother's occupation and the choice of long-term contraceptive method. A cross-sectional approach was used in this study. The population and sample in this study were all acceptors using long-term family planning in Kenthu Hamlet, Tulu Village, Merakurak District, Tuban Regency in July-August 2020. The independent variable in this study was the type of maternal occupation, while the type of long-term contraception was the dependent variable. Data analysis using the Spearman correlation. Based on the analysis of the research results, it shows that the type of work is not related to the choice of family planning methods of long-term contraception. The type of work can be ascertained that it is not related to the choice of family planning methods, so to improve the achievements of the long-term contraceptive method, the government can provide counseling about side effects, indications, contraindications, how all contraceptives work, and complications of the long-term contraceptive method.  Keywords: long-term contraceptive, family planning, type of work


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).    


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