scholarly journals The association between early in marriage fertility pressure from in-laws’ and family planning behaviors, among married adolescent girls in Bihar and Uttar Pradesh, India

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Anvita Dixit ◽  
Nandita Bhan ◽  
Tarik Benmarhnia ◽  
Elizabeth Reed ◽  
Susan M. Kiene ◽  
...  
Keyword(s):  
Family Planning ◽  
Family Size ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Uttar Pradesh ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Couple Communication ◽  
Multivariable Regression

Abstract Background Married adolescent girls are vulnerable to risky sexual and reproductive health outcomes. We examined the association of fertility pressure from in-laws’ early in marriage with contraceptive use ever, parity, time until first birth, and couple communication about family size, among married adolescent girls. Methods Data were taken from a cross-sectional survey with married girls aged 15–19 years (N = 4893) collected from September 2015 to July 2016 in Bihar and Uttar Pradesh, India. Multivariable regression assessed associations between in-laws’ fertility pressure and each outcome, adjusting for sociodemographic covariates. Results We found that 1 in 5 girls experienced pressure from in-laws’ to have a child immediately after marriage. In-laws’ fertility pressure was associated with lower parity (Adj. β Coef. − 0.10, 95% CI − 0.17, − 0.37) and couple communication about family size (AOR = 1.77, 95% CI 1.39, 2.26), but not contraceptive use or time until birth. Conclusions Our study adds to the literature identifying that in-laws’ pressure on fertility is common, affects couple communication about family size, and may be more likely for those yet to have a child, but may have little effect impeding contraceptive use in a context where such use is not normative.

scholarly journals The Association Between Early in Marriage Fertility Pressure from in-laws’ and Family Planning Behaviors, Among Married Adolescent Girls in Bihar and Uttar Pradesh, India.

2020 ◽  
Author(s):  
Anvita Dixit ◽  
Nandita Bhan ◽  
Tarik Benmarhnia ◽  
Elizabeth Reed ◽  
Susan M. Kiene ◽  
...  
Keyword(s):  
Family Size ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Uttar Pradesh ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Couple Communication ◽  
Multivariable Regression

Abstract Background: Married adolescent girls are vulnerable to risky sexual and reproductive health outcomes. We examined the association of fertility pressure from in-laws’ early in marriage with contraceptive use ever, parity, time until first birth, and couple communication about family size, among married adolescent girls. Methods: Data were taken from a cross-sectional survey study with married girls aged 15-19 years (N=4,893) collected from September 2015 to July 2016 in Bihar and Uttar Pradesh, India. Multivariable regression assessed associations between in-laws’ fertility pressure and each outcome, adjusting for sociodemographic covariates. Results: We found that 1 in 5 girls experienced pressure from in-laws’ to have a child immediately after marriage. In-laws’ fertility pressure was associated with lower parity (Adj. β Coef. -0.10, 95% CI -0.17, -0.37) and couple communication about family size (AOR=1.77, 95% CI 1.39, 2.26), but not contraceptive use or time until birth. Conclusions: Our study adds to the literature identifying that in-laws’ pressure on fertility is common, affects couple communication about family size, and may be more likely for those yet to have a child, but may have little effect impeding contraceptive use in a context where such use is not normative.

scholarly journals Gender Norms and Family Planning Practices Among Men in Western Jamaica

2014 ◽  
Vol 9 (4) ◽  
pp. 307-316 ◽  
Author(s):  
Melonie M. Walcott ◽  
John Ehiri ◽  
Mirjam C. Kempf ◽  
Ellen Funkhouser ◽  
Marion Bakhoya ◽  
...  
Keyword(s):  
Family Planning ◽  
Family Size ◽  
Gender Norms ◽  
Unwanted Pregnancy ◽  
Large Family ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Large Family Size ◽  
And Gender

The objective of this study was to identify the association between gender norms and family planning practices among men in Western Jamaica. A cross-sectional survey of 549 men aged 19 to 54 years attending or visiting four government-operated hospitals was conducted in 2011. Logistic regression models were used to identify factors associated with taking steps to prevent unwanted pregnancy, intention to have a large family size (three or more children), and fathering children with multiple women. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated from the models. Reduced odds for taking steps to prevent unwanted pregnancy among men with moderate (AOR = 0.5; 95% CI = 0.3-0.8) and high (AOR = 0.3; 95% CI = 0.1-0.6) support for inequitable gender norms was observed. Desiring large family size was associated with moderate (AOR = 2.0; 95% CI = 1.3-2.5) and high (AOR = 2.6; 95% CI = 1.5-4.3) support for macho scores. For men with two or more children (41%), there were increased odds of fathering children with multiple women among those who had moderate (AOR = 2.1; 95% CI = 1.0-4.4) and high (AOR = 2.4; 95% CI = 1.1-5.6) support for masculinity norms. Support for inequitable gender norms was associated with reduced odds of taking steps to prevent unwanted pregnancy, while support for masculinity norms was associated with desiring a large family size and fathering children with multiple women. These findings highlight the importance of including men and gender norms in family planning programs in Jamaica.

scholarly journals Unmet Need for Family Planning among Urban and Rural Married Women in Yangon Region, Myanmar—a Cross-Sectional Study

2019 ◽  
Vol 16 (19) ◽  
pp. 3742 ◽  
Author(s):  
Myint Myint Wai ◽  
Espen Bjertness ◽  
Hein Stigum ◽  
Thein Thein Htay ◽  
Tippawan Liabsuetrakul ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Married Women ◽  
Considerable Proportion ◽  
Demographic And Health Surveys ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Unintended Pregnancies

Despite increasing contraceptive use and prevalence, many women who want to avoid or delay pregnancy are not using contraceptives. This results in unintended pregnancies, which increases the risk of unsafe abortions. This study aimed to explore the extent of the unmet need for family planning (FP) among urban and rural married women in Myanmar and their demand for and satisfaction with FP. A cross-sectional survey using adapted Demographic and Health surveys questions was conducted in south and north Yangon from September 2016 to November 2016. A total of 1100 currently married women of 18–49 years participated. The contraceptive prevalence was 67.2% in total, 63% urban, and 70% rural. About 19.4% (95% CI: 16.7%–22.4%) of the studied women had an unmet need for FP, significantly higher in urban than rural women (22.6% versus 16.6%). Rural women also showed significant lesser odds (adjusted OR: 0.63; 95% CI: 0.461–0.849) of unmet need than the urban counterparts. About 86% of the women had demand for contraception and 77% of them satisfied their demand. The study population revealed a fairly good contraceptive coverage; however, a considerable proportion of women had an unmet need for FP, especially the urban women. The demand for contraception is increasing, and contraceptive services need to expand coverage to marginalized groups in order to reduce the risk of unsafe abortions.

scholarly journals Unmet need for family planning services among young married women (15–24 years) living in urban slums of India

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kriti Yadav ◽  
Monika Agarwal ◽  
Mukesh Shukla ◽  
Jai Vir Singh ◽  
Vijay Kumar Singh
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Contraceptive Use ◽  
Health Centre ◽  
Unmet Need ◽  
Uttar Pradesh ◽  
Married Women ◽  
Urban Slums ◽  
Family Planning Services ◽  
Cross Sectional

Abstract Background NFHS-4 stated high unmet need for family planning (FP) among married women in Uttar Pradesh. Unmet need is highest among age groups: 15–19 and 20–24 years. Currently few data is available about unmet need for FP among vulnerable section of the community, i.e.15–24 year’s age group living in the urban slums. Therefore this study was conducted to assess the unmet need for FP services and its determinants among this under-privileged and under-served section of society residing in urban slums of Uttar Pradesh, India. Methods Cross sectional study was conducted in the slums of Lucknow, India. One Urban-Primary Health Centre (U-PHC) was randomly selected from each of the eight Municipal Corporation zones in Lucknow and two notified slums were randomly selected from each U-PHC. All the households in the selected slums were visited for interviewing 33 young married women (YMW) in each slum, with a pre-structured and pre tested questionnaire, to achieve the sample size of 535. Analysis of the data was done using logistic regression. Results The unmet need for family planning services among YMW was 55.3%. About 40.9% of the unmet need was for spacing methods and 14.4% for limiting methods. Important reasons cited for unmet need for family planning services were negligent attitude of the women towards family planning, opposition by husband or others, embarrassment / hesitation / shyness for contraceptive use, poor knowledge of the FP method or availability of family planning services. Among method related reasons health concerns and fear of side effects were frequently cited reasons. On multiple logistic regression: age, educational status, duration of marriage, number of pregnancies, knowledge of contraceptive methods, opposition to contraceptive use and contact with Auxiliary Nurse Midwife (ANM) showed independently significant association with unmet need for family planning services. Conclusions Unmet need for family planning services is very high among the YMW of urban slums. The findings stress that program managers should take into cognizance these determinants of high level of unmet need for family planning among YMW and make intense efforts for addressing these issues in a holistic manner.

scholarly journals Assessment of the awareness and usages of family planning methods in the Lebanese community

2019 ◽  
Vol 45 (4) ◽  
pp. 269-274
Author(s):  
Ghada El Khoury ◽  
Pascale Salameh
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
National Level ◽  
Unmet Need ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Contraception Use ◽  
Planning Methods ◽  
National Prevalence

BackgroundWorldwide, one in three women has unmet family planning (FP) needs because of difficulties in accessing or using contraceptives. In Lebanon, information from the scientific literature on the national prevalence of contraceptive use appears scarce.ObjectiveIn view of this, we measured the current Lebanese national prevalence of FP methods’ uptake among women and men of reproductive age, and we assessed barriers for potential unmet need.MethodsWe conducted a cross-sectional survey on a nationally representative sample of 825 married women (aged 15–49 years) and men of reproductive age (aged 18+ years). We used the validated Demographic & Health Survey (DHS) data collection tool and analysed data with SPSS Version 22.0 with p values <0.05 considered statistically significant.ResultsWe found that the current prevalence of contraceptive use is 55.6%, the unmet need is 11.4%, the total demand for FP is 67% and the percentage of satisfied demand for FP is 83%. Despite favourable knowledge of and access to FP methods as well as positive attitudes towards FP; there is a clear stagnation in the rate of contraception use over the past four decades. The identified major factors hindering the use of FP methods in Lebanon appear to be religion, age and lower educational levels.ConclusionWe suggest the implementation of effective interventions at the national level to promote and encourage the uptake of modern FP methods among couples. The latter will further promote maternal and child health, as well as empower women to fulfil their equal function in society.

scholarly journals Child marriage among Somali refugees in Ethiopia: a cross sectional survey of adolescent girls and adult women

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shatha Elnakib ◽  
Kara Hunersen ◽  
Janna Metzler ◽  
Hailu Bekele ◽  
W. Courtland Robinson
Keyword(s):  
Adolescent Girls ◽  
Contraceptive Use ◽  
Health Indicators ◽  
Evidence Base ◽  
Child Marriage ◽  
Adult Women ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Humanitarian Settings ◽  
Multi Stage

Abstract Background Despite child marriage receiving increased attention over the past two decades, research on child marriage in humanitarian settings remains scarce. This study sought to quantify child marriage among Somali adolescent girls residing in Kobe refugee camp in Ethiopia and to identify its correlates and consequences. Methods A cross-sectional survey was conducted using multi-stage cluster-based sampling with probability proportional to size. We randomly sampled households that have at least one female aged 15–49 and at least one adolescent female aged 10–19. In addition to calculating the proportion of girls married under age 18, we used survival methods – namely Kaplan Meier graphs and Cox proportional hazard models – to identify risk factors associated with child marriage in this context. We also used descriptive statistics to describe marital age preferences among female adults and presented measures of important sexual and reproductive health indicators among married adolescent girls. Results A total of 603 adult women were surveyed and a household roster was created with information on 3319 household members, of whom 522 were adolescent girls aged 15–19. Of those, 14% were currently married (95% Confidence Interval [CI] 0.11–0.18), and 11% were ever married under age 18 (95% CI 8–15%). Several variables were found to be significantly associated with hazard of child marriage including schooling, sex and employment status of head of household, as well as number of girls under age 18 in the childhood home.. Adult women tended to incorrectly identify minimum legal age at marriage and preferred low marital age for boys and girls – particularly in households of child brides. Among married adolescent girls, contraceptive use was very low (11%; 95% CI 4.94–22.40), and early childbearing was common (60%; 95% CI 45.56–72.89). Conclusions This research contributes to the evidence base on child marriage in humanitarian settings. Insights generated from this study have the potential to inform programs and interventions aiming to prevent and mitigate the impacts of this harmful practice.

scholarly journals Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043890
Author(s):  
Felix Boakye Oppong ◽  
Divine Darlington Logo ◽  
Senyo Yao Agbedra ◽  
Anthony Agyapong Adomah ◽  
Seidu Amenyaglo ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Young Women ◽  
Contraceptive Use ◽  
Household Wealth ◽  
Secondary Outcome ◽  
Sexually Active ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
History Of ◽  
Nationally Representative

ObjectiveThere is a decline in contraceptive use among sexually active unmarried young women in Ghana. This study assessed the prevalence of contraceptive knowledge and use, and the determinant of contraceptive use among sexually active unmarried young women in Ghana.DesignThis was a nationally representative cross-sectional survey, using data from the 2017 Ghana Maternal Health Survey. Weighted logistic regression was used to assess the association between background and obstetric characteristics of young women and contraceptive use.SettingGhana.ParticipantsA total of 809 sexually active unmarried adolescent girls (15–19 years) and young women (20–24 years).Primary and secondary outcome measuresKnowledge and use of both modern and traditional contraceptive methods.ResultsKnowledge of at least one modern and traditional contractive method was 99.8% and 95.0%, respectively. The prevalence of contraceptive use was 43%—with 34% modern and 9% traditional methods. From the unadjusted analyses, age (p=0.002), past pregnancy (p<0.001), abortion in the past 5 years (p=0.007) and history of childbirth (p=0.025) were independently associated with contraceptive use, whereas education (p=0.072), place of residence (p=0.702), household wealth (p=0.836) and age at first sex (p=0.924) were not independently associated with contraceptive use. In the adjusted analysis, contraceptive use was significantly higher among respondents with secondary education compared with those with primary education (OR 2.43, 95% CI 1.31 to 4.49, p=0.017), and was higher among respondents with a history of pregnancy (OR 2.13, 95% CI 1.48 to 3.06, p<0.001).ConclusionThere is a significant gap between knowledge and use of contraceptives among the study population. While intensifying knowledge of adolescents and young women on contraceptives, adolescent-friendly corners should be established at vantage points to increase utilisation and to prevent societal stigma on young women who access contraceptives services.

scholarly journals Attitudes and Practices of Healthcare Professionals and Clinical Medical Students on Contraception: A Cross-Sectional Study in Cape Coast, Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Evans Kofi Agbeno ◽  
Joseph Osarfo ◽  
Betty Anane-Fenin ◽  
Emmanuel Kusi Achampong ◽  
Naa Adei Neequaye ◽  
...  
Keyword(s):  
Family Planning ◽  
Medical Students ◽  
Health Professionals ◽  
Contraceptive Use ◽  
Health Workers ◽  
Sexually Active ◽  
Cape Coast ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices

Background. Healthcare providers play a major role in the implementation of family planning policies. In Ghana, there has been a conscious effort to improve the knowledge of preservice and practicing health professionals on family planning. However, there have been concerns about the appropriateness of the attitudes and practices of these health cadres and, hence, their propensity to become barriers to the uptake of contraception in the general population. This study is aimed at assessing the attitudes and practices of healthcare workers and clinical-year medical students in contraceptives use, advocacy, and service provision. Methods. A cross-sectional survey was conducted among health workers and clinical-year medical students from January 1 to June 30, 2018. Variables assessed included sexual activity status, previous and current contraceptive use, and satisfaction with contraceptive use among others. Data from 400 self-administered, structured questionnaires comprising close- and open-ended questions was entered in SPSS version 22 and analysed using same. The variables assessed were presented as means, frequencies, and percentages. Results. About 58% of the respondents were sexually active. Half of the participants (50.2%) had used a form of contraception before, with condoms and other barrier methods being the most preferred (67.7%). However, only 18% of respondents were on a form of contraceptive at the time of the survey. Four out of five (82.6%) of the users of these contraceptives were satisfied with their past use. A little over half of the participants had discussed contraception with their partners. Over four-fifths of participants thought family planning was beneficial and were willing to encourage others to use a method of family planning. Majority (63.7%) of the participants had had formal training in family planning, but only 72 (18%) were actively involved in the provision of family planning services. Conclusions. Although the attitudes of the health workers and trainees toward family planning were excellent generally, only a few were using a method of contraception at the time of the survey despite the fact that most of them were sexually active. There is a need to intensify communication on behaviour change towards contraception among health professionals and clinical-year medical students in order to strengthen their role as change agents in an effort to improve community uptake.

scholarly journals Contraceptive use and determinants of unmet need for family planning; a cross sectional survey in the North West Region, Cameroon

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Esambe Emmanuel Edietah ◽  
Philip Nana Njotang ◽  
Atem Bethel Ajong ◽  
Marie José Essi ◽  
Martin Ndinakie Yakum ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
North West ◽  
The North ◽  
West Region

MORBIDITY PATTERN AMONG ADOLESCENT SCHOOL GIRLS IN RURAL AND URBAN SCHOOL OF JHANSI (U.P.)- A COMPARATIVE CROSS-SECTIONAL SURVEY

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Shubhanshu Gupta ◽  
Sanjeev Kumar ◽  
Piyush D Swami ◽  
Anjana Niranjan
Keyword(s):  
Health Status ◽  
Adolescent Girls ◽  
Low Socioeconomic Status ◽  
Optimal Level ◽  
Cross Sectional Study ◽  
World Health ◽  
World Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban

Background: According to World Health Organization, adolescents constitute about one fifth of the world population, and in India they constitute about 21% of the total population. Most of the surveys show that health status of adolescent girls is at sub-optimal level. Objectives: To assess nutritional status and morbidity pattern among the adolescent girls and to suggest measures for improvement of health status of adolescent girls.  Method: A community based cross-sectional study was carried out among 250 adolescent schoolgirls in Rural and urban field practice area of Jhansi school from January 2017 to July 2014. Results: Among the various morbidities eye problem was seen in maximum no of adolescent girls. Eye problem was present in 44.8% of adolescent girls followed by respiratory 14.7% and ear 13.06% disease. Skin disease was present in 3.2% of adolescent girls, which was more in rural girls 6.7% than in urban girls 1.7%, may be due to better hygienic practice in urban schoolgirls. Conclusions: Rural background, low socioeconomic status, illiteracy, birth rate and order, income and number of members in a family have shown to be significant determinants of morbidity pattern in the adolescent girls. Keywords: Adolescent, anemia, morbidity, vaginal discharge.

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