scholarly journals Prevalence and factors associated with postpartum use of long-acting reversible contraception in Bukombe District, Geita Region, Tanzania: a community- based study

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Kiondo Solomon Kiondo ◽  
Eusebious Maro ◽  
Sophia Kiwango ◽  
Julius Pius Alloyce ◽  
Benjamin C. Shayo ◽  
...  
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Sub Saharan Africa ◽  
Postpartum Women ◽  
Community Based ◽  
Factors Associated ◽  
Lake Zone ◽  
Family Planning Counseling ◽  
Formal Employment ◽  
Long Acting

Abstract Background Globally, approximately half of all pregnancies occur before 24 months after child birth. In Sub Saharan Africa the unmet need for family planning is highest among postpartum women. There is a dearth of information regarding factors associated with postpartum use of long acting reversible contraception (LARC) in Tanzania particularly in the Lake zone. This study aimed to determine the prevalence and factors associated with postpartum use of LARC (< 24 months) in Bukombe District, Geita Region in the Lake zone, in 2018. Methodology Community based analytical cross-sectional study was conducted between May and June 2018 among women with less than 24 months since delivery. Multistage sampling technique was used to recruit participants. Face to face interviews with 768 postpartum women was conducted using standardized questionnaire. Data were analyzed using Stata Version 13.0. Multivariable logistic regression model was used to determine factors associated with postpartum use of LARC. Results Prevalence of postpartum use of LARC was 10.4%. Urban residence (AOR = 2.94, 95% CI: 1.07–8.06), having formal employment (AOR = 4.81, 95% CI: 1.85–12.57) and receiving family planning counseling (AOR = 4.39, 95% CI: 1.89–10.20) were significantly associated with postpartum LARC use. Conclusion The postpartum use of LARC was low in the studied population with implants being the most commonly used method. Urban residency, formal employment and receiving family planning counseling were associated with postpartum LARC use. Improving prenatal and quality of family planning counseling is warranted to increase postpartum LARC utilization in Bukombe.

scholarly journals Factors Associated with Unmet Need for Family Planning among Married Reproductive Age Women in Toke Kutaye District, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala
Keyword(s):  
Family Planning ◽  
Maternal Education ◽  
Health Workers ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.

Assessment of government health center needs to implement long-acting reversible contraception services in rural Rwanda

2019 ◽  
Author(s):  
Amelia Mazzei ◽  
Rosine Ingabire ◽  
Etienne Karita ◽  
Jeannine Mukamuyango ◽  
Julien Nyombayire ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Center ◽  
Rural Health ◽  
Health Centers ◽  
Power Supplies ◽  
Government Health ◽  
Family Planning Counseling ◽  
Rural Health Centers ◽  
Long Acting ◽  
Gynecological Exam

Abstract Background. There is unmet need for family planning in Rwanda. We previously developed an evidence-based couples’ family planning counseling (C)FPC program in the capital city that combines: 1) fertility goal-based family planning counseling with a focus on long-acting reversible contraceptive (LARC) for couples wishing to delay pregnancy; 2) health center capacity building for provision of LARC methods, and 3) LARC promotion by community health workers (CHW) trained in community-based provision (CBP) of oral and injectable contraception. From 2015-2016, this service was integrated into eight government health centers in Kigali, reaching 6,072 clients and resulting in 5,743 LARC insertions. Methods. From May-July 2016, we conducted health center needs assessments in 30 rural health centers using surveys, key informant interviews, logbook extraction, and structured observations. The assessment focused on the infrastructure, materials, and human resources needed for LARC demand creation and provision.Results. Few nurses had received training in LARC insertion (41% implant, 27% intrauterine device (IUD)). All health centers reported working with CHW, but none trained in LARC promotion. Health centers had limited numbers of IUDs (average 16.4), implants (average 56.1), functional gynecological exam tables (average 2.3), and lamps for viewing the cervix (average <1). Many did not have backup power supplies (40%). Most health centers reported no funding partners for family planning assistance (60%). Per national guidelines, couples’ voluntary HIV counseling and testing (CVCT) was provided at the first antenatal visit at all clinics, reaching over 80% of pregnant women and their partners. However, only 10% of health centers had integrated family planning and HIV services. Conclusions. To successfully implement (C)FPC and LARC services in rural health centers across Rwanda, material and human resource capacity for LARC provision will need to be greatly strengthened through equipment (gynecological exam tables, sterilization capacity, lamps, and backup power supplies), provider trainings and follow-up supervision, and new funding partnerships. Simultaneously, awareness of LARC methods will need to be increased among couples through education and promotion to ensure that demand and supply scale up together. The potential for integrating (C)FPC with ongoing CVCT in antenatal clinics is unique in Africa and should be pursued.

scholarly journals Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

2020 ◽  
Author(s):  
Joseph Batholomeo Massenga ◽  
Ritha Norohna ◽  
Bayoum Awadhi ◽  
Dunstan Bishanga ◽  
Oliva Safari ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Community Health ◽  
Univariate Analysis ◽  
Unmet Need ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Factors Associated

Abstract BackgroundIn Tanzania, 27.1% of all women of reproductive age are currently using modern contraception, and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania.MethodsSub-analysis of a cross-sectional household survey conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15-49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. Univariate analysis was used to present crude effects of covariates, followed by stepwise forward selection to build a multiple logistic regression model. A p-value ≥ 0.20 was applied as the criterion to retain a variable into the model.ResultsAmong 1184 women within two years after giving birth, 393 (33.2%) used family planning methods. After adjusting for (1) age, (2) level of education, (3) living in union, (4) being accompanied to ANC by a partner and (5) being able to mention at least one method, factors independently associated with family planning uptake included: (1) having discussed family planning with the partner (aOR 2.90; 95% CI 1.88-4.49), (2) having been counselled on family planning during ANC (aOR 2.15; 95% CI 1.48-3.13), (3) having discussed family planning with a community health worker (aOR 3.32; 95% CI 1.91-5.77), (4) having discussed family planning with a facility health care worker (aOR 1.79; 95% CI 1.22-2.62), (5) having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273) and (6) being in union (aOR 1.86; 95% CI 1.02-3.42).ConclusionSupportive constitutes including educational interaction with facility and community health workers, as well as having a supportive partner are facilitators to increased uptake of family planning among women in Tanzania

scholarly journals Unmet needs for family planning and its socio-demographic correlates among women in the reproductive age group in central rural India

2020 ◽  
Vol 7 (2) ◽  
pp. 659
Author(s):  
Ramesh Devidas Pawar ◽  
Shital Pratapsing Solanke
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Educational Status ◽  
Married Women ◽  
Reproductive Age ◽  
Age Group ◽  
Community Based ◽  
Reproductive Age Group ◽  
Status Of Women

Background: Unmet need is the discrepancy between reproductive intentions and birth control practices. If the unmet needs remained neglected it leads to population explosion which is one of the greatest threats to India’s economic, social and political development.  A community-based study was carried out in rural areas with the objective to find the prevalence of unmet need for family planning and its socio-demographic determinants among married women of reproductive age.Methods: A community based cross sectional study was conducted between January to June 2019. After calculation of sample size 670 participants were selected by simple random sampling method.  Predesign and semi structured Performa was used for data collection. Data was collected and analyse using Epi Info 7.Results: Unmet needs of family planning among the study subject was 31.19% (57.58% for the spacer and 42.42% for limiter). It was significantly higher among the Muslim (66.67%) and Boudh (40.38) religion. It was higher among Illiterate (40.82%), women residing in joint families (72.16%). Unmet need of family planning was significantly associated with age of women, religion, educational status of women and their husbands, occupation, type of family, no of children the women have and age at marriage.Conclusions: Unmet needs among married women in the reproductive age group was still high and was significantly associated with age of women, religion, educational status of women as well as their husband, occupation, type of family, number of children the women had and age at marriage.

scholarly journals The Increasing access to family planning services through a non-health sector: Technical Integration Coverage and Access (TICA) in Nepal

2017 ◽  
Vol 4 (2) ◽  
pp. 30-42
Author(s):  
Ghanshyam K Bhatta ◽  
Josue Orellana ◽  
Bidya Mahat ◽  
Ishwar Nath Mishra ◽  
Chandeshwari Tamrakar ◽  
...  
Keyword(s):  
Family Planning ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Health Sector ◽  
Limited Range ◽  
Reproductive Age ◽  
Cross Sectional ◽  
The Government ◽  
Long Acting ◽  
Technical Integration

Background: Family Planning (FP) is a key developmental focus for the government of Nepal. Use of modern contraceptives has stagnated at 43.2% since 2011. Unmet need for family planning (FP) in Nepal remains high at 27%. A factor contributing to this levelling of contraceptive use despite relatively high unmet need is the limited range of methods available to most clients at most sites. To address the FP need among married women of reproductive age (WRA), we tested integration of FP into agricultural programs.   Aim: To assess the effectiveness of a FP program integrated into an agriculture (e.g. non-health) sector program. Methods: A cross-sectional interventional study conducted November 2015 to February 2016 among 525 WRA who were participants in an agriculture program. Results: The contraceptives commonly used by women in the study location were Depo Provera and Minilap.  After Technical Integration Coverage and Access (TICA) interventions, almost all of the respondents (99.6%) had heard about FP of which 67.8% correctly understood FP as a method to prevent unwanted pregnancy. About 50% of the respondents were found currently using FP.  The percentage of WRA aware of long-acting and permanent FP methods increased from 49.0% to 62.0% and 39.0% to 52.0% respectively. Decisions on using a FP method were predominantly made by the husband (68.0%). However, 68.4% women reported that they were motivated by their husband. The proportion of men willing to use FP increased from 5.2% to 15.5% after TICA activities implementation. The main reason identified for not currently using FP devices was that the husband and wife were not living together (88.8%). Most of the women (98.0%) reported that FP utilization improved their quality of life. Conclusion: TICA activities were very successful in both increasing FP knowledge level as well as utilization of FP services among the targeted beneficiaries. The use of FP increased among agriculture program beneficiaries after the integration of TICA activities with a gradual shift from short-acting FP methods to long-acting and permanent FP methods. For easy integration, FP projects should also utilize existing community structures such as cooperatives, women’s groups, men’s groups, and youth clubs.

scholarly journals Currently married women with an unmet need for contraception in Eritrea: Profile and determinants

2011 ◽  
Vol 38 (1-2) ◽  
pp. 61 ◽  
Author(s):  
Gebremariam Woldemicael ◽  
Roderic Beaujot
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Economic Status ◽  
Unmet Need ◽  
Married Women ◽  
Sub Saharan Africa ◽  
The Status ◽  
Sub Saharan ◽  
Using Data ◽  
Unmet Need For Contraception

Eritrea’s contraceptive prevalence rate is one of the lowest in sub-Saharan Africa and its fertility has only started to decline. Using data from the 2002 Eritrea Demographic and Health Survey (EDHS), this study examines the determinants of unmet need for family planning that is the discrepancy between fertility goals and actual contraceptive use. More than one-quarter of currently married women are estimated to have an unmet need, and this has remained unchanged since 1995. The most important reason for unmet need is lack of knowledge of methods or of a source of supply. Currently married women with higher parity, and low autonomy, low or medium household economic status, and who know no method of contraception or source of supply are identified as the most likely to have an unmet need. Addressing the unmet need for family planning entails not merely greater knowledge of or access to contraceptive services, but also the enhancement of the status of women.

COITUS, THE PROXIMATE DETERMINANT OF CONCEPTION: INTER-COUNTRY VARIANCE IN SUB-SAHARAN AFRICA

2000 ◽  
Vol 32 (2) ◽  
pp. 145-159 ◽  
Author(s):  
MARK SIMON BROWN
Keyword(s):  
Family Planning ◽  
Sexual Activity ◽  
Unmet Need ◽  
Population Level ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Coital Frequency ◽  
African Countries ◽  
Activity Data ◽  
Proximate Determinant

There is a general consensus in the literature that fertility differences between populations can be accounted for by differences in just four key proximate determinants: nuptiality, the postpartum non-susceptible period, contraception and abortion. Natural fecundibility is generally assumed to be constant between populations. This paper puts the theoretical and empirical case for a re-evaluation of that assumption, drawing on the under-utilized data on sexual activity collected in the Demographic Health Surveys (DHSs). Using data for married women in nine African countries, the analysis finds substantial population level differences in mean monthly coital frequency, which, if accurate, suggest an important demographic effect. There is a clear regional patterning to these differences, with levels of activity considerably lower among women in the West African populations included in the study than those from East and southern Africa. For West Africa in particular the data indicate the normality of exceptionally long periods of very infrequent or no intercourse by married women outside the period of postpartum abstinence. The findings challenge prevailing presumptions concerning susceptibility to pregnancy in marriage on which statistics for unmet need for family planning are derived. While doubts are raised over the precision of the sexual activity data used, the paper argues for the need for a greater effort to operationalize the ‘proximate determinant of conception’, not only for more accurate fertility modelling, but also as a planning tool for a more sensitive provision of family planning services in Africa.

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