scholarly journals Predictors of contraceptive discontinuation among postpartum women in Arusha region, Tanzania

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Michael J. Mahande ◽  
Ryoko Sato ◽  
Caroline Amour ◽  
Rachel Manongi ◽  
Amina Farah ◽  
...  
Keyword(s):  
Unmet Need ◽  
Reproductive Age ◽  
Postpartum Women ◽  
Women Of Reproductive Age ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Lower Odds ◽  
Lactational Amenorrhea ◽  
Contraceptive Discontinuation ◽  
Arusha Region

Abstract Background Postpartum contraceptive discontinuation refers to cessation of use following initiation after delivery within 1 year postpartum. Discontinuation of use has been associated with an increased unmet need for family planning that leads to high numbers of unwanted pregnancies, unsafe abortion or mistimed births. There is scant information about contraceptive discontinuation and its predictors among postpartum women in Tanzania. This study aimed to determine predictors of contraception discontinuation at 3, 6, 12 months postpartum among women of reproductive age in Arusha city and Meru district, Tanzania. Methods This was an analytical cross-sectional study which was conducted in two district of Arusha region (Arusha city and Meru district respectively). A multistage sampling technique was used to select 13 streets of the 3 wards in Arusha City and 2 wards in Meru District. A total of 474 women of reproductive age (WRAs) aged 16–44 years residing in the study areas were included in this analysis. Data analysis was performed using STATA version 15. Odds ratios (ORs) with 95% confidence interval (CI) for the factors associated with contraceptives discontinuation (at 3, 6 and 12 moths) were estimated in a multivariable logistic regression model. Results Overall, discontinuation rate for all methods at 3, 6, and 12 months postpartum was 11, 19 and 29% respectively. It was higher at 12 months for Lactational amenorrhea, male condoms and injectables (76, 50.5 and 36%, respectively). Women aged 40–44 years had lower odds of contraceptive discontinuation at 3 months as compare to those aged 16 to 19 years. Implants and pills users had also lower odds of contraceptive discontinuation compared to injectable users at 3, 6 and 12 months respectively. Conclusion Lactational amenorrhea, male condoms and injectables users had the highest rates of discontinuation. Women’s age and type of method discontinued were independently associated with postpartum contraceptive discontinuation. Addressing barriers to continue contraceptive use amongst younger women and knowledge on method attributes, including possible side-effects and how to manage complications is warranted.

scholarly journals Predictors of Contraceptive Discontinuation among Postpartum Women in Arusha Region, Tanzania

2020 ◽  
Author(s):  
Michael Johnson Mahande ◽  
Ryoko Sato ◽  
Caroline Amour ◽  
Rachel Manongi ◽  
Amina Farah ◽  
...  
Keyword(s):  
Unmet Need ◽  
Reproductive Age ◽  
Postpartum Women ◽  
Women Of Reproductive Age ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Lower Odds ◽  
Lactational Amenorrhea ◽  
Contraceptive Discontinuation ◽  
Arusha Region

Abstract BackgroundPostpartum contraceptive discontinuation refers to cessation of use following initiation after delivery within one year postpartum. Discontinuation of use has been associated with an increased unmet need for family planning that leads to high numbers of unwanted pregnancies, unsafe abortion or mistimed births. There is scant information about contraceptive discontinuation and its predictors among postpartum women in Tanzania. This study aimed to determine predictors of contraception discontinuation at 3, 6, 12 months postpartum among women of reproductive age in Arusha city and Meru district, Tanzania.MethodsThis was an analytical cross-sectional study which was conducted in two district of Arusha region (Arusha city and Meru district respectively). A multistage sampling technique was used to select 13 streets of the 3 wards in Arusha City and 2 wards in Meru District. A total of 474 women of reproductive age (WRAs) aged 16-44 years residing in the study areas were included in this analysis. Data analysis was performed using STATA version 15. Odds ratios (ORs) with 95% confidence interval (CI) for the factors associated with contraceptives discontinuation (at 3, 6 and 12 moths) were estimated in a multivariable logistic regression model.ResultsOverall, discontinuation rate for all methods at 3, 6, and 12 months postpartum was 11%, 19% and 29% respectively. It was higher at 12 months for Lactational amenorrhea, male condoms and injectables (76%, 50.5% and 36%, respectively). Women aged 40-44 years had lower odds of contraceptive discontinuation at 3 months as compare to those aged 16 to 19 years. Implants and pills users had also lower odds of contraceptive discontinuation compared to injectable users at 3, 6 and 12 months respectively.ConclusionLactational amenorrhea, male condoms and injectables users had the highest rates of discontinuation. Women’s age and type of method discontinued were independently associated with postpartum contraceptive discontinuation. Addressing barriers to continue contraceptive use amongst younger women and knowledge on method attributes, including possible side-effects and how to manage complications is warranted.

scholarly journals Predictors of Use of Contraception among Married Women of Reproductive Age in a Rural Area of Nepal

2017 ◽  
Vol 3 (3) ◽  
pp. 88-99
Author(s):  
Tanuja Kumari Chaudhary ◽  
Bhwan Kumari Dangol ◽  
Lalita Rai ◽  
Mana Kumari Rai
Keyword(s):  
Universal Access ◽  
Statistical Significance ◽  
Academic Research ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Related Complication ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Contraceptive Prevalence

Background: Universal access to family planning is a human right, central to gender equality and women’s empowerment, and a key factor in reducing poverty. Use of contraception can prevent pregnancies related complication, helps in improving the health of mother and children and improve quality of life.Objective: to find out the predictors of use of contraception among married women of reproductive age (15-49 years).Methods: A descriptive cross-sectional study was adopted to find out the predictors of use of contraception among married women in Morang District. Cluster Random Sampling technique was used and sample size was 281. Data was collected by face to face interview technique by pretested questionnaire. Chisquare, bivariate, multivariable logistic regression model was used, and statistical significance was determined with a 95 % confidence level.Results: Mean age of the respondents was 29.52±5.64 years. Current contraceptive prevalence rate was 39.9%. The significant predictors associated with use of contraception were education status of husband (Adjusted Odd Ratio [AOR]=0.331, 95% CI= 0.144-0.759), being desire of children (AOR=2.564, 95%CI=1.060-6.198), spousal communication on contraception (AOR=5.120, 95%CI=2.460-10.656), husband approval on contraception (AOR=8.048, 95%CI=4.047-16.006), and prior use of contraception (AOR= 0.122, 95% CI=0.055-0.272). The common barriers of utilization of contraception were husband disapproval (57.4%) followed by fear of side effects (29.6%).Conclusion: Contraceptive prevalence rates were low. So, continued joint efforts are required to increase use of contraception to improve maternal and child health. It is recommended to involve male in family planning.Journal of Advanced Academic Research, Vol. 3, No. 3, 2016, page: 89-99

scholarly journals Unmet needs for family planning in Sunsari, eastern Nepal

1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Family Type ◽  
Women Of Reproductive Age ◽  
Cross Sectional

Introduction: The unmet need for family planning is a very useful tool in measuring and predicting the contraceptive needs of a population. Seventeen percent of all married women would prefer to avoid pregnancy but are not using any form of family planning. In less developed countries, about one forth of pregnancies is unintended. Objective: To determine the level of unmet need for family planning and evaluate the factors that influences the unmet needs in Married Women of Reproductive Age (MRWA). Methods: A cross-sectional study of 410 women attending the immunization clinic of B.P.Koirala Institute of Health Sciences, a teaching hospital in Dharan was carried out over 3 months. Results: MRWA had 22%, 15% and 8% unmet needs for family planning, spacing and limiting births respectively. Health concerns and side effects (30.5%), husband and family opposition (14%), uncertainty about child bearing (12.2%) and inconvenience (10%) were among the major constraints to the use of contraception. Unmet need has significant association between parity & education. Age and family type had no significant effect on unmet needs. Conclusion: In spite of high level of awareness about family planning method, a significant level of unmet need exists among women of reproductive age. Keywords: unmet needs; family planning; married women of reproductive age; MRWA DOI: http://dx.doi.org/10.3126/hren.v9i3.5581   HR 2011; 9(3): 148-151

scholarly journals Contraceptive nonuse among women in Uganda: a comparative assessment of predictors across regions

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jude Otim
Keyword(s):  
Reproductive Age ◽  
Index Number ◽  
High Fertility ◽  
Age At First Birth ◽  
Women Of Reproductive Age ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Regional Variations ◽  
Unintended Pregnancies ◽  
Contraceptive Usage

Abstract Background Contraceptive nonuse has diverse effects on women, such as unintended pregnancies and births that result in high fertility and poor maternal health outcomes. In Uganda, knowledge on contraceptive use is high, amidst undesirably high contraceptive nonuse and scarce literature on predictors of contraceptive nonuse across regions. This study assessed factors associated with contraceptive nonuse among women of reproductive age across regions in Uganda. Method This study used data from a cross-sectional 2016 Uganda demographic and heath survey that had 18,506 women of reproductive age. The relationship between contraceptive nonuse and socio-economic and demographic factors across regions were assessed using a binary multivariable logistic regression model. Results In Uganda, contraceptive nonuse is estimated at 40%. Northern region (55%) had the highest prevalence of contraceptive nonuse compared to Central region (35%) with the lowest. Across regions, wealth index, number of living children, educational level, and children born in the last 5 years prior to the demographic survey differently predicted contraceptive nonuse. Conversely, age, religion, age at first marriage, sexual autonomy, age at first birth, desire for children, listening to radio, and employment status were only predictors of contraceptive nonuse in particular regions amidst variations. Residence, perception of distance to health facility, watching television, and reading newspapers or magazines did not predict contraceptive nonuse. Conclusions The study findings propose the need to appreciate regional-variations in effect of contraceptive nonuse predictors and therefore, efforts should be directed towards addressing regional-variations so as to attain high contraceptive usage across regions, and thus reduce on unwanted pregnancies and births.

scholarly journals Knowledge, Attitude and Practice on Family Planning among Married Muslim Women of Reproductive Age

2020 ◽  
Vol 18 (2) ◽  
pp. 238-242
Author(s):  
Usha Dhakal ◽  
Ram Bahadur Shrestha ◽  
Surendra Kumar Bohara ◽  
Samir Neupane
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Muslim Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Planning Methods ◽  
Knowledge Attitude And Practice ◽  
Family Planning Methods

Background: Maternal mortality is associated with the unmet need of family planning. Family planning has been subjected as taboos in the Muslim community with low use of its methods. Gulariya Municipality is the second largest community for Muslim. This research focuses on knowledge, attitude and practice of family planning among Muslim women of reproductive age.Methods: Descriptive cross-sectional study design was undertaken in Gulariya Municipality. Married Muslim women of reproductive age group from 164 households were interviewed using systematic random sampling. Key informant interview was also applied.Results: The percentage of women who have knowledge on family planning methods was found 94.5%. On the means of contraception, most of the women (73.2%) knew about Depo. The attitude of the respondents was seen positive. A total of 79.3% of women were found to have practiced temporary means of family planning while none of the women surveyed were found using permanent family planning methods. Association between all socio-economic and demographic factors with knowledge of family planning methods were found insignificant at 0.05 level of significance. However, association between wealth rank and practices on family planning shows statistically significant association. Conclusions: Majority of women have knowledge on family planning, but still lack knowledge on few method like condom. Most of them found practicing family planning, despite the practice was not seen being done regularly. Language barrier seems to be influencing knowledge, attitude and practice of family planning. The research warrants newer strategies to be developed and employed to deal with the multi-disciplinary prospective of family planning among Muslim women.Keywords: Family planning; knowledge, attitude and practice; muslim women

scholarly journals Unmet Need of Family Planning Among Married Women of Reproductive Age in Rural Areas of Manikganj District

2019 ◽  
Vol 10 (1) ◽  
pp. 23-27
Author(s):  
Abu Noman Mohammed Mosleh Uddin ◽  
Mehedi Hasan Jewel
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Nuclear Family ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional

Aims: Introduction: Bangladesh has impressive gains in indicators related to population and family planning. Therefore, the unmet need for family planning should be addressed with utmost importance. Materials and Methods: A descriptive type of cross sectional study was conducted at four villages of Saturia Upazilla of Manikganj district to find out unmet need of family planning among married women of reproductive age including the status of contraceptive use and obstacles toward using family planning methods. The duration of study was from November 2017 to March 2018. The sample size was 480 in number. Results: In the study, 87.5% respondents were Muslims. Regarding level of education 18.75% of the respondents was illiterate, 22.19% of the respondents completed their primary education and 31.35% passed the secondary school certificate Examination. Most of the respondents (92.92%) were housewives. Out of 480 families, 51% belongs to nuclear family. 23.13% of the respondents had income below 10,000 Tk. and about 27.50% had an income more than 20,000 Tk. Among 480 respondents, 42.06% had 2 living children and about 33.78% had a single child. 89.17% of the respondents knew about contraceptive method. OCP was the most preferred method among 57.62% respondents. 61% respondents were using contraceptive method. The reason for not using any contraceptive method were fear of side effects (28.03%), eager to conceive (13.63%), and non-co-operative attitude of the husband (7.58%). In this study 58.13% respondents had the knowledge about permanent method of contraception. Conclusion: Family planning is more of a health necessity than an option. Though family planning program has remarkable success over the past decade, but still there is unmet need. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 23-27

scholarly journals A study to assess unmet need for family planning and contraceptive choices among married women of reproductive age in rural Madhya Pradesh

2018 ◽  
Vol 5 (11) ◽  
pp. 4725
Author(s):  
Aarti Sahasrabuddhe ◽  
Sangeeta Kori ◽  
V. K. Arora ◽  
Jayashri Bute
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Medical College

Background: The unmet need of family planning refers to the gap between reproduction intention of a couple and their contraceptive behavior. According to NFHS-4 the unmet need for family planning is 12.9 in India. The objectives of the study were to assess the unmet need for family planning and to find out the contraceptive choices among married women.Methods: This cross sectional study was undertaken in the rural field practice area of Department of Community Medicine, Index Medical College, Indore, from October 2016 to March 2017. Total sample size calculated was 640. Systematic random sampling was used to select eligible couple a pretested, semi-structured questionnaire was administered to women of reproductive age (15-49 year) in local Hindi language after taking consent.Results: Out of 640 participants 39 (6.1%) were desiring pregnancy, 454 (70.9%) using contraceptives while 147 (23%) had unmet need and among them 74 (11.6%) for limiting while 73 (11.4%) for spacing. Unmet need was found more in age group of 15-24 (35%), Muslims (48.6%), illiterates (45.9%), housewives (24.4%) and in poor socioeconomic status (53.4%). Overall contraceptive use was 70.9% and tubectomy (60.8%) was the most preferred method followed by male condom and OCP. Unmet need was higher among those who were not having male child (p=0.00, X2=42.2).The main reasons for not using contraception was identified as family interference and cultural as well as religious restrictions.Conclusions: The study conclude that still there is need to create awareness regarding importance of spacing method as well as limiting methods and to clear the myths regarding contraceptives not only in young couples but also in other family members.

scholarly journals Correlates of mistime pregnancy and unmet need for family planning among women of reproductive age in Sandema, Ghana.

2019 ◽  
Author(s):  
Elvis Junior Dun-Dery ◽  
Elijah Yendaw ◽  
Frederick Dun-Dery ◽  
Lawrence Bagrmwin
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Women Of Reproductive Age ◽  
Health Care Decisions ◽  
Cross Sectional ◽  
Unintended Pregnancies ◽  
Mistimed Pregnancy ◽  
Unwanted Pregnancies

Abstract Background: Universally, an estimated 80 million unintended pregnancies comprising both mistimed and unwanted pregnancies are recorded yearly, but only half of women at risk of a mistimed pregnancy use contraceptives. In developing countries, over 100 million females have unmet need and national surveys in Ghana indicate a 29% unmet need rate. Methods: A cross-sectional community based study was used, involving the use of multi-step cluster sampling methods in selecting 300 women of reproductive age. The study was quantitative in nature, using structured interviewer administered questionnaires. Results: More than half (66%) of the women in reproductive age still had unmet need, 71% were currently pregnant and 36% confirmed ever having a mistimed pregnancy. Overall, 53% of the women confirmed never communicating on family planning issues with their partners, a little below half (45%) of the respondents took their own health care decisions and 79% ever received family planning services from a health professional. Factors related to unmet need included mistimed pregnancy, level of education, preferred birth/pregnancy interval, communication between partners and the autonomy to spend self-earnings. Conclusion: Considering that high rates of unmet need results in mistimed pregnancy, improved policies around the influence of unmet need on mistimed pregnancies are needed.

scholarly journals Unmet need of contraceptives amongst the married women of reproductive age group: a study in a coastal belt of Bangladesh

2019 ◽  
Vol 47 (1) ◽  
pp. 37-40
Author(s):  
Palas Dutta ◽  
Sumon Chandra Debnath ◽  
Kinkar Ghosh
Keyword(s):  
Coastal Area ◽  
Nuclear Family ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Marriage Age ◽  
Coastal Belt

This cross-sectional study was conducted with an objective to assess the unmet need of contraceptives among married women of reproductive age at Assasuni Upazila (coastal area) in Satkhira District during the period from January to December 2016. A total of 222 participants (married women) were included in the study. The mean (± SD) age of the respondents was 27.9 ± 6.2 years and about half (45.9%) of the respondent’s marriage age were between 15 and 17 years. Most of the (85.6%) women were housewives and more than half (50.9%) belongs to a nuclear family. Most of the respondents (94.6%) were not currently pregnant and about one-fourth (25.7%) of them experienced with previous pregnancies. About ninety percent of the outcomes of last pregnancy were live-births. More than two-thirds (80.2%) were using contraceptives. More than two-fifth of the respondents was using the oral pill and 17.6% of their husband’s using condoms as a contraceptive. Among 222 respondents, 13.5% had the unmet need of contraceptives. Unmet need comprises who were not using any method of contraception due to husband’s opposition, did not know, opposition from other family members and no menstruation after last childbirth, (6.3%, 5.0%, 1.3% and 0.9%, respectively). Unmet need of contraceptive is high despite an extensive family planning program in Bangladesh. It is necessary for the governments to come up with strategies, which can reduce unmet needs of contraceptive, especially among coastal area. Bangladesh Med J. 2018 Jan; 47 (1): 37-40

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