scholarly journals Looking Through the Lens of a Family Planner to Prioritize Reproductive Health Among Women With Cancer

2019 ◽  
Vol 15 (2) ◽  
pp. e141-e152 ◽  
Author(s):  
Jessica M. Madrigal ◽  
Mokshasree Atluri ◽  
Erika K. Radeke ◽  
Ashlesha Patel

PURPOSE: Prioritization of cancer treatment initiation in women of reproductive age may underscore potential implications on reproductive health. This study describes a family planning quotient (FPQ) and reproductive life index (RepLI) tool designed to help providers to discuss effectively reproductive health with women with cancer. METHODS: We tailored the FPQ/RepLI tool for patients with cancer after development in the family planning setting and piloted it with 36 oncology patients referred to our family planning clinic. Each patient completed the FPQ/RepLI with a health educator or medical student and then met with a physician to create a reproductive life plan. A subsample evaluated the tool by rating satisfaction using a Likert scale. Summary statistics were calculated overall and by childbearing status. RESULTS: Of the 36 women, 22 did not desire additional children and received contraception. One third (n = 14) had not completed childbearing, four of whom continued with fertility preservation counseling. Women who desired childbearing were less likely to already have children ( P = .02), and more than one half were using long-term contraception. All agreed that the FPQ/RepLI helped them to talk to their provider about their reproductive goals. Only 44.4% agreed that their oncologist knew how many children they desired, and 88.9% found the tool helpful and would use it for future tracking of their reproductive goals. CONCLUSION: The FPQ/RepLI is useful for assessing the reproductive health of young women with a new cancer diagnosis, understanding desires of future childbearing, and providing effective contraception. We recommend the incorporation of this tool into practice to better understand patients’ reproductive needs.

2021 ◽  
Vol 4 (5) ◽  
pp. 1227-1236
Author(s):  
Nora Veri ◽  
Alchalidi Alchalidi ◽  
Dewita Dewita ◽  
Nuswatul - Khaira ◽  
T. Iskandar Faisal

ABSTRAK Pemerintah menggalakan program Keluarga Berencana (KB) untuk mengendalikan pertumbuhan penduduk. Salah satu program KB adalah dengan penggunaan kontrasepsi. Metode kontrasepsi yang saat ini yang paling banyak digunakan oleh Wanita Usia Subur (WUS) adalah suntikan Depo Medroxy Progesterone Acetate (DMPA) yang berisi hormon progesteron. DMPA memiliki efek samping yang merugikan organ reproduksi untuk penggunaan jangka panjang. Tujuan kegiatan pengabdian dilakukan untuk meningkatkan pengetahuan wanita usia subur tentang efek samping penggunaan kontrasepsi hormonal DMPA jangka panjang pada organ reproduksi. Metode pelaksanaan adalah dengan edukasi peningkatan pengetahuan tentang kontrasepsi DMPA dengan sasaran wanita usia subur akseptor KB DMPA sebanyak 60 orang. Hasil kegiatan diperoleh bahwa mayoritas pengetahuan wanita usia subur pada kategori kurang pada saat pretest sebanyak 41 orang (68,33%) dan pada saat posttest mayoritas berada pada kategori baik sebanyak 53 orang (88,33%). Adanya peningkatan pengetahuan setelah dilakukan edukasi tentang penggunaan kontrasepsi DMPA dan efek samping yang ditimbulkan akibat penggunaan jangka panjang terhadap kesehatan organ reproduksi. Kata Kunci :   Depo Medroxy Progesterone Acetate (DMPA), Wanita Usia Subur, Kontrasepsi, Keluarga Berencana  ABSTRACT The government is promoting the Family Planning (KB) program to control population growth. One of the family planning programs is the use of contraception. The method of contraception currently most widely used by women of reproductive age is the injection of Depo Medroxy Progesterone Acetate (DMPA) which contains the progesterone hormone. DMPA has adverse side effects on reproductive organs for long-term use. The purpose of this service is to increase the knowledge of women of reproductive age about the side effects of long-term use of DMPA hormonal contraceptives on the reproductive organs. The method of implementation is education to increase knowledge about DMPA contraception with the target of women of reproductive age DMPA to acceptors as many as 60 people. The results of the activity showed that the majority of knowledge of women of reproductive age were in the lack knowledge at the time of the pretest as many as 41 people (68.33%) and at the time of the posttest the majority were in the good knowledge category as many as 53 people (88.33%). There is an increase in knowledge after education about the use of DMPA contraceptives and the side effects caused by long-term use on the health of the reproductive organs. Keywords: Depo Medroxy Progesterone Acetate (DMPA), women of reproductive age, Contraception, Family Planning


2017 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Sumartini Sumartini ◽  
Diah Indriani

One of the most eff ective eff ort in the family planning program was to control fertilitas and press the population growth rate was used contraception. In the area of Puskesmas Pacar Keling Surabaya interest of acceptor which used short term contraceptive method still high than long term contraceptive method. This research used analytical observational study with case control methods. The population is all woman reproductive age couples aged 15-49 years old in the area of Puskesmas Pacar Keling Surabaya. Sampling technique used two stage random sampling and got 90 respondent. The variables were age, knowledge, side eff ects, desire to have a child again, husband and family support. Data were analyzed with multiple logistic regression with al level of signifi cance value α= 0,05. The result of logistic regression analysis signifi cant variables were age (p= 0,002), side eff ects (p= 0,005), desire to have a child again (p= 0,028), husband and family support (p= 0,008). Conclusion of research is that age, side effects, desire to have more children, husband and family support infl uencing reproductive age couples using long term contraceptive methods. This research suggest health workers provide Counselling and information about Family Planning to reproductive age couples specially they were 20-30 years old about explanation of the use of long term contraception method.


2021 ◽  
Vol 8 (2) ◽  
pp. 130
Author(s):  
Indah Kurniawati

ABSTRAKPeran kader KB bagian dari masyarakat dimana sangat penting dapat memberikan motivasi kepada masyarakat terutama pada keluarga berencana dalam penggunaan kontrasepsi. Metode Kontrasepsi Jangka Panjang (MJKP) merupakan bagian dari program keluarga berencana  sebagai upaya mengatur jarak kehamilan. Penggunaan MKJP yang masih rendah sekitar 37% diperlukan  Kader memiliki peranan dalam meningkatkan minat aseptor KB jangka Panjang dengan sasaran PUS di Desa Karangrejo Kecamatan Blimbingsari, Tujuan penelitian ini untuk mengetahui gambaran pengetahuan kader KB tentang kontrasepsi  jangka Panjang untuk meningkatkan minat Pasangan Usia Subur (PUS). Metode penelitian adalah penelitian deskriptif kuantitatif. Sampel  yang diambil adalah semua kader KB di Desa Karangrejo kecamatan Blimbingsari tahun 2020 sebanyak 86 responden. Pengambilan sampel menggunakan total sampling. Hasil Penelitian menunjukkan bahwa pengetahuan kader KB tentang MKJP secara keseluruhan kategori baik 21%, cukup 34,8% dan kurang 44,2% . Gambaran pengetahuan kader menunjukkan kemampuan kader dalam memberikan informasi kepada PUS tentang kontrasepsi jangka panjang yang nantinya akan berdampak pada peningkatan minat PUS dalam penggunaan kontrasepsi jangka panjang. Kesimpulannya dari hasil penelitian bahwa pengetahuan kader sangat penting dalam keaktifan kader dalam memberikan motivasi kepada PUS. Disarankan bagi setiap kader diberikan pelatihan dan penyuluhan tentang MKJP dalam meningkatkan pengetahuan kader KB untuk bisa lebih aktif dalam memberikan informasi dan motivasi kepada semua ibu PUS tentang kontrasepsi jangka Panjang dan bagi Bidan dapat melakukan pendampingan secara kontinyu kepada kader sebagai upaya dalam meningkatkan cakupan akseptor KB jangka Panjang seperti IUD,Implan dan MOW.Kata Kunci : kade; pengetahuan; kontrasepsi  ABSTRACTThe role of family planning cadres as part of the community is very important to be able to motivate the community, especially for family planning in using contraception. Long-Term Contraceptive Method is part of the family planning program as an effort to regulate pregnancy spacing. The use of Long-Term Contraceptive Method which is still low around 37% is needed cadres’ roles in increasing the interest of long-term family planning acceptors with the target couples of childbearing age in Karangrejo Village, Blimbingsari District. The method was quantitative descriptive research. The samples taken were all family planning cadres in Karangrejo Village, Blimbingsari 2020 as many as 86 respondents by using total sampling. The results showed that the knowledge of family planning cadres about Long-Term Contraceptive Method was in the good category of 21%, 34.8% sufficient and 44.2% less. The overview of cadres’ knowledge showed their ability to provide information to the couples of childbearing age about long-term contraception which will have an impact on increasing their interest in using long-term contraception. The conclusion showed that the cadres’ knowledge is very important in providing motivation to the couples of childbearing age. It is recommended for every cadre to be given training and counseling about Long-Term Contraceptive Method in increasing their knowledge to be more active in providing information and motivation to all women of reproductive age about long-term contraception and for midwives to provide continuous assistance to cadres as an effort to increase the coverage of long-term family planning acceptors such as  IUD, Implant and Female Operation Medical.Key Words : cadres; knowledge; contraception.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18018-e18018 ◽  
Author(s):  
Erika K. Radeke ◽  
Lindsay Zimmerman ◽  
Rebecca Bridge ◽  
Megan Adam ◽  
Ashlesha Patel

e18018 Background: Focus on fertility preservation has overshadowed other aspects of reproductive health including sexuality and contraception in cancer care. Regardless of future childbearing interest, the first 18-months post-diagnosis of cancer are considered suboptimal for childbearing. We have coined the term, oncocontraception, for the application of contraception in cancer care. To address this need at our institution, we used the novel Family Planning Quotient/Reproductive Life Index (FPQ/RepLI) which allows providers to better understand patients’ reproductive health goals and counsel them towards appropriate family planning services. These tools aid providers in implementing clinical care to prevent pregnancy during this critical time. They are routinely utilized at Stroger Hospital in the Family Planning Clinic for women within the reproductive age, between the ages of 18 and 55. Methods: FPQ and RepLI were adapted for use with oncology patients. They were used to visually depict and quantify a woman’s reproductive life plan and assist health care providers in speaking to a woman regarding family planning as it pertains to and aligns with her cancer treatment. Results: During our study period, 36 reproductive aged women were seen in our family planning clinic after a cancer diagnosis. Our study population was comprised of mostly Hispanic/Latino women (58.3.0%) and 50.0% were between the ages of 31-40. The majority of the study group had breast cancer (77.8%) and were being treated with chemotherapy (52.8%). Among the study population, 80.6% received a form of contraception (44.8% short-term, 55.2% long-term). Conclusions: We established a link between the Oncology and Family Planning Clinics to incorporate contraceptive counseling as an essential piece of comprehensive cancer care. Approximately 45% of the women newly diagnosed with cancer are in the reproductive age range. With improvements in treatments and prognosis, quality of life factors are of increasing importance for these women. With this essential clinical relationship, patient counseling and provider-patient communication regarding contraceptive care in the context of cancer diagnosis will continue to grow and improve.


Author(s):  
Baochang Gu

AbstractThis commentary is intended to take China as a case to discuss the mission of the family planning program under low fertility scenario. After a brief review of the initiation of family planning program in the 1970s, as well as the reorientation of family planning program since ICPD in 1994, it will focus on the new mission for the family planning program under low fertility scenario in the twenty-first century, in particular concerning the issue of induced abortion among the others. Given the enormous evidence of unmet needs in reproductive health as identified in the discussion, it is argued that family planning programmes are in fact even more needed than ever before under low-fertility scenario, and should not be abandoned but strengthened, which clearly has nothing to do to call back to the program for population control in the 1970s–1980s, and nor even go back to the program for “two reorientations” in the 1990s, but to aim to serving the people to fulfill their reproductive health and reproductive rights in light of ICPD and SDGs, and to become truly integral component of “Healthy China 2030” Strategy.


2016 ◽  
Vol 2 (3) ◽  
pp. 106
Author(s):  
Ardhiyani Muslimah ◽  
Nur Indah Rahmawati

<p>Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318&gt;(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.</p>


2021 ◽  
Vol 11 (6) ◽  
pp. 182-189
Author(s):  
Alagbu C. E. ◽  
Iloghalu, A. N. ◽  
Nnaemezie, N. O

Introduction: Family planning is a world-wide issue in reproductive health which tends to affect individuals of every tribe or race, irrespective of age, religion or educational level. This study investigated the family planning methods and practices adopted by married women in Anambra State. Methods: Three research questions were formulated to guide the study and two null hypotheses tested at 0.05 level of significance. The design for the study was descriptive survey. The study has a population of 133, 736 married women in Onitsha, Nnewi and Awka who were registered under the population commission of Anambra State as at August, 2019. A sample of 420 married women was involved in the study. The instrument titled “Questionnaire Family planning methods and practices adopted by married women in Anambra State was used for collection of data. The data collected was analyzed using Frequency and Percentage and Chi Square. Results: The findings indicated that greater percentage of married women in Anambra State is aware of family planning but practicing it was the major problem. There were no significant difference in the family planning methods adopted by married women in Anambra State based on their ages and parity level. Conclusion: Based on the findings and their implications, it was recommended among others, that there is need for there is need to create more awareness or sensitization on other methods of family planning which the women might not know. Key words: Family planning, reproductive health, married women, Anambra


1971 ◽  
Vol 3 (4) ◽  
pp. 403-416 ◽  
Author(s):  
M.-Francoise Hall

Editorial note. The material presented below was originally recorded in an article by Dr Hall in Cuadernos Medico-Sociales, 10, 1969. This Chilean medical journal is published in Spanish and is relatively inaccessible in Europe. In view of the interest and importance of the attitude of the male to family planning, especially perhaps of the South American male, it seemed desirable to bring Dr Hall's findings to the attention of a wider audience. The paper which follows is a revised version of the original English text from which the Spanish translation was prepared. I am much obliged to Dr Hall for her cooperation.A survey of 584 men in Santiago and 217 men in an adjacent rural area showed that:(1) Men were favourable to family planning, both in their own personal relationships and for other adults. In all socio-economic strata, more respondents favoured giving information to men than women. It is suggested that male support be enlisted in efforts to reduce induced abortions.(2) Men favoured giving contraceptive information to youths of both sexes. The family planning programme, therefore, could provide information to adolescents at a time when attitudes toward sex are developing.(3) There was wide agreement that family planning education be discussed in schools ‘in accordance with the age of the children.’ There is thus an opportunity for the schools to help children develop a system of values within the framework of widely available effective contraception.


Author(s):  
Aliyu Sokoto Sabo ◽  
Lawali Yakubu ◽  
Aliyu Alkammawa Luba ◽  
Samira L. Ya`u ◽  
A. T. Bakare ◽  
...  

Background: A contraceptive choice that couples make is a key component of the Sustainable Development Goal agenda and a major contributor to national health. In spite of the importance of increased contraceptive uptake among couples of reproductive ages, meeting the reproductive health rights of women remains an issue due to multi-faceted obstacles within complex environments. The issues which impact women’s reproductive health rights in relation to contraception relate to availability, accessibility, affordability, literacy, tradition, and culture. This study explores the influence of socio-demographic data on the choice of contraceptives among women who are accessing family planning services at a Specialist hospital, Sokoto-Nigeria.Methods: A cross sectional study was used in this quantitative research to generate data on contraceptive choices of women within the reproductive age (18-49 years) who are accessing family planning services at Specialist hospital, Sokoto. A structured questionnaire was used to elicit information from 352 respondents who were randomly sampled at a Specialist hospital, Sokoto-Nigeria. Data was analyzed using SPSS version 20.0. Descriptive statistics, correlation and regression analyses were used in the data analyses.Results: The findings of this study established age, occupation and level of education to be related with the usage and choice of contraceptives among women attending family planning unit at a Specialist hospital in Sokoto.Conclusions: The result of the study indicated that the socio–demographic data of the respondent, has a significant role in the choice of contraceptives among the women attending family planning unit of Specialist Hospital Sokoto.


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