scholarly journals Predictors of age at first child’s birth and contraceptive use among men in Uganda

2019 ◽  
Vol 3 ◽  
pp. 1492
Author(s):  
Henry Nsobya ◽  
Allen Kabagenyi ◽  
Jean Christophe Rusatira
Keyword(s):  
Reproductive Health ◽  
Behavioral Change ◽  
Contraceptive Use ◽  
Male Involvement ◽  
Outcome Variable ◽  
Contraceptive Methods ◽  
Significance Level ◽  
Services Delivery ◽  
Strategic Allocation ◽  
Health Rights

Background: Globally, research on age at first child’s birth among men has been neglected especially in Africa. Consequently, little is known about its impact on male involvement in reproductive health. This paper examined the socio-demographic, economic and proximate predictors of age at first child’s birth among men aged 15-54 years in Uganda. Methods: We used the 2016 Uganda Demographic and Health Survey (UDHS) on a sample of 3,206 men aged 15-54 years who had a biological child.  The outcome variable was age at first childbirth categorized as: below 17, 18-24 and 25 years and above (25+). Analysis was done using descriptive statistics,  un-adjusted and adjusted multinomial regressions with significance level at 95%. Results: Median age at first child’s birth was 22 years (IQR = 20-25). The majority of men (62.4%) had fatherhood onset between 18 and 24 years. Only 5.2% had fatherhood onset at 17 years or earlier, increasing to 32.4% at 25+. Respondents whose first sexual encounter was before 18 years was 44.3% and 92.7% by 24+. Few respondents (44.1%) reported use of any contraceptive methods. Anglican religion (RRR=1.62; CI 1.06 – 2.46) or not having attended school (RRR=2.20; CI 1.02-4.71) were predictors of childbirth onset before 17 years.  Age of sex debut at 18 years or higher (RRR= 2.09, CI 1.72 – 2.54) and secondary and above education (RRR = 1.76, CI 1.42-2.18) were predictors of fatherhood onset at 25+.  Contraceptive use among men had no association with age at first child’s birth. Conclusion: These findings are important for strategic allocation of resources to curb early onset of fatherhood among adolescent and young men under the age of 25 years. They highlight the need for gender-sensitive interventions targeting men for behavioral change, participation in Sexual and Reproductive Health Rights (SRHR) programming and improved access to services delivery.

scholarly journals Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 251-256
Author(s):  
Ranjeeta Subedi ◽  
Israt Jahan ◽  
Pam Baatsen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Health Workers ◽  
Influential Factors ◽  
Modern Contraceptive ◽  
Factors Influencing ◽  
Modern Contraceptive Use ◽  
Health Rights

In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use.Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information.A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed. Keywords: Adolescent; barriers; contraceptive; Nepal; SRHR.

Study on Perspectives and Practice of Contraception in Women

2016 ◽  
Vol 8 (1) ◽  
pp. 16-20
Author(s):  
Vishma H Shetty
Keyword(s):  
Socioeconomic Status ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Informed Choice ◽  
Male Involvement ◽  
Contraceptive Device ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Medical Discipline ◽  
Knowledge Usage

ABSTRACT Purpose of the study This study is undertaken to determine the knowledge, preferences, practice, experiences and perspectives of women toward contraception and also to note down the various factors influencing the acceptance and usage of contraception among women. Methodology Five hundred women of age group 15 to 49 years who were currently married were studied. Sexually active unmarried women were excluded from the study. The study data were obtained using a questionnaire. The questionnaire was divided under four broad headings: personal details, knowledge, usage and expectations. The data collected was analyzed. Changing trends, knowledge, usage and expectations of the women toward various contraceptive methods were noted. Results The most common method used was female sterilization (41.4%), followed by intrauterine contraceptive device (IUCD) (14.8%) and condom (9%). Among the sociodemographic patterns, women belonging to lower socioeconomic status, with rural background, younger women, Christians and illiterate women the prevalence of contraceptive use was lower compared to their counterparts. Spacing methods was most commonly used by women residing in urban and women with higher education background. Couple protection rate in this study was 77%. The unmet need was 9.8%. Knowledge of female sterilization was most common in 93% followed by oral contraceptives (OCP) 73.2%. The knowledge was higher among upper socioeconomic status and urban women. 78.8% had discussion with spouse. More than 70% had preference for male child. Conclusion This study stresses upon the fact that contraception services should be affordable delivered by informed choice and sensitive to individual's needs. The unmet need of contraception can be reduced by improving female literacy, contraceptive counseling, male involvement and availability of contraceptive services. These measures will indeed reduce unwanted pregnancies, improve self-esteem of women as they will have control over their fertility and in future reduce population explosion to some extent by limiting the family. Capsule Fertility control is an important medical discipline, it is essential for the welfare of the individual, family and the nation. The usage of contraceptive method depends on knowledge, preference, acceptance and experience. Objectives of the study • To determine the awareness, perception and acceptance of contraceptive methods • To study the contraception usage by the women. How to cite this article Shetty VH, Nagarathnamma R. Study on Perspectives and Practice of Contraception in Women. J South Asian Feder Obst Gynae 2016;8(1):16-20.

Unmet need among married women: examining socio-religious influences on family planning use in Rwanda, 2005-2015

2018 ◽  
Vol 11 (5) ◽  
pp. 380-391
Author(s):  
Justin Mahoro
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Behavioral Change ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Well Being ◽  
Binary Logistic Regression Analysis ◽  
Natural Family Planning ◽  
Content Type ◽  
Religious Factors

Purpose The purpose of this paper is to determine the socio-religious factors associated with unmet need for family planning among married Rwandan women, and examine individual and contextual characteristics of married fecund women influencing their contraceptive use and future intentions to use contraception. Design/methodology/approach This study employed merge data, which were extracted from 2005, 2010, 2014–2015 Rwanda Demographic And Health Survey’s individual women data sets. Characteristics of married fecund women with unmet need for family planning were compared using Pearson’s χ2 test. A binary logistic regression analysis was applied to examine the influence of socio-religious factors on contraceptive use, and future intentions to use contraception among married fecund women. Findings Unmet need for family planning among married Rwandan women has significantly decreased over the past decade, from 39.9 percent in 2005 to 19.5 percent in 2010 and 17.5 percent in 2015. Women who are Protestants, residing in rural area, and having five or more children were significantly more likely to have an unmet need for family planning. Overall, the likelihood of having unmet need for family planning, not using contraceptives and future intentions for not using contraception was found statistically high among Protestant women compared to Catholics and low-educated women. Research limitations/implications Unmarried women and men are not included to examine their role play and characteristics influences on family planning use in Rwanda. Investing in education of girls should be a priority for the future, without that there will not be equality in reproductive health and rights. Factors behind the recent slow motion of family planning initiatives need to be addressed in order to meet the reproductive needs and rights of all women. Practical implications Public-religious collaboration to promote nationally Natural Family Planning in all healthcare facilities is extremely needed. Since the family planning initiatives have been recently very slow, investing in behavioral change programs through mass communication seems deliberately prudent. Social implications Investing in behavioral change programs and promoting sexual and reproductive health education would improve women’s social well-being. Originality/value This is the first-ever effort to examine the influence of the socio-religious values on family planning use among Rwandan fecund women.

scholarly journals Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 251-256 ◽  
Author(s):  
Ranjeeta Subedi ◽  
Israt Jahan ◽  
Pam Baatsen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Health Workers ◽  
Influential Factors ◽  
Modern Contraceptive ◽  
Factors Influencing ◽  
Modern Contraceptive Use ◽  
Health Rights

In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use. Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information. A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed.

scholarly journals The impact of the COVID-19 crisis on meeting needs for family planning: a global scenario by contraceptive methods used

2020 ◽  
Vol 4 ◽  
pp. 102
Author(s):  
Aisha Dasgupta ◽  
Vladimíra Kantorová ◽  
Philipp Ueffing
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Reproductive Health Services ◽  
Contraceptive Methods ◽  
Essential Services ◽  
Potential Impact ◽  
The Impact

The COVID-19 crisis could leave significant numbers of women and couples without access to essential sexual and reproductive health care. This research note analyses differences in contraceptive method mix across Sustainable Development Goal regions and applies assumed method-specific declines in use (from 0 per cent to 20 per cent) to produce an illustrative scenario of the potential impact of COVID-19 on contraceptive use and on the proportion of the need for family planning satisfied by modern methods. Globally, it had been estimated that 77 per cent of women of reproductive age (15-49 years) would have their need for family planning satisfied with modern contraceptive methods in 2020. However, taking into account the potential impact of COVID-19 on method-specific use, this could fall to 71 per cent, resulting in around 60 million fewer users of modern contraception worldwide in 2020. Overall declines in contraceptive use will depend on the methods used by women and their partners and on the types of disruptions experienced. The analysis concludes with the recommendation that countries should include family planning and reproductive health services in the package of essential services and develop strategies to ensure that women and couples are able to exercise their reproductive rights during the COVID-19 crisis.

scholarly journals Male Contraceptive Behavior in Rajshahi District of Bangladesh

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Mosiur R ◽  
Rafiqul I ◽  
Matin A
Keyword(s):  
Contraceptive Use ◽  
Male Involvement ◽  
Contraceptive Methods ◽  
Men And Women ◽  
Contraceptive Behavior ◽  
Fertility Preference ◽  
Male Contraceptive ◽  
Contraceptive Practice ◽  
User Rate ◽  
Significant Factors

This article examines the actual scenario of male involvement either as a user of contraceptive methods or supportive reproductive partners of women on contraceptive use in Rajshahi district of Bangladesh. The analysis shows that, knowledge and use of contraception are low in our study area. Comparative figures of contraceptive practice between men and women found a large disparity. Findings reveal that the user rate of all male contraceptive methods (e.g., condom at 17 percent) is still low compared to that of female methods (pill at 33.8 percent), which shows that men like to impose contra ceptive responsibility on women. Identification of socio-economic and demographic differentials affecting contraceptive behavior of men is performed through the technique of logistic regression. This paper elucidates that education, residence, fertility preference, mass media facility and knowledge about AIDS are the significant factors to influence contraceptive practices among men. Regarding the factors shunning the contraceptive practice we found that men’s opposition to use contraceptive methods is as most significant. The next reason for not using is related to contraceptive method.

scholarly journals The impact of the COVID-19 crisis on meeting needs for family planning: a global scenario by contraceptive methods used

2020 ◽  
Vol 4 ◽  
pp. 102
Author(s):  
Aisha Dasgupta ◽  
Vladimíra Kantorová ◽  
Philipp Ueffing
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Reproductive Health Services ◽  
Contraceptive Methods ◽  
Essential Services ◽  
Potential Impact ◽  
The Impact

The COVID-19 crisis could leave significant numbers of women and couples without access to essential sexual and reproductive health care. This research note analyses differences in contraceptive method mix across Sustainable Development Goal regions and applies assumed method-specific declines in use to produce an illustrative scenario of the potential impact of COVID-19 on contraceptive use and on the proportion of the need for family planning satisfied by modern methods. Globally, it had been estimated that 77 per cent of women of reproductive age (15-49 years) would have their need for family planning satisfied with modern contraceptive methods in 2020. However, taking into account the potential impact of COVID-19 on method-specific use, this could fall to 71 per cent, resulting in around 60 million fewer users of modern contraception worldwide in 2020. Overall declines in contraceptive use will depend on the methods used by women and their partners and on the types of disruptions experienced. The analysis concludes with the recommendation that countries should include family planning and reproductive health services in the package of essential services and develop strategies to ensure that women and couples are able to exercise their reproductive rights during the COVID-19 crisis.

Intimate Partner Violence and its Association With Contraceptive Use Among Women in Pakistan

2019 ◽  
Vol 34 (Spring 2019) ◽  
pp. 157-173
Author(s):  
Kashif Siddique ◽  
Rubeena Zakar ◽  
Ra’ana Malik ◽  
Naveeda Farhat ◽  
Farah Deeba
Keyword(s):  
Intimate Partner Violence ◽  
Logistic Regression ◽  
Partner Violence ◽  
Contraceptive Use ◽  
Binary Logistic Regression ◽  
Intimate Partner ◽  
Married Women ◽  
Reproductive Age ◽  
Outcome Variable ◽  
Odds Ratios

The aim of this study is to find the association between Intimate Partner Violence (IPV) and contraceptive use among married women in Pakistan. The analysis was conducted by using cross sectional secondary data from every married women of reproductive age 15-49 years who responded to domestic violence module (N = 3687) of the 2012-13 Pakistan Demographic and Health Survey. The association between contraceptive use (outcome variable) and IPV was measured by calculating unadjusted odds ratios and adjusted odds ratios with 95% confidence intervals using simple binary logistic regression and multivariable binary logistic regression. The result showed that out of 3687 women, majority of women 2126 (57.7%) were using contraceptive in their marital relationship. Among total, 1154 (31.3%) women experienced emotional IPV, 1045 (28.3%) women experienced physical IPV and 1402 (38%) women experienced both physical and emotional IPV together respectively. All types of IPV was significantly associated with contraceptive use and women who reported emotional IPV (AOR 1.44; 95% CI 1.23, 1.67), physical IPV (AOR 1.41; 95% CI 1.20, 1.65) and both emotional and physical IPV together (AOR 1.49; 95% CI 1.24, 1.72) were more likely to use contraceptives respectively. The study revealed that women who were living in violent relationship were more likely to use contraceptive in Pakistan. Still there is a need for women reproductive health services and government should take initiatives to promote family planning services, awareness and access to contraceptive method options for women to reduce unintended or mistimed pregnancies that occurred in violent relationships.

Ensuring Reproductive Rights of Women in Nepal: Law and Praxis

2020 ◽  
Vol 4 (1) ◽  
pp. 41-62
Author(s):  
D. N. Parajuli
Keyword(s):  
Human Rights ◽  
Reproductive Health ◽  
Health Services ◽  
Reproductive Rights ◽  
School Curriculum ◽  
Fundamental Rights ◽  
Reproductive Health Services ◽  
Women And Girls ◽  
The Right ◽  
Health Rights

 Reproductive rights are fundamental rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world, but have a commonality about the protection, preservation and promotion of a woman‘s reproductive health rights. Reproductive rights include the right to autonomy and self-determination , the right of everyone to make free and informed decisions and have full control over their body, sexuality, health, relationships, and if, when and with whom to partner, marry and have children , without any form of discrimination, stigma, coercion or violence. The access and availability of reproductive health services are limited due to geography and other issues, non-availability and refusal of reproductive health services may lead to serious consequences. The State need to ensure accessibility, availability, safe and quality reproductive health services and address the lifecycle needs of women and girls and provide access of every young women and girls to comprehensive sexuality education based on their evolving capacity as their human rights, through its inclusion and proper implementation in school curriculum, community-based awareness program and youth led mass media. It is necessary for strengthening compliance, in a time-bound manner, with international human rights standards that Nepal has ratified that protect, promote, and fulfill the basic human rights and reproductive health rights in Nepal and also need to review standards and conventions that Nepal has had reservations about or those that have been poorly implemented in the country.

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