scholarly journals The Role of Individual and Community Normative Factors: A Multilevel Analysis of Contraceptive Use Among Women in Mali

2008 ◽  
Vol 34 (02) ◽  
pp. 079-088 ◽  
Author(s):  
Esther B. Kaggwa ◽  
Nafissatou Diop ◽  
J Douglas Storey
Keyword(s):  
Multilevel Analysis ◽  
Contraceptive Use ◽  
Normative Factors

scholarly journals The role of structural and process quality of family planning Care in Modern Contraceptive use in Indonesia: a multilevel analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nurjaeni Nurjaeni ◽  
Yothin Sawangdee ◽  
Umaporn Pattaravanich ◽  
Charamporn Holumyong ◽  
Aphichat Chamratrithirong
Keyword(s):  
Family Planning ◽  
Multilevel Analysis ◽  
Contraceptive Use ◽  
Process Quality ◽  
Structural Quality ◽  
Modern Contraceptive ◽  
Contraceptive Usage ◽  
Modern Contraceptive Use

Abstract Introduction Despite contraceptive behaviors are influenced by multiple and multilevel variables, studies on modern contraceptive use in Indonesia has concentrated on single-level and mostly individual and household variables, and less interest has been devoted to multilevel analysis that accounts for community and SDP characteristics that may affect woman’s decision to use modern FP method. This study aimed to assess the role of structural and process quality of family planning care in modern contraceptive use among women in reproductive ages in Indonesia. Methods This study analyzed data from the 2016 PMA2020 survey of 10,210 women in 372 enumeration areas in Indonesia. The data were analyzed using categorical principal component analysis and multilevel mixed-effects logistic regression. Results The key variables for structural quality were number of contraceptive provided, SDP supports CHWs, available water and electricity, and skilled FP personnel, while the main factors for process quality were privacy of clients and provision of post-abortion service. There were significant differences across communities in how study variables associated with modern FP adoption. The finding shows the evidence of significant roles of structural and process quality FP care in modern contraceptive use. Moreover, women with high autonomy in FP decision, those who had free national/district health insurance, and those living in a community with higher proportion of women visited by CHW, had higher odds of modern contraceptive usage. Yet, women who live in a community with higher mean ideal number of children or greater proportion of women citing personal/husband/religion opposition to FP, had lower odds of modern contraceptive use than their counterparts. Conclusion Study findings suggest improvement in structural and process quality of FP care will yield substantial growths in modern contraceptive use. Moreover, FP workers should also address adverse cultural/traditional customs in community and should target communities where the demand for modern FP was degraded by opposing social beliefs and norms. There was significant variation across communities in how individual, household, community, and SDP factors affect modern FP practice, hence, context should be taken into consideration in the development of FP intervention and promotion programs.

scholarly journals The Role of Quality Health Services and Discussion about Birth Spacing in Postpartum Contraceptive Use in Sindh, Pakistan: A Multilevel Analysis

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0139628 ◽  
Author(s):  
Hannah Tappis ◽  
Anis Kazi ◽  
Waqas Hameed ◽  
Zaib Dahar ◽  
Anayat Ali ◽  
...  
Keyword(s):  
Health Services ◽  
Multilevel Analysis ◽  
Contraceptive Use ◽  
Birth Spacing ◽  
Quality Health ◽  
Quality Health Services

scholarly journals The Role of Structural and Process Quality of Family Planning Care in Modern Contraceptive Use in Indonesia: A Multilevel Analysis

2021 ◽  
Author(s):  
Nurjaeni Nurjaeni ◽  
Yothin Sawangdee ◽  
Umaporn Pattaravanich ◽  
Charamporn Holumyong ◽  
Aphichat Chamratrithirong
Keyword(s):  
Family Planning ◽  
Multilevel Analysis ◽  
Contraceptive Use ◽  
Process Quality ◽  
Structural Quality ◽  
Modern Contraceptive ◽  
Contraceptive Usage ◽  
Modern Contraceptive Use

Abstract Introduction Relatively low modern contraceptive prevalence and high unintended childbearing pose substantial encounters for Indonesia to achieve sustainable development goals. Despite contraceptive behaviors are influenced by multiple and multilevel variables, studies on modern contraceptive use in Indonesia has concentrated on single-level and mostly individual and household variables, and less interest has been devoted to multilevel analysis that accounts for community and SDP characteristics that may affect woman’s decision to use modern FP method.Methods This study analyzed data from the 2016 PMA2020 survey of 10,210 women in 372 communities in Indonesia. The data were analyzed using a multilevel mixed-effects logistic regression to assess the role of structural quality and process quality of family planning care and other factors in modern contraceptive utilization.Result The highest loading factors for structural quality were number of contraceptive provided, SDP supports CHWs, available water and electricity, and skilled FP personnel, while the highest loading factors for process quality were privacy of clients and provision of post-abortion service. There were significant differences across communities in how study variables associated with modern FP adoption. The finding shows the evidence of significant roles of structural and process quality FP care in modern contraceptive use. Moreover, women with high autonomy in FP decision, those who had free national/district health insurance, and those living in a community with higher proportion of women visited by CHW had higher odds of modern contraceptive usage, yet, women who live in a community with higher mean ideal number of children or greater proportion of women citing personal/husband/religion opposition to FP, had lower odds of modern contraceptive use than their counterparts.Conclusions Study findings suggest improvement in structural and process quality of FP care will yield substantial growths in modern contraceptive use. Moreover, FP workers should also address prevailing cultural/traditional customs in community and should target communities where the demand for modern FP was deprived by social beliefs and norms. There was significant variation across communities in how individual, household, community, and SDP factors affect modern FP practice, hence, context should be taken into consideration in the development of FP intervention and promotion programs.

scholarly journals A Content Analysis of Public Policy Design and Implementation in Slovenia: Weighing Strategic and Normative Factors

2021 ◽  
pp. 70-88
Author(s):  
Žiga KOTNIK ◽  
Dalibor STANIMIROVIĆ
Keyword(s):  
Public Policy ◽  
Content Analysis ◽  
Policy Design ◽  
Policy Cycle ◽  
Structured Interviews ◽  
The Public ◽  
Design And Implementation ◽  
Strategic Factors ◽  
Normative Factors

"Policy processes are complex systems and require an in-depth and comprehensive analysis. Especially, factors that affect public policy design and implementation, as two important stages of the public policy cycle, have not been sufficiently explored. The aim of the paper is to analyze the relationship between two critical factors that influence the design and implementation of public policies in the case of Slovenia, namely strategic factors and normative factors, and offer a basis for comparison with similar countries. Based on twenty-two structured interviews with prominent public policy experts in Slovenia and content analysis of the responses, the findings reveal that, although strategic factors are identified by the interviewees as the most critical, the role of normative factors is also important and should not be underestimated. For various reasons, in practice, normative factors often turn out to be crucial."

scholarly journals The role of mental health, academic stress, academic achievement, and physical activity on self-rated health among adolescents in Iran: A multilevel analysis

2020 ◽  
Vol 9 (1) ◽  
pp. 182
Author(s):  
Saharnaz Nedjat ◽  
Zahra Hosseinkhani ◽  
Hamid-Reza Hassanabadi ◽  
Mahboubeh Parsaeian ◽  
Zohre Foroozanfar
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Academic Achievement ◽  
Multilevel Analysis ◽  
Academic Stress ◽  
Self Rated Health

scholarly journals The role of empowerment in the use of modern contraceptives among women in need of family planning in Burkina Faso: A multilevel analysis

2020 ◽  
Author(s):  
Sylvain Y. M. SOME ◽  
Christy Pu ◽  
Song-Lih Huang
Keyword(s):  
Secondary Education ◽  
Family Planning ◽  
Burkina Faso ◽  
Gender Equality ◽  
Multilevel Analysis ◽  
Contraceptive Use ◽  
Community Level ◽  
Modern Contraceptive ◽  
Modern Contraceptives ◽  
Modern Contraceptive Use

Abstract Background In Burkina Faso, women still have difficulty satisfying their family planning demand because of the patriarchal and gender-unequal society. Despite evidence that women’s empowerment can help, few studies have measured its impact at both community and household levels. Taking into account these two parameters, we looked into the association between women’s empowerment and modern contraception use among Married Women of Reproductive Age (MWRA) with no desire for having children in Burkina Faso. Methods Using the 2010 Demographic and Health Survey (DHS), we analyzed data from 4714 MWRA with family planning needs from 573 communities. Indicators of gender equality at the community level were composed of aggregated variables for each primary sampling unit, and domains of women’s agency in households matters were derived with principal component analysis. A multilevel logistic regression model was used to gauge the effects of empowerment on modern contraceptives use adjusted for household socioeconomic status and demographics of women. Results Among MWRA, 30.8% satisfied their demand for family planning using modern methods. At the community level, higher women’s assets ownership (aOR 1.26, CI 1.04 - 1.54), secondary education (aOR 1.45, OR 1.08 - 1.64), and exposure to family planning messages (aOR 1.33, CI 1.08 - 1.64) were associated with more modern contraceptive use; higher ideal number of children was negatively associated (aOR 0.76, CI 0.61 - 0.95). Unexpectedly, higher community prevalence of female genital mutilation was positively associated with contraceptive use (aOR 1.25, CI 1.03-1.52). Women’s agency in household matters, including opposing domestic violence, involved with decisions and enjoying freedom in seeking healthcare were positively associated with use, but only the last domain remained significant in multilevel analysis (aOR 1.29, CI 1.08 - 1.54). Living in richer household, being older, and having secondary education level were also positively associated with modern contraceptive use. Conclusion Gender equality at the community level and women’s situation in the household constitute the context in which women’s demand for family planning is determined. Therefore, promoting gender equality and ensuring women’s entitlement to make life choices have the potential to increase modern contraceptive coverage along with improved life conditions.

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