scholarly journals Utilization of modern contraceptive methods and its determinants among youth in Myanmar: Analysis of Myanmar Demographic and Health Survey (2015-2016)

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258142
Author(s):  
Ciin Ngaih Lun ◽  
Thida Aung ◽  
Kyaw Swa Mya
Keyword(s):  
Reproductive Health ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Oral Contraceptive Pills ◽  
Never Married ◽  
Unintended Pregnancies ◽  
Contraceptive Pills ◽  
Contraceptive Utilization ◽  
Contraceptive Prevalence ◽  
Married Female

Reproductive health service is crucial for youth to reduce maternal and child mortality. However, many young women face unintended pregnancies and pregnancy-related complications due to insufficient knowledge of contraceptive methods and low contraceptive utilization. This study aims to assess the modern contraceptive prevalence rates among youth and identify factors influencing modern contraceptive utilization among youth. We used Myanmar Demographic and Health Survey (2015–2016) data. This study included 1,423 men and 3,677 women aged 15–24 years from all states and regions of Myanmar. We used multivariable binary logistic regression analysis and reported the results using adjusted Odds Ratios (AOR) with 95% Confidence Intervals (CI). Data analysis was done by STATA software (version 15.1). Ever-married youth used mainly injectable contraception, followed by oral contraceptive pills. Never-married male youth mainly used oral contraceptive pills; however, almost all never-married female youth did not use contraception. The modern contraceptive prevalence rates were 14.9% among total youth, 10% among males, 16.8% among females, 1.5% among never-married males, 44.7% among ever-married males, and 54% among ever-married female youth. The knowledge on modern contraceptive methods favored the utilization. Sexually active youth utilized more contraception than sexually inactive youth. We also found geographical variation and low utilization among rural youth. The desire for more children was also a significant predictor of contraceptive utilization among married youth. The utilization of modern contraception was low among Myanmar youth. Reproductive health program needs to be emphasized on the youth population especially in the area with low utilization to have equitable access to quality reproductive health services. Moreover, the revitalization of Youth Information Corner and youth-friendly reproductive health education programs should be implemented to increase reproductive health knowledge and prevent unsafe sex, unintended pregnancies, and abortions which might help in reducing maternal and child mortality. We warranted conducting mixed method studies to explore the barriers and challenges of contraceptive utilization and male involvement in the choice of contraception among youth.

Perception and uptake of contraception among health workers in Ile-Ife, South-western Nigeria

2015 ◽  
Vol 1 (1) ◽  
pp. 21-28
Author(s):  
A Olaleye ◽  
E Orji ◽  
A Akintayo ◽  
A Olaleye ◽  
J Imaralu
Keyword(s):  
Contraceptive Use ◽  
Health Workers ◽  
Accurate Information ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
National Family Planning ◽  
Descriptive Survey

Objective: This study was carried out to assess the perception of health workers towards contraceptive methods, determine the proportion of health workers using modern contraceptive methods and identify factors influencing their contraceptive practice. Methods: A cross sectional descriptive survey of 300 practicing nurses in the health facilities within Ile-Ife, Nigeria was done using pre-tested, self-administered semi-structured questionnaires. Results: Most of the respondents were less than 30years, married, multiparous and had practised for more than 2years. Prevalence of modern contraceptive use was 75.2%. Knowledge of contraceptives was poorest for injectables and oral contraceptive pills (32% each). Twenty six percent of respondents believed that contraception should be limited to women who had completed their families, while 32.4% were either uncertain or disagreed with the safety of contraceptives. The commonest method used was the condom, though contraceptive choice varied with cadre of staff. Desire for another pregnancy was the main reason for discontinuing contraception (51.2%). Older age, religion and marriage positively influenced contraceptive use. Conclusion: Knowledge and perception of contraception among nurses in Ile-Ife is relatively poor. Ensuring accurate information on contraception among this target group of health workers is an important step towards achieving success in the national family planning programme.

scholarly journals Beyond knowledge acquisition: multilevel factors influencing family planning utilization among women in conservative communities in Rural Burundi.

2020 ◽  
Author(s):  
SONIA HAKIZIMANA ◽  
Emmanuel Nene Odjidja
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Religious Beliefs ◽  
Fertility Rate ◽  
Cultural Barriers ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Unintended Pregnancies ◽  
Contraceptive Prevalence ◽  
Desired Family Size

Abstract BackgroundWith a fertility rate of 5.5 children per woman, Burundi has been ranked as fourth highest country with the highest fertility rate in the world. Family planning is known to allow couples to achieve the desired family size, appropriate space birth and the limitation of pregnancies. Also, family planning can contribute to mitigating some health issues such as unintended pregnancies and abortions all of which, are often associated with multi-parity. In conservative community in rural Burundi, knowledge on family planning is high and such services are free yet utilisation is low. Employing a mixed methods, this study first quantifies contraceptive prevalence and second, explore the contextual multilevel factors associated with low family planning utilisation MethodsAn explanatory sequential mixed study was conducted. Five hundred and thirty women in union were interviewed using structured and pre-tested questionnaire. Next, 11 focus group discussions were held with community members (n=132). The study was conducted in eighteen collines of two health districts of Vyanda and Rumonge in provinces of Bururi and Rumonge respectively. Quantitative data was analysed with SPSS and qualitative data was coded and deductive thematic methods were applied to find themes and codes.ResultsThe overall contraceptive prevalence was 22.6%. Injectables (40%), Implants (24.6%), Male condom (10.8%) and pills (6.2%) were the major contraceptive methods utilized by study participants. Natural contraceptive methods were used by 13.8% of women interviewed. The reasons for not using modern contraceptive methods were side effects (51%), perceived postpartum (18.8%), religious beliefs (12.9%), partner’s opposition (8.4%), partner absenteeism (6.4%) and lack of awareness (2.5%). The qualitative component identified fear of side effects, religious beliefs, cultural barriers, spousal communication gap and refusal of family planning services by health practitioners as factors.ConclusionThe study suggests that low uptake of family planning can be attributed to perceived or experienced side effects as well as deeply rooted negative beliefs which are reinforced by religious beliefs. Men and religious leaders’ involvement in family planning initiatives can positively impact behaviour change and increase family planning acceptance.

scholarly journals A study on knowledge, attitude and practice of family planning and determinants of fertility among different socio religious groups in a southern city: a cross sectional study

2020 ◽  
Vol 7 (6) ◽  
pp. 2203
Author(s):  
D. Fathima Bee ◽  
P. A. Chandrasekharan ◽  
G. Prameela Devi
Keyword(s):  
Oral Contraceptive ◽  
Family Planning ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Modern Contraceptive ◽  
Sectional Study ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills

Background: The present study was conducted to assess knowledge, attitude, the practice of family planning and to study the determinants of fertility in different socio religious population in Tirupati, Andhra Pradesh, India.Methods: The present cross-sectional study was carried out among 150 study subjects using a self-administered questionnaire. The data was collected and analyzed with Epi info version 7.Results: Only 144 participants actively participated and given their consent. Majority of them have knowledge about any one method of contraception. An average of both Muslim and Hindu religion have known about the natural contraceptive methods, oral contraceptive pills and IUCD was equal and an average of 11-12% of the participant were aware about side effects of oral contraceptive pills. The objections to contraceptive preventing women from using contraceptives coming from husbands and mother-in-law were strongly agreed/agreed in Hindu and Muslim population almost similar. The religious believes were strongly agreed/agreed in Muslim women than Hindu. Even though most of the participants visited or consulted with health care professionals in health center for family planning and 3/4th of them were using contraception. While comparing the four proximate determinants of fertility, index of contraception had greater impact on fertility than others.Conclusions: The present study highlighted that most of the women have not practised and have less knowledge about modern contraceptive methods. Innovative approaches have to be planned, tested and implemented to ensure their access to information, contraceptive methods and family planning services.

Using Social Ecological Theory to Identify Factors Associated With Risky Sexual Behavior in Cambodian Adolescent Girls and Young Women Aged 10 to 24 Years: A Systematic Review

2020 ◽  
Vol 32 (2-3) ◽  
pp. 71-80 ◽  
Author(s):  
Farwa Rizvi ◽  
Joanne Williams ◽  
Humaira Maheen ◽  
Elizabeth Hoban
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Sex Education ◽  
Risky Sexual Behavior ◽  
Sexual And Reproductive Health ◽  
Sexual Debut ◽  
Modern Contraceptive ◽  
Unintended Pregnancies ◽  
Social Ecological ◽  
Increased Risk

There is an increase in risky sexual behavior (RSB) in Cambodian female youth aged 10 to 24 years, which can contribute to detrimental sexual and reproductive health due to the increased risk of acquiring sexually transmitted infections, unintended pregnancies, or abortions. Bronfenbrenner’s social ecological model was used to identify factors at personal, microenvironment, and macroenvironment levels potentially associated with RSB. A systematic literature review employing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was conducted to search 8 databases for articles published between 1994 and 2019. A risk of bias tool was applied for methodological quality of the 4 included studies. RSB is associated with multiple factors including sexual debut at young age, alcohol and substance abuse, multiple partners, living away from parents or orphan status, peer delinquency, non-use of condoms by partners, transactional sex, low education and socioeconomic status, and no access to sexual and reproductive health services. Multipronged preventive strategies operating at different levels are recommended in terms of including sex education and increasing reproductive health literacy programs at the schools and community programs for safe sex, condom use and sexual negotiation skills, and access to modern contraceptive methods.

scholarly journals 'I feel like a person has a right to use a product to protect themselves…': a qualitative study of the risk–benefit calculus on women's contraceptive use and choice

Sexual Health ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 262
Author(s):  
Sofía L. Carbone ◽  
Melissa Guillen ◽  
Jaime J. Ramirez ◽  
Sara E. Vargas ◽  
Connie Fei Lu ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Qualitative Interviews ◽  
Attitudes And Beliefs ◽  
Pregnancy Risk ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Health Products ◽  
Beliefs And Attitudes

Background Reducing pregnancy risk requires a multidimensional approach to sexual and reproductive health product development. The purpose of this analysis is to identify, compare, and contrast women’s pre-use beliefs and attitudes about three different forms of contraceptives: intravaginal rings; spermicide in conjunction with condoms; and oral contraceptive pills – and explore how those attitudes and beliefs, along with actual method-use experience, may affect potential choices in contraceptive method moving forward. The relationship of beliefs and attitudes to their risk–benefit calculations when using these methods was also considered.? Methods: Women used one or more contraceptive methods, each for 3–6 months. Qualitative data from individual in-depth interviews completed after each 3-month use period were analysed using a summary matrix framework. Data were extracted and summarised into themes. Each woman’s experiences were compared among the methods she used; comparisons were also made across participants. Results: The data consist of 33 90–120 min in-depth qualitative interviews from 16 women aged 20–34 years, in which they discussed various elements of their method use experience. One prominent theme was identified: the influence of attitudes and beliefs on the risk–benefit calculus. There were six key elements within the theme: pregnancy prevention; dosing and the potential for user error; side-effects; familiarity; disclosure; and sexual partnerships. Conclusions: Women weighed perceived risks and benefits in their decision-making and, ultimately, their contraception choices. Understanding women’s beliefs and attitudes that contribute to a calculation of risk–benefit can inform the development of sexual and reproductive health products.

scholarly journals Four out of ten married women utilized modern contraceptive method in Ethiopia: A Multilevel analysis of the 2019 Ethiopia mini demographic and health survey

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262431
Author(s):  
Sewunet Sako Shagaro ◽  
Teshale Fikadu Gebabo ◽  
Be’emnet Tekabe Mulugeta
Keyword(s):  
Health Survey ◽  
Contraceptive Method ◽  
Married Women ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
Modern Contraceptive Method ◽  
Contraceptive Utilization

Background Modern contraceptive method is a product or medical procedure that interferes with reproduction from acts of sexual intercourse. Globally in 2019, 44% of women of reproductive age were using a modern method of contraception but it was 29% in sub-Saharan Africa. Therefore, the main aim of this analysis was to assess the prevalence of modern contraceptive utilization and associated factors among married women in Ethiopia. Method The current study used the 2019 Ethiopia mini demographic and health survey dataset. Both descriptive and multilevel mixed-effect logistic regression analysis were done using STATA version 14. A p-value of less than 0.05 and an adjusted odds ratio with a 95% confidence interval were used to report statistically significant factors with modern contraceptive utilization. Result The overall modern contraceptive utilization among married women in Ethiopia was 38.7% (95% CI: 37.3% to 40.0%). Among the modern contraceptive methods, injectables were the most widely utilized modern contraceptive method (22.82%) followed by implants (9.65%) and pills (2.71%). Maternal age, educational level, wealth index, number of living children, number of births in the last three years, number of under 5 children in the household, religion, and geographic region were independent predictors of modern contraceptive utilization. Conclusion In the current study only four out of ten married non-pregnant women of reproductive age utilized modern contraceptive methods. Furthermore, the study has identified both individual and community-level factors that can affect the utilization of modern contraceptive methods by married women in the country. Therefore, concerned bodies need to improve access to reproductive health services, empower women through community-based approaches, and minimize region wise discrepancy to optimize the utilization.

scholarly journals Contraceptive prevalence and factors influencing utilization among women in Pakistan: a focus on gender-based violence

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thao Thi Nguyen ◽  
Sarah Neal
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Gender Based Violence ◽  
Contraceptive Methods ◽  
Content Type ◽  
Modern Contraception ◽  
Factors Influencing ◽  
Contraceptive Prevalence ◽  
Gender Based

PurposeIn this study, the authors determined the prevalence of contraceptive use among Pakistani women and assessed factors influencing the utilization of contraception with a particular focus on the experience of gender-based violence.Design/methodology/approachThe dataset used in this study was the Pakistan Demographic Health Survey 2018, which includes married women only. Bivariate analysis and multivariate logistic regression were used to investigate the association between contraceptive use and a number of explanatory variables including experience of gender-based violence.FindingsFrom 2006 to 2018, the contraceptive prevalence rate (CPR) and the use of modern contraceptive methods increased slowly. The findings of this study demonstrated that higher educational level and wealth index increased the likelihood of contraceptive uptake and the use of modern contraception. Media exposure to family planning and spousal communication were protective factors that encouraged women to use contraception, including modern contraception, to avoid unwanted pregnancy. Women who experienced gender-based violence (GBV) were more likely to use contraception than women who did not experience GBV.Research limitations/implicationsThe use of secondary data limited the variety of important variable that should be investigated including knowledge of women on SRH, the attitude of women toward SRH and family planning, the skills of a healthcare provider on counseling family planning, and other barrier variables such as transportation and willingness to pay for contraceptive methods. 10;The sensitivity of the topic is considered as another challenge when collecting data. Women might be hesitant to share about their GBV experience. The experience to GBV is also hard to define and depends on the feeling of each person, especially emotional violence.Originality/valueThis paper is one of the very few studies to examine the association between GBV and contraceptive use, and thus is valuable in opening up debate about the links between these two factors.

scholarly journals A multidimensional approach to inform family planning needs, preferences and behaviours amongst women in South Africa through body mapping

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Jane Harries ◽  
Deborah Constant ◽  
Vanessa Wright ◽  
Chelsea Morroni ◽  
Alex Müller ◽  
...  
Keyword(s):  
South Africa ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Sexual And Reproductive Health ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Knowledge Gaps ◽  
Body Mapping ◽  
Reproductive Anatomy ◽  
Contraceptive Prevalence

Abstract Background In recent decades there have been great improvements in the reproductive health of women in low- and middle-income countries and increases in the use of modern contraceptive methods. Nonetheless, many women are not able to access information, contraceptive technologies and services that could facilitate preventing unintended pregnancies and planning the number and timing of desired pregnancies. In South Africa, the contraceptive prevalence rate is 64.6%. However, this relatively high contraceptive prevalence rate masks problems with quality contraceptive service delivery, equitable access, and women’s ability to correctly and consistently, use contraceptive methods of their choice. This study set out to understand the specific family planning and contraceptive needs and behaviours of women of reproductive age in South Africa, through a lived experience, multisensory approach. Methods Participatory qualitative research methods were used including body mapping workshops amongst reproductive aged women recruited from urban and peri urban areas in the Western Cape South Africa. Data including body map images were analysed using a thematic analysis approach. Results Women had limited biomedical knowledge of the female reproductive anatomy, conception, fertility and how contraceptives worked, compounded by a lack of contraceptive counseling and support from health care providers. Women’s preferences for different contraceptive methods were not based on a single, sensory or experiential factor. Rather, they were made up of a composite of sensory, physical, social and emotional experiences underscored by potential for threats to bodily harm. Conclusions This study highlighted the need to address communication and knowledge gaps around the female reproductive anatomy, different contraceptive methods and how contraception works to prevent a pregnancy. Women, including younger women, identified sexual and reproductive health knowledge gaps themselves and identified these gaps as important factors that influenced uptake and effective contraceptive use. These knowledge gaps were overwhelmingly linked to poor or absent communication and counseling provided by health care providers. Body mapping techniques could be used in education and communication strategies around sexual and reproductive health programmes in diverse settings.

Users of traditional methods of contraception in Bangladesh: 1981–91

1996 ◽  
Vol 28 (3) ◽  
pp. 257-264 ◽  
Author(s):  
M. Mujibur Rahman ◽  
M. Nurul Islam ◽  
M. Mazharul Islam
Keyword(s):  
Family Planning ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Traditional Methods ◽  
Modern Methods ◽  
Changing Patterns ◽  
Contraceptive Prevalence

SummaryThis paper examines the changing patterns of knowledge, attitude and use of traditional methods of contraception, compared to modern methods, over the last five contraceptive prevalence surveys in Bangladesh (1981–91). The results show that knowledge of at least one method of family planning is universal in Bangladesh and usage is higher at all ages for women who are using modern methods than for those who are using traditional methods. Educated women and those in employment are more likely to use modern contraceptive methods.

scholarly journals Successful treatment of Depot Medroxyprogesterone acetate-related vaginal bleeding improves continuation rates in Adolescents

2006 ◽  
Vol 6 ◽  
pp. 353-355 ◽  
Author(s):  
Kristin M. Rager ◽  
Amy Fowler ◽  
Hatim A. Omar
Keyword(s):  
Oral Contraceptive ◽  
Successful Treatment ◽  
Medroxyprogesterone Acetate ◽  
Vaginal Bleeding ◽  
Oral Contraceptive Pills ◽  
Depot Medroxyprogesterone Acetate ◽  
Unintended Pregnancies ◽  
Contraceptive Pills ◽  
Continuation Rates

High discontinuation rates for depot medroxyprogesterone acetate (DMPA) in adolescents may contribute to the number of unintended pregnancies. Many cite vaginal bleeding as a reason for discontinuing DMPA use. In this study, we attempted to determine if treating DMPA-associated vaginal bleeding with monophasic oral contraceptive pills (OCP) raised continuation rates. A total of 131 patients who reported vaginal bleeding while on DMPA were included in this study and 83 were treated with monophasic OCP. Of those who received OCP, 38.7% reported that vaginal bleeding stopped completely, 51.8% reported that vaginal bleeding stopped temporarily, and 6.0% reported no change. Overall, 94% of enrolled patients who received OCP as a treatment for DMPA-associated vaginal bleeding continued DMPA use. Our findings indicate that vaginal bleeding due to DMPA can be successfully treated, leading to improvement in continuation rates.

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