Contraceptive Use: Patterns and Preferences among New Acceptors in Malaysia, 1990 to 2018

2021 ◽  
Vol 12 (3) ◽  
pp. 503-509
Author(s):  
Nor AzahSamat Et.al
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Well Being ◽  
Future Research ◽  
Contraceptive Device ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Contraceptive Pills ◽  
Hormone Injection ◽  
Contraception Use

Family planning is one of the important aspects in the Sustainable Development Goals (SDG's) in Goal 3 on Health and Goal 5 on Gender Equality and Women’s Empowerment. Family planning is the basic need and women’s right to pregnancy, to get optimal health. The use of contraceptive enables women to attain their desired number of children and determine the gap of pregnancies towards the improvement of the families’ well-being of. The aim of this paperisto describe the patterns and preferences of contraceptive use among new acceptors attending a family planning clinic at National Population and Family Development Board (NPFDB) in sixteenstates in Malaysia. The data analysis includes the new acceptors of contraception use among married women aged 15 to 49 years old, who attended a family planning clinic at NPFDB for the year 1990 to 2018. There are various types of contraceptive methods considered: contraceptive pills, Intrauterine Contraceptive Device (IUD), condom, hormone injection, implant, sterilization, rhythm and others. Results of the analysis show that contraceptive pills and sterilization have continued to be the most preferred contraceptive methods among new acceptors at NPFDB clinic, with decreasing pattern from 1990 to 2018.While the use of implant, hormone injection and condom has increased steadily since 2004. The state of Perak has the highest number of new acceptors in most years, whilethe federal territory of Labuan has the lowest number of acceptors in most years within 29 years from 1990 to 2018. In addition, the most popular contraceptive method among women for all states in Malaysia in most years from 1990 to 2018 is contraceptive pills, which is preferred in ten states: Kelantan (83%), Kuala Lumpur (72%), Labuan (40%), Negeri Sembilan (86%), Pahang (66%), Perlis (45%), Pulau Pinang (35%), Sabah (60%), Selangor (69%), and Terengganu (76%). While sterilization is the most popular in four states: Johor (62%), Kedah (59%), Melaka (52%), and Perak (66%). Finally, hormone injection is the most popular method in Putrajaya (100%), and condom is the most popular in Sarawak (40%).As a conclusion, this study has found that although the use of contraceptive pillsisdecreasing, it still becomes the most popular among new acceptors in most of the states in Malaysia since 1990. However, the decreasing pattern of new acceptors for all types of contraceptive methods becomes our concern. Future research should therefore,concentrate on the investigation of the reduction number of new acceptors at NPFDB clinic. This is important to make sure the demands of contraceptive can be met and NPFDB clinics couldprovide better services towards better quality of life and better families’ well-being.

scholarly journals Family planning clients at a Tertiary hospital in Niger Delta, Nigeria: Where they on any contraceptive method prior to first visit?

2021 ◽  
Vol 1 (3) ◽  
pp. 022-029
Author(s):  
Nonye-Enyidah Esther ◽  
Enyidah Nonyenim ◽  
Jumbo A
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
University Teaching ◽  
Contraceptive Device ◽  
Modern Contraceptive ◽  
State University ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Age Range

Background: Maternal and child morbidity and mortality in developing countries have been shown to be reduced by effective use of contraceptive methods. Contraceptive use also improves the lives of women and children. Experience with previous use of contraceptives may affect the uptake rate of modern contraceptive methods. Aim and objective: To determine the pattern of previous contraceptive usage, uptake rates of the contraceptives, the continuation and discontinuation rates and the sources of prior contraceptives. The socio-demographic characteristics and sources of information on current contraceptive use at the Rivers State University Teaching Hospital during the study period. Methods: This was a retrospective study of clients’ records in family planning clinic at theRivers State University Teaching (RSUTH) over a period of five years. Their cards were retrieved, reviewed; data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version25.0 (Armonk, NY). Results: There were 874 contraceptive acceptors attending family planning clinic between 1st January, 2015 and 31st December, 2019 in the centre. Of this number, 566 (64.8%) were using one form of contraceptive method or the other while 308 (35.2%) were not on any form of contraception. Of this 566 women who used contraceptive method prior to their visit to the family planning clinic, intrauterine contraceptive device (IUCD) use accounted for 118 (20.8%), others were barrier method, 107 (18.9%), oral contraceptive pills (OCPs), 95 (16.8%), depot medroxyprogesterone acetate (DMPA), 72 (12.7%), implanon, 40 (7.1%), noristerat, 36 (6.4%), postinor, 28 (5.0%), withdrawal method, 26 (4.6%) and calendar method, 24 (4.2%). Most of the previous contraceptives used came from Government hospital accounting for 44.4%. Most women (72%) obtained their information concerning current contraception from clinical personnel. More than half of the clients (64.1%) were within the age range of 30-39 years and 2 (0.2%) were below 20 years. Age range for the study was 19-51years. Majority of the clients (70.7%) were multipara while 162 (18.5%) were grandmultipara. Modal parity was para 3. The women with formal education were 867 (99.2%). Married women and Christians accounted for843 (96.5%) and 867 (99.2%) respectively. Conclusion: Most clients were in their thirties, married, educated and multiparous. Thirty five percent of the women were not using any form of contraceptive method which is quite alarming and definitely would have led to unwanted pregnancies and possibly induced abortions with its sequalae.

scholarly journals Patterns of contraceptive usage at family planning clinics in Ilorin, Nigeria

2016 ◽  
Vol 44 (3) ◽  
pp. 140-145
Author(s):  
Akinyosoye Ajiboye ◽  
Kikelomo T Adesina ◽  
Ishaq F Abdul ◽  
Grace G Ezeoke
Keyword(s):  
Family Planning ◽  
Information Dissemination ◽  
Contraceptive Use ◽  
Public Hospitals ◽  
Healthcare Personnel ◽  
Contraceptive Device ◽  
Oral Contraceptive Pills ◽  
Contraceptive Usage ◽  
Contraceptive Pills ◽  
Surgical Sterilization

This study was carried out to evaluate the pattern of contraceptive usage in family planning clinics of public hospitals within Ilorin metropolis, Nigeria. It was a retrospective study carried out between January 2010 and December 2012 involving a total of 10,002 contraceptive users attended family planning clinics in the centers within this period. Over a half of the clients (56.6%) were within the age bracket of 30-39 years, and 1.4% were less than 20 years. Majority (79.8%) of the users had two or more children while 0.9% were nulliparas. The most preferred contraceptive method was the hormonal injectable (59.5%); the percentage of users of oral contraceptive pills was 9.6% and utilization of the male condoms was 6.9%. The user rate for intrauterine contraceptive device was 17.3% while it was 6.6% for hormonal implant. Surgical sterilization was utilized by 0.1%. The commonest source of information was from healthcare personnel accounting for 41.9% followed by the mass media (21.6%). There was a low level of acceptance amongst teenagers; the level of acceptance of surgical sterilization methods was also low. There is need to improve on information dissemination regarding contraceptive use, via the internet and social media for teenagers who tend to be more internet-savvy. The number and age of clients were statistically significant factors for patterns of contraceptive usage at various family planning clinics in Ilorin metropolis.Bangladesh Med J. 2015 Sep; 44 (3): 140-145

scholarly journals Pattern of contraceptive use at a family planning clinic in Southern Nigeria

2020 ◽  
Vol 8 (6) ◽  
pp. 2082
Author(s):  
Esther I. Nonye Enyidah ◽  
Nonyenim S. Enyidah ◽  
Chisomaga Eshemogie
Keyword(s):  
Family Planning ◽  
Formal Education ◽  
Contraceptive Use ◽  
Downward Trend ◽  
University Teaching ◽  
Contraceptive Device ◽  
Sources Of Information ◽  
Family Planning Clinic ◽  
Contraceptive Usage ◽  
Age Range

Background: Contraception is very important in preventing unwanted pregnancies thereby reducing maternal and child mortality as well as improving the lives of women and their families. This paper aims to determine the pattern of contraceptive usage, uptake rates of the contraceptives, the socio-demographic characteristics and sources of information on contraceptive use at the Rivers State University Teaching Hospital (RSUTH) during the study period.Methods: This was a retrospective study of clients’ records in family planning clinic at RSUTH over a period of ten years. Their records were retrieved, reviewed; data extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0.Results: There were 1893 contraceptive acceptors attending family planning clinic between 1st January, 2008 and 31st December, 2017 in the centre. The uptake rate of the contraceptives throughout the study period was on the downward trend.  Over half of the clients (60.7%) were within the age range of 30-39years and 6 (0.3%) were below 20 years. Age range for the study was 19-51years. Majority of the users (66.1%) were multipara. Modal parity was para 3 and 1862 clients (98.4%) had formal education. Most of the clients were married 1814 (95.8%) and of Christian religion 1813 (95.7%). Most preferred contraceptive method was the intrauterine contraceptive device (IUCD), 814 (43%). Clinical personnel were the commonest source of information accounting for 1425 (75.3%).Conclusions: There was a downward trend in the use of contraceptives during the study period. Most clients were in their thirties, married, educated and multiparous.

scholarly journals The knowledge, attitude, practice of contraception in breastfeeding mothers

2018 ◽  
Vol 7 (7) ◽  
pp. 2862
Author(s):  
Asha Neravi ◽  
Voorkara Udayashree ◽  
Ashwitha Gundmi
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
National Level ◽  
Medical Sciences ◽  
Family Planning Programme ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Knowledge And Practice ◽  
Structured Questionnaire ◽  
Do So

Background: The nationwide Family Planning Programme was started in India in 1952, making it the first country in the world to do so. In spite of this about 56% eligible couples in India are still unprotected against conception. Even after 63 years of national level family planning programme there exists a KAP- GAP i.e. a gap between the knowledge, attitude and practices regarding contraception. Hence this study to reassess where we stand and also use it as an opportunity to increase the awareness, sensitize and motivate the eligible couples for contraceptive use and decrease the KAP-GAP.Methods: A structured questionnaire was given to postnatal breastfeeding mothers attending Outpatient department Obstetrics and gynecology and Pediatrics and postnatal wards of Sri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad from 1 November 2014 to 1 October 2015, and results tabulated.Results: In this study 48.4% of the mothers knew that exclusive breast feeding could be used as a method of contraception. About 54.6% mothers used one or the other type of contraception during breastfeeding. Most practiced contraception being condom followed by Cu-T. A very small number of mothers considered oral contraceptive pills and injectable contraception in the form of Depot-Provera.Conclusions: In most of the women attitude towards use of family planning method was satisfactory but there exists disparity between the knowledge and practice of contraception.

scholarly journals Knowledge, attitude and practice of family planning among married women of reproductive age in a VDC of eastern Nepal

2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Descriptive Analysis ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods. 

Attitudes of the Nonreligious toward Abortion, Contraceptives, and Homosexuality: Comparing the Far East and Western Europe

2020 ◽  
Vol 33 (1) ◽  
pp. 83-99
Author(s):  
Kenan Sevinç
Keyword(s):  
Cultural Context ◽  
Western Europe ◽  
Contraceptive Use ◽  
Religious Affiliation ◽  
Far East ◽  
Future Research ◽  
Controversial Issues ◽  
The Far East ◽  
Data Archives ◽  
Contraception Use

Abstract Numerous studies have shown that the number of nonreligious people in the World is increasing and that people without religious affiliation demonstrate more liberal attitudes on controversial issues than affiliated people. Research suggests these differences may arise from the higher education level of the nonreligious and/or cultural context. To further explore the effects of culture on the attitudes of nonreligious, I analyze data from The Global Attitudes Project-Spring (2013). The data were downloaded from the Association of Religion Data Archives, www.TheARDA.com and were collected by Pew Research Center. When the data were analyzed, 6746 of the participants (18.2%) were found to be nonreligious. Three of the countries with the highest rate of nonreligious are from Western Europe (Czechia=69.5%, Britain=44.4%, Germany=35.3%) and three of them are from Far East (China=83.4%, Japan=45.4%, South Korea=42.6%). I compared attitudes of nonreligious from these countries (N=4581) towards abortion, contraception use, and homosexuality. The results indicate that nonreligious people living in the Far East find abortion, contraceptive use, and homosexuality more “morally unacceptable” than Western Europeans. This suggests that attitudes among the nonreligious are not homogenous, and that cultural factors are important variables to consider in future research.

scholarly journals Women’s Membership in Health Insurance and Correlation with Contraception Use in Indonesia

2016 ◽  
Vol 9 (2) ◽  
pp. 85
Author(s):  
Misnaniarti Misnaniarti
Keyword(s):  
Health Insurance ◽  
Family Planning ◽  
Contraceptive Use ◽  
Multinomial Logistic Regression ◽  
Family Planning Services ◽  
Chi Square ◽  
Data Set ◽  
Number Of Children ◽  
Contraception Use

<p><strong>BACKGROUND &amp; PURPOSE: </strong>One important effort in reducing the Maternal Mortality Rate is integration of Family Planning services into Health Insurance policy. This is giving affordability in health service financing through providing contraceptive accordance with established policy. The purpose of this study is to examine women’s participation in health insurance and correlations to contraception use.</p><p><strong>MATERIAL &amp; METHODS: </strong>The study used the 2012 Indonesian Demographic and Health Survey data-set. Samples were women aged 15 to 49 years, of married status or living together (n=33,465). The dependent variable was contraception used for three categories: Using Long Term Contraceptive, using non-Long Term Contraceptive, and not using any kind of contraception. Data analysis used Chi-square and multinomial logistic regression with complex sample.</p><p><strong>RESULTS: </strong>10.6% of women were found to have used a Long Term Contraception method. Health insurance membership has correlations to contraceptive use (OR=1.241 and 0.964, <em>p</em>&lt;0.05, CI 95%), with confounder variables of age (<em>p</em>&lt;0.05, OR=1.428 and 0.648), education (<em>p</em>&lt;0.05, OR=1.402 and 1.064), work status (<em>p</em>&lt;0.05, OR=1.151 and 0.966), parity (<em>p</em>&lt;0.05, OR=3.114 and 1.685), perception of ideal number of children (<em>p</em>&lt;0.05, OR=2.057 and 1.682), husband’s education (<em>p</em>&lt;0.05, OR=0.166 and 0.920), husband's work (<em>p</em>&lt;0.05, OR=1.247 and 2.469), and role of media (<em>p</em>&lt;0.05, OR=1.255 and 1.084).</p><p><strong>CONCLUSION &amp; RECOMMENDATIONS: </strong>This study was empirical evidence in Indonesia that health insurance factors have a significant correlation to Long Term Contraceptive use in women. It is recommended for government to maintain and improve policies that integrate Family Planning services into National Health Insurance. </p>

scholarly journals Reproductive and contraceptive healthcare for vulnerable people in the Netherlands: Pregnant not now!

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C W Rijlaarsdam ◽  
D W M van Sambeek ◽  
L Rust
Keyword(s):  
Public Health ◽  
Family Planning ◽  
The Netherlands ◽  
Emergency Preparedness ◽  
Contraceptive Use ◽  
Gain Control ◽  
Medical Emergency ◽  
Contraception Use ◽  
Vulnerable People ◽  
Unwanted Pregnancies

Abstract Issue/problem Unplanned and unwanted pregnancies are an important issue in public health. Especially when parents already are in complex or vulnerable situations, for example being homeless, having an addiction, serious psychiatric- or financial problems or intellectual disabilities. Although most of these parents are in contact with several professionals, family planning and contraceptives are rarely discussed. Description of the problem In 2014 a pilot programme was developed to support vulnerable adults on family planning and adequate use of contraception. In a qualitative explorative case study the pilot was evaluated. Results The pilot showed a significant increase in postponed pregnancies by using appropriate contraceptives. Over eighty percent of this population started contraception on a voluntary basis. The study showed 5 determinants influencing contraception use: responsibility, knowledge, finance, emotion and social environment. If needed, the programme played a role on all different determinants. The method of working was the key element in the success: addressing family planning and contraceptive use through an outreach practise orientated presence approach and empowerment. Another important factor for success was the collaboration between public health and medical doctors. Lessons The successful pilot became regular care for vulnerable (potential) parents in Tilburg. The pilot was replicated in two other cities, Rotterdam and Nijmegen, with similar results. In 2018-2021 the programme will be implemented nationwide with financial support of the Ministry of Health, Welfare and Sports, coordinated by GGD GHOR Nederland (the Association of GGDs (Regional Public Health Services) and GHOR-(Regional Medical Emergency Preparedness and Planning) offices in the Netherlands). Key messages ‘Pregnant not now!’ successfully supports vulnerable people with family planning and contraceptives, helping them to gain control over their future and preventing unplanned and unwanted pregnancies. The programme is unique and preventive, its innovative character is applicable in other communities in the Netherlands and possibly across Europe.

A qualitative examination of men’s participation in contraceptive use and its barriers in Tehran

2020 ◽  
pp. 1-19
Author(s):  
Reyhaneh Bagheri ◽  
Rashidah Shuib ◽  
Premalatha Karupiah ◽  
Panteá Farvid ◽  
Farideh Khalajabadi-Farahani
Keyword(s):  
Family Planning ◽  
Health Care Services ◽  
Contraceptive Use ◽  
Gender Norms ◽  
Health Service Delivery ◽  
Cultural Barriers ◽  
Quality Health Care ◽  
Contraception Use ◽  
Study Results ◽  
And Gender

Abstract From 1989 to 2014, Iran was known as a country with a successful family planning programme, and has experienced a sharp decline in fertility over recent decades. This led to the introduction of pronatalist policies in 2014 and the restriction of family planning services. The aim of this study was to explore men’s views on their access to contraceptive information and services and the socio-cultural barriers to such access in Tehran. The qualitative study was conducted in 2014 using in-depth interviews with 60 married men of varying ages and socioeconomic status from across Tehran. The data were analysed with a basic interpretive approach using MAXQDA10. Although the majority of the men acknowledged the importance of family planning and contraceptive use, they reported that their access to contraceptive information and services was limited. Discussion of sexual matters and contraception among men was identified as being somewhat embarrassing. Three main issues were identified: (1) men’s poor awareness of contraceptive use; (2) men’s poor access to high-quality health care services; and (3) cultural taboos and gender norms as barriers to contraception use by men. Socio-cultural and gender norms were found to significantly affect the men’s contraceptive use. The study results support the growing call for gender-transformative approaches to family planning and reproductive health service delivery in Iran, to involve men and facilitate their greater participation.

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