scholarly journals Factors influencing the acceptance and awareness of permanent method of family planning

Author(s):  
Nishita Shettian ◽  
Disha Ajila

Background: Among developing countries, India holds the second place in being the most populated country accounting to 1.3 billion. This addresses the need for effective population control by implementing various family planning and contraceptive services thereby improving the quality of life. Our study aims at assessing the factors influencing the awareness and acceptance of permanent method of family planning.Methods: This is a questionnaire based cross sectional study carried out in A.J. institute of Medical Sciences on 300 postpartum women who have undergone two or more child births.Results: 77.3% of women were aware of family planning services out of which 64.3% had knowledge about permanent method of sterilization. 73% preferred to undergo tubectomy whereas only 13.7% were willing for vasectomy with the main reason for refusal being fear of surgery (25.9%). 32.6% of women wanted their husbands to undergo vasectomy rather than having a tubectomy themselves. Desire for more children (39%) was the main reason given by most women who refused to undergo tubectomy.Conclusions: Though women were aware of contraceptive practices, proper knowledge about permanent methods of family planning was still inadequate especially regarding vasectomy. Our study showed that lack of awareness and knowledge, fear of adverse effects, fear of sexual dysfunction, culture and religious beliefs, opposition from the male partner and health concerns were the factors influencing tubectomy acceptance over vasectomy as a permanent method of sterilization.

Author(s):  
Dasari Gayathry ◽  
B. V. Ramana ◽  
Vishweshwar Rao

Background: Population explosion is a major problem in developing country like India. Contraception is important for the health of the nation. Hence the present study aimed at elucidating knowledge of the couples towards contraception. Methods: A cross - sectional study was conducted during February 2013-January 2014 among the couples residing in the field practice study areas. A semi-structured questionnaire consisting of socio-demographic characteristics, knowledge towards various methods of family planning was administered to 406 couples of the study area. Results: It has been observed that female scored higher than males, however there was no statistically significant difference between the overall knowledge scores (18.67±7.798 vs. 18.41±7.177). In general, the highest knowledge was obtained in the domain of permanent contraception followed by temporary methods like condom and IUDs. The least knowledge scores were obtained in the domain of emergency contraceptives and natural methods of contraception. Urban population’s over all mean knowledge scores was 22.60±6.673 compared with rural population 14.48±5.898 and was statistically significant (p=0.036). However, the marked difference in knowledge scores was obtained in the context of gender and place of residence. Conclusions: The present study demonstrates that the average knowledge among males and females and in urban and rural area, but some knowledge gaps on certain specific aspects still remained which needs to be addressed to improve the quality of life of people. 


2014 ◽  
Vol 5 (2) ◽  
Author(s):  
Olufunke O. Adeyeye ◽  
Olayinka O. Ogunleye ◽  
Ayodele Coker ◽  
Yetunde Kuyinu ◽  
Raymond T. Bamisile ◽  
...  

There is paucity of information on the quality of life of patients with pulmonary tuberculosis in Nigeria. This study assessed the factors influencing their quality of life and the independent predictors of low quality of life scores. Two hundred and sixty consecutive patients with pulmonary tuberculosis seen at the Lagos University Teaching Hospital were evaluated for health related quality of life using the World Health Organization Quality of life instrument (WHOQoL-BREF). Sociodemographic characteristics of the patients were related to the various domains of quality of life and a multivariate logistic regression analysis was performed to identify the independent predictors of low quality of life scores in the patients. The mean age of the patients was 36.7±12 years. Sex, age and marital status of patients were found to influence quality of life scores. The independent predictors of low quality of life scores were low monthly income, duration of the illness, concomitant illnesses, unemployment, advancing age and male gender. Several socio demographic and economic factors influenced the quality of life of patients with tuberculosis and are predictive of poor scores. It is important to consider these factors when treating patients with tuberculosis to optimise outcome of care.


Author(s):  
K. Jahnavi ◽  
Abhay Subhashrao Nirgude ◽  
Kondagunta Nagaraj

Background: Promoting women’s health improves not only individual health but also the health of the family, community and the nation. Less attention was given for postnatal period in developing countries; women and their newborns don’t receive postnatal care services from a skilled birth attendant during the first days after childbirth. The objective was to study utilization of postnatal care services by recently delivered mothers, to study the geographical accessibility factors influencing utilization of postnatal care services and to study healthcare provider factors influencing utilization of post natal care services.Methods: It was a community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally Telangana from September 2012 to October 2014. A pre-designed and pre-tested questionnaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.Results: Accordingly, 97.9% of the mothers received postnatal care and 2.7% mothers didn’t receive the postnatal care. In the present study post natal advice was received by 67.8%, 82.2% and 55.1% of mothers regarding family planning, breast feeding and baby care respectively. Majority (79.9%) of mothers travelled greater than 5 kms for delivery and only 20.1% of mothers travelled less than 5 kms for delivery.Conclusions: Number of institutional deliveries and deliveries assisted by skilled health personnel were more compared to other studies probably because of awareness created during antenatal visits, maternity benefit scheme and role of ASHA workers.


Author(s):  
Omid Rezaei ◽  
Yaser Mokhayeri ◽  
Javad Haroni ◽  
Mahdi Jamshidi Rastani ◽  
Mohammad Sayadnasiri ◽  
...  

AbstractBackgroundLack of sleep and on going sleep disorder can affect family health and interpersonal relationships.ObjectiveThe aim of study was to investigate the association between sleep quality and the probable determinants of quality of life among students of a public health faculty at Shahid Beheshti University of Medical Sciences (SBMU) in the 2015 academic year.MethodsThe data from a cross-sectional study of 275 students that randomly stratified sampling between different classes of college students of a public health faculty of Shahid Beheshti University of Medical Sciences were used in this study. The data were collected using a structured questionnaire consisted of modules on socio-demographic characteristics, the Petersburg Standardized Sleep Quality Questionnaire(PSQL) and the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF). Data analysis was done with descriptive and logistic regression. All analyses were carried out using SPSS software V.19.ResultsA total of 275 students participated in this study. The mean age ± standard deviation (SD) was 22.1 ± 3.6 years. In the univariable model, students that were living in their own homes had the odds of 2.18 times more than the others to have a higher quality of life level [95% confidence interval (CI): 1.07–4.45]. Moreover, sleep disorder was negatively associated with the quality of life [odds ratio (OR) = 0.23; 95% CI: 0.12–0.46].ConclusionThese results will help university administrators and policy makers to identify factors associated with poor sleep and provide approaches to enhance sleep hygiene and relevant knowledge in university students. Living in a dormitoy while also suffering from sleep problems could significantly reduce the quality of life.


2016 ◽  
Vol 26 (12) ◽  
pp. 2849-2855 ◽  
Author(s):  
Michał Robert Janik ◽  
Tomasz Rogula ◽  
Ilona Bielecka ◽  
Andrzej Kwiatkowski ◽  
Krzysztof Paśnik

2021 ◽  
pp. 096973302110051
Author(s):  
Xue Lei Chen ◽  
Fei Fei Huang ◽  
Jie Zhang ◽  
Juan Li ◽  
Bi Yun Ye ◽  
...  

Background: High ethical sensitivity positively affects the quality of nursing care; nevertheless, Chinese nurses’ ethical sensitivity and the factors influencing it have not been described. Research objectives: The purpose of this study was to describe ethical sensitivity and to explore factors influencing it among Chinese-registered nurses, to help nursing administrators improve nurses’ ethical sensitivity, build harmony between nurses and patients, and promote the patients’ health. Research design: This was a descriptive, cross-sectional study. Participants and research context: We recruited 500 nurses from several departments in three tertiary hospitals. The Chinese Moral Sensitivity Questionnaire–Revised version and the Jefferson Scale of Empathy-Health Professionals were used to assess the nurses’ ethical sensitivity and empathy ability, respectively. Fifteen sociodemographic variables were included in the questionnaires. Ethical considerations: Informed consent was obtained from the participants regarding participation and data storage and handling. This program has been examined and supported by the research center of medical ethics and professional ethics of Guilin Medical University. The Approval No. was 2016RWYB04. The whole research process is conducted strictly according to ethical requirements. Results: The valid response rate was 84.40% ( n = 422). The total score of Chinese Moral Sensitivity Questionnaire–Revised was 35.82 ± 8.17. The subscale scores of moral responsibility and strength and sense of moral burden were 21.50 ± 4.91 and 14.33 ± 3.98, respectively. Significant differences were found among age groups, gender, years of working, category of profession, and quality of family communication regarding nurses’ ethical sensitivity ( p < 0.05). Regression analysis showed that the main factors influencing nurses’ ethical sensitivity were gender, years of working, quality of family communication, career satisfaction, and empathic ability. Discussion: Our findings suggest that Chinese nurses’ ethical sensitivity in tertiary hospitals in Guilin is at a medium level. Conclusion: The director of nursing schools and hospitals in China should pay attention to nurses’ ethical sensitivity and should intensify education and training to improve nurses’ ethical sensitivity. Further studies should focus on interventions aimed at improving Chinese nurses’ ethical sensitivity.


Author(s):  
Zahra Ghorbani ◽  
Farzad Faraji-Khiavi ◽  
Effat Jahanbani ◽  
Behnaz Dindamal

Background: Quality is a key factor in the distinction of services, and it is a potential source of sustainable competitive advantage to increase productiveness and patient satisfaction. The identification of strengths and weaknesses in quality of provided services can help to recognize priorities and develop improvement strategies. Objectives: Using importance-performance analysis (IPA) method, this study aimed to evaluate the quality of services provided in hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences, Iran. Methods: Using stratified random sampling, this descriptive-analytical and cross-sectional study included 307 patients admitted to five Educational Hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences in 2016. Data collection tool was a standard questionnaire proposed by Tomes & Chee Peng Ng (1995), which included demographic information and questions regarding the quality of services provided in seven factors. In addition to IPA, data were analyzed using descriptive statistics, analysis of variance (ANOVA), Pearson’s correlation, and chi squared test in SPSS software version 21. Results: Total scores of quality factors were estimated as “important” in our research. In quality performance, “food”, “physical environment” and “dignity” factors were estimated as “relatively inappropriate” by mean scores of 2.50 ± 0.95, 2.90 ± 0.97 and 2.94 ± 1.05, respectively. These three factors were located in the second region of the IPA matrix. While the other four factors, including “empathy”, “relationship of mutual respect”, “understanding of illness” and “religious needs,” with mean scores higher than 3 were estimated as “appropriate” and located in the first region of this matrix. In all quality factors, scores of performance were lower than importance, and the gap between importance and performance in these seven factors ranged from 0.82 to 1.52. There was a significant relationship between age and education of respondents with the quality of services. Conclusions: Given that the largest gap was related to the tangible dimensions of quality (including food and physical environment) and in order to improve the quality of services and competitive position, hospital managers must consider tangible dimension as a priority. Keywords: Quality of Services; Importance-Performance Analysis; Hospital; Hospital Services.


Author(s):  
Mahmood Vakili ◽  
Fatemeh Farzaneh ◽  
Mahdieh Momayyezi

Introduction: The mental health of nurses, as providers of care, has a significant impact on the quality of care. Happiness has a close relationship with many health components. Considering the importance of mental health in nurses, this study was conducted to investigate happiness among nurses in educational hospitals of Yazd Shahid Sadoughi University of Medical Sciences. Methods: The present descriptive cross-sectional study was carried out on 210 nurses using stratified sampling method (Proportionate to the number of nurses in each hospital). Data were collected using a 2-part questionnaire including background information and Oxford Happiness Standard Questionnaire with 29 questions and a score range of 0-87. Data analysis was performed by SPSS/16 using Chi-square test and ANOVA. Results: The mean age of nurses was 31.8 ± 6.09 years. In terms of happiness levels, the majority of nurses (57.6%) had moderate levels of happiness and the average score of happiness was 37.54 ± 11.88. A significant relationship was found between happiness with physical activity (P= 0.022), employment status (P=0.025), ward (P = 0.038), work shift at night (P=0.111), satisfaction of health (P <0.0001), love of the job (P = 0.001), and satisfaction of workplace conditions (P<0.0001). Conclusion: The findings showed that the level of happiness was moderate in the majority of nurses. Therefore, the researchers recommend planning and implementing appropriate interventions to increase the happiness of nurses and improve the quality of nursing care.  


Sign in / Sign up

Export Citation Format

Share Document