scholarly journals Knowledge and practice about contraception among married women in reproductive age group in a rural area of Tirunelveli district, Tamil Nadu, India: a cross-sectional study

Author(s):  
Praveena Daya A. ◽  
Prema Priya G. ◽  
Karthikeyan G.

Background: Unmet need for contraception is still high in developing countries because of various reasons and poses a great challenge to the success of family welfare programme Assessing the knowledge and filling the gap is essential for successful functioning of the programme and for reducing the unmet need.Methods: A cross-sectional study was conducted to assess the knowledge and practices on contraception among 100 married women in reproductive age group (15-49 years) residing in a Rural Health centre area of Tirunelveli district, Tamil Nadu, South India.Results: Among the 100 participants, common known methods of contraception were IUD (56%), permanent sterilization (38%), Pills (21%) and Condoms (14%). Out of 100 participants, only 38 were using contraception. Among the 62 who are not using any method of contraception, 30 are willing to practice contraception after motivation and among them 27 prefer to use temporary methods. Fear of side effects was most common reason stated for not using contraception.Conclusions: Knowledge and practice related to contraception among the participants were observed to be less. Health education campaigns emphasizing the need of family planning and about the services available in the government health facilities has to be organized regularly.

Author(s):  
Kokila K. ◽  
Chellavel Ganapathi K.

Background: In India, non-scalpel vasectomy (NSV) technique was introduced in 1992 to improve the male participation in family planning, though it has failed to achieve its goal. Hence this study was planned to know the real concern about this condition. This study was carried out to assess the knowledge and attitude about non- scalpel vasectomy (NSV) and practices of any contraceptive methods among married females in reproductive age in an urban slum.Methods: This was a cross-sectional study done in urban field practice area of Institute of Community Medicine, Madras Medical College, Chennai-03, Tamil Nadu in the period July 2014 to August 2014 among Married females of reproductive age group (15-49 years).Specific questions on knowledge, attitude regarding NSV were asked. Data were entered in Microsoft Excel sheet and analysed in SPSS version 20. Results: This is a questionnaire based study. All (106 participants) were aware of vasectomy. Among them 50% knew that vasectomy is an option for permanent sterilization. About 36% of them knew that cash incentive is given for vasectomy & 30% knew that insurance given for pregnancy and other complications followed by vasectomy. Around 31% of the respondents knew that vasectomy does not affect sexual performance. About 29% knew that vasectomy does not need prolonged bed rest. Only 19% of the participants knew that vasectomy is done free of cost and as an OP procedure and 11.3% knew that vasectomy is done without any incision. Among the participants 81% agreed that limiting family size stabilizes the financial condition of the family. About 48% of the participants agreed that family planning is also a responsibility of males and 56% were willing to recommend vasectomy for others. Only 35% of the females agreed to adopt vasectomy for their spouse. Among the respondents 73.6% were practicing some form of contraception currently. Conclusions: We conclude that there is a need to design and develop a need based behavioural change communication strategy to bridge the existing information gap among the eligible couples about NSV & to improve the male participation in family planning. Involvement of media, community participation and successful stories of males who have adopted NSV would enhance the effectiveness of all the interventions. 


Biomedicine ◽  
2020 ◽  
Vol 39 (2) ◽  
pp. 298-304
Author(s):  
Timsi Jain ◽  
Yogesh Mohan ◽  
A Sanchana ◽  
K Aanandita ◽  
R Aanchal

Introduction and Aim: Adequate birth spacing has proved to be an important factor in reducing both Maternal and Childhood mortality and morbidity. According to NFHS 4 data currently in India only 2/3rd of the births are having spacing of more than 2 years. Therefore this study was planned to find out the awareness and practice of birth spacing among Married women residing in asemiurban area near Chennai. Methods: Cross-sectional study was conducted among 115 married women of Reproductive age group. Pretested and predesigned semi structured Questionnaire was used to collect data on Awareness and practice regarding birth spacing. Data was analysed using proportions. Results: 96.5% women considered birth spacing as a good practice, 71.3% women had knowledge regarding birth spacing methods. 31.6% women practiced spacing after their first child. IUCDs was the most preferred method adopted. Lack of awareness regarding contraceptives followed by fear of complications was the major reason for not adopting spacing methods. Conclusion: Attitude regarding spacing was found to be good but knowledge and practice were less. It is high time that New contraceptives like injectable DMPA, POP and Centchroman be introduced in all the health facilities and people should be made aware of all the available methods.  


Author(s):  
A. H. Salgar ◽  
A. N. Bhargavi ◽  
G. Nagaiah

Background: Contraceptive practice in India is known to be very heavily skewed towards terminal methods which mean that contraception in India is practiced primarily for birth limitation rather than birth planning. The objective of the study was to study contraceptive practice among married women of reproductive age in rural area.Methods: The study was a cross sectional study among married women with reproductive age group in rural areas of Sangareddy district carried out in Department of Community Medicine, MNR Medical College, Sangareddy, during November 2015 to February 2016. A total sample size of 113 women who are married in age group of 15-45 years and presumed to be sexually active were included in study. The data were collected using structured questionnaire and in-depth interview guide in local language. The collected data were analyzed with proper statistical methods using MS excel 2010.Results: Out of 113 women majority of women were in age group 20-29 years (52.21%). The utilization of contraceptive method was present in 52.21% women with oral contraceptive pills (23.89%) as a choice of method in majority of women.Conclusions: Hence, we conclude that still there is need to create awareness regarding importance of contraception among rural women.


Author(s):  
Nishant R. Bhimani ◽  
Pushti V. Vachhani ◽  
Girija P. Kartha

Background: Intra natal care means care taken during delivery. This consists of taking care of not only the mother but also the newborn at the time of child-birth. Appropriate delivery care is crucial for both maternal and perinatal health. Increasing skilled attendance at birth is a central goal of the safe motherhood and child survival mission. Postpartum care aimed at complication-free puerperium and a healthy baby. There is a high risk of mortality for both the mother and her baby in the immediate period around birth. High quality intranatal and postnatal care is the important way to reduce the maternal morbidity and mortality. Utilization of intranatal and postnatal services is poor in the rural areas, which ultimately lead to increased maternal & child morbidity and mortality.Methods: The study was carried out among married women of reproductive age group. Pre-designed and pretested Performa was used to obtain the information from participants. It was community based cross - sectional study. All the collected data were analysed by applying appropriate statistical tests. The data were analysed by statistical package for social sciences (SPSS).Results: A total of 353 women were included in the study. Majority (86.97%) of women utilized health facility either government or private for their deliveries. Significant difference was observed between literacy status as well as socio economic class and utilization of institutional facility for the place of delivery. More than half women i.e. nearly 56% had not availed postnatal care services.Conclusions: Percentage of institutional deliveries as well as deliveries attended by skilled birth attendant was quite better. The most common reason for not availing the intra natal and postnatal services was found to be lack of knowledge regarding importance of these services on the outcome of delivery.


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