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

Author(s):  
Asha Neravi ◽  
Voorkara Udayashree ◽  
Ashwitha Gundmi

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.

2016 ◽  
Vol 44 (3) ◽  
pp. 140-145
Author(s):  
Akinyosoye Ajiboye ◽  
Kikelomo T Adesina ◽  
Ishaq F Abdul ◽  
Grace G Ezeoke

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


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Samuel Kusheta Katama ◽  
Desalegn Tsegaw Hibstu

Family planning is known not only as a fundamental intervention for improving the health of women but also as a human right. The aim of this study was to assess the current knowledge, attitude and practice of contraceptive use among female students in Dilla secondary and preparatory school, Dilla, South Ethiopia, 2014. A cross sectional study was conducted among 288 female students in Dilla secondary and preparatory school, south Ethiopia, June 19- 29/2014. A simple random sampling technique was used to select the study subjects. The data was collected using a self-administered structured questionnaire. The data was analyzed by SPSS 20. Chi-square test was used to identify associated factors. A total of 263 female students were involved in this study, of which 249 (94.7%) had good knowledge about contraception. The three most frequently identified methods were injectable form (83.9%), oral contraceptive pills (72.7%) and condom (48.6%). A total of 15.7% respondents ever used contraceptive. Among the users, 56.4% used oral contraceptive pills, and 23.1 and 10.2% used injectable form and condom, respectively. In spite of the fact that most respondents had good knowledge of contraception, their attitude and practice was low. Emphasis needs to be given on disseminating health information concerning the attitude and practice of contraceptive method.


2006 ◽  
Vol 99 (7) ◽  
pp. 713-718 ◽  
Author(s):  
Terry C. Davis ◽  
Doren D. Fredrickson ◽  
Linda Potter ◽  
Rose Brouillette ◽  
Anna C. Bocchini ◽  
...  

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Idesi T. Chilinda ◽  
Alison Cooke ◽  
Dame T. Lavender

Background: The importance of modern contraceptive methods in averting unwanted pregnancies has been acknowledged in Malawi. Currently, the country has registered the highest rates of unsafe abortions, unmet needs for contraception and a low contraceptive prevalence rate. Understanding why these rates exist is important. However, women’s views and experiences regarding uptake of family planning methods in Malawi have not been explored.Methods: A grounded theory methodology was used. Data were gathered through in-depth interviews with women (n = 18), men (n = 10), healthcare workers (n = 10) and non-participant observations of family planning clinic consultations (n = 10). Data were analysed using constant comparative technique. Methods of open, axial and selective coding enabled subsequent conceptualisations until theoretical saturation occurred.Results: The core category ‘disenabling environment prevents women’s family planning needs from being met’ provides an understanding of women’s, men’s and healthcare workers’ experiences of contraceptive use and non-use. The disenabling environment contributed to shaping women’s family planning experiences. This was supported by three main categories: navigating the processes, disempowerment of women and learning by chance.Conclusion: Findings from this study illuminate contextual issues into how women, men and healthcare workers experience family planning use and non-use in Malawi. A multifaceted strategy is required to support a woman’s family planning needs. At community level, awareness and education of family planning methods is required to actively inform all people in society so that they support a woman’s family planning needs. At national level, laws that would empower women with decision-making ought to be developed and enforced.


Author(s):  
EI Nonye-Enyidah ◽  
F. C. C. Wekere ◽  
R. Donubari

Background: Oral Contraceptive Pills (OCPs) are the most widely prescribed form of hormonal contraception both in developed and developing countries. They are also the most popular non-surgical method of contraception. Objective: To determine the prevalence rate and socio-demographic characteristics of oral contraceptive pills acceptors at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt. Methods: A 10 year review of all clients who accepted oral contraceptive pills in the family planning clinic of the hospital from 1st January, 2008 to 31st December, 2017. Data was extracted, coded and analyzed using the Statistical Package for Social Sciences (SPSS) IBM version 25.0 (Armonk, NY). Results: There were 1893 contraceptive acceptors during the study period, out of which 86 (4.5%) accepted the oral pills. Majority of the clients 66 (76.8%) were between the age range of 20 to 34, married 82 (95.3%), multiparous 48 (55.8%), Christians 82 (95.3%) and 82 (95.3%) had formal education. Clinical personnel were the commonest source of information on the use of oral contraceptive pills, accounting for 36 (41.8%). Conclusion: Oral contraceptive pills are methods of contraception used by young, multiparous and educated women. Only 4.5% of the women accepted OCPs during the study period therefore concerted efforts should be made to improve its uptake in the family planning clinic.


Sexual Health ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 262
Author(s):  
Sofía L. Carbone ◽  
Melissa Guillen ◽  
Jaime J. Ramirez ◽  
Sara E. Vargas ◽  
Connie Fei Lu ◽  
...  

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.


2018 ◽  
Vol 2 ◽  
pp. 65 ◽  
Author(s):  
Jill Peterson ◽  
Aurélie Brunie ◽  
Salif Ndeye ◽  
Elisabeth Diatta ◽  
John Stanback ◽  
...  

Background: Given the role that continued use of family planning (FP) by current users plays in increasing contraceptive prevalence rates (CPR), this research aims to measure method-specific continuation rates for fixed-site and community-based program interventions and to document reasons for discontinuation.  Methods: This research compared discontinuation rates for clients initiating family planning through two types of strategies—services provided at existing health centers that provided regular, ongoing services, and “one-off” outreach services in communities.  Data collectors surveyed consenting clients who were initiating a modern method, or reinitiating after a break of at least six months, and conducted a follow up survey after seven months.  Results: Long acting reversible contraception (LARC) was more commonly initiated through outreach strategies than through fixed sites. LARC made up 65% of methods initiated through the outreach setting and 47% of those initiated through a fixed-site strategy. Continuation rates varied from 99% for intrauterine devices (IUDs) to 77% for injectables and were very similar between outreach and fixed-site strategies, with the exception of oral contraceptive pills (OCPs). Only 65% of outreach initiators continued using OCPs, compared to 84% of fixed-site initiators. Top reported reasons for discontinuation were side effects and little or no sexual relations. Conclusions: Project interventions allowed most women to continue with their chosen method of FP for the seven-month duration of the study whether initiated through fixed site or outreach strategies, showing promise in helping Senegal to increase its CPR. It is feasible to offer both LARC and short acting methods through outreach strategies.  Further research into the sensitivity of demand to the price charged is needed.


Author(s):  
Dibya Sharma ◽  
Ramchandra Kafle

<p class="abstract"><strong>Background:</strong> Globally, an estimated 300,000 maternal deaths occur annually owing to causes associated with pregnancy, of which nearly 75% were preventable. Each year, modern contraceptives help women prevent 215,000 pregnancy-related deaths (including 66,000 from unsafe abortions), 2.7 million infant deaths and the loss of 60 million years of healthy life. Vaccination is one of the most cost-effective health interventions available, saving millions of children from illness, disability and death each year. The burden of infectious diseases has been reduced primary due to immunization.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study regarding knowledge and practice of family planning and immunization was conducted in a Maternal and Child health (MCH) clinic of Western Regional Hospital, Pokhara. The sample consists of 100 married women of reproductive age group (15-49) years having under five children coming to the clinic using purposive sampling technique.  </p><p class="abstract"><strong>Results:</strong> Knowledge regarding family planning methods were oral contraceptive pills/depot/implant (84%) followed by intrauterine contraceptive device (77%), condom (65%), natural methods (80%), permanent method (92%). Condom was most commonly used among temporary methods. More than 4/5<sup>th</sup> of the respondents were aware about vaccines as per schedule of Nepal. But 5% of the respondents had neither given any vaccine to their baby and nor taken any dose of tetanus toxoid vaccine during their previous pregnancy.</p><strong>Conclusions:</strong> Still 14% of the respondents were not aware about any methods of family planning and 19% does not know about the vaccines as per schedule of Nepal. So there is a need to increase awareness about the different types of family planning methods and immunization.


Author(s):  
Aissata Mahamadou Sidibe ◽  
Paul I Kadetz ◽  
Therese Hesketh

The total fertility rate in Mali (6.2) is the third highest in the world. Despite sociocultural similarities, the total fertility rate in neighboring Senegal is 4.2. The aim of this study is to identify factors which may help to explain the differences between the two countries and which may thereby inform family planning policy in Mali. A cross-sectional study was conducted with a convenience sample of 602 married women aged 16–50 from urban and rural sites in southern Mali and Senegal. A total of 298 respondents from Mali and 304 from Senegal completed a structured questionnaire between July and October 2018. In total, 11.1% of the Malian respondents and 30.9% of the Senegalese respondents were currently using family planning, and 34.6% and 40.5%, respectively, had ever used a modern family planning method. Pressure from husbands was cited as a primary influence for having more children (in 50.3% of Malians and 45.4% of Senegalese, p = 0.000). Women’s age, education level, and knowledge of different contraceptive methods were associated with ever use of contraceptives. After adjustment for confounders, discussing family planning with one’s husband was the strongest predictor of contraceptive use among both Senegalese (OR = 3.4, 95% CI (1.9–6.3), p = 0.000) and Malian respondents (OR = 7.3, (4.1–13.3), p = 0.000).


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