scholarly journals Impact of counselling on selecting a hormonal contraceptive method

2018 ◽  
Vol 7 (8) ◽  
pp. 3325
Author(s):  
Darshna M. Patel ◽  
Vandita K. Salat ◽  
Mahesh M. Patel
Keyword(s):  
Family Planning ◽  
Health Care Professionals ◽  
Contraceptive Method ◽  
Unmet Need ◽  
Hormonal Contraceptive ◽  
Maximum Difference ◽  
Contraceptive Methods ◽  
Important Indicator ◽  
Contraceptive Pills ◽  
Combined Hormonal Contraceptive

Background: Unmet need for family planning is an important indicator for assessing the demand for family planning services. As per NFHS-4, the contraceptive prevalence rate in women age 15-49 years was 53.5 % and the unmet need for family planning among married women was 12.9%. Counselling provides the Health care professionals (HCPs) an opportunity to understand the individual need of a contraceptive seeker.Methods: This was a cross-sectional, observational study conducted at GMERS hospital, Valsad during June 2017 to October 2017. Sexually active women of 18 to 40 years who consulted HCPs for contraception and who interested in starting hormonal contraceptive method or expressed interest in switching (changing) to hormonal methods were included in the study. Total 213 women were enrolled in the study.  Questionnaires with information on the women’s pre- and post-counseling contraceptive choice, her perceptions, and the reasons behind her post-counseling decision were filled both by the HCP and the participating women. The completed questionnaires were collected and analyzed.Results: During pre-counseling, most common hormonal contraceptive method selected by women was combined hormonal contraceptive pills followed by DMPA, LNG-IUS and POPs. In present study, structured contraception counseling helped most women (97.2 %) to choose a contraceptive method. There were statistically significant differences in choice of contraceptive methods during pre and post-counseling except COCs. Among hormonal contraceptive methods, maximum difference was observed for choice of the COCs after counseling as compared to pre-counseling. Counseling helped more than 90% of the women who were indecisive to choose any contraceptive method. More than three fourth of them opted for hormonal methods with a maximum selection of COCs. The most common reasons for selecting COCs was ease of use for COC, breast feeding for POP and the most common reasons for not choosing other available contraceptive methods was discussion with partner.Conclusions: The combined hormonal contraceptive pills were reported to be the most commonly used contraceptive method. There were statistically significant differences in choice of contraceptive methods during pre and post-counseling with maximum difference in COCs. Counseling helped most of the women who were indecisive to choose any contraceptive method.

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.

Self-described impact of noncompliance among users of a combined hormonal contraceptive method

Contraception ◽  
2008 ◽  
Vol 77 (4) ◽  
pp. 276-282 ◽  
Author(s):  
Iñaki Lete ◽  
José Luis Doval ◽  
Ezequiel Pérez-Campos ◽  
Roberto Lertxundi ◽  
Marta Correa ◽  
...  
Keyword(s):  
Contraceptive Method ◽  
Hormonal Contraceptive ◽  
Combined Hormonal Contraceptive

scholarly journals Factors that affect the discontinuation of family planning methods in Myanmar: analysis of the 2015–16 Myanmar Demographic and Health Survey

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Khaing Nwe Tin ◽  
Thae Maung Maung ◽  
Thiri Win
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Health Survey ◽  
Unmet Need ◽  
Contraceptive Methods ◽  
Multivariable Logistic Regression ◽  
Unplanned Pregnancies ◽  
Contraceptive Discontinuation ◽  
Voluntary Choice

Abstract Background Access to family planning contributes up to a 44% reduction in maternal deaths. Since the majority of unplanned pregnancies and abortions occur in women who were either not using contraception or not using it consistently, greater access to contraception and more consistent use of contraception are crucial in the reduction of unplanned pregnancies and abortions. This study aims to determine which types of contraceptives are most often discontinued, the reasons for discontinuation, and the factors that influence contraceptive discontinuation for women in Myanmar. Methods This study is a secondary data analysis of calendar data from the 2015–16 Myanmar Demographic Health Survey. The dependent variable is discontinuation of contraception within 12 months among episodes of contraceptive use in the 5 years before the survey among women age 15–49. Multivariable logistic regression was used to identify the predictors of contraceptive discontinuation. Results The 12-month discontinuation rate for all contraceptive methods was 39%. The discontinuation rates for short-term methods were remarkably high (43% for pills and 42% for injectables), while the rate for long-term methods was very low (7% for intrauterine devices and 0.2% for implants). Discontinuation while still in need of contraception was high (55%) although 28% of those women switched to other modern methods. Multivariable logistic regression showed the factors associated with contraceptive discontinuation were a woman’s age, location (state/region), wealth, and number of births within the past 5 years. Conclusions The high rate of discontinuation while in need is very alarming given goals to reduce the unmet need for family planning in Myanmar. Family planning programs must ensure timely, informed method-switching by women who discontinue contraception, especially among women for whom discontinuation is the highest (age 45–49, middle and richest wealth quintile, regions where high discontinuation and multiparity); increase the availability of long-term contraceptive methods, and improve counseling that ensures clients’ informed and voluntary choice of family planning services.

scholarly journals The effect of Women’s decision-making autonomy on family Planning acces in Senegal in 2017

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N M Sougou ◽  
O Bassoum ◽  
M M M M Leye ◽  
A Tal-Dia
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Modern Contraceptive Method ◽  
Significant Difference ◽  
Modern Contraceptive Use ◽  
The Impact

Abstract Background The impact of access to decision-making on women’s health in the choice of fertility control has been highlighted by research. The aim of this study was to analyze the impact of access to decision-making for women’s health on access to family planning in Senegal in 2017. Methods The analyses of this study had been done on the Individual Records file of Senegal’s Demographic Health Survey 2017. This data covered 8865 women aged 15 to 49 years. The propensity scores matching method had been done. The variable access to the decision was considered as the variable of interest. Matching was done using variables that were not modified by the effect of the treatment. These were religion and socio-economic level. The outcome variables were modern contraceptive use, the existence of unmet needs and the type of modern contraceptive method used. Significance was at 5%. The condition of common support had been respected. The analysis was done with the STATA.15 software. Results Six percent (6.26%) of women could decide about their health on their own. Access to decision-making increased significantly with the woman’s age (p < 0.05). Fifteen percent (15.24%) women used a modern contraceptive method. Women using a contraceptive method were more numerous in the group with access to decision-making (29.43%) with a significant difference with the other group of 8% (p < 0.05). After matching, there was no significant difference between women in terms of modern contraceptive use and the existence of unmet needs. There was a significant difference in the type of contraceptive method used between the two groups of women. These differences were 23.17% for Intra Uterine Device, 52.98% for injections, 08.9% for implants and 10.79% for condoms. Conclusions Access to decision-making for health would facilitate women’s access to long-acting contraceptive methods. These findings show the importance of implementing gender transformative interventions in improving access to family planning. Key messages Access to decision-making for health would allow better access to modern contraceptive methods, especially those with a long duration of action. Better consideration of gender disparity reduction could improve access to family planning in Senegal.

scholarly journals Awareness and practice of contraceptive methods among women in Kerala, India

2018 ◽  
Vol 7 (4) ◽  
pp. 1501 ◽  
Author(s):  
Anila Tresa Alukal ◽  
Lissiamma George ◽  
Resmy C. Raveendran
Keyword(s):  
Family Planning ◽  
Pregnant Women ◽  
Positive Impact ◽  
Unmet Need ◽  
World Population ◽  
Contraceptive Methods ◽  
Barrier Method ◽  
Medical College ◽  
Wide Range ◽  
The Government

Background: India is the second most populous country in the world, sustaining 17.01% of world population on 2.4% of world’s surface area. Indian women have more children than desired and often too close together. Family Planning can have a positive impact on population growth, maternal mortality, and infant and new-born outcomes. In spite of availability of wide range of contraceptives, the unmet need for family planning is estimated to be 12.8%. The purpose of this study is to assess awareness of the effective use of contraceptive methods among pregnant women, which will provide useful information for future intervention strategies and the reduction of unwanted pregnancies.Methods: The study was conducted at the Government Medical College Thrissur, Kerala and study period was 1year (2014-2015). The awareness and contraceptive practices of 514 pregnant women who were admitted for delivery were assessed by using questionnaire. The data was entered in MS excel sheet and analysed using SPSS software.Results: the awareness regarding barrier method of contraception was maximum. (96.7%), followed by permanent methods (96.8%), IUCD (94.9%) and natural methods (92.6%). Around 71.6% of the study population has used some form of contraception. The most commonly contraceptive method was natural methods (69.6%) followed by barrier method (59.9%). IUCD was the method which was least practiced (2.9%) followed by OC pills (19.1%).Conclusions: Even though women are well aware of most of the contraceptive methods, the percentage of women using it is very low. This shows that there is good knowledge regarding contraceptive methods, but a change is needed in the attitude and practice.

scholarly journals Low contraceptive utilization among young married women is associated with perceived social norms and belief in contraceptive myths in rural Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247484
Author(s):  
Tariku Dingeta ◽  
Lemessa Oljira ◽  
Alemayehu Worku ◽  
Yemane Berhane
Keyword(s):  
Family Planning ◽  
Social Norms ◽  
Unmet Need ◽  
Cultural Factors ◽  
Married Women ◽  
Multivariable Logistic Regression Analysis ◽  
Contraceptive Methods ◽  
Eastern Ethiopia ◽  
Rural Ethiopia ◽  
Contraceptive Utilization

Introduction Despite the increasingly wider availability of contraceptives and the high levels of unmet need for family planning in rural Ethiopia, contraceptive utilization among young married women is low. Studies on associated factors in Ethiopia so far have been focused on individual factors with little emphasis on socio-cultural factors. This study aimed to assess the association between contraceptive utilization and socio-cultural factors among young married women in Eastern Ethiopia. Methods A community-based survey was conducted among young married women aged 14–24 years. A total of 3039 women were interviewed by trained data collectors using a structured questionnaire. Adjusted Odds Ratio (AOR) with 95% Confidence Intervals (CI) was used to identify factors associated with contraceptive utilization using multivariable logistic regression analysis. Results The current contraceptive prevalence rate was 14.1% (95% CI: 12.8–15.5). Perceived social approval (AOR = 1.90; 95% CI = 1.60–2.30) and perception of friends’ contraceptive practice (AOR = 1.34; 95% CI: 1.20–1.54) were significantly and positively associated with contraceptive utilization. On the contrary, increased score of belief in contraceptive myths was significantly and negatively associated with contraceptive use (AOR = 0.60; 95% CI: 0.49–0.73). Moreover, recent exposure to family planning information (AOR = 1.67; 95% CI: 1.22–2.28), ever-mother (AOR = 9.68; 95% CI: 4.47–20.90), and secondary and above education level (AOR = 1.90; 95% CI: 1.38–2.70) were significantly associated with higher odds of contraceptive utilization. Conclusion Only about one-in-seven young married women were using contraceptive methods. Socio-cultural factors significantly influence young married women’s contraceptive utilization. Interventions to address social norms and pervasive myths and misconceptions could increase the use of contraceptive methods in young married women.

scholarly journals EFEKTIFITAS SOSIALISASI MAL OLEH KONSELOR ASI SEBAGAI SALAH SATU UPAYA PENCEGAHAN UNMEET NEED KB

2019 ◽  
Vol 4 (1) ◽  
pp. 22
Author(s):  
Luluk Rosida
Keyword(s):  
Family Planning ◽  
Exclusive Breastfeeding ◽  
Community Health Center ◽  
Unmet Need ◽  
Bivariate Analysis ◽  
Control Group ◽  
Not Given ◽  
Contraceptive Methods ◽  
Equivalent Control ◽  
Postpartum Mothers

Abstract Lactation amenorrhea method (LAM) is an alternative that can be used by women who experienced the unmet need for family planning to breastfeed cause delays recovery of fertility after childbirth and can be used as a natural contraceptive methods. The purpose of this study was to determine the effectiveness of the socialization of LAM by a breastfeeding counselor to efforts to reduce unmeet need in Yogyakarta. This quasi study uses the design of Non-Equivalent Control Group, which compares the return of menstruation to postpartum mothers with exclusive breastfeeding given LAM socialization by ASI counselors with postpartum mothers who were not given LAM socialization by ASI counselors. Women who are exclusively breastfeeding will in principle get longer menstrual initiation than those who do not exclusively breastfeed their babies. The sample in this study were mothers who had just given birth at the Community Health Center hospitalized in Yogyakarta. Bivariate analysis using the whtney man test. The results showed that there were differences in the return of menstruation in postpartum mothers who were given LAM  socialization by ASI counselors with postpartum mothers who were not given LAM socialization.  

scholarly journals IMPROVING DESIGN AND DELIVERY OF FAMILY PLANNING SERVICES TO MEET THE UNMET NEED FOR CONTRACEPTION IN QUETTA BALOCHISTAN

2019 ◽  
Vol 8 (4) ◽  
pp. 213-218
Author(s):  
Naiha Sagheer ◽  
Saleem Ullah ◽  
Noureen Latif ◽  
Tabinda Zaman
Keyword(s):  
Family Planning ◽  
Mass Media ◽  
Health Workers ◽  
Unmet Need ◽  
Monitoring And Evaluation ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional

Background: Approximeately 24 percent of married women of reproductive age in Pakistan would like to adopt family planning, but are unable to avail the means to practice contraception. This study has been conducted to find out frequency and perception about family planning practices and further to explore and analyze the causes of failure to meet the demand for contraception. Methods: A cross-sectional study was conducted on married females of reproductive age group and married males while visiting the outpatient departments of two hospitals of Quetta from January to September 2017. They were interviewed by researchers through a structured, reliable and pretested questionnaire. The data obtained and analyzed by using SPSS 21 version. Results: 76% of participants were in favour of practicing yet only 33.8% had actually practiced it sometime during their reproductive years. The major reasons for not using family planning were the apprehension of harmful effects of contraceptive methods (52.6%), non-supportive partner (30%), unavailability of services (11.4%) and religious constraints (6%). The mass media was the main source of motivational information(69%) followed by Lady health workers. Conclusion: The current prevalence of family planning is still not at the expected level, There is a dire need of the continued use of mass media and services of community health workers to raise awareness. The practice of modern contraceptive methods can be enhanced by provision of client-centered quality services.. An increase in the number of family planning centers along with an efficient functioning, monitoring, and evaluation are also required to address unmet needs of the community near their doorstep.

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