scholarly journals Unmet need in family planning at the Cape Coast Teaching Hospital of Ghana

2019 ◽  
Vol 8 (7) ◽  
pp. 2582
Author(s):  
Diallo Abdoul Azize ◽  
Ekanem Evans ◽  
Agyare-Gyan Frederick
Keyword(s):  
Family Planning ◽  
Marital Status ◽  
Teaching Hospital ◽  
Educational Level ◽  
Associated Factors ◽  
Tertiary Education ◽  
Unplanned Pregnancy ◽  
Unmet Need ◽  
Cape Coast ◽  
Unintended Pregnancies

Background: Knowing the prevalence of unintended pregnancy, unmet need in family planning and the associated factors in cape coast, is important for ensuring that all women have access to the most effective methods of family planning in order to reduce the occurrence of unintended pregnancies. This study aims to determine the prevalence of unintended pregnancies, unmet need in family planning and the associated factors among women attending antenatal clinics at the Cape Coast Teaching Hospital, Republic of Ghana.Methods: A prospective cross-sectional study with descriptive and analytical components was carried out from 20th April 2015 to 20th June 2015 to simultaneously measure the prevalence of unmet need for family planning and related factors.  All clients reporting for ANC at the Cape Coast Teaching Hospital during the study period were recruited into the study.Results: A total of 324 clients were recruited. The mean age was 29.98±5.86 years, 85.80% were married, 46.58% had tertiary education and 79.94% had a source of income. Up to 54.94% of the clients had not planned their index pregnancy. Among subjects who had not planned their index pregnancies, 74.71% had not used a family planning method. There is a significant association between age, educational level, the presence of a source of income, marital status and the occurrence of unplanned pregnancy.Conclusions: There were high prevalence of unplanned pregnancy and unmet need for family planning. There is a significant association between age, educational level, the presence of a source of income, marital status and the occurrence of unplanned pregnancy.

scholarly journals KNOWLEDGE, ATTITUDE AND PERCEPTION OF CONTRACEPTION AMONG MEDICAL STUDENTS IN UNIVERSITI PUTRA MALAYSIA

2019 ◽  
Vol 19 (2) ◽  
pp. 11-19
Author(s):  
Ma Saung Oo ◽  
Nursyahira Binti Mohd Ismail ◽  
Wei Rou Ean ◽  
Habibah Abdul Hamid ◽  
Nik Rafiza Affendi
Keyword(s):  
Family Planning ◽  
Medical Students ◽  
Unintended Pregnancy ◽  
Educational Level ◽  
Tertiary Education ◽  
Negative Attitude ◽  
Demographic Characteristics ◽  
Contraceptive Knowledge ◽  
Unintended Pregnancies ◽  
Level Of Knowledge

The incidence of unintended pregnancy and unsafe abortion are significantly high due to the lack of knowledge and negative attitude towards contraception and it can be prevented by effective and appropriate contraceptive knowledge and usage.  Considering the future role of medical students as family planning educator as well as counsellors, it is not only important to determine their knowledge, attitude and perception towards contraception but also should be updated for improvement on the quality of future healthcare professionals on contraceptive knowledge which may lead to the reduction in the number of unintended pregnancy with improving maternal morbidity and mortality. This was a cross sectional study using self-reported questionnaires survey that consists of four sections as socio-demographic characteristics information, knowledge towards contraception, attitude towards contraception, and perception of education and training in sexual and reproductive health among medical student. Questions were, distributed among medical students in Faculty of Medicine and Health Sciences and analyzed. The response rate was 100%. and most of the respondents in this study were Malay (64·4%), female (68·3%), single (98·6%) and live in urban area (69·1%). Most of their parents had tertiary education level (father educational level, 63·3%; mother educational level, 50·0%). 56·1% of the respondents had poor level of knowledge and 59.2% of them had negative attitude towards contraception. Regarding the perception on contraception, most of the respondents thought that they did not have sufficient clinical practice (50·4%) though adequate training (57·6%) in counselling the patients for family planning service during their clinical posting. There was a significant association between gender, place of birth, ethnicity, marital status, father educational status and level of knowledge. There were a higher percentage of respondents who had poor knowledge and negative attitude towards contraception. Assessing the knowledge and attitude of medical students on contraception and their relationship with socio-demographic characteristics and socio-economic factors plays a leading role in public health projects which are aimed to combat maternal mortality through reducing unintended pregnancies. To change the attitude towards contraception and further increase the level of knowledge of contraception among medical students, collaborated health education and similar studies among health workers are highly recommended.

scholarly journals Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Asmamaw Demis Bizuneh ◽  
Getnet Gedefaw Azeze
Keyword(s):  
Family Planning ◽  
Marital Status ◽  
Meta Analysis ◽  
Grey Literature ◽  
Eastern Africa ◽  
Determinant Factors ◽  
Unintended Pregnancies ◽  
Pooled Prevalence ◽  
History Of ◽  
Post Abortion

Abstract Background Utilization of post-abortion family planning is very critical to reduce high levels of unintended pregnancy, which is the root cause of induced abortion. In Eastern Africa, it is estimated that as many as 95% of unintended pregnancies occurred among women who do not practice contraception at all. Therefore, this meta-analysis aimed to assess post-abortion family planning utilization and its determinant factors in Eastern Africa. Methods Published papers from Scopus, HINARI, PubMed, Google Scholar, and Web of Science electronic databases and grey literature repository were searched from database inception to January 30, 2020, with no restriction by design and date of publishing. We screened records, extracted data, and assessed risk of bias in duplicate. Cochrane I2 statistics were used to check the heterogeneity of the studies. Publication bias was assessed by Egger and Biggs test with a funnel plot. A random-effects model was calculated to estimate the pooled prevalence of post-abortion family planning utilization. Results A total of twenty-nine cross-sectional studies with 70,037 study participants were included. The overall pooled prevalence of post-abortion family planning utilization was 67.86% (95% CI 63.59–72.12). The most widely utilized post-abortion family methods were injectable 33.23% (95% CI 22.12–44.34), followed by implants 24.71% (95% CI 13.53–35.89) and oral contraceptive pills 23.42% (95% CI 19.95–26.89). Married marital status (AOR=3.20; 95% CI 2.02–5.05), multiparity (AOR=3.84; 95% CI 1.43–10.33), having a history of abortion (AOR=2.33; 95% CI 1.44–3.75), getting counselling on post-abortion family planning (AOR=4.63; 95% CI 3.27–6.56), and ever use of contraceptives (AOR=4.63; 95% CI 2.27–5.21) were factors associated with post-abortion family planning utilization in Eastern Africa. Conclusions This study revealed that the marital status of the women, multiparity, having a history of abortion, getting counselling on post-abortion family planning, and ever used contraceptives were found to be significantly associated with post-abortion family planning utilization.

Contraception

2020 ◽  
pp. 665-677
Author(s):  
Zephne M. van der Spuy ◽  
Petrus S. Steyn
Keyword(s):  
Reproductive Health ◽  
Unplanned Pregnancy ◽  
Unmet Need ◽  
Eligibility Criteria ◽  
Development Goal ◽  
Contraceptive Counselling ◽  
Unintended Pregnancies ◽  
Contraceptive Service ◽  
Effective Contraception ◽  
Health Organization

Effective contraception is central to reproductive health and unintended pregnancies have a major negative impact on both maternal and child health. It is recognized that there is a global unmet need for effective contraception and often the unplanned pregnancy is terminated, sometimes by unsafe practices. There is recognition of the importance of accessible, effective fertility regulation both in the Millennium Development Goal 5b and now in Sustainable Development Goal 3. It is hoped that contraceptive provision will be expanded and made accessible to many women who previously were not able to address their fertility needs. The World Health Organization offers input and excellent clinical advice through the Medical Eligibility Criteria for contraceptive use which are regularly updated. It is recommended that these should be adapted for local use where appropriate. An understanding of the success of contraceptive methods with typical rather than perfect use is central to advising women and their partners on their contraceptive options. Attention to women with special needs such as those with medical disorders, young women, and women living with HIV must be central to any contraceptive service. Counselling should include discussing the risks and benefits of appropriate methods, the availability of emergency contraception, and the ongoing access to contraceptive counselling and reproductive health services. The aim of contraceptive service provision is to avoid unintended pregnancies and ensure that women feel empowered in the choices they make. Services providers are encouraged to provide a spectrum of contraceptive options which are accessible and acceptable to all clients.

scholarly journals Promouvoir les services de vasectomie au Burundi

2016 ◽  
Keyword(s):  
Family Planning ◽  
Service Providers ◽  
Unmet Need ◽  
Cost Effective ◽  
Evidence Based ◽  
Healthy Relationships ◽  
Unintended Pregnancies ◽  
Engaging Men ◽  
National Family ◽  
National Family Planning

Vasectomy is a safe and highly effective family planning method for men and couples who do not want any more children, but in low resource settings, few men seek out or have access to this method. Increasing the voluntary use of vasectomy is a cost-effective strategy for countries to reduce unmet need for family planning, decrease unintended pregnancies, and meet national family planning goals. By engaging men directly in family planning, vasectomy also holds promise for promoting positive gender norms and healthy relationships. | This brief is part of a set of resources from FHI 360/Evidence Project providing policymakers, advocates, program managers, and service providers with evidence-based recommendations for improving vasectomy programming.

scholarly journals Promoting vasectomy services in Rwanda

2016 ◽  
Keyword(s):  
Family Planning ◽  
Service Providers ◽  
Unmet Need ◽  
Cost Effective ◽  
Evidence Based ◽  
Healthy Relationships ◽  
Unintended Pregnancies ◽  
Engaging Men ◽  
National Family ◽  
National Family Planning

Vasectomy is a safe and highly effective family planning method for men and couples who do not want any more children, but in low resource settings, few men seek out or have access to this method. Increasing the voluntary use of vasectomy is a cost-effective strategy for countries to reduce unmet need for family planning, decrease unintended pregnancies, and meet national family planning goals. By engaging men directly in family planning, vasectomy also holds promise for promoting positive gender norms and healthy relationships. | This brief is part of a set of resources from FHI 360/Evidence Project providing policymakers, advocates, program managers, and service providers with evidence-based recommendations for improving vasectomy programming.

scholarly journals Promouvoir les services de vasectomie en Haïti

2016 ◽  
Keyword(s):  
Family Planning ◽  
Service Providers ◽  
Unmet Need ◽  
Cost Effective ◽  
Evidence Based ◽  
Healthy Relationships ◽  
Unintended Pregnancies ◽  
Engaging Men ◽  
National Family ◽  
National Family Planning

Vasectomy is a safe and highly effective family planning method for men and couples who do not want any more children, but in low resource settings, few men seek out or have access to this method. Increasing the voluntary use of vasectomy is a cost-effective strategy for countries to reduce unmet need for family planning, decrease unintended pregnancies, and meet national family planning goals. By engaging men directly in family planning, vasectomy also holds promise for promoting positive gender norms and healthy relationships. | This brief is part of a set of resources from FHI 360/Evidence Project providing policymakers, advocates, program managers, and service providers with evidence-based recommendations for improving vasectomy programming.

scholarly journals Unmet Need for Family Planning Among Married Women in Zambia: Lessons from the 2018 Demographic and Health Survey

2021 ◽  
Author(s):  
Harriet Namukoko ◽  
Rosemary Ndonyo Likwa ◽  
Twaambo E. Hamoonga ◽  
Million Phiri
Keyword(s):  
Family Planning ◽  
Health Survey ◽  
Unmet Need ◽  
Household Wealth ◽  
Married Women ◽  
Demographic And Health Survey ◽  
Public Health Issue ◽  
Special Focus ◽  
Cross Sectional Survey ◽  
Unintended Pregnancies

Abstract Introduction: Unmet need for family planning among married women is still high in Africa. In the year 2018, one in every five married women in Zambia had an unmet need for family planning. Unmet need for family planning can increase the number of unintended pregnancies and abortions, both of which have the potential to increase the proportion of women of child bearing age who are at high risk of birth complications. Studies have shown that factors explaining unmet need for family planning vary significantly from country to country, depending on access and availability of family planning services for women. We conducted this study to understand the determinants of unmet need for family planning in Zambia. Knowledge of factors associated with unmet need for family planning can help governments and stakeholders to identify health strategies to reduce unwanted fertility and prevent maternal and child mortality.Methods: The study used datasets from the Zambia Demographic and Health Survey which was a representative cross-sectional survey conducted in 2018. Zambia conducted a Demographic and Health to capture health indicators which are used to measure progress of implementation of health sector interventions. We did analysis on a sample of 7, 597 married women aged 15-49 years. Chi-square test and multivariate logistic regression were used to analyse determinants of unmet need for family planning. Stata version 14.2 was used to analyse weighted data and survey commands were applied to account for the complex sample design. Results: Study findings have revealed that half of the married women were still not using contraception by 2018. Unmet need for family planning among married women is still a public health issue in Zambia. In multivariate regression analysis; age, parity, household wealth and exposure to media-based family planning messages were found to be significantly associated with unmet need for family planning among married women.Conclusion: There is need to enhance family planning policy and programming in the country in order to achieve desired health outcomes. Mass media campaigns and community-based outreach activities with special focus on the young women can achieve significant results in reducing unmet need for family planning. Further, there should be some deliberate interventions to conduct family planning talks during in health facilities targeting women who visit maternal and children care clinics.

Sign in / Sign up

Export Citation Format

Share Document