Needs, beliefs and barriers for contraceptive use among women in a low resource setting in Tamil Nadu: a qualitative study

Background: The decline in fertility rate based on the National Health Profile is attributed to the choice of permanent sterilisation as the preferred method of contraception among Indian women. The uptake of spacing methods has declined over the years in many parts of India related to low awareness about options other than sterilisation. Hence understanding the needs, beliefs and barriers of women regarding contraceptive use can identify the factors behind their choice of contraceptive methods. This study aims to explore the needs, beliefs and barriers of women in using different methods of contraception in a low-resource area of urban Vellore, Tamil Nadu.Methods: A qualitative study was conducted in three underserved areas of urban Vellore served by the secondary care hospital of a private academic institution. A descriptive qualitative method was chosen. Focus group discussion was carried out among study participants. Thematic analysis was used to analyse data.Results: The need for contraceptive use was felt after completing the families determining the type of method chosen. Fear of impending side-effects of commonly available spacing methods of contraception limited their use. The results highlight the forceful use of intra-uterine device among study participants reflecting the incentive-based family planning services implemented in most Indian states.Conclusions: Our study reinforces that neither the availability of contraceptives nor forceful implementation of policies will increase the utilisation of contraceptives. There is a need for community-based education on the indications, types and side-effects of reversible methods of contraception.

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Suicidal behavior risks during adolescent pregnancy in a low-resource setting: A qualitative study

PLoS ONE ◽

10.1371/journal.pone.0236269 ◽

2020 ◽

Vol 15 (7) ◽

pp. e0236269

Author(s):

Christine W. Musyimi ◽

Victoria N. Mutiso ◽

Darius N. Nyamai ◽

Ikenna Ebuenyi ◽

David M. Ndetei

Keyword(s):

Qualitative Study ◽

Adolescent Pregnancy ◽

Suicidal Behavior ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting

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Evaluation of a simulation faculty training workshop in a low-resource setting: a qualitative study

BMJ Simulation and Technology Enhanced Learning ◽

10.1136/bmjstel-2020-000829 ◽

2021 ◽

pp. bmjstel-2020-000829

Author(s):

Rajasri Rao Seethamraju ◽

Kimberly Stone ◽

Michael Shepherd

Keyword(s):

Qualitative Study ◽

Positive Impact ◽

Faculty Training ◽

Research Approach ◽

Instructor Training ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting ◽

Kirkpatrick Model

IntroductionSimulation instructor training courses are infrequent in low-resource countries. PediSTARS India organisation has been conducting a Training of Trainers (TOT) workshop annually since 2014 and has trained 380 instructors in the last 6 years. The objective of this study is to evaluate this workshop using the basic Kirkpatrick model with a blended evaluation approach.MethodsA qualitative study design was used with purposive sampling from the 2018 workshop cohort. An initial online questionnaire gathered demographic and professional profile of participants. Semistructured interviews with those who consented explored their perceptions about the workshop and their experiences using simulation for training at their workplaces. The analysis was done based on a deductive research approach around the framework of the first three levels of the Kirkpatrick model.ResultsA total of 11 in-depth interviews were conducted. Participants reported long-term retention, translation and positive impact of the knowledge and skills gained at the TOT workshop. The results achieved saturation and underwent respondent validation.ConclusionThis study provides evidence to support simulation faculty training workshops as an effective educational intervention in promoting simulation-related workplace-based education and training among health practitioners and that follow-up activity may be useful in some cases. This is the first study of its kind in a low-resource setting, and supports similar simulation instructor training in these settings and provides a blueprint for such training. Follow-up studies are required to evaluate the longer term impact of this simulation instructor training.

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THE RATE OF SUCCESS IN UTEROVAGINAL PACKING IN ATONIC UTERUS IN A TERTIARY CARE HOSPITAL IN LOW RESOURCE SETTING

Journal of Medical Sciences ◽

10.52764/jms.21.29.3.7 ◽

2021 ◽

Vol 29 (03) ◽

Author(s):

Samina aliya Sabir ◽

Shahida Sultan

Keyword(s):

Medical Treatment ◽

Success Rate ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Prospective Trial ◽

Care Hospital ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting ◽

Internal Iliac

Abstract:Objective: To find out the success rate of uterovaginal packing of Atonic Uterus in a tertiary care hospital, in low resource setting.Methods: This was a interventional prospective trial conducted in Gynae department of Lady Reading Hospital from January 2019 to December 2019. Our study included those patients with PPH not responding to medical treatment in vaginal delivery. Patients in shock with PPH and PPH after Csection were excluded from the study. The study was approved by the ethical committee of hospital.Results: In our study 250 patients with Atonic Uterus with PPH with failed medical treatment were done uterovaginal packing, the success rate after 12 hours was 86.4%, in rest of the patients PPH was controlled by second line surgical intervention in 34 cases (13.6%), B Lynch was done in 18 (7.2%) cases, subtotal hysterectomies 13 (5.2%) cases and internal Iliac ligation in 3 cases (1.2%)Conclusion: Uterovaginal packing is an effective, easy, quick and life saving method in the control of PPH in low resource setting.

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