scholarly journals Impact of COVID-19 pandemic on women reproductive health and family planning services

Author(s):  
Manish Taywade ◽  
Rudra Prasad Pradhan

Globally, women and adolescents health in the reproductive age group are heavily affected during the ongoing coronavirus disease - 2010 (COVID-19) pandemic. Contraception shortage across the world. Sustainable development goal, target 3.7 is “to ensure universal access to sexual and reproductive healthcare services, including for family planning, information and education and integration of reproductive health into national strategies and programmes.” The demand of health workers and supply chain are affected and impacted the availability and accessibility to the sexual and reproductive health

2013 ◽  
Vol 26 (1) ◽  
pp. 27-30
Author(s):  
Fahmida Rashid ◽  
Shireen Begum ◽  
M A Sattar ◽  
Shahanaj Sharmin ◽  
Kamrun Nesa Begum

Background: Reproductive Healthcare Services is a service that contributes to reproductive  health and wellbeing through preventing and solving reproductive health problems.Objective of the Study: To find out the reproductive health status and also the service  delivery pattern in a rural area.Methodology: It is a cross sectional study done in a village named Kalirbazar, 3km away  from the BARD, Comilla, during the period of13th February to 13th March, 2011. Data were  collected purposively by Individual interview through a structured questionnaire. A total 30  women of reproductive age group (15-45yrs) were taken. Both adolescent unmarried girls and  married women of reproductive age group were included in this study. After collection, data  were analyzed, tabulated and presented.Results: Respondents were mostly married( 63%), unmarried 33%; almost all of the women were Muslim (93%) and from low socioeconomic status(77%). Sixty six percent of women got  married before 18 yrs of age and 47% were illiterate, more than half of the women (60%) were  housewives and 28% dropped out from schools. Forty percent of married women had 2-3  children.Most of the Women had knowledge about contraception, like-OCP (33%), inj. (27%),  barrier (17%), female sterilization (06%) and 17% had no knowledge. Among the married  women 53% use OCP, 32% injectable contraceptives, 11% sterilization and 04% had  vasectomy. Among respondents, 70% had some sorts of menstrual problem, 85% women  lacked of antenatal checkup, 95% delivery occurred at home, 90% delivery conducted by  local dhai and unexpectedly 73% of women had knowledge of STD/HIV&AIDS. 60% of the  women got the information related to reproductive health from relatives and also from media,  health care provider. Most of the women (87%) said that whatever the health service status;  there were problems in getting the services. Only few of them were satisfied with the services  getting either from GO or NGO or from private sector. Almost all the women were buying the  reproductive healthcare services (83%).Conclusion: Reproductive health status in the rural area is not at all satisfactory. GO. and  NGO often fail to make health services available to the doorstep of the users in the community  who are in dire need of it . DOI: http://dx.doi.org/10.3329/bjog.v26i1.13756 Bangladesh J Obstet Gynaecol, 2011; Vol. 26(1) : 27-30


Author(s):  
Aliyu Sokoto Sabo ◽  
Lawali Yakubu ◽  
Aliyu Alkammawa Luba ◽  
Samira L. Ya`u ◽  
A. T. Bakare ◽  
...  

Background: A contraceptive choice that couples make is a key component of the Sustainable Development Goal agenda and a major contributor to national health. In spite of the importance of increased contraceptive uptake among couples of reproductive ages, meeting the reproductive health rights of women remains an issue due to multi-faceted obstacles within complex environments. The issues which impact women’s reproductive health rights in relation to contraception relate to availability, accessibility, affordability, literacy, tradition, and culture. This study explores the influence of socio-demographic data on the choice of contraceptives among women who are accessing family planning services at a Specialist hospital, Sokoto-Nigeria.Methods: A cross sectional study was used in this quantitative research to generate data on contraceptive choices of women within the reproductive age (18-49 years) who are accessing family planning services at Specialist hospital, Sokoto. A structured questionnaire was used to elicit information from 352 respondents who were randomly sampled at a Specialist hospital, Sokoto-Nigeria. Data was analyzed using SPSS version 20.0. Descriptive statistics, correlation and regression analyses were used in the data analyses.Results: The findings of this study established age, occupation and level of education to be related with the usage and choice of contraceptives among women attending family planning unit at a Specialist hospital in Sokoto.Conclusions: The result of the study indicated that the socio–demographic data of the respondent, has a significant role in the choice of contraceptives among the women attending family planning unit of Specialist Hospital Sokoto.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Carolyne Njue

Abstract Background The impact of COVID-19 is weighing heavily on many African countries. As of November 14th 2021, 6,109,722 cases had been recorded with 151,173 deaths and 2.5% case fatality rate. Studies reveal substantial morbidity and socioeconomic impacts when accessing quality maternal healthcare including fear of infection and the containment measures in place, including social distancing and community containment. The pandemic has put additional strain on healthcare systems that are overburdened and under-resourced even in normal times and has exposed the vulnerabilities of high-risk population groups in addressing critical healthcare concerns. This study presents a mini review of how COVID-19 has disrupted maternal healthcare in Africa, and it further proposes ways to improve the situation. Main body COVID-19 has disrupted antenatal, skilled birth, and postnatal family planning services. Women and girls are vulnerable to the impact of COVID-19 on several fronts and represent a group whose needs including antenatal, skilled birth, and postnatal family planning services have been disrupted, leading to unmet needs for contraception and an increase in unintended pregnancies. Restricted travel due to the fear and anxiety associated with contracting COVID-19 has resulted in delays in accessing prompt skilled care and essential healthcare services such as pregnancy care, immunisation, and nutritional supplementation. Misconceptions relating to COVID-19 have prompted concerns and created distrust in the safety of the healthcare system. Innovative measures are required to address these obstacles and ensure women are not denied access to available, accessible, acceptable, and quality maternal healthcare services in spite of COVID-19. Conclusions In the immediate term while physical distancing measures remain in force, deliberate effort must be made to provide evidence-based guidelines, good practice and expert advice that addresses the unique sexual and reproductive health context of African countries. Efforts to train and motivate healthcare providers to adopt online, remote approaches such as use of telemedicine, and expand the involvement of frontline maternal healthcare providers to deliver information on the availability of services through phone-based referral networks, culturally appropriate social media, community radio and folklore messaging strategies are critical to mobilise and secure community confidence in the safety of sexual and reproductive health and maternal care services.


Author(s):  
Renuka Biyyala Biyyala ◽  
Ram Sagar Reddy Moola ◽  
Sreedevi Arepalli

Background: Maternal and neonatal mortality and morbidity continue to be high in tribal areas despite the existence of various national programmes in India especially due to lack of awareness about MCH services among tribal women. This study was planned with the aim of assessing the knowledge of married tribal women of reproductive age group about MCH services.Methods: This community based longitudinal study was carried out in January to June 2014 in Bairluti, tribal area at Kurnool district in Andhra Pradesh. 168 married women of reproductive age group were selected by simple random sampling. All the participants were interviewed using a predesigned pretested semi structured questionnaire.Results: Awareness about vitamin A supplementation, family planning temporary methods, birth waiting homes, JSY, 108 services was observed to be poor among participants. Awareness about postnatal services, institutional delivery, family planning permanent methods was found to be inadequate. Whereas more than 50% of the study subjects had knowledge regarding antenatal services, home delivery by trained person, complete immunization and feeding practices. Health workers and family members were the major source of information. Literacy status had statistically significant association with knowledge about MCH services. Statistically significant improvement in awareness is observed after educational intervention.Conclusions: Knowledge of tribal women about MCH services was observed to be inadequate. Maternal literacy plays a key role in better utilization of MCH services. IEC activities with health education sessions will help to increase awareness. 


2019 ◽  
Vol 7 (1) ◽  
pp. 47
Author(s):  
Desak Nyoman Suryaningrat ◽  
Ni Wayan Suniyadewi ◽  
Ni Luh Putu Dewi Puspawati

<em>Mothers are family members who play an important role in family life. Maternal deaths that occur in every minute at every day are mostly caused by complications related to pregnancy, childbirth, and puerperal. Contraceptive use in reproductive age couples is one of the strategies of the family planning to reduce maternal mortality. This study aimed to investigate the factors associated with contraceptive use in reproductive age couples. This study used a correlational design with a cross-sectional approach. The samples were 56 people selected using a non-probability sampling technique, i.e., purposive sampling.  Data were analyzed using Rank Spearman test and contingency coefficient test. The results showed that there was a correlation between contraceptive use and factors of age, education, employment, customs / culture and quality of family planning services with a p-value of &lt;0.05. This study recommends that Mengwi Public Health Center I provide a counseling room for family planning acceptors and increase the schedule of family planning services as well as improve the quality of health workers especially in giving counseling about contraceptive use.</em>


BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017621 ◽  
Author(s):  
Wu Junqing ◽  
Yu Chuanning ◽  
Li Yuyan

ObjectivesAlthough family planning in China has changed gradually since 1994, there are few studies about family planning and women’s reproductive rights. The main objective of this study was to examine awareness of sexual and reproductive healthcare rights (SRHCRs), and learn how factors related to family planning influence awareness of SRHCRs among married women of reproductive age in China.Methods and participantsInner Mongolia, Chongqing, Guangdong and Henan were selected for the study, and a total of 2504 married women of reproductive age were recruited. A self-administered anonymous questionnaire was used to collect information on participants’ awareness of SRHCRs.ResultsThere were a total of 10 843 (≤6×2504) responses, with a response rate of 72.17% (10 843/15 024) on average among participants regarding SRHCRs (a multiple response set). The highest response rate was for choice (Right 3) (90.64%, 95% CI 89.47%, 91.81%), followed by privacy (Right 5) (86.11%, 95% CI 84.72%, 87.50%) and information (Right 1) (84.47%, 95% CI 83.02%, 85.93%). Only 43.39% (95% CI 41.40%, 45.38%) of participants gave responses to safety (Right 4). Participants without children showed more interest in Right 1, in access (Right 2) and in Right 4. Those who utilised tests for fetal sex determination paid more attention to Rights 2 and 4. Women who accepted informed choice were more likely to be aware of all six rights except for Right 3 and dignity (Right 6). Those individuals who were satisfied or very satisfied with comprehensive sexual and reproductive health counselling services were more likely to show interest in all six rights.ConclusionsAwareness of SRHCRs among reproductive aged women in China is still inadequate. Family planning service providers might strengthen the service awareness of sex and reproductive health rights according to the different needs of women.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Leopold Ouedraogo ◽  
Desire Habonimana ◽  
Triphonie Nkurunziza ◽  
Asmani Chilanga ◽  
Elamin Hayfa ◽  
...  

Abstract Background Expanding access and use of effective contraception is important in achieving universal access to reproductive healthcare services, especially in low- and middle-income countries (LMICs), such as those in sub-Saharan Africa (SSA). Shortage of trained healthcare providers is an important contributor to increased unmet need for contraception in SSA. The World Health Organization (WHO) recommends task sharing as an important strategy to improve access to sexual and reproductive healthcare services by addressing shortage of healthcare providers. This study explores the status, successes, challenges and impacts of the implementation of task sharing for family planning in five SSA countries. This evidence is aimed at promoting the implementation and scale-up of task sharing programmes in SSA countries by WHO. Methodology and findings We employed a rapid programme review (RPR) methodology to generate evidence on task sharing for family planning programmes from five SSA countries namely, Burkina Faso, Cote d’Ivoire, Ethiopia, Ghana, and Nigeria. This involved a desk review of country task sharing policy documents, implementation plans and guidelines, annual sexual and reproductive health programme reports, WHO regional meeting reports on task sharing for family planning; and information from key informants on country background, intervention packages, impact, enablers, challenges and ways forward on task sharing for family planning. The findings indicate mainly the involvement of community health workers, midwives and nurses in the task sharing programmes with training in provision of contraceptive pills and long-acting reversible contraceptives (LARC). Results indicate an increase in family planning indicators during the task shifting implementation period. For instance, injectable contraceptive use increased more than threefold within six months in Burkina Faso; contraceptive prevalence rate doubled with declines in total fertility and unmet need for contraception in Ethiopia; and uptake of LARC increased in Ghana and Nigeria. Some barriers to successful implementation include poor retention of lower cadre providers, inadequate documentation, and poor data systems. Conclusions Task sharing plays a role in increasing contraceptive uptake and holds promise in promoting universal access to family planning in the SSA region. Evidence from this RPR is helpful in elaborating country policies and scale-up of task sharing for family planning programmes.


Author(s):  
Anita Thakur ◽  
Anmol K. Gupta ◽  
Tripti Chauhan ◽  
Nidhi Chauhan

Background: The utilization of family planning services has improved over the decade, but still the SDG’s health target to ensure universal access to sexual and reproductive health care services is yet to be achieved.Methods: A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from September to December 2019, with sample size of 316. The eligible participants were administered a predesigned, pretested, semi-structured and anonymous interview schedule after taking consent.Results: The mean age of the participants was 30.2±6.1 years. The modern contraceptive prevalence rate (mCPR) was found to be 67.7% among women of reproductive age group 15-49 years. Male condom 36%, followed by female sterilization 30% were the most common methods preferred.Conclusions: Besides male condoms and female sterilisation, other methods of contraception were adopted by meagre number of women. Though, the unmet need for family planning was lesser in this study, still, efforts are needed to plunge it, for ameliorating the contraceptive prevalence rate. Also, the availability of basket of contraceptive choices in government sector need sheer assiduity.


2021 ◽  
Vol 4 (1) ◽  
pp. 94-111
Author(s):  
Maitanmi J. O. ◽  
Osayande J. A. ◽  
Maitanmi B. T. ◽  
Akingbade O. ◽  
Okwuikpo M. I. ◽  
...  

Nearly one in ten women of reproductive age worldwide has an unmet need for family planning. Although contraceptive usage has increased globally, sub-Saharan Africa has recorded the lowest usage of contraceptives worldwide, with Nigeria, the country with the highest population in Africa still recording a low prevalence of contraceptive usage. This descriptive survey assessed the knowledge and utilization of family planning services among 85 women attending a comprehensive health centre in Ogun State. Data analysis was done with Statistical Package for Social Sciences (SPSS) version 26 and hypotheses were tested using chi-square. Findings revealed the level of knowledge on family planning was above average as 55.8% demonstrated good knowledge; however, utilization of family planning services was below average as 55.8% showed inadequate utilization. While significant association was found between the utilization of family planning and the number of children per household, (χ2=8. 649, p = 0.034), no significant association was found between knowledge of the respondents and their utilization of family planning services (χ2=0.828, p = 0.730), and also between knowledge of the respondents and their educational level (χ2=4.303, p = 0.116). Although the level of knowledge in this study was above average, there is still room for improvement even as the knowledge did not translate into adequate utilization of family planning services. This calls for more advocacy and interventions to combat this trend. This will hopefully improve contraceptive prevalence while aligning Nigeria with the Sustainable Development Goal of providing universal access to reproductive health services by 2030.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Richard Muhindo ◽  
Joyce Nankumbi Okonya ◽  
Sara Groves ◽  
Michelene Chenault

Poor adherence is one of the main causes of unintended pregnancies among women of reproductive age. The purpose of this study was to establish the predictors of contraceptive adherence. A total of 211 women were enrolled and interviewed while seeking family planning services at reproductive health Uganda facility. Binary logistic regression was used to analyze the association between adherence and the independent variables. Most of the respondents (83.4%) were currently using a hormonal contraceptive. Of the participants who were using contraceptives, 43% had discontinued use at some time for reasons other than pregnancy, 53.1% reported having short birth interval less than 2 years, and 7% reported having more children than desired. The predictors of poor contraceptive adherence included lower education level (OR 2.484, 95% CI 1.403–4.397) and lower self-efficacy (OR 1.698, 95% CI 1.959–3.004). Lack of male partner support (OR 2.014, 95% CI 1.140–3.557) and low education level (OR 2.103, 95% CI 1.196–3.699) were predictive of reporting short birth interval less than 2 years. The findings point to a number of predictors of contraceptive adherence that may have implications for designing and evaluating family planning programs. In the Ugandan context, studies to evaluate effective adherence improvement strategies are needed.


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