scholarly journals Uptake of long-acting reversible contraceptives in north central Nigeria: a five-year review

Author(s):  
Caroline H. Jumbo ◽  
Rafat B. Muhammad ◽  
Nathaniel D. Adewole ◽  
Dennis A. Isah ◽  
Richard A. Offiong ◽  
...  

Background: Long-acting reversible contraceptives (LARC) are methods used in the prevention of pregnancy that are long lasting. They are effective and efficacious methods of contraception and return to fertility after removal is prompt. Objectives was to determine the uptake of long-acting reversible contraception and assess the characteristics of acceptors of these methods in the area.Methods: This was a retrospective study of clients’ who visited the family planning unit of the University of Abuja teaching hospital over a 5-year period, from 01 January 2015 to 31 December 2019. Information on socio-demographic characteristics and specific methods selected were extracted from their records and represented on simple tables, graphs, and charts.Results: A total of one thousand eight hundred and ninety-one (1,891) clients accepted available methods of contraceptives during the five-year study period. One thousand seven hundred and twenty-four (1,724) accepted LARC (91.1%) while only one hundred and sixty-seven (167) accepted non-LARC (8.9%). Majority 946 (54.9%) of the clients that accepted LARC were aged between 30-39 years and clients less than 20 years were 22 (1.3%). Clients with parity 3 and above were 1162 (67.7%), and majority of LARC acceptors wanted more children 1145 (66.4%). Amongst the LARC acceptors, most of the clients opted for subdermal implant either Jadelle or Implanon 940(49.7%). Three hundred and ninety-eight (23.1%) discontinued a form of LARC during the study period while 1127 (65.4%) continued with one form of LARC or another.Conclusions: The uptake of LARC in this region is very high. Teenagers and low parity rarely attended the family planning clinic.

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.


2011 ◽  
Vol 26 (S2) ◽  
pp. 641-641
Author(s):  
S.H. Kavari

IntroductionDepression is a serious condition that can impact every area of your life. Female depression and even the pattern of symptoms are often different.AimsThe aim of this research study is to investigate the rate of server depression in those who use propellant. In order to achieve this objective, 260 patients volunteered to participate in this investigation and they were referred to the family planning clinic at Hafez hospital, and were planted capsule of Norplant.MethodsIn order to further fulfill selection process of patients suitable for this project, 200 of the most suitable candidates who suffered from even minor depression but had no history of congenital and familial major depression were selected and considered fit for this research work.ResultsThe results drawn from this investigative study can be summarized as follows;1-The relationships between progesterone in anti pregnancy compound tablets, major depression and anxiety were recognized from many years ago. Norplant which is progestin itself can also be regarded as the cause of these conditions.2-This investigation concluded that, among those patients studied, only 0.5% started having major depression as a result of the plantation. Therefore, Norplant was removed from their body.ConclusionsA good consultation, awareness, correct guidance and efficient method of educating people before using Norplant, seeking prompt referral advice and future follow ups, will result in an effective way of preventing, diagnosis and treatment of these side effect conditions.


2021 ◽  
Author(s):  
Alula Teklu ◽  
Awol Seid ◽  
Kassahun Mormu ◽  
Tesfa Demlew ◽  
Ephrem Tekle ◽  
...  

Abstract Background: Modern family planning uptake in Ethiopia, primarily short-acting injectables, has increased after the engagement of community health extension workers (HEWs). The aim of this study was to investigate the effectiveness of using Level IV health extension workers to deliver long-acting reversible contraceptives (LARCs) at the community level. Methods: A retrospective cohort study design was used to recruit 710 women who received LARC insertion services at pilot health posts within eight months before survey time. The interviewer administered a data collection tool to collect the required data through a house-to-house survey. The questionnaire had sections covering demographic and socioeconomic characteristics, reproductive history, use of family planning methods, knowledge about LARC methods (i.e., IUCD and Implanon), and service satisfaction. Descriptive statistics were used to analyze data. Chi-square test was used to identify the determinants of LARC use. Results: Out of 702 LARC users included in the study, 92.7% received services from Level IV HEWs. The median age of clients was 30 years (IQR: 25–35), 92.7% were married, and 22.6% were new family planning users (75% Implanon users and 19.4% Jaddelle users). Of the aggregated variables, 67.38% had good knowledge of LARC, 92.28% had positive attitudes in availing services at health posts, and 92.76% was the satisfaction score of clients. New users tended to be young, Muslim, less likely to want more children, and more likely to decide on contraception on their own. At eight months post insertion, LARC use was effective in preventing pregnancy (99.7%) with low removal (n = 36, 5.1%) and expulsion rates (n = 1, 0.1%). No infection was reported. The major reasons for removal were side effects and the desire to have children. Client knowledge, attitude, and satisfaction were found to be high. In conclusion, trained Level IV HEWs provided LARCs safely and effectively at the health post level as an alternative service delivery outlet.


Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 87 ◽  
Author(s):  
Amie L. Bingham ◽  
Cameryn C. Garrett ◽  
Anne M. Kavanagh ◽  
Louise A. Keogh ◽  
Rebecca J. Bentley ◽  
...  

Background Long-acting reversible contraceptives are an effective means of preventing unwanted pregnancies and associated negative consequences. The Sexual Health and Family Planning Association of Australia has called for efforts to address barriers to the uptake of long-acting reversible contraceptives (LARCs) in Australia, where LARC uptake is thought to be low, though comprehensive data describing use and associated factors is scarce. The aims of this study were to describe patterns of prescriptions for the etonogestrel-releasing subdermal implant (SDI) in Australia, 2008–2012, and associated factors. Methods: Records of prescriptions written through Australia’s Pharmaceutical Benefits Scheme from 2008 to 2012 were obtained, including patient age and geographic location. Direct, age-standardised rates (ASR) of prescriptions were calculated for each year and location, with multivariate analysis used to examine associations between prescription rates and patient age, location and proximity to family planning clinics (FPC) or Aboriginal Medical Services (AMS). Results: ASR of prescriptions rose ~6% per year (OR 1.06, 95%CI: 1.05–1.06) from 13.05 per 1000 (2008) to 15.76 per 1000 (2012; P < 0.01). Rates were highest among 15- to 19-year-olds, increasing from 20.81 (2008) to 29.09 per 1000 (2012: P < 0.01) and lowest among 45- to 49-year-olds, increasing from 3.37 to 3.73 per 1000 (P < 0.01). ASR by location were significantly higher in regional than metropolitan areas. Conclusions:This is the first analysis of SDI prescriptions across all ages and regions of Australia. Uptake of SDI in Australia is increasing but remains low. Significant associations were found between prescription rates and patient age and residence in regional/remote areas.


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