A study to assess the unmet need for contraception among married women in the urban field practice area of a medical college

Background: The concept of unmet need for family planning points to the gap between some women’s reproductive intentions and their contraceptive behaviour. The National Population policy (NPP) 2000 states that the immediate objective is to address the unmet need for contraceptive services. Unintended pregnancy related to unmet need is a worldwide problem that affects women and their families and societies at large.Methods: A community based cross-sectional study was conducted from November 2016 to October 2017 in Maralur and Maralur Dinne, urban localities under urban health Training Centre of Sri Siddhartha Medical College. 260 Married women (15–49 years) were interviewed by house to house survey. The questionnaire was used to collect data to assess their reproductive intentions and contraceptive behaviour.Results: Out of 260 participants, 144 (55.4%) of them belonged to the group where their contraceptive needs were met for spacing and limiting births, 59 (22.69%) of them of did not have any need for contraceptives, 16 (6.15%) had unmet need for spacing births and 41 (15.77%) of the participants had unmet need for limiting births.Conclusions: The unmet need for contraceptives was 21.92% in the study which is much higher compared to NFHS-4 data for urban India (12.1%). The reasons and the factors associated with the unmet need should be addressed.

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A study to assess the unmet need for contraception among married women in the rural field practice area of a medical college Jhansi

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20212005 ◽

2021 ◽

Vol 8 (6) ◽

pp. 2999

Author(s):

Vimal Arya ◽

Ashish K. Singh

Keyword(s):

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Community Based ◽

Cross Sectional ◽

Policy Makers ◽

Medical College ◽

Reproductive Intentions ◽

Field Practice ◽

Unmet Need For Contraception

Background: The concept of unmet need for family planning points to the gap between some women’s reproductive intentions and their contraceptive behaviour.Methods: A community based cross-sectional study was conducted from April 19 to March 20 in rural Jhansi. 520 married women (15-49 years) were interviewed by house to house survey.Results: Out of 520 participants 124 (23.8%) had unmet need, out of them 73 (14.03%) had unmet need for spacing births and 41 (9.8%) of the participants had unmet need for limiting births.Conclusions: The unmet need for contraceptives was 23.8% in the study which is much higher compared to NFHS-4 data for urban UP (19.6%), and it has to be taken in to consideration by policy makers.

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Assessment of unmet need for family planning and its determinants in a rural block of Haryana

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181707 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1968

Author(s):

Srishti Singh ◽

Meenakshi Kalhan ◽

J. S. Malik ◽

Anuj Jangra ◽

Nitika Sharma ◽

...

Keyword(s):

Family Planning ◽

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Community Based ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Number Of Children ◽

Reproductive Intentions ◽

Unwanted Pregnancies

Background: Unmet need represents the gap between women’s reproductive intentions and their contraceptive behavior. Meeting the unmet need for family planning would help to reduce the mortality and morbidity from unwanted pregnancies. Objectives of the study were to assess the unmet need for family planning and its determinants among married rural women.Methods: The present study was community based cross-sectional study conducted in rural area of Haryana from September 2015 to August 2016 among 500 currently married women (18-49 years).Results: The unmet need for family planning was 19.2% (4.8% spacing and 14.4% limiting). Education, occupation and desirable number of children were significantly associated with unmet need for family planning. The commonest reason for not using contraception among those with unmet need was fear of side-effects (37.5%) followed by in-laws disapproval (21.9%) and others.Conclusions: The unmet need for family planning was high. Women’s education and empowerment by protecting their health, wellbeing and rights, including their reproductive rights would prove to be beneficial.

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Unmet need for contraception among urban women: a cross sectional study in Puducherry

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171570 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1494 ◽

Cited By ~ 1

Author(s):

Sudha V. ◽

Vrushabhendra H. N. ◽

Srikanth S. ◽

Suganya E.

Keyword(s):

Family Planning ◽

Unwanted Pregnancy ◽

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Research Centre ◽

Sectional Study ◽

Cross Sectional ◽

Universal Family ◽

Unmet Need For Contraception

Background: Providing universal family planning services is an important strategy to reduce maternal morbidity and to control population growth. Worldwide, when contraception is used properly and effectively to avoid unwanted pregnancy it can reduce 25–35% of maternal deaths. The present study aimed at measuring the proportion of married women with unmet need for family planning in an urban area of Puducherry.Methods: A cross sectional study was conducted among 235 married women in the urban field practice area of Sri Venkateshwara Medical College Hospital & Research Centre, Puducherry. Participants were selected based on predetermined eligibility criteria using systematic random sampling method. SPSS version 23.0 was used for statistical analysis. Proportion, Mean, Standard deviation and Logistic regression were applied to interpret the results.Results: Mean age of the participants was 33.3 ±6 years, Nearly 77 %( 181) of the participants reported having used any method of contraceptive at least once and 34.5 %( 81) were found to have unmet need for family planning. The most common reason for unmet need for contraception was fear of side effects (39.5%) and others were infrequent sex (12.3%),insisted by family members (12.3%) and religious reasons (12.3%).Conclusions: Unmet need for family planning was found to be fairly high in our study population. Health care personnel, preferably field staff should be trained to give an informed choice of contraception to the eligible couples to reduce the unmet need for contraception.

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Unmet need for contraception and associated factors among women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia: a cross-sectional study

10.21203/rs.3.rs-154728/v1 ◽

2021 ◽

Author(s):

Negalign Mechal ◽

Mustefa Negash ◽

Hailemichael Bizuneh ◽

Ferid A Abubeker

Keyword(s):

Cardiovascular Disease ◽

Associated Factors ◽

Unmet Need ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Contraception Use ◽

Unmet Need For Contraception

Abstract Background Pregnancies complicated by cardiovascular disease carry a high risk of morbidity and mortality. Contraception offers a unique opportunity to avoid unintended pregnancy and/or optimize preconception cardiac health status. Such planning will also allow possible modification of medical therapy that can be detrimental to the growing fetus. However, unmet need for contraception can become a barrier to achieving these goals. This research was aimed to determine the rate of unmet need for contraceptives and associated factors among women with cardiovascular disease. Methods A facility-based cross-sectional study was conducted from February 1 – May 31/2020. A convenient sampling technique was used to enroll 284 reproductive age women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College. Data was collected through an exit interview using a structured and pretested questionnaire. Descriptive, bivariate, and multivariate methods were used to analyze the level of unmet need and its associated factors. Results The overall unmet need for contraception was 36%. The majority of the respondents lack counseling on contraception use. The most common reasons for non-use of a contraceptive method was fear of drug side effects and drug interaction. Unmet need for contraception was found to be more likely among those who have not been counseled on contraceptive utilization (AOR 6.7, CI 1.8–24.7) and those who lack partner support on contraception use (AOR = 6.2, CI: 1.91–19.8). Unmet need was also found to be more likely among women who have never used contraception before (AOR = 3.2, CI 1.12–8.92). Conclusion Unmet need for contraception was high in this high-risk population group. Tailored counseling can alleviate fear and concerns about contraceptive use. Appropriate strategies that enhance male partner involvement should also be implemented.

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Knowledge, attitude and practices about contraception among married reproductive women

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20181330 ◽

2018 ◽

Vol 7 (4) ◽

pp. 1431

Author(s):

Tejaswini D. ◽

Spandana J. C. ◽

Sunanda Bai

Keyword(s):

Family Planning ◽

National Level ◽

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Reproductive Age ◽

Cross Sectional ◽

Multiple Resources ◽

Postpartum Family Planning ◽

Unmet Need For Contraception

Background: Total unmet need for contraception at national level has been 20.5% (DLHS 3, 2007-08). According to NFHS 4 (2015-16), total unmet need for family planning for Bangalore Urban is 13.3%. This study has been done to assess the knowledge, attitude and practices about contraception among married women in the reproductive age group.Methods: Cross sectional study conducted from 1st March 2017 to 15th April 2017 in Bowring and Lady Curzon Hospital, Bangalore. Married women in age group of 15 to 45 years, antenatal women were included. Unmarried women, Hysterectomised women were excluded.Results: 72% of the clients had awareness of contraception. Most common method known is Female sterilization followed by IUCD. Awareness of emergency contraception was found only in 5.33%. 48% of the clients did not follow any method of contraception. Most commonly used method is female sterilization.Conclusions: The study shows that we need to use multiple resources to educate people by intensifying IEC activities. Women should be made aware about their right of protecting their own health and more emphasize should be given on postpartum family planning.

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Unmet need for modern contraceptive method and associated factors among married women in mekelle city, Tigray, Ethiopia: Community based cross sectional study

10.21203/rs.2.19539/v1 ◽

2019 ◽

Author(s):

Desta Hailu ◽

Senait Tekeste ◽

Desta Siyoum

Keyword(s):

Occupational Status ◽

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Reproductive Age ◽

Modern Contraceptive ◽

Community Based ◽

Cross Sectional ◽

Modern Contraception ◽

Reproductive Age Women

Abstract Background: Contraceptive use has increased markedly in the recent years in most developing countries, due to desire for smaller families; however, millions of women still want to delay or avoid pregnancy but are not using contraception to limit or to space their birth.Thus, the objective of this study is to assess unmet need for family planning among married women in Mekelle city, Tigray. Methods: Community based cross-sectional study was conducted among married reproductive age women. Data were collected from October, 15 up to Novmber, 15/ 2018. A total of 426 study participants were interviewed using a systematic random sampling technique. Structured and interviewer administered questionnaire was used to collect the data and were analyzed using SPSS version 22. Bivariate and multivariable logistic regression models were used to assess the predictors of the outcome variable. P-value of less than 0.05 was considered to test statistical significance. Results: The overall unmet need for modern contraception among the currently married women of reproductive age women was 19.7% (95% CI: 16.2%-23.7%) and of which 13.3% was unmet need for spacing and 6.4% was unmet need for limiting.Age of mother (25-34 years: AOR =2.79, 95%CI =1.03-7.60), occupational status of mother (AOR =2.72, 95%CI =1.72-4.02), number of living children (AOR =2.31 95%CI =1.09-4.84) and knowledge of mother about modern contraceptive methods (AOR =3.38, 95%CI=1.82-9.92) were independent predicators for unmet need for modern contraception. Conclusion: The prevalence of unmet need for contraception is low. Age of mother, occupational status of mother, number of children and knowledge of mother about modern contraceptive methods were the independent predicators for unmet need of modern contraception. Strong effort should be made by health care workers to reduce unmet need and policy makers should use different approaches to educate women about modern contraception and increase its utilization for spacing and limiting.

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Incidence of writing double NSAIDs in a single prescription for osteoarthritis.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.05.4872 ◽

2021 ◽

Vol 28 (05) ◽

pp. 702-706

Author(s):

Niaz Hussain Keerio ◽

Nasrullah Aamir ◽

Nuresh Kumar ◽

Masood Ahmad Qureshi ◽

Hassan Amir us Saqlain ◽

...

Keyword(s):

Elderly Population ◽

Cross Sectional Study ◽

Degenerative Joint Disease ◽

Joint Disease ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Medical College ◽

Bleeding Ulcers ◽

Study Setting

Objective: To determine how frequent NSAIDs are used for osteoarthritic patients because OA is common old age patients and NSAIDs can cause divesting complications on their health. In our study we tried to identify the main reasons and suggest a best possible solution. Study Design: Community Based Cross-sectional study. Setting: Mohammad Medical College and Hospital Mirpurkhas Pakistan. Period: June 2018 to August 2018. Material & Methods: In this study, we included more than 300 prescriptions written for Osteoarthritis, a degenerative joint disease. Prescriptions collected from hospital pharmacy (80%) and from other pharmacies (20%). Data was collected on preformed proforma and was analyzed in SPSS version 25. Results: Osteoarthritis mainly affects elderly population. NSAIDs are used for pain relief but can cause acute renal failure and GIT bleeding ulcers. In our study 69% patients were prescribed double NSAIDs. Traditional NSAIDs were used 95% of the time and only 5% percent of the time selective cox 2 were used. Along with these NSAIDS only 20% patient were given prophylactically gastroprotective agents like PPI and other medications. Conclusion: Prescription osteoarthritis include multiple NSAID without any protocol and over dosage was observed commonly.

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