scholarly journals Study of determinants of contraceptive practices and impact assessment of counselling on acceptance of contraception in tribal area of Rajasthan, India

2019 ◽  
Vol 6 (7) ◽  
pp. 2933
Author(s):  
Medha Mathur ◽  
Piyush Parmar ◽  
Navgeet Mathur
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Health Workers ◽  
Unmet Need ◽  
Post Intervention ◽  
Community Based ◽  
Barrier Methods ◽  
The Family ◽  
Planning Methods ◽  
Permanent Method

Background: Unmet need of family planning affects the society by uncontrolled population explosion. Tribal population being socioeconomic deprived group requires special attention for contraceptive needs. This study was planned to study the determinants of contraceptive practices and impact of intervention in the form of counselling over the family planning acceptance behaviour.Methods: This community based longitudinal study was conducted for duration of six months in selected areas of Udaipur district, by two stage sampling method. Baseline data was collected followed by counselling of non-users of contraception and later on collection of post intervention data for comparison.Results: Out of total 422 study subjects, 193 (45.7%) were contraceptive users and 229 (54.3%) were non-users. All the participants had knowledge about permanent method (100%) of sterilization followed by barrier methods (62%). Non-users of contraception were counselled and their practices improved significantly (p<0.001) afterwards.Conclusions: The knowledge of family planning methods is present inadequately among tribal and non-tribal eligible couples and actual practice of contraceptive use is lacking which requires efforts of health workers thorough counselling to change their attitude towards adoption of family planning practices.

scholarly journals Acceptance of Family Planning Methods Among the Married Male of A Selected Rural Area in Bangladesh

2016 ◽  
Vol 15 (1) ◽  
pp. 49-52
Author(s):  
Md Moktel Hossain ◽  
Umme Jamila Akther Manni
Keyword(s):  
Family Planning ◽  
Nuclear Family ◽  
Health Workers ◽  
Monthly Income ◽  
Number Of Children ◽  
The Family ◽  
Planning Methods ◽  
Permanent Method ◽  
Married Male ◽  
Family Planning Methods

This descriptive study was conducted in Darogarchala, Sreepur Upazilla with a view to assessing the acceptance of contraceptive methods among the married male. Total 325 participants of age ranging from 20 to 60 years were interviewed. The mean age of the respondents was 38.5 years. Maximum 107 (33%) were in the age group of 30 to 39 years. Majority of the respondents (34%) were illiterate. Among the rest, 91 (28%) had primary education, 87 had completed SSC and 26 had completed HSC and 5 were graduate. In the study, it was found that, majority respondents (34%) were businessmen, 20% were laborers, 19% were service holders, 16% were farmers, and 12% were unemployed. More than 98% of the respondents were muslims. Majority 211 (65%) of the family were nuclear family and 114 (35%) were family from joint family. According to monthly income, it was found that, 141 had monthly income in between 1000 taka to 5000 taka, 110 respondents had income in between 5001 to 10000 taka, 33 had income in between 10001 to 15000 taka, 22 had income between 15001 to 20000 taka, and 10 had income between 20000 to 30000 taka. Only a small fraction (2.54%) earned more than 30000 taka. Maximum (45%) of the respondents were married between the ages 22 to 24 years. According to number of children, majority of the respondents (74.69%) had 1 to 3 alive children and 73.23% wished to have children in the future. 97 of the respondents obtained information from health workers and about 40% from Radio or TV. Most of the respondents (66%) did not use any method of family planning and 33.66% applied one of the family planning methods. Majority (99.02%) used temporary methods of family planning. Only one used permanent method. It revealed that 90.85% did not face any complications and only 9.15% faced difficulties during the use of contraceptives.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 49-52

A study on prevalence of contraception and estimate unmet need of family planning among married women in the rural Shamirpet, Ranga Reddy District, T.S, India.

2017 ◽  
Vol 6 (10) ◽  
pp. 5513
Author(s):  
Vijayasree L.
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Unmet Need ◽  
Married Women ◽  
Mortality And Morbidity ◽  
The Family ◽  
Contraceptive Prevalence ◽  
Population Stabilization

The study on contraceptive use and unmet need for family planning is the key to understanding the change in fertility and improving reproductive health. Family planning program aims to not only achieve population stabilization but also to promote reproductive health and reduce maternal, infant & child mortality and morbidity. In this study an attempt has been made to assess the family planning practices adopted in the rural Shamirpet. Probability proportion sampling was done and 402 women were selected from 13 villages. Prevalence of contraception was found to be 61.7%. Permanent methods were preferred over temporary methods. Total unmet need for family planning was 11.7%. The contraceptive prevalence rate found in the present study is higher than the district figures and is on par with the state statistics. Unmet needs also are low compared to state figures.

scholarly journals Improving Utilisation and awareness of Family Planning services in Adults of Reproductive age through Community Sensitization in Police Wing Village, Jinja District.

2021 ◽  
Author(s):  
◽  
Rodgers Isiko
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Project Implementation ◽  
Number Of Children ◽  
Planning Methods ◽  
Sub Saharan ◽  
Family Planning Methods

Background Family planning refers to a conscious effort by a couple to space the number of children they have through the use of contraceptive methods. According to WHO, an estimated 225 million women in developing countries, 24.2% of women of reproductive age have an unmet need for contraception. However, contraceptive use in sub-Saharan Africa is low at only 21%. The total fertility rate remains high for many countries in the region (4.6 in Kenya and Rwanda, 5.4 in Tanzania, 6.2 in Uganda, and 6.4 for Burundi). Methodology This was a community-based project implementation on increasing awareness and utilization of family planning methods in Police Wing village, Jinja district. Consent was gotten from the VHT, LC1, and DHO before mobilizing people to gather at the VHT’s home and her neighbour’s compound where we carried out the different educational sessions. Different team members got different roles to play as regards the health education session. One week later, we evaluated the progress of our project implementation through the administration of questionnaires to the same people we health educated. The questionnaire assessed the level of utilization, awareness, myths, misconception, and demography of the participants. Results 28% had heard about at least three family planning methods and 24.1% had at one time used family planning while 75.9% of the participants admitted not to have used it. The post-session assessment showed an increase from 28% to 93% in knowledge regarding the available methods of FP and an increase in the utilization of FP from 28% to 42%.   Conclusion and recommendations Addressing the myths and misconceptions about FP by exposing them as a fallacy would help increase the uptake as evidenced by the will of the community to take up the different methods. Organize frequent health talks about FP in the community.

scholarly journals Making family planning accessible in resource-poor settings

2009 ◽  
Vol 364 (1532) ◽  
pp. 3093-3099 ◽  
Author(s):  
Ndola Prata
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Easy Access ◽  
Access To Health Services ◽  
Low Resource Settings ◽  
Low Resource ◽  
Resource Poor ◽  
Planning Methods ◽  
Family Planning Methods

It is imperative to make family planning more accessible in low resource settings. The poorest couples have the highest fertility, the lowest contraceptive use and the highest unmet need for contraception. It is also in the low resource settings where maternal and child mortality is the highest. Family planning can contribute to improvements in maternal and child health, especially in low resource settings where overall access to health services is limited. Four critical steps should be taken to increase access to family planning in resource-poor settings: (i) increase knowledge about the safety of family planning methods; (ii) ensure contraception is genuinely affordable to the poorest families; (iii) ensure supply of contraceptives by making family planning a permanent line item in healthcare system's budgets and (iv) take immediate action to remove barriers hindering access to family planning methods. In Africa, there are more women with an unmet need for family planning than women currently using modern methods. Making family planning accessible in low resource settings will help decrease the existing inequities in achieving desired fertility at individual and country level. In addition, it could help slow population growth within a human rights framework. The United Nations Population Division projections for the year 2050 vary between a high of 10.6 and a low of 7.4 billion. Given that most of the growth is expected to come from today's resource-poor settings, easy access to family planning could make a difference of billions in the world in 2050.

THE IMPACT OF FAMILY PLANNING SUPPLY FACTORS ON UNMET NEED IN RURAL EGYPT 1988Ð1989

1999 ◽  
Vol 31 (3) ◽  
pp. 311-326
Author(s):  
FIONA STEELE ◽  
FATMA EL-ZAHRAA M. M. GEEL
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Individual Characteristics ◽  
Strong Impact ◽  
The Family ◽  
Potential Factors ◽  
The Individual ◽  
High Level ◽  
The Impact

This paper examines the reasons for the high level of unmet need for contraception in rural Egypt, using data from the individual survey and service availability module of the 1988Ð89 Egypt Demographic and Health Survey. Two broad sets of potential factors are considered: characteristics of a woman which influence her desire for children and thus her propensity to use contraception, and factors relating to the family planning service environment in which she lives. The results from a multivariate analysis show that certain individual characteristics, such as family composition and education, have a strong impact on the level of contraceptive use and on the proportion of total demand for spacing or limiting childbearing that is met by use of family planning. Unmet need, however, remains fairly constant across demographic and socioeconomic subgroups of the population. The largest variations in unmet need are regional, but elements of the family planning services, namely the provision of a community-based nurse who distributes family planning and female doctors at clinics, also play an important role.

scholarly journals Unmet Need for Family Planning in Nepal during the First Two Years Postpartum

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Suresh Mehata ◽  
Yuba Raj Paudel ◽  
Ranju Mehta ◽  
Maureen Dariang ◽  
Pradeep Poudel ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Neonatal Morbidity ◽  
Risk Groups ◽  
Demographic And Health Surveys ◽  
Postpartum Family Planning ◽  
Level Data ◽  
Modern Family ◽  
Planning Methods

Contraceptive use during the postpartum period is critical for maternal and child health. However, little is known about the use of family planning and the determinants in Nepal during this period. This study explored pregnancy spacing, unmet need, family planning use, and fertility behaviour among postpartum women in Nepal using child level data from the Nepal Demographic and Health Surveys 2011. More than one-quarter of women who gave birth in the last five years became pregnant within 24 months of giving birth and 52% had an unmet need for family planning within 24 months postpartum. Significantly higher rates of unmet need were found among rural and hill residents, the poorest quintile, and Muslims. Despite wanting to space or limit pregnancies, nonuse of modern family planning methods by women and returned fertility increased the risk of unintended pregnancy. High unmet need for family planning in Nepal, especially in high risk groups, indicates the need for more equitable and higher quality postpartum family planning services, including availability of range of methods and counselling which will help to further reduce maternal, perinatal, and neonatal morbidity and mortality in Nepal.

scholarly journals Family Planning Uptake in Kagera and Mara Regions in Tanzania: A Cross-Sectional Community Survey

2021 ◽  
Vol 18 (4) ◽  
pp. 1651
Author(s):  
Joseph Massenga ◽  
Rita Noronha ◽  
Bayoum Awadhi ◽  
Dunstan R. Bishanga ◽  
Oliva Safari ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Antenatal Care ◽  
Health Workers ◽  
Unmet Need ◽  
Reproductive Age ◽  
Mixed Effect ◽  
Factors Associated ◽  
Planning Methods ◽  
Family Planning Methods

In Tanzania, 27.1% of all women of reproductive age are currently using modern contraception and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania. The survey, which collected information beyond that collected in the Tanzania Demographic Health Survey, used a two-stage, stratified-cluster sampling design, conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15–49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. A total of 393 (33.2%) women used family planning methods and 929 (79%) required prior approval from their partners. Participation of men in utilization of maternal health care was low, where 680 (57.8%) women responded that their partners accompanied them to at least one antenatal care (ANC) counselling visit and 120 (10%) responded that their partners participated in family planning counselling. Women who did not want to disclose whether they had discussed family planning with their partners, strikingly had the highest percentage of using family planning methods after birth. Factors independently associated with family planning uptake included: having discussed family planning with the partner (aOR 3.22; 95% CI 1.99–5.21), having been counselled on family planning during antenatal care (aOR 2.68; 95% CI 1.78–4.05), having discussed family planning with a community health worker (CHW) (aOR 4.59; 95% CI 2.53–8.33) and with a facility health care worker (aOR 1.93; 95% CI 1.29–2.90), having primary or higher educational level (aOR 1.66; 95% CI 1.01–2.273), and being in union (aOR 1.86; 95% CI 1.02–3.42). Educational interaction with community and facility health workers, as well as having a supportive partner as facilitator increased uptake of family planning. This needs to be prioritized in regions with similar socio-cultural norms in Tanzania and beyond.

scholarly journals Education Relations, Number of Children and Acceptance of KB Information with Pregnancy Due to Unmet Need KB in Pregnant Mother in Binjai Health Center City In 2019

2020 ◽  
Vol 2 (1) ◽  
pp. 13-19
Author(s):  
Syawalina Syawalina ◽  
Heru Santosa ◽  
Sri Rahayu Sanusi
Keyword(s):  
Family Planning ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Unmet Need ◽  
Cross Sectional ◽  
Number Of Children ◽  
The Family ◽  
Center City ◽  
Relationship Of

Pregnancy control and regulation is one of the ways to suppress the population in Indonesia through the family planning (KB) program. However, family planning programs in Indonesia still have problems, one of which is the high number of unmet need for family planning in Indonesia. 5 sub-districts in the City of Binjai showed that the District of Binjai Kota which had the highest number of unmet need for family planning was 18.27%. The purpose of this study was to analyze the Relationship of Education, Number of Children and Acceptance of Family Planning Information with Pregnancy Due to Unmet Need for KB in Pregnant Women in Binjai City Health Center in 2019. The method of this study used a cross sectional sample of 113 pregnant women in December 2018 - August 2019 at the Binjai City Health Center. Data were collected by interview using a questionnaire. Based on the results of the study note that out of 113 pregnant women there were 57 people (50.4%) who became pregnant as a result of Unmet Need KB. Variables related to Pregnancy Due to Unmet Need for KB are the number of children (p = 0.024) and the receipt of KB information (p = 0.001). The results of multiple logistic regression showed that respondents who had 1-2 children and did not receive family planning information had a probability of suffering from pregnancy due to unmet need for birth control by 57.8%. The suggestion for this research is that health workers pay more attention to those who have 1-2 children who are motivated to participate in the family planning program and ask pregnant women to ask health workers before using family planning tools as clearly as possible so that they are expected to be able to reduce the reasons for unmet need for family planning.

scholarly journals Assessment of the awareness and usages of family planning methods in the Lebanese community

2019 ◽  
Vol 45 (4) ◽  
pp. 269-274
Author(s):  
Ghada El Khoury ◽  
Pascale Salameh
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
National Level ◽  
Unmet Need ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Contraception Use ◽  
Planning Methods ◽  
National Prevalence

BackgroundWorldwide, one in three women has unmet family planning (FP) needs because of difficulties in accessing or using contraceptives. In Lebanon, information from the scientific literature on the national prevalence of contraceptive use appears scarce.ObjectiveIn view of this, we measured the current Lebanese national prevalence of FP methods’ uptake among women and men of reproductive age, and we assessed barriers for potential unmet need.MethodsWe conducted a cross-sectional survey on a nationally representative sample of 825 married women (aged 15–49 years) and men of reproductive age (aged 18+ years). We used the validated Demographic & Health Survey (DHS) data collection tool and analysed data with SPSS Version 22.0 with p values <0.05 considered statistically significant.ResultsWe found that the current prevalence of contraceptive use is 55.6%, the unmet need is 11.4%, the total demand for FP is 67% and the percentage of satisfied demand for FP is 83%. Despite favourable knowledge of and access to FP methods as well as positive attitudes towards FP; there is a clear stagnation in the rate of contraception use over the past four decades. The identified major factors hindering the use of FP methods in Lebanon appear to be religion, age and lower educational levels.ConclusionWe suggest the implementation of effective interventions at the national level to promote and encourage the uptake of modern FP methods among couples. The latter will further promote maternal and child health, as well as empower women to fulfil their equal function in society.

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