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

Author(s):  
Vimal Arya ◽  
Ashish K. Singh

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.

Author(s):  
Anupama M. ◽  
Krishna Iyengar ◽  
Rajesh S. S. ◽  
Ashok Jayaram ◽  
Venkatesh P.

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.


Author(s):  
Srishti Singh ◽  
Meenakshi Kalhan ◽  
J. S. Malik ◽  
Anuj Jangra ◽  
Nitika Sharma ◽  
...  

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.


Author(s):  
Sudha V. ◽  
Vrushabhendra H. N. ◽  
Srikanth S. ◽  
Suganya E.

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.


2021 ◽  
Author(s):  
Negalign Mechal ◽  
Mustefa Negash ◽  
Hailemichael Bizuneh ◽  
Ferid A Abubeker

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.


2017 ◽  
Vol 3 (1) ◽  
pp. 11-14
Author(s):  
T Rajitha ◽  
BG Parasuramalu

ABSTRACT Noncompliance to medication is a leading issue and a huge burden in our current health care system. Poor adherence has shown to decrease the effects of prescribed medications or other treatments and increase the likelihood of poor outcomes. A community-based cross-sectional study was conducted in the urban field practice area of RajaRajeswari Medical College and Hospital, Bengaluru, Karnataka, India, among all the elderly aged ≥60 years, using a semistructured and pretested questionnaire. The study included 153 elderly participants, among whom 89 were males and 64 were females. Out of the 153 participants, 125 (81.69%) had some or the other illness. Out of the 125 who were ill, only 78 (62.4%) were taking treatment regularly. The remaining 47 (37.6%) were noncompliant to treatment. The main factors for noncompliance were forgetfulness 16 (34%) and symptomatic improvement 10 (21.3%). How to cite this article Rajitha T, Parasuramalu BG. Factors influencing Noncompliance to Treatment among Elderly in the Urban Field Practice Area of RajaRajeswari Medical College and Hospital, Bengaluru, Karnataka. J Med Sci 2017;3(1):11-14.


Author(s):  
Tejaswini D. ◽  
Spandana J. C. ◽  
Sunanda Bai

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. 


2019 ◽  
Author(s):  
Desta Hailu ◽  
Senait Tekeste ◽  
Desta Siyoum

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.


Author(s):  
Vasundara S. Gayakwad ◽  
Gowri Shankar

Background: Anemia is a major nutritional problem in adolescent girls in many developing countries. Anaemia prior to pregnancy is likely to affect fetal health and survival and therefore it is necessary to evaluate the nutritional needs in this vulnerable group. To know the prevalence of anaemia and its associated factors among adolescent girls residing in the urban field practice area of S. Nijalingappa Medical College, Bagalkot.Methods: A community based cross sectional study. A field practice areas of the urban health training centers, Department of Community Medicine, S. Nijalingappa Medical College in Bagalkot. 400 unmarried adolescent girls were participants. Systematic random sampling. Data was tabulated in Microsoft Excel 2010 and analyzed by using Open Epi software.  Data was collected through predesigned, semi-structured questionnaire through house to house visits. Haemoglobin estimation was done by Sahli’s method and anaemia was classified based on WHO criteria.Results: The prevalence of anaemia was 63.3%. Factors associated with anemia were age, mother’s literacy, SES, type of family, environmental sanitation and tea consumption.Conclusions: Prevalence of anaemia is high and is a major public health problem in this area. Health education and periodical haemoglobin estimation followed by supplementation of iron would help in reduction and prevention of anaemia. 


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