scholarly journals Attitude towards utilization of family planning services among women of reproductive age living with disability in Kajiado County, Kenya

Author(s):  
Perrista M. Makau ◽  
Margaret N. Keraka ◽  
Jane N. Kieru ◽  
Vincet O. Matoke ◽  
Okari M. Geoffery

Background: Family planning refers to practices that allow people to control the number of children and determine healthy spacing and timing of births between pregnancies. Approximately 10 percent of the world's population experience some form of disability. Worldwide, the most vulnerable groups include women with disabilities who highly need contraception most. The objective of this study was to assess the nature of attitude associated with utilization of family planning services among women living with disabilities in Kajiado County, Kenya.Methods: A descriptive cross-sectional study design was adopted with both quantitative and qualitative data collection methods applied. The study systematically sampled 316 women living with disability. Additional information was obtained from Focused Group Discussions. Required ethical clearance and permissions were sought prior to the study. Descriptive data and inferential statistics were analyzed through use of SPSS version 20.0. Results from focused group discussions were triangulated with quantitative data as direct quotes.Results: Only 32.0% of women living with disability utilized family planning in Kajiado County. About 61.2% of them had a negative attitude towards family planning. The nature of attitude (p=0.001) was significantly associated with utilization of family planning.Conclusions: The nature of attitude towards family planning among women with disability in Kajiado County was negative. Approximately 6 out of 10 women of reproductive age with disability had a negative attitude towards family planning. There is need to for policy makers and relevant stakeholders to dispel myths, misconceptions and religious beliefs associated with underutilization of family planning thus changing their nature attitude towards family planning.   

2019 ◽  
Vol 6 (1) ◽  
pp. 49-54
Author(s):  
Reena Bhagat

Introductions: Unwanted pregnancies and maternal deaths can be avoided by use of family planning (FP) services. Use of modern methods of contraceptive among married women age 15-49 years in Nepal is 43%. Generally, fertility is higher among women in rural areas than in urban. This study aims to assess the awareness and practice of FP services among married women of reproductive age in a Rural Municipality of Saptari district, Nepal. Methods: Cross-sectional study with two stage sampling technique through face-to-face interview using structured questionnaire interview schedule in local language, Maithili, was done to find out awareness and practice regarding FP services in married women of 15-49 years in a Municipality of Saptari district, province 2, Nepal, from April 2018 to March 2019. Descriptive and inferential data analysis done using SPSS version16.0 software. Results: Out of 280 respondents, 257 (91.78%) had adequate awareness regarding FP services, 167 (59.64%) were current FP users, 125 (74.85%) practiced female sterilization and 39 (23.35%) used temporary methods. Common reason for not using temporary FP methods included side effects 103 (90%). Level of awareness regarding FP services was not significantly associated with their practices. Conclusions: Majority of respondents had adequate awareness regarding family planning services but FP practice was low.


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.


1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki

Introduction: The unmet need for family planning is a very useful tool in measuring and predicting the contraceptive needs of a population. Seventeen percent of all married women would prefer to avoid pregnancy but are not using any form of family planning. In less developed countries, about one forth of pregnancies is unintended. Objective: To determine the level of unmet need for family planning and evaluate the factors that influences the unmet needs in Married Women of Reproductive Age (MRWA). Methods: A cross-sectional study of 410 women attending the immunization clinic of B.P.Koirala Institute of Health Sciences, a teaching hospital in Dharan was carried out over 3 months. Results: MRWA had 22%, 15% and 8% unmet needs for family planning, spacing and limiting births respectively. Health concerns and side effects (30.5%), husband and family opposition (14%), uncertainty about child bearing (12.2%) and inconvenience (10%) were among the major constraints to the use of contraception. Unmet need has significant association between parity & education. Age and family type had no significant effect on unmet needs. Conclusion: In spite of high level of awareness about family planning method, a significant level of unmet need exists among women of reproductive age. Keywords: unmet needs; family planning; married women of reproductive age; MRWA DOI: http://dx.doi.org/10.3126/hren.v9i3.5581   HR 2011; 9(3): 148-151


Author(s):  
Aarti Sahasrabuddhe ◽  
Sangeeta Kori ◽  
V. K. Arora ◽  
Jayashri Bute

Background: The unmet need of family planning refers to the gap between reproduction intention of a couple and their contraceptive behavior. According to NFHS-4 the unmet need for family planning is 12.9 in India. The objectives of the study were to assess the unmet need for family planning and to find out the contraceptive choices among married women.Methods: This cross sectional study was undertaken in the rural field practice area of Department of Community Medicine, Index Medical College, Indore, from October 2016 to March 2017. Total sample size calculated was 640. Systematic random sampling was used to select eligible couple a pretested, semi-structured questionnaire was administered to women of reproductive age (15-49 year) in local Hindi language after taking consent.Results: Out of 640 participants 39 (6.1%) were desiring pregnancy, 454 (70.9%) using contraceptives while 147 (23%) had unmet need and among them 74 (11.6%) for limiting while 73 (11.4%) for spacing. Unmet need was found more in age group of 15-24 (35%), Muslims (48.6%), illiterates (45.9%), housewives (24.4%) and in poor socioeconomic status (53.4%). Overall contraceptive use was 70.9% and tubectomy (60.8%) was the most preferred method followed by male condom and OCP. Unmet need was higher among those who were not having male child (p=0.00, X2=42.2).The main reasons for not using contraception was identified as family interference and cultural as well as religious restrictions.Conclusions: The study conclude that still there is need to create awareness regarding importance of spacing method as well as limiting methods and to clear the myths regarding contraceptives not only in young couples but also in other family members.


Author(s):  
Sonika Sangra ◽  
Neha Choudhary ◽  
Akash Narangyal

Background: Family planning services like use of modern contraceptives help the couples to delay pregnancy and avoid the unwanted pregnancies. So, understanding the choice of contraceptives for the underserved couples is a key for provision of family planning services. Objective was to assess the contraceptive use among married women of urban slums using semi-structured questionnaire.Methods: The present observational cross-sectional study was conducted over a period of one month i.e. November 2019 in urban slums of Trikuta Nagar, which is a field practice area of Department of Community Medicine, GMC Jammu. Information was gathered from married females of reproductive age group. 50% of the population was selected randomly by lottery method i.e. 90 females. But at the time of study, only 85 married females could be interviewed.Results: The results show that the maximum females belonged to the 15-25 years age group followed by 26-30 years age group. More than 50% were literate, 42.35% had education upto primary level. More than 50% females were self-employed as they were labourers and rests were home-makers. The duration of marriage of most of the respondent women was 0-5 years and 44.70% of women had three living children. 65.88% women had one year gap between the first two pregnancies.Conclusions: The information, education and communication activities about the advantages of using contraceptives and its side-effects while using these contraceptives need to be increased so as to promote the awareness among females of the urban slums.


2020 ◽  
Vol 7 (3) ◽  
pp. 95-103
Author(s):  
Roshani Agrawal Khatry ◽  
Nirmala Ghimmire ◽  
Rashmi Joshi Shrestha ◽  
Mamata Sherpa Awasthi ◽  
Niran Shrestha

Introduction: Family planning refers to a conscious effort by a couple to limit or space the number of children through the use of contraceptive methods. This study aims to identify the factors affecting the choice of contraceptives among married women of reproductive age. Method: A descriptive cross-sectional study design was adopted among 326 samples at Family Planning Sansthagat Clinic, Lalitpur from July to September 2017. Face-to-face interview using a structured questionnaire was used for data collection. Association between married women’s socio-demographic variables with the factors affecting the choice of contraceptives were analyzed. SPSS 16 was used for statistical analysis. Ethical approval was taken from the Institutional Review Board of Tribhuvan University, Institute of Medicine. Result: The study revealed that 100% of the respondents had known about condoms and pills as contraceptives methods. 314(96.3%) of the respondents were using a modern method of family planning. Among them, 186(59.2%) were using an implant. One hundred and seventy-three women (53.1%) had started using contraceptives after the birth of their first child. 142(43.6%) stated that they discontinued using some contraceptives in the past. The main reason for discontinuation was due to side effects of 70(49.3%). Purposes of using contraceptives, preference for child sex are the significant factors for the choice of contraceptives. Conclusion: This study result revealed that most of the respondents were using a modern method and among them, Implant was the most practiced family planning method. Women’s active involvement in decision-making regarding the use of contraceptives can play an important role in its utilization.


2020 ◽  
Vol 6 (2) ◽  
pp. 35-40
Author(s):  
Arif Hussen Jamie ◽  
Mohammed Zekeria Abdosh

Background: Abortion is a very common experience in every culture and society. Out of the 210 million pregnancies that occur each year globally, an estimated 46 million (22%) end up in induced abortion, in relation to that, 19 million women experience unsafe abortions annually.Objective: The aim of the study is to determine the prevalence and associated factors of induced abortion among women of reproductive age group in public health facilities from March 25– April 25, 2019, in Harari Region.Methods: A cross sectional study design was conducted. The sample size was 620 abortion cases. Structured questionnaire was used for data collection. Data were entered to Epi-Data version 3.5.3 and analyzed using SPSS version 20. Descriptive statistics, binary and multivariate logistic regression and odds ratio with 95% confidence intervals was used to identify the independent factors of induced abortion cases status. P-value 0.05 was considered as statistically significant association.Result: The mean age of the respondents was 29.5 years, with a standard deviation of 6.5. In this study the magnitude of induced abortion was 42.7%. Age 30, single marital status, occupational status students and commercial sex worker were statistically significant associated with induced abortion (p0.05).Conclusion: The study revealed a high level of induced abortion. Unwanted pregnancy is high among abortion patients in the study area. Hence, strict counseling about family planning method reminder, and partner involvement in family planning service should be recommended.


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Amadou Barrow

Background. Family planning (FP) is one of the fundamental pillars of safe motherhood and reproductive health rights. In developing countries, women with unmet need for FP constitute a significant proportion of all women of reproductive age and it is an ongoing public health challenge in the Gambia. The study aimed to determine the women’s proportion of contraceptive uptake and knowledge of FP methods. Methods. The study employed a community-based descriptive cross-sectional study conducted for 643 women of reproductive age (15–49 years) from the selected clusters in rural Gambia through a multistage sampling technique. A pretested structured interview questionnaire was used to collect data. Univariate analysis using frequencies and percentages were used to present results in this study. Data entry and analysis were done using IBM SPSS version 24. Results. The overall contraceptive prevalence rate was 30.4%, while the CPR for married or in the union was 34.2%. About 86% of women reported child spacing as the major benefits of FP, while 49.5% reported amenorrhea as the most common side effect of contraceptives. Injectable (Depo-Provera, Noristerat, and ) and pills (progesterone and combined) were the two most common FP methods used at 58.5% and 44.0%, respectively. Conclusion. The present study showed a moderately low contraceptive uptake. Thus, there is a need to focus FP services for women in rural areas, emphasizing the quality of services and gender equality. The study further recommends strengthening and mainstreaming of male involvement and religious leaders participation in FP interventions and the initiation of a communication program that explicitly promotes interspousal communication.


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