scholarly journals DETERMINANTS FACTORS OF VASECTOMY METHOD SELECTION

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 33 ◽  
Author(s):  
Esti Yunitasari ◽  
Retnayu Pradanie ◽  
Hardiansyah Hardiansyah

Introduction: The level of male participation in family planning by choosing vasectomy in East Lampung region Pekalongan health centers is still low, although the success rate of vasectomy as family planning is very high. This study aimed to explain the factors related to the men’s choice of vasectomy in the Pekalongan health center East Lampung. Methods: This study used an analytical study design with a cross-sectional approach. Samples were 117 men in reproductive age gathered by using purposive sampling. The independent variables were knowledge, attitudes, parity, age, availability of health resources and infrastructure, health education, attitude and behavior of health care workers and family support. The dependent variable was the men’s participation in vasectomy as family planning. Data were retrieved using questionnaires and statistically analyzed using Chi-Square test. Results: Factors affecting the selection of vasectomy as family planning in men with reproductive age were an attitude (p=0,020), parity (p=0.022), age (p=0,021), the availability of health resources and health infrastructure (p=0.018), and family support (p=0.011). However, the knowledge, health education, and the attitudes and behavior of health workers did not affect the selection of vasectomy as family planning. Discussion: Public Health Centres are expected to build a family planning services, especially for vasectomies, such as the provision of vasectomy facilities which can reach the community and the establishment of cadres for male birth control.

Author(s):  
Lelly Aprilia Vidayati

Male Contraception Methods Operative MOP is a minor operative contraception method in male is a very secure, simple and very effective, timeconsuming operation is very short and does not need general anesthesia. Of the 218 male is reproductive age, 11 person ( 5 % ) who use KB MOP. The purpose of this study was to analyze the relationship of perception and family support with the choice of family planning (KB) MOP methods at Polindes Tunas Bunda Meddelan Lenteng Sumenep . Independent variable is the perception, family support, while the dependent variable is the choice of KB MOP method. The usage of design study is a study analitic with cross sectional approach. The population of 218 male is reproductive age in Polindes Tunas Bunda Meddelan Lenteng Sumenep. The sample of 141 respondents, taken by purposive sampling. So the sample become 76 male respondents reproductive age which are fulfill KB MOP. The methods of data collection in the form of a questionare and analyzed using Chi Square. The results study showed that the choice of family planning MOP methods obtained which have a negative perception as many as 50 respondents ( 65.8 % ), while a positive perception as many as 26 respondents ( 34.2 % ). And family support that does not support as many as 50 respondents ( 65.8 % ), while supporting as many as 26 respondents ( 34.2 % ). On the result of the statistical test Chi Square using SPSS obtained there is a relationship of perception and support families with the choice of KB MOP Method in Polindes Tunas Bunda Meddelan Lenteng Sumenep. So it is obtained a value ρ value < α which means that ( 0.000 < 0.05 ), which means that H0 rejected and H1 accepted. Based on the above results are expected to midwives or health workers to provide counseling and information and about the benefits of family planning MOP regularly. In order for male of reproductive age want to choose and have a positive perception and family can support to KP MOP.


2016 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Eva Dyah Pratiwi ◽  
Susiana Sariyati

<p>Family Planning (FP) in view of religion is still arise differences of opinion, where there are allow and forbid the recommended types of contraceptives in family planning programs. Based on the interviews with 30 respondents, 10 of them said that religion permits do family planning, 15 of them do not understand what religion does not permit or allow the use of contraceptives, 5 of them said that religion does not allow the use of contraceptives because of their belief in family planning was considered refusing sustenance given (children). The purpose of this study was to determine the relationship between religion in family planning participation and contraceptives selection of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta Year 2014. This study was observational with cross sectional design. The Results showed that there was 67.2% of Muslim participated FP, 80% of Christians and 55.6% of Catholics. 71.35% respondents were believing and participated FP and 66.5% respondents does not believe and participate FP. Most of respondents choose injection contraceptives, there was 28.4% in Islam, 20% of Christians, and 44.4% of Catholic. Respondents who believe in FP 31.6% choose injection contraceptive and 27.9% respondents who did not believe in FP also choose injection contraseptive. In conclusion, there was no relationship between religion and family planning participation, there was no correlation between faith and family planning participation, there was no relationship between religion and contraceptive selection, there was a relationship between faith and contraceptive selection.</p>


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.


2017 ◽  
Vol 5 (2) ◽  
pp. 172
Author(s):  
Merhawi Gebremedhin ◽  
Ayele Belachew ◽  
Demeke Desta

Contraceptive method choice is a fundamental indicator of quality of care in a family planning program. Contraceptive choice is one component of quality in family planning and offering minimum of three modern methods of contraceptives is a critical indicator. One-third of developing countries have many skewed method mixes, which is a risky for discontinuation, contraceptive dissatisfaction and unintended pregnancy. In Ethiopia, the prevalence of contraceptive is highly skewed, 76% for injectable. Therefore, the purpose of qualitative study was to assess determinants of modern contraceptive preference among reproductive age (15-49 years) in Central Zone of Tigray.Methodology: the study was conducted in the central zone of Tigray and community, and facility based qualitative cross-sectional study was applied. Six focus group discussion entails of reproductive age mothers and 15 In-depth Interview with health workers constitutes the sample. Data was first transcribed and then translated into English language. Open code software was applied to analyze data and data was coded segment by segment then categorized using thematic analysis to give meaning.Result: community’s awareness and acceptance to use modern contraceptives have improved from time to time. Contraceptive preference is determined by community acceptance, health care system problem, individual context and socio-cultural problem. For majority of respondents, preference to long acting contraceptive is mainly influenced by husband.Conclusion: currently, women are preferring short-acting contraceptive preferably injectable than long acting.Implanon is preferred next to injectable. A strong information, education and communication that address all portions of the population and able to change the community’s attitude should do at the grass root level.


2019 ◽  
Vol 8 (4) ◽  
pp. 213-218
Author(s):  
Naiha Sagheer ◽  
Saleem Ullah ◽  
Noureen Latif ◽  
Tabinda Zaman

Background: Approximeately 24 percent of married women of reproductive age in Pakistan would like to adopt family planning, but are unable to avail the means to practice contraception. This study has been conducted to find out frequency and perception about family planning practices and further to explore and analyze the causes of failure to meet the demand for contraception. Methods: A cross-sectional study was conducted on married females of reproductive age group and married males while visiting the outpatient departments of two hospitals of Quetta from January to September 2017. They were interviewed by researchers through a structured, reliable and pretested questionnaire. The data obtained and analyzed by using SPSS 21 version. Results: 76% of participants were in favour of practicing yet only 33.8% had actually practiced it sometime during their reproductive years. The major reasons for not using family planning were the apprehension of harmful effects of contraceptive methods (52.6%), non-supportive partner (30%), unavailability of services (11.4%) and religious constraints (6%). The mass media was the main source of motivational information(69%) followed by Lady health workers. Conclusion: The current prevalence of family planning is still not at the expected level, There is a dire need of the continued use of mass media and services of community health workers to raise awareness. The practice of modern contraceptive methods can be enhanced by provision of client-centered quality services.. An increase in the number of family planning centers along with an efficient functioning, monitoring, and evaluation are also required to address unmet needs of the community near their doorstep.


2021 ◽  
Vol 2 ◽  
Author(s):  
Zubair Lukyamuzi ◽  
Moses Tetui ◽  
Osvaldo Fonseca-Rodríguez ◽  
Lynn Atuyambe ◽  
Fredrick Edward Makumbi ◽  
...  

Background: Quality of care (QoC) of family planning (FP) affects contraceptive use, and it varies across types of urban settlement. This study assesses the difference in service delivery point (SDP) structural and process factors between formal and informal urban settlements, and the opinion of the client on the QoC in informal settlements. This is useful in creating an evidence base to advocate for better quality services for the most vulnerable in society.Methods: This was a cross-sectional survey that included SDPs of Kira municipality in Wakiso district, Uganda. Data were collected from all the service points in Kira municipality with the caretakers consented. In addition, using multi-stage sampling, 626 women of reproductive age (15–49 years) who lived in the informal settlements of Kira municipality were interviewed. Data were collected using structured questionnaires, descriptive analysis was carried out in Stata version 14.0, and Chi-square and t-tests were used to compare the informal with the formal settlements.Results: Formal settlements generally had more higher-level SDPs compared to informal settlements (value of p &lt; 0.001). SDPs in the formal settlements provided more FP methods and had more community health workers (CHW) to support their work. Also, SDPs in the formal settlements were more likely to have long-term FP methods available and more likely to have trained personnel to insert and remove implants and IUDs compared to those in informal settlements. Additionally, more SDPs in the formal settlements provided counseling for permanent, long-term, and short-term FP methods. Of the 626 interviewed women, most of the women (68.6%) reported that they would not return to the previous FP provider or refer a friend to the same provider (72.7%).Conclusions: There is a lower quality FP services in the informal settlements with a commensurable effect on the client satisfaction with the services. Therefore, improving the quality of FP services in informal settlements should be a top priority. Improved quality of services could act as a motivation to increase the uptake of modern contraceptives in such settings.


2019 ◽  
Vol 7 (1) ◽  
pp. 47
Author(s):  
Desak Nyoman Suryaningrat ◽  
Ni Wayan Suniyadewi ◽  
Ni Luh Putu Dewi Puspawati

<em>Mothers are family members who play an important role in family life. Maternal deaths that occur in every minute at every day are mostly caused by complications related to pregnancy, childbirth, and puerperal. Contraceptive use in reproductive age couples is one of the strategies of the family planning to reduce maternal mortality. This study aimed to investigate the factors associated with contraceptive use in reproductive age couples. This study used a correlational design with a cross-sectional approach. The samples were 56 people selected using a non-probability sampling technique, i.e., purposive sampling.  Data were analyzed using Rank Spearman test and contingency coefficient test. The results showed that there was a correlation between contraceptive use and factors of age, education, employment, customs / culture and quality of family planning services with a p-value of &lt;0.05. This study recommends that Mengwi Public Health Center I provide a counseling room for family planning acceptors and increase the schedule of family planning services as well as improve the quality of health workers especially in giving counseling about contraceptive use.</em>


2017 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Sumartini Sumartini ◽  
Diah Indriani

One of the most eff ective eff ort in the family planning program was to control fertilitas and press the population growth rate was used contraception. In the area of Puskesmas Pacar Keling Surabaya interest of acceptor which used short term contraceptive method still high than long term contraceptive method. This research used analytical observational study with case control methods. The population is all woman reproductive age couples aged 15-49 years old in the area of Puskesmas Pacar Keling Surabaya. Sampling technique used two stage random sampling and got 90 respondent. The variables were age, knowledge, side eff ects, desire to have a child again, husband and family support. Data were analyzed with multiple logistic regression with al level of signifi cance value α= 0,05. The result of logistic regression analysis signifi cant variables were age (p= 0,002), side eff ects (p= 0,005), desire to have a child again (p= 0,028), husband and family support (p= 0,008). Conclusion of research is that age, side effects, desire to have more children, husband and family support infl uencing reproductive age couples using long term contraceptive methods. This research suggest health workers provide Counselling and information about Family Planning to reproductive age couples specially they were 20-30 years old about explanation of the use of long term contraception method.


2016 ◽  
Vol 2 (3) ◽  
pp. 93
Author(s):  
Dwi Puspitasari ◽  
Siti Nurunniyah

<p>Family planning (FP) participation in 6 village located in Argomulyo, Sedayu, namely Puluhan, Kemusuk Kidul, Karanglo, Pedes, Surobayan and Kaliberot was 59.22%. The percentage was lower than the average number of Bantul which reached 81.40%. The progress of family planning programs can not be separated from their families since the family support is closely related to encouragement or motivation given to the reproductive age couples to participate in FP. The purpose of this study was to determine the relationship<br />between family support and the participation of FP of reproductive age couples Argomulyo village Sedayu, Bantul, Yogyakarta. Study design used in this study was cross sectional. The total population of reproductive age couples in Argomulyo village were 916 respondents. The sampling technique was done by total sampling. The research instrument used in the form of questionnaires. Hypothesis testing with chi-square test (α=0.05). From the data analysis between family support and FP participation variables resulted on OR=19.09 (95%CI:12.614-28.875) and contingency coefficient = 0.479 and the FP participation. In conclusion, there was a positive relationship between family support with the FP participation on the spous of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta.</p>


2020 ◽  
Vol 9 (1) ◽  
pp. 31
Author(s):  
Mita Meilani ◽  
Ade Putranto Prasetyo Wijiharto Tunggali

Family Planning is the most basic and primary preventive health service effort. One of the acceptable contraceptives in Indonesia is the Contraceptive Intra Uteri Device (IUD), which is the most effective, safe and comfortable contraception for many women. Use of contraception is still dominated by short-term contraceptives, especially injections which reach 31.2% and pills 13.4%. While the level of use of the Long-Term Contraception method, the IUD reaches 4.8%. In 2013, based on the results of the KB prevalence survey with MKJP of 64.6%. Overall, there were still 16 provinces that reached the position of family planning prevalence with MKJP lower than the national figure (> 64.6%). This study aims to determine the relationship of maternal characteristics with the selection of contraceptives Intra Uteri Device (IUD) on family planning acceptors at the Kramatwatu Health Center in Serang, Banten. This quantitative study uses a cross sectional approach with 82  acceptor respondents and uses a check list instrument. The results of the research prove that with the results of statistically significant tests showing that there is a relationship between maternal age, maternal parity, maternal education and occupation with the selection of contraceptives intra uteri device on family planning acceptors with p-value 0.004 <0.05, p-value 0.007 <0 .05, p-value 0.006 <0.05 and p-value 0.007 <0.05. The conclusion in this study there is a relationship between maternal characteristics with the IUD selection so that health workers can optimize counseling about family planning, especially the use of intra uterine devices (IUD).


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