scholarly journals Female adolescents and the use of contraceptives in rural areas

2021 ◽  
Vol 16 (2) ◽  
pp. 140
Author(s):  
Nuzzulil Nur Abdilla ◽  
Sutinah Sutinah
Keyword(s):  
Family Planning ◽  
Cultural Values ◽  
Rural Areas ◽  
Female Adolescents ◽  
Adult Women ◽  
Research Subjects ◽  
Childbearing Age ◽  
Family Planning Services ◽  
One Stop ◽  
The One

Contraception is an effort used to prevent pregnancy in women of childbearing age. Presently, contraception is not only used for adult women or those who have had a partner, but also for female adolescents. This study aimed to understand the practice of using contraceptives among female adolescents in rural areas. The theory used as an analytical tool was the theory of social construction by Peter L Berger and Thomas Luckmann. This study used a qualitative method. The research subjects in this study were women who used contraceptives as an adolescent. This study showed that the use of contraceptives or family planning by female adolescents in the Kabuh District is a common practice. Female adolescents interpreted family planning practices as prevention of pregnancy. The most commonly used contraceptives are the contraceptive injection and the birth control pill. Adolescents obtained preference for contraceptives from their parents and family. Meanwhile, family planning services were only provided through a midwife using the One-Stop Service method. Cultural values and customs that are deeply rooted in the Manduro community make the practice of pre-marital family planning perpetuated, even though it contradicts information in general and religion. This study concluded that the practice of pre-marital family planning is believed to be the best solution for female adolescents who are engaged but still want to seek new experiences.

Socio-Economic Related Inequalities in The Utilization of Family Planning Services Among Women in Zambia

2020 ◽  
Author(s):  
Simang'aliso Ndhlovu ◽  
Maio Bulawayo ◽  
Chris Mweemba ◽  
Peter Hangoma
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Tertiary Education ◽  
Decomposition Analysis ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Childbearing Age ◽  
Family Planning Services

Abstract Background: While a large literature documents inequalities in healthcare utilization in Zambia, and the rest of sub-Saharan Africa, there has been limited focus on the examination of inequalities in family planning use and in general has increased, health inequalities persist. Similarly, despite the increase in utilization of family planning services from 15% in 1992 to 48% in 2018, the increase has not been equally shared in the population. We examine drivers of socio-economic related inequalities in utilization of family planning services among women of childbearing age in Zambia. Methods: Using secondary data from the 2014 Zambia Demographic and Health Survey (ZDHS), concentration curves and indices are applied to examine how pro-poor and pro-rich the distribution of family planning is. A Blinder-Oaxaca decomposition analysis is conducted to decompose the rural-urban differences in the utilization of family planning services among women of reproductive age. Results: Our findings show that less than half (45%) of the 12,498 respondents used family planning. Use of family planning services was unequally concentrated on the well-off (CI=0.590, P=0.055). The results are mainly driven by inequalities in rural areas (CI=0.4009, P=0.0730) as the distribution of family planning use in urban areas is more equal (CI=0.049, P=0.159). In addition to family planning use being more unequal in rural areas, the proportion of women who use family planning services is 5.16 percentage points lower than in urban areas. The factors accounting for the gap between rural and urban use of family planning, with a tendency to increase it, include wealth (54.79%), tertiary education (79.46%) and age-group of 45-49 years (53.68%). Some factors act to moderate, or reduce this gap and have negative contribution on family planning use. These include women with 7 and more children (-48.22%), being married (-43.45%), primary education (-33.93%) and middle wealth group (-43.75%). Conclusion: Despite progress in the utilisation of family planning services, socioeconomic inequalities have persisted, primarily in rural areas. Interventions to increase family planning use should aim at addressing rural socioeconomic disadvantage, with programs targeting poor women and those with low levels of education. Narrowing the rural-urban gap in family planning use should focus on improving wealth and education of rural women.

scholarly journals Assessing women's satisfaction with family planning services in Mozambique

2016 ◽  
Vol 43 (3) ◽  
pp. 222-228 ◽  
Author(s):  
Leonardo Chavane ◽  
Martinho Dgedge ◽  
Patricia Bailey ◽  
Osvaldo Loquiha ◽  
Marc Aerts ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
User Satisfaction ◽  
National Level ◽  
Quality Of Healthcare ◽  
Family Planning Services ◽  
Health Service Provision ◽  
Urban And Rural Areas ◽  
The Impact

BackgroundThe contraceptive prevalence rate in Mozambique was estimated as 11.3% in the last Demographic and Health Survey. The impact of family planning (FP) on women's health and on the reduction of maternal mortality is well known.MethodsAcknowledging the importance of user satisfaction in the utilisation of health services, exit interviews were used to assess women's satisfaction with FP services in Mozambique. The survey, conducted in 174 health facilities, was representative at the national level, covered all provinces, and both urban and rural areas.ResultsOverall, 86% of respondents were satisfied with FP services, but issues such as insufficient supplies of oral contraceptives and the low quality of healthcare provider/client interactions were given as reasons for women's dissatisfaction.ConclusionDefined actions at the level of health service provision are needed to tackle the identified issues and ensure improved satisfaction with, and better utilisation of, FP services in Mozambique.

THE IMPACT OF DEMAND FACTORS, QUALITY OF CARE AND ACCESS TO FACILITIES ON CONTRACEPTIVE USE IN TANZANIA

2005 ◽  
Vol 39 (1) ◽  
pp. 1-26 ◽  
Author(s):  
MARY ARENDS-KUENNING ◽  
FLORA L. KESSY
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Cultural Values ◽  
Contraceptive Use ◽  
Data Sets ◽  
Demand Side ◽  
Family Planning Services ◽  
Unmet Demand ◽  
The Impact

The low contraceptive prevalence rate and the existence of unmet demand for family planning services present a challenge for parties involved in family planning research in Tanzania. The observed situation has been explained by the demand-side variables such as socioeconomic characteristics and cultural values that maintain the demand for large families. A small, but growing body of research is examining the effect of supply-side factors such as quality of care of family planning services on the demand for contraceptives. This paper analyses the demand and supply factors determining contraceptive use in Tanzania using the Tanzania Service Availability Survey (1996) and the Tanzania Demographic and Health Survey (1996) data sets. The results show that access to family planning services and quality of care of services are important determinants of contraceptive use in Tanzania even after controlling for demand-side factors.

scholarly journals Addressing sexual health needs: a comparison of a one-stop shop with separate genitourinary medicine and family planning services

2010 ◽  
Vol 36 (4) ◽  
pp. 202-209 ◽  
Author(s):  
Rebecca S French ◽  
Catherine H Mercer ◽  
Angela J Robinson ◽  
Makeda Gerressu ◽  
Karen E Rogstad ◽  
...  
Keyword(s):  
Family Planning ◽  
Sexual Health ◽  
Health Needs ◽  
Family Planning Services ◽  
One Stop ◽  
Genitourinary Medicine

scholarly journals Analysis of Factors Affecting the Unmet Need Incidence in Couples of Childbearing Age in the West Bulotadaa Village Gorontalo City in 2019

2020 ◽  
Vol 8 (T2) ◽  
pp. 94-97
Author(s):  
Mayangsari Kau ◽  
Andi Ummu Salmah ◽  
Anwar Mallongi ◽  
Muhammad Arif Tiro
Keyword(s):  
Family Planning ◽  
Family Income ◽  
Multiple Logistic Regression Analysis ◽  
Unmet Need ◽  
Childbearing Age ◽  
The West ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Background Population

BACKGROUND: Population that continues to increase is a big problem for countries in the world, especially developing countries. One of the problems in the management of family planning programs is the high level of unmet need for family planning in Indonesia. Unmet need is the number of couples of childbearing age who want to postpone pregnancy or do not want additional children but do not use birth control methods. AIM: The aim of the study was to determine the determinants of the occurrence of unmet need in fertile age couples in the West Bulotadaa Village, Gorontalo City. METHODS: The study design was cross-sectional with a sample of 146 fertile age couples selected by systematic random sampling. Data collection was made, using questionnaires containing questions from the research variables. Data were analyzed by multiple logistic regression analysis through the SPSS for windows program. RESULTS: The visit of KB officers affected the unmet need with p = 0.032 (p < 0.05) with OR = 2.893, and there were some variables that were not significant such as the age variable p = 0.766 (p > 0.05), family income p = 0.189 (p > 0.05), distance of family planning services p = 0.057 (p > 0.05), and cost of contraception p = 0.632 (p > 0.05). CONCLUSION: It was concluded that the visit of family planning officers affected the unmet need and age, family income, distance to the place of family planning services and the cost of contraceptives did not affect the incidence of unmet need in West Bulotadaa, Gorontalo City.

scholarly journals Modern contraceptive use among female adolescents in rural Nigeria: Does exposure to family planning messages matter? A cross-sectional study

2019 ◽  
Vol 3 ◽  
pp. 627
Author(s):  
Victor Chima ◽  
Oluwatobi Abel Alawode
Keyword(s):  
Family Planning ◽  
Mass Media ◽  
Rural Areas ◽  
Contraceptive Use ◽  
Female Adolescents ◽  
Rural Adolescents ◽  
Modern Contraceptive ◽  
Modern Contraceptives ◽  
Rural Nigeria ◽  
Modern Contraceptive Use

Background: The world currently has the highest number of adolescents in all of history. Africa is home to quite a number of them, with most of these adolescents in Africa live in rural areas where they are more disadvantaged and their reproductive decisions could have telling impacts on their lives, family planning (contraception) has been identified as important to avoid such impacts. Factors associated with the use of modern contraceptives among female adolescents have been extensively researched but the importance of mass media family planning messages on modern contraceptives use among female adolescents in rural Nigeria is under-researched, hence this study. Method: This paper uses the 2013 Nigeria Demographic and Health Survey (NDHS) data with a weighted sample size (n=4473) to examine the association between exposure to family planning messages and use of modern contraceptives among female adolescents in rural Nigeria. Results: Findings indicated that exposure to family planning messages on radio and television were significantly associated with modern contraceptive use, however, educational attainment and region of residence were other factors that influenced modern contraceptive use.. Conclusion: The study concludes that family planning messages through mass media especially radio and television are associated with modern contraceptives use among rural adolescents. The continued use of mass media would enhance opportunities to achieve more results, however, other interventions addressing education with objectives of closing the rural-urban socio-economic gap should be encouraged also, as these factors play critical roles in improving uptake of family planning among rural adolescents.  Further, messages on modern contraceptive use should be sensitive to regional divides in terms of content and delivery.

scholarly journals Continuation rates for injectable contraception and intra-uterine device (IUD) at Banyuning Village, Buleleng District

2017 ◽  
Vol 5 (2) ◽  
pp. 79
Author(s):  
Lina Anggaraeni Dwijayanti ◽  
Dewa Nyoman Wirawan ◽  
Anak Agung Sagung Sawitri
Keyword(s):  
Family Planning ◽  
Female Child ◽  
Reproductive Age ◽  
Continuation Rate ◽  
Family Planning Services ◽  
First Child ◽  
One Year ◽  
The One ◽  
Continuation Rates

Background and purpose: Surveys on the proportion of contraception uptake have been regularly conducted in Indonesia, including Bali Province. However, very limited studies have explored contraceptive continuation rates. This study aims to examine continuation rates for injectable contraception and IUD including its determinants.Methods: A cross-sectional survey was conducted in Buleleng District. A total of 100 reproductive age women who ever used or currently using injectable contraception or IUD were recruited to participate in the study. One village at Buleleng District was purposively selected and samples were selected from all registered reproductive age couples at the village using a systematic random sampling method. Data were collected through home interviews and were analysed using survival analysis to calculate contraceptive continuation rates. Multivariate analysis were performed using cox regression to identify factors associated to continuation rates for injectable contraception and IUD. Analysis was done using STATA SE 12.1.Results: The one year continuation rate for IUD for first child was 84.62% whereas for injectable contraception was 71.03%. When sex variable of the child was applied, the one year continuation rate for IUD for first child was higher among those who have male child (81.82%) than female child (66.67%). Similarly, the one year continuation rate for injectable contraception was higher among those who have male child (79.10%) than female child (57.58%). The one year contraceptive continuation rate is also higher for the second child than the first one (79.56 vs 71.03 for injectable and 87.88 vs 84.62 for IUD). The multivariate analysis showed that perceived quality of family planning services was associated to contraceptive continuation rates (AHR=2.54; 95%CI: 1.22-5.29).Conclusions: The continuation rate for IUD was higher than injectable contraception. Higher contraceptive continuation rate was found among those who have male children. The contraceptive continuation rate was associated with perceived quality of family planning services. Interventions to improve the quality of family planning services are warranted.

scholarly journals Kemandirian Keluarga Berencana (KB) pada Pasangan Usia Subur di Kota Yogyakarta

2016 ◽  
Vol 2 (2) ◽  
pp. 62
Author(s):  
Susiana Sariyati ◽  
Sundari Mulyaningsih ◽  
Hamam Hadi
Keyword(s):  
Health Insurance ◽  
Family Planning ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Childbearing Age ◽  
Descriptive Research ◽  
The Government ◽  
The One ◽  
Descriptive Survey ◽  
Survey Approach

<p>Family planning is part of the needs of the community, todays, by the government has given to the community. This condition was used by BKKBN as a trigger to improve toward independence. Yogyakarta Province (DIY) as the one province in Indonesia which has high number of active acceptors. In 2012, active acceptors has reached 34.373 (73.29%) of 47 339 couples of productive age (BKKBN 2012). This research aimed to know representation of KB independence in couples of childbearing age (EFA) in Yogyakarta 2013. This is a descriptive research with descriptive survey approach. The population of study was an active family planning participants with a sample size of 521. Sampling techniques was done by Probability Proportional to Size (PPS), while respondents were determined with random sampling technique. Data was analyzed using univariate analysis. In this study, contraception was widely obtained by couple of childbearing age with fully paying and health insurance total of 143 (52.2%) with the reason of having KB independence was because of economic factors at 128 respondents (46.7%). In conclusion, Independence KB in Yogyakarta can be represented that mostly KB is provided through paying full as the majority have a health insurance.</p>

FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN ALAT KONTRASEPSI PADA PASANGAN USIA SUBUR DI DESA LOHBENER KABUPATEN INDRAMAYU

2018 ◽  
Vol 9 (2) ◽  
pp. 164-182
Author(s):  
Hairil Akbar
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Health Workers ◽  
P Value ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Regression Test ◽  
Logistic Regression Test

Family Planning Program is an effort to measure the number and distance of child that is desired. In order to achieve this program, several options are made to prevent or delay pregnancy through the implementation of quality family planning services. The purpose of this study was to determine the factors associated with the use of contraception in couples of childbearing age in Lohbener Village, Indramayu Regency. This study applied observational-analytic study, with a cross sectional study design. The population in the study were all women of childbearing age aged 15-49 years and married, while the sample in this study were parts of women of childbearing age aged 15-49 years and married in Lohbener village, Indramayu Regency. The sampling technique was conducted using simple random sampling and logistic regression test. Based on the results of logistic regression test, factors related to the use of contraception in of women of childbearing age in Lohbener Village, Indramayu Regency were husband's support (p value = 0.000; CI: 4.229-70.362), and knowledge (p value = 0.000; CI: 3.012-34.233 ), while unrelated factors were work status (p value = 0.577; CI: 0.214-15.902), parity (p value = 0.319; CI: 0.193-1.710), and access to family planning services (p value = 0.984; CI: 0.315-3.250) with the use of contraceptives in Lohbener Village, Indramayu Regency. Therefore it is advised that women of childbearing ages over ≥ 20 years to pay more concern to their health through good family planning such as regulating the number of births, sparing pregnancies, and more actively consulting to the health workers to conduct family planning programs.

Evaluation of natural family planning programmes in Liberia and Zambia

1993 ◽  
Vol 25 (2) ◽  
pp. 249-258 ◽  
Author(s):  
Ronald H. Gray ◽  
Robert T. Kambic ◽  
Claude A. Lanctot ◽  
Mary C. Martin ◽  
Roselind Wesley ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Family Planning ◽  
Rural Areas ◽  
Urban Areas ◽  
Unplanned Pregnancy ◽  
Natural Family Planning ◽  
Loss To Follow Up ◽  
Natural Family ◽  
One Year ◽  
The One

SummaryStudies to evaluate use-effectiveness and cost-effectiveness of natural family planning (NFP) were conducted in Liberia and Zambia. The Liberian programme provided uni-purpose NFP services to 1055 clients mainly in rural areas; the Zambian programme provided NFP services integrated with MCH to 2709 clients predominantly in urban areas. The one-year life table continuation and unplanned pregnancy rates were 78·9 and 4·3 per 100 women-years in Liberia, compared to 71·2 and 8·9 in Zambia. However, high rates of loss to follow-up mandate caution in interpretation of these results, especially in Zambia. More women progressed to autonomous NFP use in Liberia (58%) than in Zambia (35·3%). However, programme costs per couple-year protection were lower in Zambia (US$25·7) than in Liberia (US$47·1). Costs per couple-year protection were higher during learning than autonomy, and declined over time. These studies suggest that NFP programmes can achieve acceptable use-and cost-effectiveness in Africa.

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