scholarly journals Meta-Analysis: The Influence of Knowledge, Education, and Husband's Support on The Selection of Long Acting Contraception Methods

2021 ◽  
Vol 7 (2) ◽  
pp. 124
Author(s):  
Nurul Aulia Rahmi ◽  
Izaak Zoelkarnain Akbar ◽  
Bahrul Ilmi ◽  
Meitria Syahadatina Noor ◽  
Rosihan Adhani

The population is expected to increase by 8,5 billion persons in 2030 and 10,9 billion persons in 2100, population is growing at a rate of around 1,1% per year.  One of population growth control by birth control with contraception. The most effective contraception is long-acting contraception, however, on IDHS (Indonesian Health Demographic Survey) only 13% of currently married women use long-acting contraception. Many factors affect contraceptive use among married women, such as knowledge, education, and husband’s support. The purpose of this study was to determine the effect of knowledge, education, and husband's support on the selection of MKJP. This study used meta-analysis with the search engines by Google scholar, PUBMED, science direct, and ProQuest. The study was selected using PRISMA and it was evaluated by AMSTAR. Data synthesis was conducted by STATA 16.0. The results of this study obtained by knowledge [OR = 0,99; 95% Cl : 0,90-1,08, p = 0,000; I2 = 74,8%], education [OR = 0,84; 95% Cl : 0,77-0,92, p = 0,000; I2 = 86,3%], and husband’s [OR = 0,94; 95% Cl : 0,69-1,20, p = 0,000; I2 = 81,5%]. This means that knowledge, education, and husband’s support have an impact on the use of long-acting contraception.

Author(s):  
Danielle K. O’Rourke-Suchoff ◽  
Kavita S. Arora ◽  
Vanessa M. Hildebrand ◽  
Mendel E. Singer

Abstract Introduction Maternal attitudes have been shown to impact adolescent girls’ sexual decision making and attitudes towards contraception. Given the potential for maternal influence on adolescent contraceptive use, we undertook an exploratory study of mothers’ perceptions of the maternal role in adolescent contraceptive decision making, and maternal perceptions of long acting reversible contraceptives (LARC) for adolescent girls. Materials and methods We utilized a mixed methods study design. Acceptability of contraceptive methods and attitudes towards adolescent contraceptive use were assessed using a paper survey of 162 mothers of girls aged 11–19 years in Cleveland, Ohio, USA. Seven survey participants completed subsequent semi-structured interviews, which were analyzed using grounded theory methodology. Results Pills, condoms and injections were most frequently selected as acceptable by 55.4%, 55.4%, and 51.6% of women, respectively. One or more LARC methods were selected by 16.6% of the women. Of those (94.4%) agreed or strongly agreed that, “It is expected of me to make sure that my daughter knows about birth control methods.” Important themes that emerged during interviews were the responsibility mothers felt to help their daughters navigate contraception options, appreciation of the effectiveness of LARC methods and concerns about the use of those methods by teenagers due to the invasiveness. Conclusion Our data suggest that mothers want to be involved and support adolescent decision making about contraceptives. We also found that mothers viewed LARC as less acceptable than other forms of birth control for adolescents and have specific concerns about LARC. These results suggest directions for future work to better characterize the impact of maternal attitudes on adolescent LARC use.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Elliot M Levine ◽  
Carlos M Fernandez

Long-acting reversible contraceptive choices are becoming more popular among young women, and providers may need to keep in mind those methods that are likely to be most successful.  The dimensions of the uterine cavity vary according to the parity of a user, with the nulliparous woman having a smaller uterine space.  With the known intrauterine contraceptive device side effects being possible, and with smaller such devices being clinically available for patients, selection of those smaller devices for contraceptive use may be more ideal for those younger nulliparous women.  In this way, complications with this method may possibly be avoided.    


2018 ◽  
Vol 18 (17) ◽  
pp. 33-42
Author(s):  
Ramesh Babu Kafle

This paper examines the dynamics of contraceptive use of currently married young women (age 15-24) in Nepal by analyzing the trends and differentials in contraceptive use, the changes in method mix and the determinants of contraceptive use by selected socioeconomic and demographic characteristics. The reasons of non-use of contraception are also assessed. Data from the three rounds of nationally representative Nepal Demographic and Health Survey (NDHS) 2001, 2006 and 2011 are used. Currently married women aged 15-24 are selected and included in analysis. Study sample constitute 2573, 2398 and 2552 eligible women in NDHS 2001, 2006 and 2011 respectively. Use of contraception among young couples is gradually increasing in almost all subgroups of population in Nepal, with narrowing differentials by education and economic condition of household. Tendency of starting contraceptives before having a child is also emerging. There is declining share of sterilization among youth indicating either a probable shifting in age at sterilization or more favour towards temporary methods. Injection has the highest share in all the three surveys. The share of long acting temporary methods (IUD and Implants) is quite small and almost same in all the three surveys. Couples still feel safe to start using contraceptives after having at least one son however, the differences are declining. Reasons for non-use like fear of side effects and opposition to use are sharply declining over time but that due to husband’s absence is emerging as almost a sufficient reason for non-use of contraception among young married women in Nepal. The family planning program should focus on meeting the family planning needs of young couples of all strata of population with special thrust on those women whose husbands are currently in foreign country so that they would be able to avoid unintended pregnancy on their husband’s come back.


2020 ◽  
Author(s):  
Peter Gichangi ◽  
Alfred Agwanda ◽  
Mary Thiongo ◽  
Michael Waithaka ◽  
Amy Tsui ◽  
...  

Abstract Background: Family planning plays an important role in reducing high-risk and unwanted pregnancies and associated complications. Kenya has made progress increasing the use of modern contraceptives. We assessed inequalities in contraceptive use and family planning demand satisfied.Methods: We used data from seven rounds of Performance, Monitoring and Accountability 2020 cross-sectional surveys, 2014-2018. Women aged 15-49 years were interviewed after informed consent was obtained. Contraceptive prevalence and demand for family planning satisfied standard definitions were used. Data were stratified by type of contraception (long-acting/permanent, short-acting, or traditional); wealth, residence, education, age, and wealth. Data were analysed using Stata v14.Results: Modern contraceptive prevalence has increased from 58.7% in 2014 to 64.2% in 2018 among sexually active married women. Total demand for family planning satisfied (DFPS) has increased from 70.5% in 2014 to 79.0% in 2018. There was a significant increase in long acting/permanent methods from 27.1% in 2014 to 42.9% in 2018 and a decrease in short acting methods from 71.6% in 2014 to 54.0% in 2018. The odds of contraception use among older women was 1.48 times higher than among adolescents (aOR=1.48; 95% CI: 1.21, 1.81); among married women 0.74 times compared to the unmarried women (aOR 0.74; 95% CI: 0.63, 0.86). The odds of contraception use increased with increasing education (secondary or higher education: aOR 3.78; 95% CI: 2.90, 4.92) and wealth quintiles (highest wealth quintile: aOR = 1.36; 95% CI: 1.12, 1.65). There were significant differences in DFPS by modern methods: older women vs adolescents (aOR = 2.40; 95% CI: 1.96, 2.93); married vs unmarried women (aOR = 1.53; 95% CI: 1.32, 1.78); secondary or higher education vs no education: aOR 2.39 (95% CI: 1.95, 2.94); and highest vs lowest wealth quintile: aOR = 1.53 (95% CI: 1.24, 1.89).Conclusion: Contraceptive use and specifically long-acting reversible contraceptives are on the rise in Kenya. However, persistent inequities need to be addressed if no women are going to be left behind to access and use family planning/contraceptives. Current achievements should be maintained while targeting women who are poor, uneducated/illiterate, young, and living in rural areas.


2019 ◽  
Vol 45 (4) ◽  
pp. 249-254 ◽  
Author(s):  
Jenny M Yang ◽  
Kate Cheney ◽  
Rebecca Taylor ◽  
Kirsten Black

BackgroundShort interpregnancy intervals (IPIs) are associated with adverse obstetric outcomes. However, few studies have explored women’s understanding of ideal IPIs or investigated knowledge of the consequences of short IPIs.MethodsWe performed a prospective questionnaire-based study at two hospitals in Sydney, Australia. We recruited women attending antenatal clinics and collected demographic data, actual IPI, ideal IPI, contraceptive use, and education provided on birth-spacing and contraception following a previous live birth. We explored associations between an IPI <12 months and a selection of demographic and health variables.ResultsData were collected from 467 women, of whom 344 were pregnant following a live birth. Overall, 72 (20.9%) women had an IPI <12 months only 7.5% of whom believed this was ideal, and the remaining stating their ideal IPI was over 12 months (52.3%) or they had no ideal IPI (40.3%). IPI <12 months following a live birth was significantly associated with younger age (p=0.043) but not with ethnicity, relationship status, education, religion, parity nor previous mode of delivery. IPI <12 months was associated with non-use of long-acting reversible contraception (LARC) (p<0.001), breastfeeding <12 months (p=0.041) and shorter ideal IPI (p=0.03). Less than half of the women (43.3%, n=149) reported having received advice about IPI and less than half about postnatal contraception (44.2%, n=147).ConclusionsYounger age and non-use of LARC are significantly associated with IPIs <12 months. A minority of women with a short IPI perceived it to be ideal. Prevention of short IPIs could be achieved with improved access to postnatal contraception.


2020 ◽  
Vol 8 (2) ◽  
pp. 58
Author(s):  
Rizki Arista Devi ◽  
Yuly Sulistyorini

Latar Belakang: Jawa Timur merupakan provinsi dengan jumlah penduduk terbesar ke-2 di Indonesia.Laju pertumbuhan penduduk dapat ditekan melalui optimalisasi dan revitalisasi pelaksanaa programKeluarga Berencana (KB) yang saat ini dikelola oleh Badan Kependudukan (BKKBN). Pada penelitian iniakan dijelaskan mengenai gambaran kepesertaan KB di Provinsi Jawa Timur pada Tahun 2018.Tujuan: Penelitian ini bertujuan untuk mengetahui jenis KB apa saja yang digunakan oleh pasangan usia subur, faktor yang mempengaruhi pemilihan alat kontrasepsi seperti pengetahuan, dan keterpaparan media informasi.Metode: Metode penelitian dilakukan dengan menggambarkan hasil faktor yang mempengaruhikepesertaan KB di Provinsi Jawa timur melalui penjelasan data yang diperoleh dari publikasi SurveiKinerja Akuntabilitas Program 2018.Hasil: Hasil penelitian menunjukkan bahwa faktor yang mempengaruhi kepesertaan KB di Provinsi JawaTimur Tahun 2018 antara lain pengetahuan. Semakin tinggi pendidikan wanita kawin usia 15-49 tahun di Provinsi Jawa Timur Tahun 2018 menunjukkan semakin banyak terpapar media informasi dibandingkan wanita yang berpendidikan lebih rendah. Wanita yang terpapar media informasi lebih banyak menunjukkan lebih memiliki wawasan yang luas dalam menentukan metode kontrasepsi yang akan digunakannya. Metode kontrasepsi yang paling banyak digunakan oleh wanita kawin usia 15-49 tahunadalah KB suntikan 3 bulan. Peserta KB yang menggunakan KB suntikan 3 bulan lebih dari 50% diProvinsi Jawa Timur Tahun 2018.Kesimpulan: Pengetahuan wanita kawin usia 15-49 tahun yang tinggi maka semakin teliti dalampemilihan metode kontrasepsi yang akan digunakannya. Semakin pengetahuan wanita tersebut baikkemungkinan untuk menggunakan KB lebih besar.ABSTRACTBackground: East Java is the second most populous province in Indonesia. The rate of population growth can be reduced through the optimization and revitalization of the implementation of the Family Planning (KB) program which is currently managed by the Population Agency (BKKBN). This study will explain the description of family planning in East Java Province in 2018. Objectives: The purpose of this study was to find out what types of birth control are used by couples of childbearing age, factors that influence the selection of contraceptives such as knowledge, and information media exposure. Methods:  The research method was describing the results of factors affecting family planning participation in East Java Province through explanation publication data Accountability Performance Survey Program 2018. The results showed that factors affecting family planning participation in East Java Province in 2018 included knowledge. The higher women knowledge the more careful in the selection of contraceptive methods to be used. The better the woman's knowledge the possibility to use birth control is greater than women whose knowledge is low. The higher education of married women aged 15-49 years in East Java Province in 2018 shows more exposure to information media compared to women with lower education. Women who are exposed to more information media show more insight into determining which contraceptive method they will use. The most widely used contraceptive method by married women ages 15-49 is 3-month injection birth control. Woman who use 3-month injection are more than 50% in East Java Province in 2018.Conclusion: High knowledge of married women aged 15-49 years, the more careful in the selection ofcontraception methods. The good knowledge a woman has, the greater possibility for using KB.


2019 ◽  
Vol 34 (Spring 2019) ◽  
pp. 157-173
Author(s):  
Kashif Siddique ◽  
Rubeena Zakar ◽  
Ra’ana Malik ◽  
Naveeda Farhat ◽  
Farah Deeba

The aim of this study is to find the association between Intimate Partner Violence (IPV) and contraceptive use among married women in Pakistan. The analysis was conducted by using cross sectional secondary data from every married women of reproductive age 15-49 years who responded to domestic violence module (N = 3687) of the 2012-13 Pakistan Demographic and Health Survey. The association between contraceptive use (outcome variable) and IPV was measured by calculating unadjusted odds ratios and adjusted odds ratios with 95% confidence intervals using simple binary logistic regression and multivariable binary logistic regression. The result showed that out of 3687 women, majority of women 2126 (57.7%) were using contraceptive in their marital relationship. Among total, 1154 (31.3%) women experienced emotional IPV, 1045 (28.3%) women experienced physical IPV and 1402 (38%) women experienced both physical and emotional IPV together respectively. All types of IPV was significantly associated with contraceptive use and women who reported emotional IPV (AOR 1.44; 95% CI 1.23, 1.67), physical IPV (AOR 1.41; 95% CI 1.20, 1.65) and both emotional and physical IPV together (AOR 1.49; 95% CI 1.24, 1.72) were more likely to use contraceptives respectively. The study revealed that women who were living in violent relationship were more likely to use contraceptive in Pakistan. Still there is a need for women reproductive health services and government should take initiatives to promote family planning services, awareness and access to contraceptive method options for women to reduce unintended or mistimed pregnancies that occurred in violent relationships.


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