scholarly journals The everlasting outmoded contraceptive method mix in Brazil and its legacy

2019 ◽  
Vol 36 ◽  
pp. 1-29
Author(s):  
Suzana Cavenaghi ◽  
José Eustáquio Diniz Alves
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Fertility Transition ◽  
National Health Survey ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Family Planning Programs ◽  
Short Period ◽  
The 1960S ◽  
Method Mix

Fertility transition occurred in a short period of time in Brazilian the absence of family planning programs, and most noticeable, in a context of illegality in the provision of means of fertility selfregulation. These events did not happen without consequences. Based in the literature and facts registered during that time, the paper first discusses how the resistance to the implementation of family planning programs from the 1960s to the 1980s have contributed to the unbalanced contraceptive method mix in the 1990’s. Secondly, the paper will discuss problems around contraceptive data collection in the National Health Survey, and, performing an adjustment of the data, we analyze trends in the use of contraceptive methods from 1986 to 2013, showing that method mix continues to be very concentrated in the same two methods, an even more outdated scheme, with the daily pill exchanging first place with female sterilization. Finally, the paper discusses some fertility characteristics associated with the outdated contraceptive mix, still prevailing at the end of fertility transition, arguing that this could be avoided or minimized if policies and laws are based in reproductive rights of all people only. 

scholarly journals The everlasting outmoded contraceptive method mix in Brazil and its legacy.

2019 ◽  
Vol 36 ◽  
pp. 1-29
Author(s):  
Suzana Cavenaghi ◽  
José Eustáquio Diniz Alves
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Fertility Transition ◽  
National Health Survey ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Family Planning Programs ◽  
Short Period ◽  
The 1960S ◽  
Method Mix

Fertility transition occurred in a short period of time in Brazilian the absence of family planning programs, and most noticeable, in a context of illegality in the provision of means of fertility selfregulation. These events did not happen without consequences. Based in the literature and facts registered during that time, the paper first discusses how the resistance to the implementation of family planning programs from the 1960s to the 1980s have contributed to the unbalanced contraceptive method mix in the 1990’s. Secondly, the paper will discuss problems around contraceptive data collection in the National Health Survey, and, performing an adjustment of the data, we analyze trends in the use of contraceptive methods from 1986 to 2013, showing that method mix continues to be very concentrated in the same two methods, an even more outdated scheme, with the daily pill exchanging first place with female sterilization. Finally, the paper discusses some fertility characteristics associated with the outdated contraceptive mix, still prevailing at the end of fertility transition, arguing that this could be avoided or minimized if policies and laws are based in reproductive rights of all people only. 

scholarly journals Family Welfare Expenditure, Contraceptive Use, Sources and Method-Mix in India

2021 ◽  
Vol 13 (17) ◽  
pp. 9562
Author(s):  
Sheuli Misra ◽  
Srinivas Goli ◽  
Md Juel Rana ◽  
Abhishek Gautam ◽  
Nitin Datta ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Universal Access ◽  
Family Welfare ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Large Country ◽  
Family Planning Programs ◽  
Method Mix ◽  
Welfare Expenditure

Making universal access to sexual and reproductive health care a reality, and thus building momentum for comprehensive family planning by 2030, is key for achieving sustainable development goals. However, in the last decade, India has been retreating from progress achieved in access to family planning. Family planning progress for a large country such as India is critical for achieving sustainable developmental goals. Against this backdrop, the paper investigated the question of how far family welfare expenditure affects contraceptive use, sources of contraceptive methods, and method-mix using triangulation of micro and macro data analyses. Our findings suggest that, except for female sterilizations, modern methods of contraception do not show a positive relationship with family welfare expenditure. Notwithstanding a rise in overall family welfare expenditure, spending on core family planning programs stagnates. State-wise and socio-economic heterogeneity in source-mix and method-mix continued to influence contraceptive access in India. Method-mix continued to skew towards female sterilization. Public sector access is helpful only for promoting female sterilization. Thus, the source-mix for modern contraceptives presents a clear public-private divide. Over time, access to all contraceptive methods by public sources declined while the private sector has failed to fill the gap. In conclusion, this study identified a need for revitalizing family planning programs to promote spacing methods in relatively lower-performing states and socio-economic groups to increase overall contraceptive access and use in India through the rise in core family planning expenditure.

scholarly journals Has the Use of Contraceptive Helped in Averting Births? An Analysis of Births Averted in 21 Major States of India

2021 ◽  
Author(s):  
Jyoti Das ◽  
S.K. Singh ◽  
Bidhubhushan Mahapatra
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Uttar Pradesh ◽  
State Level ◽  
Steady Increase ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Indian States ◽  
Modern Contraception ◽  
Contraception Use

Abstract Background: In a highly populated country like India, family planning plays a major role in controlling population growth. Estimation of births averted helps in assessing the effectiveness of contraceptive methods. Since the 1950s, different strategies of family planning have been adopted to curb fertility rates by expanding the use of modern contraception among couples. As a result, there has been a steady increase in the users of family planning methods to curb their family sizes. However, there is variation in the adoption of contraceptive methods across the states. From earlier researches, it is established that the permanent modern methods like female sterilization, male sterilization, and IUCD are almost 100 percent effective methods to prevent pregnancy. This study, therefore, is a worthy attempt to estimate the births averted using modern contraception at present for Indian states with the help of the latest available data, by using the method suggested by Liu and others (2008)[11]. Results: The results of the analysis show that births averted were highest in Uttar Pradesh and Maharashtra. However, the percentage reduction in births by the contraceptive method is highest in Punjab indicating the effectiveness of modern contraception use. Conclusions: The analysis of births-averted estimation not only shows the state-level variations but also its significant impact on reducing TFR. Further, female sterilization has the highest prevalence rate among the contraceptive method and averting the highest number of births.

scholarly journals Determinants of contraceptive method choice in Bangladesh: Male perspectives

2014 ◽  
Vol 3 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Md. Shahidul Islam
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Traditional Methods ◽  
Positive Effects ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Level Of Knowledge ◽  
High Level

Family planning programs are considered to be an important way to control the rapid population growth of Bangla-desh with the main focus being women. As a male dominant country, the knowledge of, attitude towards, and ap-proval of family planning is largely influenced by the male member of couples in their choice of appropriate contra-ceptive methods. This paper examined the determinants of current choices in family planning methods in relation to male knowledge, attitude and approval of family planning practices in Bangladesh. A total of 430 married men aged 15-49 years were interviewed in Narsingdi, a district town of Bangladesh. The findings revealed that the men’s level of contraceptive knowledge and their attitude to modern contraceptive was high in this area. The findings asserted that the contraceptive prevalence rate among couples was (62.1%), with oral pills (26.51%) and withdrawals (6.25%) being the most preferred modern and traditional methods respectively. The multinomial logistic regression model has been applied to understand the determinants of the choice of contraceptive method. These findings indi-cated that women in skilled occupation, positive attitude towards modern contraceptives of male, high level of knowledge on contraceptive methods of male, approval of family planning by male, and current living children had significantly more positive effects on using modern contraceptives by the couple. It was also found that couples who desired more children were less likely to use modern contraceptives. Alternatively, the education level of the hus-band and the desired number of additional children had a negative impact on the use of traditional methods while media exposure, a high level of knowledge on contraceptives, and an approval of family planning had positive im-pacts on the use of traditional contraceptives over not using any method. The government should increase the fund-ing and availability of family planning programs which promote the use of modern contraceptive methods, espe-cially those that are targeted towards the male population. South East Asia Journal of Public Health 2013; 3(1): 50-56 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17711

scholarly journals The effect of Women’s decision-making autonomy on family Planning acces in Senegal in 2017

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N M Sougou ◽  
O Bassoum ◽  
M M M M Leye ◽  
A Tal-Dia
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Modern Contraceptive Method ◽  
Significant Difference ◽  
Modern Contraceptive Use ◽  
The Impact

Abstract Background The impact of access to decision-making on women’s health in the choice of fertility control has been highlighted by research. The aim of this study was to analyze the impact of access to decision-making for women’s health on access to family planning in Senegal in 2017. Methods The analyses of this study had been done on the Individual Records file of Senegal’s Demographic Health Survey 2017. This data covered 8865 women aged 15 to 49 years. The propensity scores matching method had been done. The variable access to the decision was considered as the variable of interest. Matching was done using variables that were not modified by the effect of the treatment. These were religion and socio-economic level. The outcome variables were modern contraceptive use, the existence of unmet needs and the type of modern contraceptive method used. Significance was at 5%. The condition of common support had been respected. The analysis was done with the STATA.15 software. Results Six percent (6.26%) of women could decide about their health on their own. Access to decision-making increased significantly with the woman’s age (p < 0.05). Fifteen percent (15.24%) women used a modern contraceptive method. Women using a contraceptive method were more numerous in the group with access to decision-making (29.43%) with a significant difference with the other group of 8% (p < 0.05). After matching, there was no significant difference between women in terms of modern contraceptive use and the existence of unmet needs. There was a significant difference in the type of contraceptive method used between the two groups of women. These differences were 23.17% for Intra Uterine Device, 52.98% for injections, 08.9% for implants and 10.79% for condoms. Conclusions Access to decision-making for health would facilitate women’s access to long-acting contraceptive methods. These findings show the importance of implementing gender transformative interventions in improving access to family planning. Key messages Access to decision-making for health would allow better access to modern contraceptive methods, especially those with a long duration of action. Better consideration of gender disparity reduction could improve access to family planning in Senegal.

scholarly journals USE OF MALE METHODS OF CONTRACEPTION WORLDWIDE

2016 ◽  
Vol 49 (5) ◽  
pp. 648-663 ◽  
Author(s):  
John Ross ◽  
Karen Hardee
Keyword(s):  
Condom Use ◽  
Time Trends ◽  
Contraceptive Use ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Geographic Variations ◽  
Male Contraceptive ◽  
Use Patterns ◽  
Method Mix ◽  
Male Sterilization

SummaryThis article analyses male contraceptive use, both globally and for developing countries. Shares of all contraceptive use due to males are examined, in the context of female use and all use. Patterns according to wealth quintiles are analysed, as well as time trends and geographic variations. Data are drawn primarily from compilations by the UN Population Division and from the Demographic and Health Series and subjected to relatively simple statistical methods including correlation/regression applications. Contraceptive methods that men use directly, or that require their co-operation to use, including condoms, withdrawal, rhythm and male sterilization, account for one-quarter of all contraceptive use worldwide. This represents 13% of married/in-union women. Both the share and the prevalence of male methods vary widely by geography and by the four methods, as well as by quintile wealth groups. With greater wealth there is an unbroken rise for total use; among the male methods, the shares of condom use and rhythm rise by wealth quintiles, while the share of withdrawal drops. The share for male sterilization is highest in the lowest and highest wealth quintiles and dips for the middle quintiles. The overall time trend since the 1980s has been steady at one-quarter of all use involving men; moreover, the share is about the same at all levels of total use. The female-only methods continue to dominate: female sterilization, IUD, pill, injectable and implant, again with great diversity geographically. In surveys men report less total use but more condom use, while females report more injectable use. For the future the male share of one-quarter of use seems secure, with little prospect of an increase unless concerted programmatic efforts are made to expand access to male methods and promote their use as part of a broadened contraceptive method mix.

scholarly journals A rise in births following contraceptive failure in France between 2010 and 2016: results from the French national perinatal surveys

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Camille Bonnet ◽  
Béatrice Blondel ◽  
Caroline Moreau
Keyword(s):  
Contraceptive Method ◽  
Contraceptive Use ◽  
Significant Proportion ◽  
Adult Women ◽  
Contraceptive Methods ◽  
Subsequent Increase ◽  
Contraceptive Failure ◽  
Live Births ◽  
Socially Disadvantaged ◽  
Method Mix

Abstract Background In France, while the prevalence of contraception is high, a significant proportion of pregnancies are unintended. Following the 2012 pill scare, the contraceptive method mix, which was mostly comprised of pills and intrauterine devices (IUD), has become more diversified. In this changing landscape, our objective was to describe trends in live births resulting from contraceptive failure and evaluate how patterns of contraceptive use have contributed to observed changes between 2010 and 2016. Methods We used data from the 2010 and the 2016 French National Perinatal surveys which included all births from all maternity units in France over a one-week period. Interviews collecting information about pre-conception contraceptive practices were conducted in the maternity ward post-delivery. Women were classified as having a contraceptive failure if they discontinued contraception because they were pregnant. Our study sample included adult women who had a live birth, had ever used contraception and did not undergo infertility treatment (n = 11,590 in 2010 and n = 9703 in 2016). We evaluated changes in contraceptive failure over time using multivariate Poisson regressions to adjust for sociodemographic characteristics and pre-pregnancy contraceptive methods. Results Pre-pregnancy contraception evolved between 2010 and 2016 with a 12.3% point-drop in pill use, and conversely, 4.6%- and 3.2%-point increases in IUD and condom use, respectively. Use of other barrier or natural methods doubled between 2010 and 2016 but remained marginal (1.4% in 2010 vs 3.6% in 2016). Between 2010 and 2016, the proportion of live births resulting from contraceptive failure rose from 7.8 to 10.0%, with higher risks among younger, parous and socially disadvantaged mothers. The risk ratio of contraceptive failure in 2016 compared to 2010 remained higher after sociodemographic adjustments (aRR = 1.34; 95% CI; 1.23–1.47) and after adjusting for pre-pregnancy contraceptive method mix (aRR = 1.35; 95% CI; 1.25–1.49). Increases in contraceptive failures were concentrated among pill and condom users. Conclusions Recent shifts in contraceptive behaviors in France following the 2012 pill scare may be associated with a subsequent increase in births resulting from short acting contraceptives failures.

scholarly journals FAKTOR YANG MEMPENGARUHI PENGGUNAAN JENIS METODE KONTRASEPSI JANGKA PANJANG (MKJP) PADA WANITA MENIKAH USIA SUBUR DI PROVINSI JAWA TIMUR

2019 ◽  
Vol 13 (2) ◽  
pp. 246
Author(s):  
Luki Triyanto
Keyword(s):  
Family Planning ◽  
Multinomial Logistic Regression ◽  
Secondary Data ◽  
Women Of Childbearing Age ◽  
Residential Areas ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Multinomial Logistic Regression Analysis ◽  
Family Planning Programs ◽  
The Government

Long-Acting and Permanent Method (LAPM) is a very effective method of contraception, but women of childbearing age majority use short-term contraceptive methods. The purpose of this study was to apply multinomial logistic regression analysis in predicting factors affecting Fertile Women in the use of LAPM in East Java Province in 2012. This research use secondary data that was result of Indonesia Demographic Health Surveys (IDHS) year 2012 using the number of 171 respondents. The results of this study indicated the variables that affected the use of LAPM of WUS age (p = 0.008), education level (p = 0,004), occupation (p = 0,029), source of family planning services (p = 0,000), residence area (p = 0.016). The conclusion of this study was age, educational level, occupation, source of FP services, and residential areas affecting the use of long-term contraceptive methods in women of childbearing age. Therefore the government  through the National Family Planning Coordinating Board (BKKBN),­ still pay attention to the family planning program and ensure every community to implement family planning programs and educate and promote family planning programs to resolve the problems of the population.

scholarly journals PARITAS, PEKERJAAN DAN PENDIDIKAN BERHUBUNGAN DENGAN PEMILIHAN ALAT KONTRASEPSI MKJP PADA AKSEPTOR KB

2021 ◽  
Vol 7 (4) ◽  
pp. 744-750
Author(s):  
Novi Eniastina Jasa ◽  
Akma Listiana ◽  
Risneni Risneni
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Maternal Education ◽  
Univariate Analysis ◽  
P Value ◽  
Contraceptive Device ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Selection Of

Introduction : Long Term Contraceptive Method (MKJP) is a contraceptive method used to delay, space out pregnancy, and stop fertility that is used in the long term, which includes IUD (Intra Uterine Device), Implant (KB) and tubectomy. The MKJP failure rate is reported to be 0.2 per thousand users, while the non MKJP method is reported to be more than 10 per thousand users. From this, it can be seen that the MKJP method is more effective in preventing pregnancy in its users. The purpose of this study was to determine the relationship between parity, employment and education with the selection of Long-term Contraceptive Methods (MKJP) at PMB Rosbiatul.Method : The research design is correlational descriptive with a cross sectional approach. The population in this study were all MKJP and Non MKJP family planning acceptors who visited PMB Rosbiatul with a total of 194 respondents. The sampling technique in this study is total sampling where the entire population is used as a research sample, namely as many as 194 respondents. The variables in this study were parity, occupation and education with the selection of the MKJP Contraceptive Device. The measuring instrument used is a data collection format in the form of a checklist. This research was carried out from January to August in 2021. The data analysis used was quantitative analysis carried out through univariate analysis to see the distribution of each variable, bivariate analysis using Chi Square.Results : Of the 194 family planning acceptors, 82 people (42.3%) used the Long-Term Contraception Method (MKJP) and 112 people (57.7%) used the Non-MKJP Contraception Method. From 194 there were 123 multiparous (63.4%), and 71 primiparous (36.6%). From 194 people, 69 respondents (35.6%) worked and 125 people (64.4%) did not work. From 194 people, there are 133 respondents (68.6%) with higher education and 61 respondents (31.4%) with low education. From the results of the study, it is known that there is a relationship between the selection of the MKJP KB with maternal education with a p value of 0.002, there is a relationship between the selection of the MKJP KB with the mother's occupation, with a p value of 0.003, and there is a relationship between the selection of the MKJP KB with maternal parity with a p value. value 0.003.Conclusion :  The conclusion of the study is that there is a significant relationship between parity, education and mother's occupation with the choice of long-term contraceptive method (MKJP). Suggestion : Health workers are expected to be able to provide counseling and information about Long-Term Contraceptive Methods (MKJP) for effectiveness in preventing or spacing pregnancies. Keywords : parity, employment, education, MKJP ABSTRAK Latar Belakang: Metode Kontrasepsi Jangka Panjang (MKJP) adalah metode kontrasepsi yang digunakan untuk menunda, menjarangkan kehamilan, serta menghentikan kesuburan yang digunakan dalam jangka panjang, yang meliputi IUD (Intra Uterine Device) , Implant (susuk KB) dan tubektomi. Angka kegagalan MKJP dilaporkan sebesar 0,2 perseribu pengguna, sedangkan metode non MKJP dilaporkan terjadi lebih dari 10 perseribu pengguna. Dari hal tersebut terlihat bahwa metode MKJP lebih efektif untuk dapat mencegah terjadinya kehamilan pada penggunanya.. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan paritas, pekerjaan dan pendidikan dengan pemilihan Metode Kontrasepsi jangka Panjang  (MKJP)  di PMB Rosbiatul.Metode Penelitian: Design penelitian adalah deskriptif korelasional dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua akseptor KB MKJP dan Non MKJP yang mengunjungi PMB Rosbiatul dengan jumlah 194 responden. Tekhnik pengambilan sample pada penelitian ini adalah total sampling dimana seluruh populasi di jadikan sample penelitian yaitu sebanyak 194 responden. Variabel dalam penelitian ini adalah paritas, pekerjaan dan pendidikan dengan pemilihan Alat Kontrasepsi MKJP. Alat ukur yang digunakan adalah format pengumpulan data berupa checklist.  Penelitian ini dilaksanakan pada bulan Januari sampai bulan Agustus pada tahun 2021. Analisis data yang digunakan adalah analisis kuantitatif dilakukan melalui analisis univariat untuk melihat distribusi masing-masing variabel, analisis bivariate menggunakan Chi Square.Hasil penelitian: Dari 194 akseptor KB sebanyak 82 orang ( 42,3%) menggunakan Metode Kontrasepsi Jangka Panjang (MKJP) dan sebanyak 112 orang (57,7%) menggunakan Metode Kontrasepsi Non MKJP. Dari 194 ada 123 multipara (63,4%), dan 71 0rang primipara (36,6%). Dari 194 orang sebesar 69 responden (35,6%) bekerja dan 125 orang (64,4%) tidak bekerja. Dari 194 orang terdapat 133 responden (68,6%) pendidikan tinggi dan 61 responden (31,4%) pendidikan rendah. Dari  hasil penelitian diketahui terdapat hubungan antara pemilihan KB MKJP dengan pendidikan ibu dengan nilai p.value 0,002, terdapat hubungan antara pemilihan KB MKJP dengan pekerjaan ibu, dengan nilai p value 0,003, dan terdapat hubungan antara pemilihan KB MKJP dengan paritas ibu dengan nilai p.value 0,003.Kesimpulan: Ada hubungan yang signifikan antara paritas, pendidikan dan pekerjaan ibu dengan pemilihan metode kontrasepsi jangka panjang (MKJP).Saran: Bagi tenaga kesehatan diharapkan dapat memberikan konseling serta informasi tentang Metode Kontrasepsi Jangka Panjang (MKJP) untuk efektifitas dalam mencegah atau menjarangkan kehamilan Kata Kunci: paritas, pekerjaan, pendidikan, MKJP

scholarly journals A prospective study of demographic and socioeconomic factors responsible for non-acceptance of family planning methods at tertiary care teaching hospital, Gujarat, Indiaal, Gujarat, India

2021 ◽  
Vol 10 (9) ◽  
pp. 3361
Author(s):  
Neelam Joharwal ◽  
Shital Kapadia
Keyword(s):  
Family Planning ◽  
Teaching Hospital ◽  
Contraceptive Method ◽  
Tertiary Care ◽  
Married Women ◽  
Contraceptive Methods ◽  
Tertiary Care Teaching Hospital ◽  
Planning Methods ◽  
Study Population ◽  
Family Planning Methods

Background: Population explosion has been major challenge for India since Independence. The adoption of contraceptive methods remains the best solution to this problem. The objective of this study was to determine the factors for non-acceptance of different contraceptive methods among married women of postnatal ward in tertiary care hospital, Ahmedabad, Gujarat, India. The aim of the study was to analyse about the level of awareness and attitude towards different methods of contraception among married women of reproductive age groups.Methods: It was a prospective observational study carried out in the department of obstetrics and gynaecology, B. J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India, a tertiary care teaching hospital from June 2019 to November 2020. 200 patients meeting inclusion criteria were included. Case sheets were analysed to obtain data regarding reasons for non-acceptance of contraceptive methods.Results: In our study, we found that among study population 64% women use family planning methods, which was still low as compared to developed countries. 36% women were non-users in study population. The main reason of non-acceptance of contraceptive method were desire for male child, non-allowance by religion/custom, the myth regarding price of contraceptive method, desire of more children and worry about side effects.Conclusions: To increase the use of contraceptive among women, we can increase awareness about different family planning method with counselling about various available contraceptives. It is also important to increase participation of husbands as they often influence the decision regarding reproductive health of women.

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