scholarly journals Factors Influencing the Use of Reproductive Health Services among Young Women in Nepal: Analysis of the 2016 Nepal Demographic and Health Survey

2020 ◽  
Author(s):  
Naba Raj Thapa
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Young Women ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Reproductive Health Services ◽  
Skilled Birth Attendants ◽  
Birth Attendants ◽  
Factors Influencing ◽  
Modern Contraceptive Use

Abstract Background: Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of this study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods: Data have been extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets wherein the weighted sample population size was restricted for modern contraceptive use to 1593 whereas for the antenatal care and skilled birth attendants to1606. This study has selected three reproductive health indicators as outcome variables of reproductive health service utilization for the analysis viz, modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendants. Likewise, all calculations are based on standard sample weight of NDHS. Results: The study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young Janajati women, women having 1-2, and 3 or more living children, women participating household decision-making, and the ones having exposure to media were more likely to use modern contraceptives, whereas the women who want more children were less likely to use them. Higher education attainments, higher wealth quintile, and lower birth order were associated with higher level of receiving at least four ANC visits and SBAs. However, the young women willing to have more children and having access to media have higher odds of receiving at least four ANC visits; and the women attending four and more ANC visits have higher odds of using SBAs. Conclusions: In order to improve the use of reproductive health services among young women, efforts should be made to enrich the young women of lower educational level, lower economic status, higher birth order, and lower exposure to media. Further research is required to detect the causes that affect the use of reproductive health services.

scholarly journals Factors Influencing the Use of Reproductive Health Services Among Young Women in Nepal: Analysis of the 2016 Nepal Demographic and Health Survey

2020 ◽  
Author(s):  
Naba Raj Thapa
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Young Women ◽  
Contraceptive Use ◽  
Skilled Birth Attendant ◽  
Modern Contraceptive ◽  
Reproductive Health Services ◽  
Skilled Birth Attendants ◽  
Birth Attendants ◽  
Modern Contraceptive Use

Abstract Background About one fifth of the total population are young people aged 15-24 years in Nepal. Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. The objective of the study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods Data is extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets. The weighted sample population for modern contraceptive use is restricted to the 1593 young women, 1606 young women for the antenatal care and skilled birth attendant. Three reproductive health indicators were selected as outcome variables of reproductive health service utilization for the analysis- modern contraceptive use, at least four antenatal care visits and skilled birth attendant in delivery. All calculations were based on standard sample weight of Nepal DHS. Results The study found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young women of Janajati, women who have 1-2, and 3 and more living children, women who participate household decision-making, and have exposure to media were more likely and women who want more children were less likely to use modern contraceptives. Higher education attainment, higher wealth status, and lower birth order were associated with higher level of receiving at least four ANC visits and skilled birth attendants among young women. Young women who want more children, and who have access to media have higher odds of receiving at least four ANC visits and women who attend four and more ANC visits have higher odds of using skilled birth attendants. Conclusion To improve the use of reproductive health services among young women, efforts should be made targeting young women of low education level, low economic status, higher birth order, and low exposure to media. Further research is required to detect the barriers that effects use of reproductive health services among young women.

scholarly journals Factors Influencing the Use of Reproductive Health Services Among Young Women in Nepal: Analysis of the 2016 Nepal Demographic and Health Survey

2020 ◽  
Author(s):  
Naba Raj Thapa
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Young Women ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Reproductive Health Services ◽  
Skilled Birth Attendants ◽  
Birth Attendants ◽  
Modern Contraceptives ◽  
Modern Contraceptive Use

Abstract Background: About one fifth of the total populations are young people aged 15-24 years in Nepal. Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of the study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods: Data is extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets. In where the weighted sample population for modern contraceptive use is restricted to the 1593 young women, 1606 young women for the antenatal care and skilled birth attendants. And three reproductive health indicators were selected as outcome variables of reproductive health service utilization for the analysis- modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendance in delivery. Likewise, all calculations were based on standard sample weight of Nepal DHS. Results: The study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young women of Janajati, women who have 1-2, and 3 and more living children, women who participate household decision-making, and have exposure to media were more likely to use modern contraceptives, whereas women who want more children were less likely to use modern contraceptives. Higher education attainments, higher wealth quintile, and lower birth order were associated with higher level of receiving at least four ANC visits and skilled birth attendants among young women. But young women who wanted more children, and who have had access to media have higher odds of receiving at least four ANC visits and women who attend four and more ANC visits have higher odds of using skilled birth attendants. Conclusion: Cleared, to improve the use of reproductive health services among young women, efforts should be made to enrich target in the young women of low education level, low economic status, higher birth order, and low exposure to media. Further research is required to detect the barriers that effects use of reproductive health services among young women.

scholarly journals Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 251-256
Author(s):  
Ranjeeta Subedi ◽  
Israt Jahan ◽  
Pam Baatsen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Health Workers ◽  
Influential Factors ◽  
Modern Contraceptive ◽  
Factors Influencing ◽  
Modern Contraceptive Use ◽  
Health Rights

In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use.Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information.A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed. Keywords: Adolescent; barriers; contraceptive; Nepal; SRHR.

scholarly journals Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 251-256 ◽  
Author(s):  
Ranjeeta Subedi ◽  
Israt Jahan ◽  
Pam Baatsen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Health Workers ◽  
Influential Factors ◽  
Modern Contraceptive ◽  
Factors Influencing ◽  
Modern Contraceptive Use ◽  
Health Rights

In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use. Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information. A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review

2017 ◽  
Vol 37 (2) ◽  
pp. 79-91 ◽  
Author(s):  
Sarah R. Blackstone ◽  
Ucheoma Nwaozuru ◽  
Juliet Iwelunmor
Keyword(s):  
Contraceptive Use ◽  
Male Partner ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
African Countries ◽  
Factors Influencing ◽  
Contraceptive Side Effects ◽  
Modern Contraceptive Use ◽  
Negative Perceptions ◽  
Sub Saharan

The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women’s misconceptions of contraceptive side–effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.

scholarly journals Factors influencing utilization of reproductive health services among mothers in Meghalaya, India

2018 ◽  
Vol 7 (3) ◽  
pp. 557
Author(s):  
Navya Vyas ◽  
Jurysha Nongdhar ◽  
PArathi Rao ◽  
Prakash Narayanan ◽  
Star Pala
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Reproductive Health Services ◽  
Factors Influencing

scholarly journals “The Financial Is the Main Issue, It’s Not Even the Child”: Exploring the Role of Finances in Men’s Concepts of Fatherhood and Fertility Intention

2018 ◽  
Vol 12 (4) ◽  
pp. 1074-1083 ◽  
Author(s):  
Megan Hamm ◽  
Elizabeth Miller ◽  
Lovie Jackson Foster ◽  
Mario Browne ◽  
Sonya Borrero
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Low Income ◽  
Financial Stability ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Fertility Intention ◽  
Reproductive Health Services ◽  
Family Planning Services

Despite demonstrable need, men’s utilization of sexual and reproductive health services remains low. This low utilization may particularly affect low-income men, given the disproportionate prevalence of unintended pregnancy in low-income populations. Bolstering men’s utilization of sexual and reproductive health services requires understanding the services that are most relevant to them. Semistructured interviews about fatherhood, fertility intention, and contraceptive use were conducted with 58 low-income Black and White men in Pittsburgh, Pennsylvania. The interviews were analyzed using content analysis to determine common themes that were most relevant to the men interviewed. The primacy of financial stability emerged as a dominant theme in men’s perceptions of fatherhood readiness, successful fathering, and fertility intentions. However, men had children despite feeling financially unprepared, and their contraceptive use was not always congruent with their stated fertility intentions. Some men described financial services as a feature of family planning services that they would find useful. Because of the salience of financial stability in preparation for fatherhood, integrating financial counseling and job skills training into the context of sexual and reproductive health services could be a useful structural intervention to increase men’s use of family planning services and to provide them with the support they say they need as fathers.

scholarly journals “That would be good but most men are afraid of coming to the clinic”: Men and women’s perspectives on strategies to increase male involvement in women’s reproductive health services in rural Uganda

2016 ◽  
Vol 22 (12) ◽  
pp. 1552-1562 ◽  
Author(s):  
Katelyn M Sileo ◽  
Rhoda K Wanyenze ◽  
Haruna Lule ◽  
Susan M Kiene
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Male Involvement ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Multi Level ◽  
Facility Level ◽  
Women’S Reproductive Health ◽  
Women's Reproductive Health

In Uganda, increasing male involvement in reproductive health services may improve women’s access to care. The purpose of this study was to explore factors influencing male support for women’s reproductive health services and to elicit suggestions for strategies to increase male involvement. In 2008–2009, focus groups ( N = 76) were conducted with men and women in a rural hospital in Uganda. A content analysis approach was used for data analysis. Our findings point to the need for multi-level approaches that educate and mobilize men, while improving quality of care at the facility level to increase male involvement in reproductive health services.

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