scholarly journals “Due to the side effects she has when using the method it will be difficult for nurses to convince her to continue with that method. That’s why I said she will leave with another method.”: Family planning providers and contraceptive users in Rwanda do not consider discontinuation an option

2019 ◽  
Author(s):  
Hilary M. Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Planning Program ◽  
Program Success ◽  
Contraceptive Discontinuation ◽  
Desired Family Size ◽  
Long Acting ◽  
The Right

Abstract Background Contraceptive discontinuation is a common event. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users is imperative for long-term family planning program success. Methods This qualitative study in Rwanda in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with contraceptive users. The data were collected in the two districts with the highest and lowest rates of contraceptive use, Musanze and Nyamasheke, respectively. The aim of this study is to better understand contraceptive use dynamics in Rwanda. Results Family planning providers and current users in Rwanda do not consider method discontinuation an option. Providers give support and medicine for side effects for continuers and counseling for those opting to switch. Current users are willing to try many methods until they find the right one for them – and once they find the right method, they plan to, or use the method, for long durations. Conclusions The Rwandan family planning program is primed to meet the needs of users in their sustained use of contraceptives through empathetic and responsive counseling. Concurrently, family planning users are determined to use family planning to meet their desired family size goals. The matching goals of both providers and clients indicates that contraceptive use will likely continue to increase in the future in Rwanda; however, due to long periods of pregnancy prevention desired – increased use of long acting methods should be encouraged.

scholarly journals Family Planning Providers and Contraceptive users in Rwanda Employ Strategies to Prevent Discontinuation

2021 ◽  
Author(s):  
Hilary Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Planning Program ◽  
Group Discussions ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation ◽  
Desired Family Size ◽  
Long Acting ◽  
The Right

Abstract Background: Contraceptive discontinuation is a common event. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users is imperative for long-term family planning program success.Methods: This qualitative study in Rwanda in 2018 included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with contraceptive users. The data were collected in the two districts with the highest and lowest rates of contraceptive use, Musanze and Nyamasheke, respectively. The aim of this study is to better understand how providers and contraceptive users in Rwanda navigate one of the greatest challenges to family planning programs: contraceptive discontinuation.Results: Family planning providers and current users in Rwanda do not consider method discontinuation an option. Providers give support and medicine for side effects for continuers and counseling for those opting to switch. Current users are willing to try many methods until they find the right one for them – and once they find the right method, they plan to, or use the method, for long durations.Conclusions: The Rwandan family planning program is primed to meet the needs of users in their sustained use of contraceptives through empathetic and responsive counseling. Concurrently, family planning users are determined to use family planning to meet their desired family size goals. The matching goals of both providers and clients indicates that contraceptive use will likely continue to increase in Rwanda. Due to long periods of pregnancy prevention desired by users the increased use of long acting methods should be encouraged.

scholarly journals Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilary Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
First Year ◽  
Modern Contraceptive ◽  
Group Discussions ◽  
Program Success ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background In Rwanda, nearly a third of contraceptive users discontinue within the first year of use. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users and minimizing discontinuation is imperative for long-term family planning program success. This study explores the efforts providers and contraceptive users in Rwanda employ to prevent one of the greatest challenges to family planning programs: contraceptive discontinuation. Methods This was a qualitative study conducted in Rwanda between February and July 2018. It included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with experienced modern contraceptive users. Data were collected in two districts with the highest (Musanze) and lowest (Nyamasheke) rates of contraceptive use. Data were analyzed using thematic content approach. Results Family planning providers in this study used the following strategies to prevent discontinuation: counseling new users on the potential for side effects and switching, reminding clients about appointments for resupply, as well as supporting dissatisfied users by providing counseling, medicine for side effects, and discussing options for switching methods. Users, on the other hand, employed the following strategies to prevent discontinuation: having an understanding that experiences of side effects vary by individuals, supporting peers to sustain use, persisting with use despite experiences of side effects, and switching methods. Conclusions The strategies used by family planning providers and users in Rwanda to prevent discontinuation suggest the possibility of long-term sustained use of contraception in the country. Harnessing and supporting such strategies could contribute to sustaining or improving further contraceptive use in the country.

scholarly journals A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Susan Ontiri ◽  
Lilian Mutea ◽  
Violet Naanyu ◽  
Mark Kabue ◽  
Regien Biesma ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Peer Influence ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Modern Contraceptive ◽  
Modern Contraception ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background Addressing the unmet need for modern contraception underpins the goal of all family planning and contraception programs. Contraceptive discontinuation among those in need of a method hinders the attainment of the fertility desires of women, which may result in unintended pregnancies. This paper presents experiences of contraceptive use, reasons for discontinuation, and future intentions to use modern contraceptives. Methods Qualitative data were collected in two rural counties in Kenya in 2019 from women with unmet need for contraception who were former modern contraceptive users. Additional data was collected from male partners of some of the women interviewed. In-depth interviews and focus group discussions explored previous experience with contraceptive use, reasons for discontinuation, and future intentionality to use. Following data collection, digitally recorded data were transcribed verbatim, translated, and coded using thematic analysis through an inductive approach. Results Use of modern contraception to prevent pregnancy and plan for family size was a strong motivator for uptake of contraceptives. The contraceptive methods used were mainly sourced from public health facilities though adolescents got them from the private sector. Reasons for discontinued use included side effects, method failure, peer influence, gender-based violence due to covert use of contraceptives, and failure within the health system. Five reasons were provided for those not willing to use in the future: fear of side effects, cost of contraceptive services, family conflicts over the use of modern contraceptives, reduced need, and a shift to traditional methods. Conclusion This study expands the literature by examining reasons for contraceptive discontinuation and future intentionality to use among women in need of contraception. The results underscore the need for family planning interventions that incorporate quality of care in service provision to address contraceptive discontinuation. Engaging men and other social influencers in family planning programs and services will help garner support for contraception, rather than focusing exclusively on women. The results of this study can inform implementation of family planning programs in Kenya and beyond to ensure they address the concerns of former modern contraception users.

scholarly journals Ethnic Disparities in Contraceptive Use and its Impact on Family Planning Program in Nepal

2012 ◽  
Vol 6 (2) ◽  
pp. 14-19 ◽  
Author(s):  
MK Mishra
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Ethnic Groups ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Reproductive Age ◽  
Multilevel Logistic Regression ◽  
Planning Program ◽  
Modern Contraceptives ◽  
The Impact

Aims: Regardless of three decades of implementation of family planning program in Nepal, need of family planning services is largely unmet. Systematic studies, evaluating the impact of family planning program on several ethnic groups of Nepal has not been carried out in large scale. This study sheds light on the investigation of, whether the use of contraceptives varies among different ethnic groups in Nepal and what are the predictors of contraceptive variance in ethnic groups in Nepal. Methods: The study is based on data collected from Nepal Demographic Health Survey (NDHS) 2006. Multilevel logistic regression analyses of 10793 married women of reproductive age nested within 264 clusters from the surveys were considered as the sample size. Individual, household, and program variables were set and a multilevel logistic regression model was fitted to analyse the variables, using GLLAMM command in STATA-9. Results: Multilevel logistic regression analysis indicated that Muslims, Dalits and Terai Madheshi women were significantly less likely to use modern contraceptives compared to the Brahmins and Chhetries (Higher Castes). Women who were exposed to family planning information on radio were more likely to use modern contraceptives than women not exposed to radio information (OR=1.22, P> 0.01). An odd of using contraceptives by Newars was (OR 1.09, P>0.05), the highest among all ethnic groups. Exposure of women to family planning messages through health facilities, family planning workers and means of communication, increased the odds of using modern contraceptives. However, impact of the family planning information on contraceptive use varied among ethnicity. Conclusions: Special attention needs to be paid, in particular to the ethnicity, while formulating family planning policies in Nepal, for better success rate of family planning intervention programs. NJOG 2011 Nov-Dec; 6 (2): 14-19 DOI: http://dx.doi.org/10.3126/njog.v6i2.6750

scholarly journals EFFORTS TO INCREASE INTEREST IN VASECTOMY FAMILY PLANNING ACCEPTORS

2020 ◽  
Vol 9 (2) ◽  
pp. 240-243
Author(s):  
Agus Sulistyowati ◽  
Ni Putu Widari
Keyword(s):  
Family Planning ◽  
Health Education ◽  
Family Planning Program ◽  
Safe Motherhood ◽  
Educational Activity ◽  
Planning Program ◽  
Childbearing Age ◽  
Number Of Children ◽  
The Family ◽  
The Right

Family planning is one of the four pillars of safe motherhood, which plays a role in ensuring that each person or partner has access to family planning information and services so that they can plan the right time for pregnancy, the length of pregnancy, and the number of children . The factor of the lack of success of the family planning program cannot be separated from the lack of interest in the community, especially couples of childbearing age (PUS) using contraceptives. of them still consider the high cost and not easy to use the stable contraceptive method. The steady method of contraception is a method of contraception which in men is called a vasectomy . Based on data from the 2017 Indonesian Demographic and Health Survey (IDHS), the percentage of male contraceptives using condoms is 2.5%. There are several factors that make men reluctant to take family planning, including low knowledge and understanding of reproductive rights, limited equipment. male contraception, social conditions, rumors about vasectomy and negative condom use (Depkes RI, 2010). According to Notoatmodjo (2010), knowledge is a big factor in increasing men's participation in family planning. One's knowledge of health can be obtained through health education, Ali (2000) revealed that health education is an educational activity carried out by spreading messages, instilling confidence, so that people are not only aware, know and understand, but also want and can do something. advice that has to do with health . Learning media or health education media that can and quickly deliver health messages include: television, radio, newspapers / magazines, posters / pamphlets, billboards / banners / banners, and the internet . Key words: Vasectomy, Acceptors, Family Planning

scholarly journals Dynamics of contraceptive use among young women in Nepal

2018 ◽  
Vol 18 (17) ◽  
pp. 33-42
Author(s):  
Ramesh Babu Kafle
Keyword(s):  
Family Planning ◽  
Young Women ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Married Women ◽  
The Family ◽  
Nationally Representative ◽  
Long Acting ◽  
Almost All ◽  
Method Mix

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.

scholarly journals Implementation of Program to Increase Men's Participation in the Use of Vasectomy Contraception

2020 ◽  
Vol 10 (1) ◽  
pp. 92-101
Author(s):  
Ilham Syahputra ◽  
Hidayat Hidayat ◽  
Ratih Baiduri
Keyword(s):  
Family Planning ◽  
Child Protection ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Population Control ◽  
Sampling Technique ◽  
Planning Program ◽  
Family Planning Programs ◽  
The Government ◽  
And Function

This study aims to find out how to implement a program to increase the use of vasectomy contraception, to identify the implementation of vasectomy contraceptive services and to know the role and function of stakeholders in the implementation of vasectomy contraceptive use policies. This research was conducted through a qualitative research with a descriptive approach conducted in Tanjung Morawa Sub-District, Deli Serdang Regency. The research informants were determined by purposive sampling technique by involving the Department of Family Planning program manager in Deli Serdang District, family planning counselors, family planning cadres and acceptors (users) of vasectomy contraception. Research data collection were done through interviews, observation and documentation studies. The results indicates that the management of family planning programs was based on the mandate of Law No. 52/2009 where the government through the National Population and Family Planning Agency (BKKBN) carries out the function of controlling population and organizing family planning (KB) programs. In managing the vasectomy family planning program in Tanjung Morawa Sub-district, Deli Serdang Regency, there were several parties that have an important role in disseminating information and facilitating vasectomy services such as the Population Control Office, Family Planning and Women's Empowerment, Deli Serdang Regency Child Protection, Family Planning Extension, Family Planning Motivators and Family Planning Cadres. Strategy of vasectomy service for free, mobile services as well as the provision of incentives for vasectomy acceptors were able to attract men’s interest  to be involved in family planning programs as users of vasectomy contraception.

scholarly journals GAMBARAN KENAIKAN BERAT BADAN PADA AKSEPTOR KB SUNTIK 3 BULAN DI PMB BIDAN AMBARWATI CILACAP TAHUN 2020

2021 ◽  
Vol 3 (1) ◽  
pp. 19
Author(s):  
Nursamsiyah Nursamsiyah ◽  
Siti Rohmah
Keyword(s):  
Body Weight ◽  
Weight Gain ◽  
Family Planning ◽  
Health Services ◽  
Family Planning Program ◽  
Light Weight ◽  
Planning Program ◽  
Childbearing Age ◽  
Descriptive Research ◽  
The Right

Program Keluarga Berencana (KB) adalah mengatur kehamilan dengan menggunakan alat atau cara kontrasepsi. Pemakaian alat kontrasepsi yang benar dan tepat oleh pasangan usia subur dijadikan upaya untuk menunda kehamilan, menjarangkan kehamilan dan mengakhiri kehamilan (BKKBN 2010). Menurut WHO jumlah penggunaan kontrasepsi suntik di seluruh dunia yaitu sebanyak 4.000.000 atau sekitar 45%. Kontrasepsi di Indonesia paling banyak di minati yaitu kontrasepsi suntik sebesar 34,3% (Riskesdas, 2013). Untuk mengetahui Gambaran Kenaikan Berat Badan Pada Akseptor KB Suntik Di PMB Bidan Ambarwati.,Amd.,Keb Tahun 2020". Jenis penelitian ini menggunakan penelitian deskriftif yaitu peneliti hanya memberikan gambaran objek, tidak menggeneralisasi hasilnya. Penelitian ini dilakukan dengan memberikan gambaran tentang kenaikan berat badan pada akseptor kb suntik (Sulistyoningsih, 2011). Hasil Penelitian ini didapatkan 100 akseptor yang mengalami kenaikan berat badan dengan klasifikasi berat badan ringan sebanyak 87 orang dan berat 13 orang. Berdasarkan hasil penelitian dan pembahasan maka dapat disimpulkan Gambaran Yang Mengalami Kenaikan Berat Badan Pada Akseptor KB Suntik 3 Bulan Di PMB Bidan Ambarwati Cilacap Tahun 2020 sebanyak 100 orang. Diketahui kenaikan berat badan responden dengan kategori IMT Ringan sebanyak 87 akseptor dan kategori Berat sebanyak 13 akseptor. Diharapkan bidan agar lebih meningkatkan konseling dalam pelayanan kesehatan kepada WUS sehingga ibu dapat memperoleh informasi yang mencakup yang mengalami dengan kenaikan berat badan pada akseptor kb suntik.The Family Planning Program (KB) is the way to regulate pregnancy by using a tool or contraception method. The right and correct use of contraception method by couples of childbearing age is used as an effort to delay pregnancy, space out pregnancy and end pregnancy (BKKBN 2010). According to WHO, there are 4,000,000 or 45%  injection contraception used worldwide. The most popular contraception used in Indonesia is injection contraception as many as 34.3%. To find out the description of weight gain in injection contraception acceptors at PMB Midwife Ambarwati., Amd., Keb in the year of 2020. This type of research uses descriptive research, in which the researcher only provides an overview of the object, not generalizing the results. This study was conducted by providing an overview of weight gain in injection contraception acceptors. The results of this study found that 100 acceptors who have weight gain were classified into light weight for 87 people and heavy weight gain for 13 people. Based on the result and discussion, it can be concluded that there are 100 people who have weight gain at 3-month injection contraception acceptors at PMB Midwife Ambarwati Cilacap in 2020. It is found that in the increase of body weight respondents, there are 87 acceptors in the light IMT category and 13 acceptors in the heavy category. It is expected that midwives ought to further improve counseling in health services for WUS so that mothers can obtain information including those who have weight gain toward injection contraception acceptors.

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