scholarly journals Contraceptive situation and Influencing Factors in Guangdong Province: A comparative questionnaire study

2021 ◽  
Author(s):  
FAN JIANG ◽  
Yanxia Qu ◽  
Peixuan Lin ◽  
Li Li ◽  
Qingshan Xuan ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Induced Abortion ◽  
Care Providers ◽  
Monthly Income ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Contraceptive Services ◽  
Post Abortion

Abstract BackgroundThe aim of our study is to describe the status of induced abortion and contraceptive use in reproductive women and make clear the correlated factors in Guangdong province.MethodA self-administered questionnaire survey was conducted separately in 1839 individuals aged 18–49 and 900 health care providers from Guangdong province. The content of questionnaire was based on status of induced abortion and contraceptive use for the former and problems concerning contraceptive services for the latter. Systematic random sampling was used and data were analyzed using SPSS 19.0. Descriptive statistics and binary logistic regression were used in this study.Results30.61% of participants experienced the induced abortion. The rate of repeated abortion was 19.96% and it was 20.45% in persons under 20 years old. 18.23% of 1839 individuals chose LARC as the main contraceptive method. The females with college degree(Odds ratio, OR = 1.867; 95% confidence intervals 95%CI: 1.175–2.969), technologists(OR = 2.291; 95%CI: 1.063–4.936) and the persons whose monthly income were of between 3000–5000¥(OR = 1.920; 95%CI: 1.204–3.065) were more likely to use LARC. The younger females less than 30 years old and never using PAC services had lower odds of using LARC. The rate of post abortion care performance was merely 12.23%. Age, monthly income, occupation, living conditions and obtaining free contraceptives in time were all strongerly influence factors for the use of post-abortion care(P < 0.01). The satisfaction rate of free contraceptive services was about 57.44%. Variety uniformity, obtaining inconveniently and worrying about the quality were the main reasons. 66.22% of hospitals set up the department of family planning in our study. Highly work intensity(54.67%) and less leadership (40.22%) influenced health care providers to provide family planning services.ConclusionThe abortion rate was high especially in young women. There were many problems affecting contraceptive services which damaged women’reproductive health. Increasing government investment for family planning services, strengthening the construction of the family planning department and performing post abortion care and long-acting reversible contraception by taking relevant steps would be useful measures for improving current contraceptive status.

Post-abortion fertility desires, contraceptive uptake and unmet need for family planning: voices of post-abortion care clients in Tanzania

2020 ◽  
pp. 1-16
Author(s):  
Colin Baynes ◽  
Erick Yegon ◽  
Grace Lusiola ◽  
Japhet Achola ◽  
Rehema Kahando
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Pregnancy Intentions ◽  
Middle Income ◽  
Fertility Desires ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Contraceptive Uptake

Abstract Post-abortion care (PAC) integrates elements of care that are vital for women’s survival after abortion complications with intervention components that aid women in controlling their fertility, and provides an optimal window of opportunity to help women meet their family planning goals. Yet, incorporating quality family planning services remains a shortcoming of PAC services, particularly in low- and middle-income countries. This paper presents evidence from a mixed method study conducted in Tanzania that aimed at explaining factors that contribute to this challenge. Analysis of data obtained through client exit interviews quantified the level of unmet need for contraception among PAC clients and isolated the factors associated with post-abortion contraceptive uptake. Qualitative data analysis of interviews with a subset of these women explored the multi-level context in which post-abortion pregnancy intentions and contraceptive behaviours are formed. Approximately 30% of women interviewed (N=412) could recall receiving counselling on post-abortion family planning. Nearly two-thirds reported a desire to either space or limit childbearing. Of those who desired to space or limited childbearing, approximately 20% received a contraceptive method before discharge from PAC. The factors significantly associated with post-abortion contraceptive acceptance were completion of primary school, prior use of contraception, receipt of PAC at lower level facilities and recall of post-abortion family planning counselling. Qualitative analysis revealed different layers of contextual influences that shaped women’s fertility desires and contraceptive decision-making during PAC: individual (PAC client), spousal/partner-related, health service-related and societal. While results lend support to the concept that there are opportunities for services to address unmet need for post-abortion family planning, they also attest to the synergistic influences of individual, spousal, organizational and societal factors that influence whether they can be realized during PAC. Several strategies to do so emerged saliently from this analysis. These emphasize customized counselling to enable client–provider communication about fertility preferences, structural intervention aimed at empowering women to assert those objectives in family and health care settings, availability of information and services on post-abortion fertility and contraceptive eligibility in PAC settings and interventions to facilitate constructive spousal communication on family planning and contraceptive use, after abortion and in general.

scholarly journals A művi abortusz a férfi partner szemszögéből

2019 ◽  
Vol 160 (18) ◽  
pp. 694-699
Author(s):  
Beáta Magda Nagy ◽  
Adrien Rigó
Keyword(s):  
Health Care Providers ◽  
Induced Abortion ◽  
Point Of View ◽  
Female Partner ◽  
Care Providers ◽  
Male Partners ◽  
Personal Support ◽  
Abortion Care ◽  
Post Abortion ◽  
Emotional Balance

Abstract: Induced abortion is an intervention that scientific research primarily addresses from the concerned women’s point of view in terms of either the causes or the consequences of the abortion decision. Nevertheless, each case of abortion involves a man as much as a woman (in the same vein as conception), which calls for the better knowledge of male partners’ needs, expectations and experiences related to induced abortion. The present summary addresses male partners’ status and importance in abortion care in a practical approach based on professional considerations. Available empirical findings suggest that male partners’ involvement in abortion care has importance both in protecting men’s emotional balance and in providing support for women in adapting to the abortion process. Male partners’ deeper involvement possibly includes roles such as seeing the female partner to the intervention, participation in pre-abortion counselling, presence during the intervention, and participation in post-abortion care. Related findings show that all of these forms of support are related to women’s positive abortion-related experiences and thus to their better recovery (provided that the female partner expresses a need for her male partner’s personal support). Furthermore, male partners’ involvement in abortion care enables health care providers to tailor counselling (information on the intervention, on possible consequences, on contraceptive methods etc.) to men’s specific needs. These practices facilitate partners’ joint and informed decision making, joint responsibility for conception or contraception, and eventually contribute to reducing the incidence of induced abortion. Orv Hetil. 2019; 160(18): 694–699.

scholarly journals Post abortion care: experience of the gynecological and obstetrical service of Treichville university hospital center, Abidjan-Cote D’ivoire

2016 ◽  
Vol 6 (1) ◽  
pp. 60
Author(s):  
Dia Jean Marc ◽  
Bohoussou Eric ◽  
Yao Ignace ◽  
Oyéladé Mouhideen ◽  
Okon Gerard ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Induced Abortion ◽  
University Hospital ◽  
Sociodemographic Characteristics ◽  
Care Experience ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Hiv Test ◽  
Post Abortion ◽  
Hospital Center

Background: The objectives of our study were to determine the sociodemographic characteristics of the patients received in our service for abortion and to describe the Post Abortion Cares (PAC) that have been administered since the 2014 reorganization.Methods: This was a descriptive and prospective study over 12 months taking into account patients admitted to our department for abortion.Results: The frequency of abortions was 24%. The majority of patients were less than 25 years old (84.95%) and single (74.33%) had a low level of study (71.68%), an induced abortion history (73.75%) and a notion of contraceptive use (58%). On admission 15.48% of abortions were complicated. Patients mostly received, during their stay, abortion emergency cares (71.68%), contraception (81.25%) and HIV test (90.26%). They also benefited at 6 weeks from the cervical cancer screening (78.57%).Conclusions: The reorganization of the practice of abortion care permitted us to have the expected results.

Abortion views and practices among Danish family physicians

1976 ◽  
Vol 8 (3) ◽  
pp. 287-292 ◽  
Author(s):  
Michala Gammeltoft ◽  
Ronald L. Somers
Keyword(s):  
Significant Positive Correlation ◽  
Pregnancy Termination ◽  
Family Physicians ◽  
Induced Abortion ◽  
Abortion Care ◽  
Proper Role ◽  
Perceived Success ◽  
Contraceptive Services ◽  
Post Abortion ◽  
Danish Family

SummarySixty-seven GPs from a suburb of Copenhagen were interviewed regarding their experience with and opinion of induced abortion. The younger physicians in the sample were (a) significantly more experienced in areas of medical practice relating to abortion care, (b) significantly more positive in their attitude towards abortion, and (c) significantly more likely to emphasize the provision of contraceptive services to women undergoing pregnancy termination. Independent of the influence of age, a significant positive correlation was found between abortion attitude and the emphasis placed on providing contraception. A physician's self-perceived success in providing post-abortion contraception was found to relate in part to his/her view of the proper role to be played by a GP in abortion cases.

scholarly journals Incidence of Induced Abortion and Post-Abortion Care in Tanzania

PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0133933 ◽  
Author(s):  
Sarah C. Keogh ◽  
Godfather Kimaro ◽  
Projestine Muganyizi ◽  
Jesse Philbin ◽  
Amos Kahwa ◽  
...  
Keyword(s):  
Induced Abortion ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

scholarly journals ANALYSIS OF SELECTION OF CONTRACEPTIVE METHOD AMONG WOMEN IN TANZANIA

2020 ◽  
Vol 1 (2) ◽  
pp. 45-49
Author(s):  
Woo Lee ◽  
Jasson John
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Menstrual Period ◽  
Abortion Care ◽  
Important Decision ◽  
Post Abortion Care ◽  
Living Children ◽  
Post Abortion ◽  
Permanent Method ◽  
Selection Of

There are numerous methods of contraception selection and making selection among one of these method is an important decision. Commence of suitable contraception is important before starting first post-abortal menstrual period. Generally, it is required to provide individuals and couples about treatments, complications, counseling related to HIV/STI as part of post abortion care. The study is observational in nature and conducted in a hospital in Tanzanian capital. The sample included in the study was 60 patients. The results showed that among illiterate women along with those who have more than 1 living son or who have 4 or more living children prefer permanent method. We also found that contraception method is influenced by different demographic factors including living children gender, couple age, education, and income. Couples who feel that their families are completed mostly opt for permanent method of contraception. Family planning choices is also influenced by desire for a male child.

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Contraceptive Use ◽  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Network ◽  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC services compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.

scholarly journals Rural-Urban Disparities in the Acceptance and Adoption of Family Planning among Couples in Oyo State, Nigeria

2021 ◽  
Vol 8 (3) ◽  
pp. 31-47
Author(s):  
Stella Akinso
Keyword(s):  
Family Planning ◽  
Health Care Providers ◽  
Urban Areas ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
Family Type ◽  
Living Standard ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Rural And Urban

Modern contraceptive use can enhance the living standard and reduce mortality among people living in rural and urban areas. However, contraceptive use tends to be low in the rural than the urban populace. A descriptive, cross-sectional study of systematic sampling technique was used to select 570 persons of reproductive age in the rural and urban communities of Oyo State. A semi-structured questionnaire on socio-demographic characteristics, knowledge, attitude and factors influencing uptake of modern contraceptives was administered to respondents. of the 570 respondents, the mean age was 34.3 ±8.4 years. The majority (63.3%) were female compared to 36.7% male respondents. Most (97.0%) of respondents had heard of family planning in the past. The result shows significant differences in location, gender, marital status, occupation, ethnicity, and a number of children (P<0.001). The majority (33.3%) of the respondents sourced family planning information from health care providers, while 31.3% sourced theirs from mass media – Radio, TV, or newspapers. Respondents in urban areas were currently using family planning methods than respondents in rural areas (61.8% vs. 38.2%). People in the urban area are 2.344 times the odds of utilizing any family planning compared to people in rural area (95% CI 1.495, 3.676). Urban and rural disposition to modern contraception services is influenced by economic, socio-cultural, environmental factors, location, age, educational, traditional beliefs, religion, family type, and level of knowledge. Although some signs of progress have been made in family planning at the communities, more work needs to be done. Men need to be actively involved, and other fears about family planning addressed. Keywords: Acceptance, Disparity, Family Planning, Rural, Urban.

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