scholarly journals Magnitude of Long-acting and Permanent Family Planning Practice and Its Factors Among Contraceptive Users: A Cross-sectional Study

Author(s):  
Alemu Abebe Wondyfraw ◽  
Nigussie Assefa Kassaw

Abstract Background: Poor contraceptive utilization increases the risk of unintended pregnancies that could results in complications and mortalities among women and children. To circumvent these adverse health outcomes, long-acting and permanent contraceptive methods are the most effective methods. This study explored the magnitude and associated factors of long-acting and permanent family planning methods utilization among current family planning users largely on the rural women of Ethiopia. Methods: The study was a facility-based cross-sectional study design. The respondents were randomly selected in Amhara region, Ethiopia. The data were entered into EPI-INFO version 7.0, cleaned, and analyzed in SPSS version 24. Descriptive statistics were done. Bivariate and multivariable logistic regression models were used to identify the factors associated with the utilization of long-acting and permanent family planning methods. Results: The total numbers of respondents were 356. The prevalence of long-acting and permanent family planning methods among current family planning users was 32.3%. The mean age of participants was 30.1±7.67 (SD) years. Almost all (94.4%) were Orthodox Christian followers and most of the respondents (91.0%) married. Nearly half of the respondents (45.2%) were illiterate and above half of the respondents (55.3%) were housewives. The odds of long-acting and permanent family planning methods utilization were statistically significant among women aged 25-34 years [AOR=5.10; 95% CI: (1.48, 17.59)], women who completed secondary education [AOR=4.16; 95% CI: (1.32, 13.10)], women who had a positive attitude [AOR=3.05; 95% CI: (1.45, 6.43)], and women satisfied with facility care [AOR=2.08; 95% CI: (1.01, 4.31)]. Common reasons for low use of long-acting and permanent family planning methods were preference for short-acting contraceptives, fear of side effects, and method misconception. Conclusion: The utilization of long-acting and permanent family planning method was low. Factors and common reasons for low utilization of long-acting and permanent family planning methods among women who were current family planning users were identified. Therefore, we suggest the need to provide continuous education and awareness creation towards long-acting and permanent family planning methods. Unequivocally, enabling work environments, staff service deliveries and client service satisfaction are paramount important improve the coverage.

Author(s):  
Ruchita Dixit ◽  
Aaradhana Bandhani

Background: Family planning is defined by World Health Organization (WHO) as, “a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes and responsible decisions by individuals and couples, in order to promote the health and welfare of family groups and thus contribute effectively to the social development of a country”. The extensive acceptance of family planning, in a society, is an integral component of modern development and is essential for the incorporation of women into social and economic life. Therefore the present study as well focused on the women knowledge and participation in family planning. Objectives: This study projected to evaluate the knowledge of the women about various family planning methods and its sources of information.Methods: In this cross-sectional study, 200 married women between 15-60 years of age group selected by multistage random sampling. The women were asked to complete the 20 questions including demographic data. Self structured questionnaire was used to evaluate their knowledge about Family planning methods. Subsequently, the data analyzed by using SPSS version 1.2.Results: In this present study knowledge of family planning methods were higher. Female sterilization and use of condom is the most widely known and practiced method of all contraceptive methods followed by oral Pills and IUDs. Health functionaries were found to the more informative as compared to media and others sources of information regarding family planning methods.Conclusions: From the results found in this study it can be accomplish that women’s awareness regarding family planning was higher and found satisfactory.


Author(s):  
Vidhya Rajan ◽  
Saraswathi Kandasamy

Background: According to WHO, the ideal interval between two pregnancies is 24 months. In India the contraceptive needs of young couples especially in the area of spacing pregnancies is largely unmet. Hence this study is undertaken to know the pre-existing knowledge of our antenatal population regarding contraceptive methods available for birth spacing. Aim of the study was to the knowledge and attitude regarding birth spacing family planning methods among antenatal mothers.Methods: It was a cross sectional study. Antenatal mothers attending the antenatal outpatient department of SBMCH, who are intending to have another child are invited to participate in this study. With informed consent, they are asked to fill a questionnaire, with questions regarding their knowledge and attitude towards the advantages and disadvantages of various contraceptive methods for birth spacing. The results of the study were analyzed by statistical analysis inrespect to various demographic factors of the population.Results: Total 92%of antenatal mothers were aware of health benefits associated with birth spacing. Yet only 45% were willing to adopt a method of contraception. Condoms is the most commonly preferred method for contraception (33.3%) and fear for side effects (43%) is the most common reason for not accepting a particular method of contraception.Conclusions: Though the awareness regarding the need and methods available for birth spacing methods of are widely prevalent in our urban based population, there is still a high percentage of mothers with misconceptions regarding the side effects associated with the birth spacing methods. Hence health education and counselling would improve the acceptance of contraceptive methods for birth spacing.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e037103
Author(s):  
Afework Tadele ◽  
Mahilet Berhanu

ObjectivesAlthough nationally representative data are helpful in designing strategies and policies of programmes in a country, there is paucity of evidence with regard to trends and factors influencing utilisation of long-acting contraceptives (LACs). Thus, this study aimed to assess the trends and factors influencing LAC utilisation among contraceptive users in Ethiopia.DesignA repeated cross-sectional study.Setting and participantsThe Performance Monitoring and Accountability (PMA2020) national community-based survey data were used, and 2035 contraceptive users participated. To identify trends, proportions of LAC users were analysed using PMA data from round 1 in January 2014 to round 6 in July 2018.Main outcome measuresUsers using LAC methods or otherwise.ResultsThere was a difference in trends in LAC utilisation in the last 4.5 years. There was a 7% increase in the proportion of implant users, while there were no significant changes in utilisation of intrauterine device and female sterilisation. Women in the middle wealth quintile were 1.7 times more likely than those in the lowest quintile to use LAC, while contraceptive users who received recommendations from healthcare providers as well as those who made decisions jointly with healthcare providers were more likely to use LAC compared with those who decided on their own. Women with access to their desired method of contraception were less likely to use LAC, while those informed about intrauterine contraceptive device were more likely to use LAC compared with their counterparts. Women served at health posts, private hospitals and others (family planning clinics, pharmacies and non-governmental organisations) were less likely to use LAC compared with women served at public hospitals.ConclusionOverall the utilisation of LAC in Ethiopia is low. Therefore, much has to be done in terms of raising awareness about intrauterine device, how healthcare providers can help users in choosing contraceptive methods, and sharing of experiences between public hospitals and other family planning service delivery points.


2020 ◽  
Vol 10 (3) ◽  
pp. 53-56
Author(s):  
Naresh Manandhar ◽  
Isha Amatya ◽  
Arundhati Gautam ◽  
Gaurav Kumar ◽  
Himanshu Ahlawat ◽  
...  

Background: Uncontrolled population growth has been a problematic issue all over the world. Knowing the women’s and their husband’s knowledge and attitude towards family planning may help to intervene so that the practice can be increased. This might ensure the right of women to have child as they wish and later reduce unwanted pregnancies and abor­tions. Hence the present study is concerned with knowledge and attitude of women towards family planning. Methods: A cross-sectional study was conducted during 10th-15thNovember 2019 among women of reproductive age of Khopasi, Kavrepalanchowk. Structured questionnaire consisting of knowl­edge, attitude and practice regarding family planning was administered to reproductive women age. Results: All respondents heard about the family planning methods. More than 90% of respondents knew about Norplant, Pills, Depo-Provera and condoms.60.8% respondents were currently using family planning methods. It has been observed that the respondents had positive attitude towards family planning. Conclusions: Knowledge about family planning methods was good among the reproductive age women whereas the practice and attitude seemed satisfactory. The knowledge about emergency contraceptive and abortion were poor among the reproductive age women. One of the promising findings of the study was, the majority of respondents showed a positive attitude towards contra­ceptive use. There is need to target these population for health education interventions in order to achieve the desirable practices.


2020 ◽  
Vol 28 (8) ◽  
pp. 476-484 ◽  
Author(s):  
Andualem Tamiru ◽  
Alemi Kebede ◽  
Tesfaye Dagne ◽  
Mulugeta Berhanu ◽  
Muluneh Getachew ◽  
...  

Background This study aimed to assess factors associated with quality of family planning services in the Jimma zone, Ethiopia, 2018. Method Cross-sectional study was conducted at health posts in the Jimma zone from 13 March to 13 April 2018. Logistic regression analysis was used to identify client satisfaction on family planning services and qualitative data were presented by triangulating with quantitative findings. Conclusion Less than 50% of clients were satisfied with family planning services which significantly associated with availability of family planning methods and attending family planning education. Therefore, family planning education and availing different family planning methods is important to improve family planning services at the Jimma zone health posts.


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