scholarly journals Prevalence and Determinants of Covert Contraceptive Use in Kenya: a Cross-Sectional Study

2020 ◽  
Author(s):  
Catherine Akoth ◽  
James Odhiambo Oguta ◽  
Samwel Maina Gatimu
Keyword(s):  
Rural Areas ◽  
Performance Monitoring ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Cross Sectional Study ◽  
Married Women ◽  
Cross Sectional ◽  
Couple Communication ◽  
And Gender ◽  
Partner Involvement

Abstract Background: Family planning (FP) is a key intervention for preventing unplanned pregnancies, unsafe abortions, and maternal death. Involvement of both women and their partners promotes contraceptive acceptance, uptake and continuation, couple communication and gender-equitable attitude. It is a key strategy for addressing about 17.5% of the unmet needs in FP in Kenya. This study assessed the prevalence and determinants of covert contraceptive use (CCU) in Kenya.Methods: We used data from the sixth and seventh rounds of the performance monitoring for accountability surveys. We defined CCU as ”the use of contraceptives without a partner’s knowledge”. We used frequencies and percentages to describe the sample characteristics and the prevalence of CCU and assessed the determinants using bivariate and multivariable logistic regressions.Results: Of the 3,892 married women using contraceptives included in this study, 62.9% were 20−34 years, 65.4% lived in rural areas, 51.3% had primary education and 82.4% had two or more children. The mean age at first sexual encounter was 17.3 years (standard deviation: 3.0). The prevalence of CCU was 12.2% (95% CI: 10.4%−14.2%) and was high among 35−49 years (12.8%), uneducated (22.3%) and poorest (18.2%) women. Siaya (22.9%), Kericho (16.7%) and Kakamega (13.1%) counties had the highest prevalence of CCU. Injectables (53.3%) and implants (34.6%) were the commonest methods among women who practice CCU. County of residence, education, wealth, parity, and age at sexual debut were associated with CCU.Conclusion: About one in 10 married women in Kenya use contraceptive covertly, with injectables and implants being the preferred methods. Our study highlights a gap in partner involvement in FP and calls for efforts to strengthen their involvement to increase contraceptive use in Kenya while acknowledging the rights of women to make independent choices.

scholarly journals Prevalence and factors associated with covert contraceptive use in Kenya: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine Akoth ◽  
James Odhiambo Oguta ◽  
Samwel Maina Gatimu
Keyword(s):  
Performance Monitoring ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Household Wealth ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Factors Associated ◽  
And Gender ◽  
Partner Involvement

Abstract Background Family planning (FP) is a key intervention for preventing unplanned pregnancies, unsafe abortions, and maternal death. Involvement of both women and their partners promotes contraceptive acceptance, uptake and continuation, couple communication and gender-equitable attitude. Partner involvement is a key strategy for addressing about 17.5% of the unmet needs in FP in Kenya. This study assessed the prevalence and factors associated with covert contraceptive use (CCU) in Kenya. Methods We used data from the sixth and seventh rounds of the performance monitoring for accountability surveys. We defined CCU as “the use of contraceptives without a partner’s knowledge”. We used frequencies and percentages to describe the sample characteristics and the prevalence of CCU and assessed the associated factors using bivariate and multivariable logistic regressions. Results The prevalence of CCU was 12.2% (95% CI: 10.4–14.2%); highest among uneducated (22.3%) poorest (18.2%) and 35–49 years-old (12.8%) women. Injectables (53.3%) and implants (34.6%) were the commonest methods among women who practice CCU. In the bivariate analysis, Siaya county, rural residence, education, wealth, and age at sexual debut were associated with CCU. On adjusting for covariates, the odds of CCU were increased among uneducated women (aOR 3.79, 95% CI 1.73–8.31), women with primary education (aOR 1.86, 95% CI 1.06–3.29) and those from the poorest (aOR 2.67, 95% CI 1.61–4.45), poorer (aOR 1.79, 95% CI 1.05–3.04), and middle (aOR 2.40, 95% CI 1.52–3.78) household wealth quintiles and were reduced among those with 2–3 (aOR 0.49, 95% CI 0.33–0.72) and ≥ 4 children (aOR 0.62, 95% CI 0.40–0.96). Age at sexual debut (aOR 0.94, 95% CI 0.89–0.99) reduced the odds of CCU. Conclusion About one in 10 married women in Kenya use contraceptives covertly, with injectables and implants being the preferred methods. Our study highlights a gap in partner involvement in FP and calls for efforts to strengthen their involvement to increase contraceptive use in Kenya while acknowledging women’s right to make independent choices.

scholarly journals FACTORS INFLUENCING CONTRACEPTIVE USE AMONG MARRIED WOMEN OF PRODUCTIVE AGE IN INDONESIA

2021 ◽  
Vol 21 (2) ◽  
pp. 38-44
Author(s):  
Rahmah Hida Nurrizka ◽  
Feda Anisah Makiyah ◽  
Agustina
Keyword(s):  
Rural Areas ◽  
Contraceptive Use ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Related Factors ◽  
Cross Sectional ◽  
Modern Contraceptive Use

Indonesia is facing a serious health issue as the total fertility rate (TFR) has significantly  increased in the period of 2000-2017. Contraceptive Prevalence Rate (CPR) is stagnant in the same period. This study aims to assess the use of contraception in reproductive age-married women in Indonesia focusing on Contraceptive Use Mix (CUM) and other related factors. This cross-sectional study used raw data from the Indonesian National Socio-Economic Survey (INSES). The sample was 15-49 years married women with contraceptive use in 34 provinces in Indonesia. Total sample were 19,991 women. The results show that modern contraceptive use was 97.2% as opposed to traditional methods (2.8%). The Short-Acting Reversible Contraceptive (SARC) preferred was injectable methods (55.2%) and pills (21.0%). Factors influenced the use of modern contraceptive use was the number of children with OR = 1.864 (50%CI: 1.534-2.266). This research argues that contraceptive use among married women of productive age is still low in Indonesia, especially rural areas. Therefore, government must increase contraceptive financing and the village midwife program.

A cross-sectional study of contraceptive use among married women living in rural China

2012 ◽  
Vol 118 (2) ◽  
pp. 129-132 ◽  
Author(s):  
Dian He ◽  
Ying Zhang ◽  
Ning Ji ◽  
You Zhou ◽  
Qunxia Mao ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Rural China ◽  
Cross Sectional Study ◽  
Married Women ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Identify determinant of contraceptive use in rural set up of Surat district, Gujarat

2017 ◽  
Vol 4 (8) ◽  
pp. 2956
Author(s):  
Rajendra Solanki ◽  
Hiteshri C. Patel ◽  
J. K. Kosambiya
Keyword(s):  
Contraceptive Use ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Number Of Children ◽  
First Child ◽  
Education Of Women ◽  
And Gender ◽  
Set Up

Background: In spite of significant growth and expansion of family planning programme, pregnancy continues to be unplanned. This study has been conducted to identify determinant responsible for use of contraception. The aim of the study was to determine the factors affecting the use of the contraceptives. The objectives were to study Socio – demographic, fertility profile of eligible couples and its relation to use of contraceptionMethods: This is a cross sectional study conducted during period of 20th September 2014 to 15th January 2015. Three PHCs were selected purposively from Olpad taluka of the Surat District. Two Sub Centers were selected randomly from each PHC. Data regarding eligible couples were collected from Sub Center register. From each Sub Center, 47 eligible women were selected randomly. Total sample size was 280 (CPR: 60%, DLHS-3).Results: Mean age of study participants were 29.14±6.7 years. Out of total women, 18.6% women were married before attaining the age of 18 years. More than 50% women were 20-24 years of age group at the time of birth of first child where as 25.4% women gave birth to first child before the age of 20 years. There was significant association between use of Contraceptive methods with factors like age of women, caste, religion, education of women, education of husband and number of children (p<0.05). At the time of sterilization, number of children and gender of last child plaed a significant role.Conclusions: Women should be empowered with education regarding use of contraception. Child marriage act should be strictly followed.

scholarly journals A study on knowledge, attitude and practices (KAP) towards contraceptive use among married women attending a tertiary care centre

2019 ◽  
Vol 10 (3) ◽  
pp. 1832-1835
Author(s):  
Nithyananthan P ◽  
Jagadeesan M ◽  
Prasanna Karthik S ◽  
Kannan R ◽  
Bavithra K ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Married Women ◽  
Indian Society ◽  
Care Hospital ◽  
Key Factors ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Contraceptive Usage

In the Indian society, various factors other than mere knowledge have shown to have a more significant impact over contraceptive usage and choice such as educational levels of women, marital duration, cultural and social factors, and exposure to mass media. This study focuses on assessing the knowledge, attitude and practices (KAP) of contraceptive use among married women. A cross-sectional study was conducted among married women aged between 18 to 49 years attending a tertiary care hospital in the city of Chennai from June to September 2018. A total of 146 women were interviewed, and the KAP parameters were assessed using a pretested structured questionnaire. Though 97.9% (n=143) of the women in this study had knowledge about some form of contraception, only 24.7% (n=36) practiced them. Among the users (n=36), the decision to adopt contraception was made by the husband in 69.4% (n=25).Among the non-users (n=110), the major reasons for not practicing contraception were lack of interest in 37.2%(n=41) and fear of side effects in 35.5% (n=39).This study demonstrates a significant gap between the knowledge and practice of contraceptives in our population. Improving doctor-patient relationship and encouraging a positive attitude of the husband towards contraception are the key factors in promoting adoption of the contraceptive practices.

scholarly journals The Prevalence of Use of Areca Nut and Its Effect on Oral Health in School Going Children in Gadap Town, Malir, Karachi, Pakistan

2016 ◽  
Vol 7 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Sana Maqbool ◽  
Mohammad Ali Leghari ◽  
Sajjad Ali
Keyword(s):  
Oral Health ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Oral Lesions ◽  
Areca Nut ◽  
Chi Square ◽  
Cross Sectional ◽  
Frequent Use ◽  
Chi Square Test ◽  
And Gender

ABSTRACT Background Areca nut chewing in different forms is getting more prevalent among the south Asian inhabitants. Its uses are progressing from adults to adolescents and especially its frequent use among the school going children. The aim of this study was to analyze the prevalence of areca nut chewing and its effect on the oral health of school going children. Materials and methods A cross-sectional study using a close ended questionnaire was conducted to collect the data from the school going children of Gadap town, Malir, Karachi. A random sample of 285 students (n = 285) were examined. The research instrument was self-structured close ended questionnaire. The questionnaire contained questions regarding the knowledge and consequences of chewing areca nut, its products and its effect on their oral health. The questionnaires were administered to the students in their respective classes and the filled questionnaires were collected on the same day. Chi-square test was used for differences in frequencies among the types of areca nut, practices of using areca nut and gender variables. Stata 11 was used for data analysis. Total number of 285 children were surveyed. Results There were 75.09% boys and 24.91% girls, mean age of the students was 6.23 (1.05). The range of the students was 4 to 8 years. The frequency of using areca nut and products containing areca nut in our study was 77.9%. There were 60.35% students both male and female who were identified to gutkha chewing habit. Frequency of consumption of chewing areca nut made products increases as the age's increases. The 74.38% respondents were suffering from oral lesions. Conclusion Chewing of areca nut and products containing areca nut is prevailing in rural areas especially among the lower age group of school going children. Both genders are equally and frequently use areca nut as habit. How to cite this article Leghari MA, Ali S, Maqbool S. The Prevalence of Use of Areca Nut and Its Effect on Oral Health in School Going Children in Gadap Town, Malir, Karachi, Pakistan. World J Dent 2016;7(1):6-9.

scholarly journals Nomadic Tibetan women’s reproductive health: findings from cross-sectional surveys with a hard-to-reach population

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jessica D. Gipson ◽  
Corrina Moucheraud ◽  
Kunchok Gyaltsen ◽  
Lumo Tsering ◽  
Tabashir Z. Nobari ◽  
...  
Keyword(s):  
Rural Areas ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Western China ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Younger Women ◽  
Health Fairs ◽  
Study Participants

Abstract Background Western China has undergone substantial sociodemographic change, yet little is known about the health status of ethnic minority populations living in these areas. Methods We report findings from two cross-sectional surveys conducted with female Tibetan nomads living in rural areas of Western China/Eastern Tibet. We present results of descriptive analyses of data collected from reproductive-aged females who attended community health fairs in 2014 (n = 193) and 2016 (n = 298). Results On average, sexual debut preceded marriage among study participants, with fertility near replacement levels (2.7 and 2.1 in 2014 and 2016, respectively). Contraceptive use was common, and dominated by use of IUDs and female sterilization. Although over three-quarters (76%) of 2016 survey participants reported ever having at least one sexually transmitted infection (STI) symptom, there was low awareness of STIs (59%) and action to prevent STIs (21%). Younger women (< 40) were more likely to report having had had an STI symptom, as compared to older women (84% versus 71%; p < 0.05). Conclusions We demonstrate feasibility of collecting data with this hard-to-reach population. Reporting of STI symptoms warrants further investigation to identify and address health conditions in this population of Tibetan nomadic women, especially amidst broader social and contextual changes that may affect the Tibetan population.

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