Socio-Economic Related Inequalities in The Utilization of Family Planning Services Among Women in Zambia

2020 ◽  
Author(s):  
Simang'aliso Ndhlovu ◽  
Maio Bulawayo ◽  
Chris Mweemba ◽  
Peter Hangoma
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Tertiary Education ◽  
Decomposition Analysis ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Childbearing Age ◽  
Family Planning Services

Abstract Background: While a large literature documents inequalities in healthcare utilization in Zambia, and the rest of sub-Saharan Africa, there has been limited focus on the examination of inequalities in family planning use and in general has increased, health inequalities persist. Similarly, despite the increase in utilization of family planning services from 15% in 1992 to 48% in 2018, the increase has not been equally shared in the population. We examine drivers of socio-economic related inequalities in utilization of family planning services among women of childbearing age in Zambia. Methods: Using secondary data from the 2014 Zambia Demographic and Health Survey (ZDHS), concentration curves and indices are applied to examine how pro-poor and pro-rich the distribution of family planning is. A Blinder-Oaxaca decomposition analysis is conducted to decompose the rural-urban differences in the utilization of family planning services among women of reproductive age. Results: Our findings show that less than half (45%) of the 12,498 respondents used family planning. Use of family planning services was unequally concentrated on the well-off (CI=0.590, P=0.055). The results are mainly driven by inequalities in rural areas (CI=0.4009, P=0.0730) as the distribution of family planning use in urban areas is more equal (CI=0.049, P=0.159). In addition to family planning use being more unequal in rural areas, the proportion of women who use family planning services is 5.16 percentage points lower than in urban areas. The factors accounting for the gap between rural and urban use of family planning, with a tendency to increase it, include wealth (54.79%), tertiary education (79.46%) and age-group of 45-49 years (53.68%). Some factors act to moderate, or reduce this gap and have negative contribution on family planning use. These include women with 7 and more children (-48.22%), being married (-43.45%), primary education (-33.93%) and middle wealth group (-43.75%). Conclusion: Despite progress in the utilisation of family planning services, socioeconomic inequalities have persisted, primarily in rural areas. Interventions to increase family planning use should aim at addressing rural socioeconomic disadvantage, with programs targeting poor women and those with low levels of education. Narrowing the rural-urban gap in family planning use should focus on improving wealth and education of rural women.

scholarly journals THE USE OF CONTRACEPTION IN COUPLES OF REPRODUCTIVE AGE DURING THE COVID-19 PANDEMIC IN INDONESIA : LITERATURE REVIEW

2021 ◽  
Vol 16 (2) ◽  
pp. 53-63
Author(s):  
Nurmalia Ermi
Keyword(s):  
Family Planning ◽  
Literature Review ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Dropout Rate ◽  
Drop Out ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Family Planning Services ◽  
The Government

Background: The use of contraception is one of the benchmarks for the success of family planning programs. The COVID-19 pandemic has had an impact on people to limit activities outside the home. The appeal from the government also has an impact on the possibility of hampering access to family planning services. The delay in family planning services will lead to a decrease in the use of contraception will ultimately have an impact on the uncontrolled birth rate (Baby Boom). The purpose of this study was to see how the use of contraception in couples of childbearing age during the COVID-19 pandemic. Methods: This study is a literature review related to the use of EFA contraceptives during the COVID-19 pandemic through the Google Scholar database, PubMed, government publication data. Results: Contraceptive use among new family planning participants decreased in general as well as among MKJP participants in the NTB area. The prevalence of contraceptive use in Indonesia has increased but has not yet reached the national target of 61.8%. In the DIY region, there was a decrease in contraceptive use among active family planning participants, as well as a decrease in the use of pill and injectable contraception. The research conducted in the Kalimantan region found that most women of childbearing age used the contraceptive method with the highest dropout rate, namely the pill. The number of unmet need for family planning in the NTB area has decreased, but the drop out rate for family planning in the early days of the COVID-19 pandemi has increased. Conclusion: The use of contraception during the COVID-19 pandemi in several regions in Indonesia is still fluctuating, but has a tendency to decrease.

scholarly journals Influences of Proximate Determinates on Fertility Among Urban and Rural Women in Bangladesh

2018 ◽  
Vol 66 (1) ◽  
pp. 49-54
Author(s):  
Muhammad Mahmudul Hasan ◽  
Mirajul Islam ◽  
Md Saifullah Sakib ◽  
Md Iqramul Haq
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Contraceptive Use ◽  
Decomposition Analysis ◽  
Period Increase ◽  
Inhibiting Effect ◽  
Interaction Factor ◽  
Proximate Determinants ◽  
Urban And Rural Areas

Bangladesh has met a lot of challenges in recent decades. The remarkable decline in fertility is one of the major challenges faced by this country. The rate of fertility in rural areas is still higher than urban areas. The proximate determinants of fertility which influence fertility directly are analyzed in this study for urban and rural areas separately as well as the study quantify the decomposition of the differences in total fertility rate (TFR) in residence during 1993-94 to 2014. The effectiveness of contraceptive use is found to be the most important factor for declining fertility. The result revealed that the index of contraception shows a declining trend, indicating an increasingly inhibiting effect on fertility in both urban and rural areas of Bangladesh. The inhibition effect of postpartum infecundability decreases with increase in urbanization. The decomposition analysis shows that fertility decline has been occurred due to delay marriage, increase of contraception practice, shortening of postpartum infecundability period, increase proportion in induced abortion and the interaction factor. Dhaka Univ. J. Sci. 66(1): 49-54, 2018 (January)

scholarly journals Exploring the constraints regarding maternal health in reproductive age among the rural women in Bangladesh

Mediscope ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. 1-10
Author(s):  
Akkur Chandra Das
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Care Services ◽  
Reproductive Age ◽  
Early Marriage ◽  
Care Services ◽  
Health Related

The study evaluated the constraints of maternal health in reproductive age in the rural Bangladesh. The study used qualitative approach to gather information where individual in-depth interviews adopted for data collection among women aged 15-49 years old. The overall study revealed that rural women faced many maternal health related complications and problems in their reproductive age such as hemorrhage, sepsis, hypertensive diseases of pregnancy, obstructed labour and complications of abortion, etc. Maternal health situation still in rural areas was not developed in comparison to the situation of urban areas of Bangladesh and there was not available women’s health care accesses for their emergency; low education level, low per capita income, many family members, early marriage and pregnancy, number of pregnancies, poor nutrition and lack of family support status resulted in low status of maternal and child health in the rural areas of Bangladesh. Adequate measures should be taken for providing proper health care services in rural areas of Bangladesh for better maternal health status.Mediscope Vol. 3, No. 2: July 2016, Pages 1-10

scholarly journals Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

2020 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Unintended Pregnancy ◽  
Rural Areas ◽  
Urban Areas ◽  
Access To Health Care ◽  
Pregnancy Termination ◽  
Childbearing Age ◽  
Unintended Pregnancies ◽  
Access To Health

Abstract Background: Unintended pregnancy can cause pregnancy termination, which leads to safety risks. The purpose of the study was to analyze the factors that influence unintended pregnancies in Indonesia.Methods: The analysis unit was women aged 15-49 years old who gave birth to the last 5 years. The sample size was 36,472 women. In addition to unintended pregnancy as the dependent variable, other variables analyzed were the place of residence, age, education, husband/partner, employment, wealth, parity, pregnancy termination, the person deciding woman's access to health care, heard about family planning messages on radio, television, and newspaper/magazines. The final stage analysis uses binary logistic regression.Results: Women in urban areas were 1.834 times more likely than women in rural areas to experience an unintended pregnancy. The 20-24 age group was 0.202 times more than the 15-19, while the 45-49 was 1.916 times compared to the 15-19 to experience an unintended pregnancy. Secondary education women were 1.447 times more likely than no education women, while the poorer women were 1.190 times more likely than the poorest women to experience an unintended pregnancy. Parity was found to be a strong determinant of unintended pregnancy. History of pregnancy, decision making by husbandpartner, and heard about family planning messages on radio and television in the last few months are risk factors for unintended pregnancy.Conclusions: Eight variables affect unintended pregnancy, namely age, education, wealth, parity, pregnancy termination, the person deciding woman's access to health care, and heard about family planning messages on radio and television.

scholarly journals Socio Demographic Determinants of Delivery Practice in Rural Women of Bangladesh

2013 ◽  
Vol 1 (2) ◽  
pp. 42-45 ◽  
Author(s):  
Meherunnessa Begum ◽  
Khondoker Bulbul Sarwar ◽  
Nasreen Akther ◽  
Rokshana Sabnom ◽  
Asma Begum ◽  
...  
Keyword(s):  
Maternal Health ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
At Home

Background: Every year, world wide, 200 million women become pregnant. The development of urban areas allowed women to receive more care and treatment. However, in rural areas such measures are not available to every woman. Data on delivery practice of rural woman may help the social and public health planners and decision makers to minimize and prevent maternal mortality and morbidity ensuring safe motherhood.Objective: The aim of the study was to observe the delivery practice of rural women of Bangladesh. Materials and method: A cross-sectional study was conducted and data were collected from Dhamrai upazila, Dhaka, Bangladesh in April 2008. Total 159 women of reproductive age group at least having one child were selected purposively to elicit information on various demographic, socioeconomic, cultural and selected programmatic variables including maternal health care and delivery practices. Results: Among the respondents about 55% were literate. Majority (80%) of the respondents delivered at home and most of the them (71%) felt that home delivery was comfortable where as about 29% of the respondents were compelled to deliver at home due to family decision and financial constraint. Among the deliveries about 82% occurred normally and 18.2% were by cesarean section. A considerable percentage of deliveries (49%) were attended by traditional birth attendants. Blade was used for cutting umbilical cord in majority of the cases (74%) who delivered at home. Most of the respondents (90%) took ante natal check up and about 74% were vaccinated by tetanus toxoid. Conclusion: The results of the study suggest that a lot of work is still to do for the policy makers and health planners to target, plan, develop and deliver maternal health services to the rural women of Bangladesh. DOI: http://dx.doi.org/10.3329/dmcj.v1i2.15917 Delta Med Col J. Jul 2013;1(2):42-45

scholarly journals Untangling Complexity: Assessing the Joint Effects of Population Composition and Context on Perceived Exposure to Onchocerciasis in Coastal Tanzania

2020 ◽  
Author(s):  
Frederick Armah ◽  
Sheila Boamah
Keyword(s):  
Rural Areas ◽  
Perceived Risk ◽  
Urban Areas ◽  
Tertiary Education ◽  
Significant Proportion ◽  
Public Health Problem ◽  
Policy Implications ◽  
Sub Saharan Africa ◽  
Easy Access ◽  
Access To Health

Onchocerciasis volvulus is the second highest infectious cause of blindness in the world, and is estimated to affect 37 million people, of whom 99% reside in sub-Saharan Africa. As a public health problem the disease is most closely associated with Africa, where it constitutes a serious obstacle to socio-economic development. Using the human ecology triad, this paper evaluates the dynamic interplay of population, habitat and behavioural factors in predicting perceived exposure to onchocerciasis among coastal inhabitants in Tanzania. Generalized linear models with log-log link function were fitted to cross-sectional survey data on 1253 individuals in three contiguous coastal regions. A significant proportion of respondents (28%) perceived that they were exposed to onchocerciasis. Residents in urban locations irrespective of wealth status were less likely to report living in onchocerciasis endemic environment compared with their rural counterparts. This is understandable given that urban areas of Tanga and Dar es Salaam are definitely non-endemic and perceived risk of onchocerciasis is related to the fact of living in an endemic area with active onchocercasis transmission. Individuals who had attained secondary (OR=0.51, p<0.01) or tertiary education (OR=0.37, p<0.001), and reported easy access to health facility (OR=0.53, p<0.001) were all less likely to report perceived exposure to onchocerciasis. This is not surprising because higher level of education and easy access to health facilities are characteristics of urban compared with rural areas. Policy implications suggest the need for the Tanzanian national neglected tropical disease control programme (TZNTDCP) to intensify health and educational campaigns at the community level and address susceptibility of vulnerable populations to the disease especially, for rural dwellers.

scholarly journals Current Use of Modern Family Planning and Fertility Intention Among Women Farmers of Reproductive Age in Ido and Ona-ara Local Government Areas of Ibadan, Nigeria

2020 ◽  
Vol 43 (338) ◽  
pp. 9-19
Author(s):  
Fausat Motunrayo Ibrahim
Keyword(s):  
Family Planning ◽  
Local Government ◽  
Tertiary Education ◽  
Reproductive Age ◽  
Women Farmers ◽  
Sub Saharan Africa ◽  
Fertility Intention ◽  
Modern Family ◽  
Modern Family Planning ◽  
Ibadan Nigeria

AbstractAlthough poor use of contraceptives and high desire for children is characteristic of sub-Saharan Africa, this demographic challenge is more peculiar to more disadvantaged segments of the population like rural farmers. This study was designed to examine current use of modern family planning and fertility intention among women farmers of reproductive age in Ido and Ona-ara Local Government Areas of Ibadan, Nigeria. Using cross-sectional survey design, semi-structured questionnaire were administered via structured-interview to randomly and systematically selected 408 respondents. Chi-square was used to show significance of associations between pairs of variables. Contingency co-efficient was used to examine extent of significant associations. Results indicate that majority of respondents (77%) desired additional children, the mean number of children that respondents already have is 2.94±1.35 while mean fertility intention is 1.85±1.44. The proportion of current users of modern family planning is 45.6%. The use of oral pills (30.6%) is most popular among respondents. There is no significant association between current use of modern family planning and fertility intention among married and divorced respondents, among respondents in all the age sub-groups, and among respondents with no formal education or secondary education (p > 0.05), but there is among respondents with primary and tertiary education (p < 0.05). The synergy between the use of modern family planning and fertility intention among women farmers in the study area is notable but requires significant progression. Having primary education and tertiary education is significantly associated respectively with lower and higher use of modern family planning in relation to fertility intention. Education is an important element of fertility dynamics among women farmers in the study area.

scholarly journals Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

2018 ◽  
Vol 5 (8) ◽  
pp. 3248
Author(s):  
Samia S. Abdulmageed ◽  
Mustafa Khidir Elnimeri
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Health Seeking ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Contraception Use

Background: About 214 million women in the reproductive age in the developing countries who need to prevent and plan for their pregnancy are not using methods of modern contraceptives. The aim of this study was to investigate the socio-demographic and cultural elements that inform the health-seeking behavior towards family planning among Sudanese women in Sharq-Alneel locality in the Sudan-Africa. Furthermore, the study aimed to identify individuals within Sudanese families, who predominantly interfered with the decision of the women in using of contraceptives for family planning.Methods: A cross-sectional community based study was conducted in September-2017 to February-2018 using structured questionnaire to 576 Sudanese women age of 15-49 years from 4 administrative units. A multistage cluster sampling technique was adopted. Binary and multinomial logistic regression models were used to analyze the results using SPSS version 22.Results: Women respondents were (57.1%), and (42.9%) from rural and urban areas respectively. Women (89.3%) of respondents were married for more than five years. A 381 (66%) women respondents were not using contraception at the time of the study. Women in rural areas were 0.9 less likely to obtain information from other sources than from PHC. There was significant association (p<0.001) between women’s educational level and awareness about contraception.Conclusions: Women use of contraception in Sharq-Alneel was low. Barrier to contraception use for majority of women was that they believe their healths are at risk for using modern contraceptives. There was also high prevalence of respondents’ husbands refused the use of contraceptives.

scholarly journals Knowledge and Utilization of Family Planning Services among Women of Reproductive Age in Ilishan Community Health Center, Ogun State

2021 ◽  
Vol 4 (1) ◽  
pp. 94-111
Author(s):  
Maitanmi J. O. ◽  
Osayande J. A. ◽  
Maitanmi B. T. ◽  
Akingbade O. ◽  
Okwuikpo M. I. ◽  
...  
Keyword(s):  
Family Planning ◽  
Universal Access ◽  
Health Centre ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Women Of Reproductive Age ◽  
Family Planning Services ◽  
Ogun State ◽  
Contraceptive Usage ◽  
Level Of Knowledge

Nearly one in ten women of reproductive age worldwide has an unmet need for family planning. Although contraceptive usage has increased globally, sub-Saharan Africa has recorded the lowest usage of contraceptives worldwide, with Nigeria, the country with the highest population in Africa still recording a low prevalence of contraceptive usage. This descriptive survey assessed the knowledge and utilization of family planning services among 85 women attending a comprehensive health centre in Ogun State. Data analysis was done with Statistical Package for Social Sciences (SPSS) version 26 and hypotheses were tested using chi-square. Findings revealed the level of knowledge on family planning was above average as 55.8% demonstrated good knowledge; however, utilization of family planning services was below average as 55.8% showed inadequate utilization. While significant association was found between the utilization of family planning and the number of children per household, (χ2=8. 649, p = 0.034), no significant association was found between knowledge of the respondents and their utilization of family planning services (χ2=0.828, p = 0.730), and also between knowledge of the respondents and their educational level (χ2=4.303, p = 0.116). Although the level of knowledge in this study was above average, there is still room for improvement even as the knowledge did not translate into adequate utilization of family planning services. This calls for more advocacy and interventions to combat this trend. This will hopefully improve contraceptive prevalence while aligning Nigeria with the Sustainable Development Goal of providing universal access to reproductive health services by 2030.

scholarly journals Awareness and practice of family planning services among married women of reproductive age in a rural municipality of Saptari district, Nepal

2019 ◽  
Vol 6 (1) ◽  
pp. 49-54
Author(s):  
Reena Bhagat
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Rural Municipality

Introductions: Unwanted pregnancies and maternal deaths can be avoided by use of family planning (FP) services. Use of modern methods of contraceptive among married women age 15-49 years in Nepal is 43%. Generally, fertility is higher among women in rural areas than in urban. This study aims to assess the awareness and practice of FP services among married women of reproductive age in a Rural Municipality of Saptari district, Nepal. Methods: Cross-sectional study with two stage sampling technique through face-to-face interview using structured questionnaire interview schedule in local language, Maithili, was done to find out awareness and practice regarding FP services in married women of 15-49 years in a Municipality of Saptari district, province 2, Nepal, from April 2018 to March 2019. Descriptive and inferential data analysis done using SPSS version16.0 software. Results: Out of 280 respondents, 257 (91.78%) had adequate awareness regarding FP services, 167 (59.64%) were current FP users, 125 (74.85%) practiced female sterilization and 39 (23.35%) used temporary methods. Common reason for not using temporary FP methods included side effects 103 (90%). Level of awareness regarding FP services was not significantly associated with their practices. Conclusions: Majority of respondents had adequate awareness regarding family planning services but FP practice was low.

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