scholarly journals Determinants of Modern Family Planning Methods in the Oromia, Amhara, and Somali Regions, Ethiopia: A Community-Based, Cross-Sectional Mixed Methods Study

2020 ◽  
Author(s):  
Hocheol Lee ◽  
Eshetu Girma Kindane ◽  
Young Ah Doh ◽  
Eun Woo Nam
Keyword(s):  
Mixed Methods ◽  
Family Planning ◽  
Fertility Rate ◽  
Mixed Methods Study ◽  
Community Based ◽  
Cross Sectional ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

Abstract Background: In 2019, Ethiopia had a total fertility rate of 4.2 births per woman with the rates varying significantly across regions. The Federal Ministry of Health of Ethiopia announced “Ethiopia FP 2020” to address the high fertility rate, aiming to reduce it to 3.0 by 2020. This study aimed to identify the determinants of the use of modern family planning services in the Amhara, Oromia, and Somali regions.Methods: A community-based, cross-sectional mixed methods study was conducted, using quantitative and qualitative data. The quantitative data were subjected to binary logistic regression analyses. Participants included over 4,117 married men and women aged 15-65 years old.Results: Respondents in Oromia were 8.673 times more likely to have modern family planning methods than those in Somali. Participants in Amhara were 5.183 times more likely to have modern family planning methods than their Somali counterparts. Women, married respondents, and recipients of media messages were more likely to have family planning experience. Family planning discussions with Health Extension Workers and health professionals played a significant role in modern family planning. Conclusion: Establishing a family planning strategy that considers the sociocultural characteristics of each region might help address regional contexts. Everyone in Somali—especially husbands and religious leaders—must be educated in family planning and funds be made available to deploy advanced measures for the same.

scholarly journals Side effect concerns and their impact on women’s uptake of modern family planning methods in rural Ghana: a mixed methods study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Family Planning ◽  
Side Effect ◽  
Mixed Methods Study ◽  
Rural Ghana ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

scholarly journals Side Effect Concerns and their Impact on Women’s Uptake of Modern Family Planning Methods in Rural Ghana: A Mixed Methods Study

2019 ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
Mixed Methods Study ◽  
Modern Family ◽  
Planning Methods ◽  
Depth Interviews ◽  
Modern Family Planning ◽  
Family Planning Methods

Abstract Background: Despite availability of modern family planning methods and a desire for smaller families, many women decide to forgo modern methods due to anticipated side effects. The goal of this study was to examine the use of modern family planning in one district in rural Ghana, and to understand the role that side effects play in women’s decisions to start or continue use. Methods: This exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old from the Amansie West District of Ghana. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects. Results: The prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n=135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Conclusion: As programs have improved women’s ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women’s needs in low-income countries.

scholarly journals Modern Family Planning Utilization and Its Associated Factors among Currently Married Women in Rural Eastern Ethiopia: A Community-Based Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Teshale Mulatu ◽  
Yitagesu Sintayehu ◽  
Yadeta Dessie ◽  
Merga Deressa
Keyword(s):  
Family Planning ◽  
Planning Method ◽  
Family Planning Method ◽  
Reproductive Age ◽  
Community Based ◽  
Eastern Ethiopia ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

Background. The use of modern family planning methods among women of reproductive age (15-49 years) is of public health importance in Ethiopia. Nationally, modern family planning method use remains as low as 35%. Understanding factors associated with the use of modern family planning methods may help to improve maternal and child health. Hence, this study is aimed at assessing modern family planning method use and its determinants among women of reproductive age in the rural districts of Eastern Hararghe zone, Eastern Ethiopia. Methodology. A community-based, cross-sectional survey was conducted among 577 randomly selected, currently married, reproductive-aged women in selected rural districts of Eastern Hararghe, Eastern Ethiopia. Data were collected using a pretested, interviewer-administered questionnaire about women’s sociodemographic information, knowledge about contraception, reproductive history, contraceptive use and fertility desire, couple’s communication, and decision-making on family planning. Binary and multivariable logistic regression was used to analyze the association between the dependent and independent variables. Result. A total of 555 study participants participated, yielding a 96.2% response rate. The overall modern family planning utilization among the study participants was 18.4%. Knowledge of modern family planning methods ( AOR = 16.958 , CI: 4.768, 60.316), husband approval ( AOR = 3.590 , CI: 2.170, 5.936), couple’s discussion ( AOR = 2.852 , CI: 1.759, 4.623), male involvement in decisions about family planning ( AOR = 2.340 , CI: 1.531, 3.576), desire for additional child ( AOR = 2.295 , CI: 1.528, 3.447), and previous use of contraception ( AOR = 0.018 , CI: 0.005, 0.063) were significantly associated with modern contraceptive utilization. Conclusion. Even though knowledge of modern family planning methods was very high, the overall modern family planning method use in the study area was low. The government should focus on increasing modern family planning method availability. It must also ensure family planning method security and create awareness on modern family planning methods through community-based education and proper counselling to empower women to make an appropriate choice.

scholarly journals Side Effect Concerns and their Impact on Women’s Uptake of Modern Family Planning Methods in Rural Ghana: A Mixed Methods Study

2019 ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
Mixed Methods Study ◽  
Modern Family ◽  
Planning Methods ◽  
Depth Interviews ◽  
Modern Family Planning ◽  
Family Planning Methods

Abstract Background: Despite availability of modern family planning methods and a desire for smaller families, many women decide to forgo modern methods due to anticipated side effects. The goal of this study was to examine the use of modern family planning in one district in rural Ghana, and to understand the role that side effects play in women’s decisions to start or continue use. Methods: This exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old from the Amansie West District of Ghana. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects. Results: The prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n=135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Conclusion: As programs have improved women’s ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women’s needs in low-income countries.

scholarly journals A Composite Index to Measure Family Planning Performance with Application to India

2020 ◽  
Author(s):  
Aalok Ranjan Chaurasia
Keyword(s):  
Family Planning ◽  
Development Strategy ◽  
Performance Index ◽  
Significant Variation ◽  
Composite Index ◽  
Modern Family ◽  
Planning Methods ◽  
Method Mix ◽  
Modern Family Planning ◽  
Family Planning Methods

AbstractThis paper develops a composite family planning performance index that takes into account the met demand for modern family planning methods and the structure of the met demand or the method mix. Application of the index to India suggests that, although, there has been an improvement in India’s family planning performance, yet it has remained poor throughout the period 1992 through 2016 and there are significant variation in the performance across states/Union Territories and across districts. The classification modelling exercise reveals that districts in India can be grouped into eight clusters in terms of family planning performance and both met demand for modern family planning methods and the structure of the met demand are essentially different in different clusters. The paper emphasises that family planning in the country must be promoted as a development strategy rather than an intervention to limit births.

Knowledge and Use of Modern Family Planning Methods in Fishing Communities along Lake Victoria, Uganda

2014 ◽  
Vol 30 (S1) ◽  
pp. A102-A102
Author(s):  
Annet Nanvubya ◽  
Juliet Mpendo ◽  
Ali Ssetaala ◽  
Julius Ssempiira ◽  
Annet Nalutaaya ◽  
...  
Keyword(s):  
Family Planning ◽  
Lake Victoria ◽  
Fishing Communities ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods
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