scholarly journals Utilization of Long Acting and Permanent Contraceptive Method and Associated Factor Among Women of Reproductive Age in West Guji Zone, Southern Ethiopia, 2018.

Author(s):  
Eden Dagnachew Zeleke ◽  
Dawit Getachew Assefa ◽  
Tigist Tekle Woldesenbet ◽  
Rediet Gido

Abstract Background: Increasing access to family planning helps to ensure the reproductive right, decrease unintended pregnancy, improve health and nutritional status of children, reduction of maternal mortality and enhance longer birth spacing . There is continually low utilization of long acting and permanent contraceptive method among low and middle income countries. The aim of this study was to assess the Utilization of Long Acting and permanent Contraceptive methods and associated factor among Women of Reproductive Age in west Guji Zone.Methods: Mixed study design was conducted among women of reproductive age in West Guji Zone. Systematic random sampling method was used to select study subjects for the survey with sample size of 507. Descriptive was utilized to summarize the data while logistic regression to assess factors influencing the utilization of Long Acting and permanent Contraceptive methods use. Statistical significance was declared for variables outcomes of the P-value less than 0.05.Result: Current utilization of Long Acting And permanent Contraceptive methods at West Guji zone among reproductive aged group was 51.1%. More than median of participants had negative altitude (72.4%) and poor knowledge (57%) towards long acting and permanent contraceptive method. Educational status of women, number of alive children, acceptance of utilization of Long Acting And permanent Contraceptive methods , how treated by other staff and waiting time during service delivery are significant determinant factor of long acting and permanent family planning method. According to qualitative data, Myths and misconceptions about utilization of intrauterine contraceptive device and implants and negative altitude to ward Long Acting And permanent Contraceptive methods were major barriers to the use of Long Acting And permanent Contraceptive methods.Conclusion: Educational status, number of alive children ( Parity) , acceptance of Long Acting And permanent Contraceptive methods , how treated by other staff and waiting time to get the service are statistically significant predictors of utilization of long acting and permanent family planning methods. More than half of women had negative altitude and poor knowledge on Long Acting And permanent Contraceptive methods. Myths and misconception might affect the utilization of long acting and permanent family planning method.

2021 ◽  
Author(s):  
Eden Dagnachew Zeleke ◽  
Dawit Getachew Assefa ◽  
Tigist Tekle Woldesenbet ◽  
Rediet Gido

Abstract Background: Increasing access to family planning helps to ensure the reproductive right, decrease unintended pregnancy, improve the health and nutritional status of children, reduction of maternal mortality, and enhance longer birth spacing . There is continually low utilization of long-acting and permanent contraceptive methods among low and middle-income countries. The aim of this study was to assess the Utilization of Long-Acting and permanent Contraceptive methods and associated factors among Women of Reproductive Age in the West Guji Zone.Methods: Hospital-based cross-sectional design was conducted among women of reproductive age in the West Guji Zone. A systematic random sampling method was used to select study subjects for the survey with a sample size of 507. Descriptive analysis was utilized to summarize the data while logistic regression to assess factors influencing the utilization of Long-Acting and permanent Contraceptive methods use. Statistical significance was declared for variables outcomes of the P-value less than 0.05.Result: Current utilization of Long-Acting And permanent Contraceptive methods at West Guji zone among the reproductive-aged group was 51.1%. More than the median of participants had negative altitude (72.4%) and poor knowledge (57%) towards the long-acting and permanent contraceptive methods. Educational status of women, the number of alive children, acceptance of utilization of Long-Acting and permanent Contraceptive methods, how treated by other staff, and waiting time during service delivery are significant determinant factors of long-acting and permanent family planning methods. Conclusion: Educational status, number of alive children ( Parity) , acceptance of Long-Acting And permanent Contraceptive methods , how treated by other staff, and waiting time to get the service are statistically significant predictors of utilization of long-acting and permanent family planning methods. More than half of women had a negative attitude and poor knowledge of Long-Acting and permanent Contraceptive methods.


Author(s):  
Mahvish Qazi ◽  
Najmus Saqib ◽  
Sachin Gupta

Background: India with 1.35 billion people is the second most populated country in the world next to China. Total fertility rate of India is 2.2 and the current total fertility rate of Jammu and Kashmir is 1.7 which is still lagging behind various states. This study was conducted to investigate the knowledge, attitude and practices of contraception in women of reproductive age in this set up.Methods: The present cross-sectional study was carried out in patients attending OPD (outpatient department) of Obstetrics and Gynecology at ASCOMS, Jammu, Jammu and Kashmir, India from 1st September 2017 to 31st August 2018. 200 married women aged between 18-49 years were included in this study. Socio-demographic characteristics of the women, their knowledge, attitude and practices on contraception were evaluated with the help of predesigned questionnaire.Results: Out of 200 women, maximum respondents belong to age group of 21-25 years (75.6%). Most of the contraceptive non-users belongs to age below 20 years (62.5%). Majority of respondents were Hindu (70.37%), maximum studied up to secondary level education (84.61%), 70.30% were housewives and 56.58% belongs to middle class. In 45% of respondents, media was the main source of information. Preferred spacing method was condom in 85% of cases. 68% women had knowledge of female sterilization. According to most women, family planning methods are meant for limitations of birth (43%) and 36% meant for spacing of birth. 80% women had positive attitude towards contraceptive usage. 50% experienced side effects with the use of contraceptives. The most common side effect was menstrual irregularities in 25% of cases. Most common reason for not using contraceptive methods among non-respondents were lack of knowledge in 50% of cases.Conclusions: The study showed that inspite of having good knowledge, utilization of contraceptives were less because of large family norm, religious myth, cultural and political barriers. Ignorance regarding use and side effects of various contraceptive methods is another reason for inadequate practice of family planning methods.


2020 ◽  
Author(s):  
Betselot Yirsaw ◽  
Feleke G Meskel ◽  
G-kiros G Michael ◽  
Tewoderos Shitemaw

Abstract Background: Long acting and permanent contraceptive methods by far are the most effective, very safe and convenient methods than short acting contraceptive methods. Dual protective which includes use of a reliable hormonal contraceptive method like LAPMs and a barrier method like using the male or female condom is encouraged to prevent further transmission of HIV. But in less developed countries, use of long acting reversible contraceptive or permanent methods (LARCs/PMs) is very low. Therefore the aim of this study was to identify determinants of long acting contraceptive method utilization among HIV positive reproductive age women. Methods: An institutional based case control study was conducted among random sample of 354 HIV positive reproductive age women (total of 97.8% response rate) at Anti-Retroviral Therapy clinics from February 20 to March 20, 2019. Case to control ratio was 1:2. A structured questionnaire and information recorded from ART card review were used to collect the data. Bivariate and Multivariable logistic regression analysis were performed in order to identify the factors significantly associated with long acting contraceptive method utilization at the level of significance of p value <0.25 with 95% CI of COR and <0.05 with 95% CI of AOR respectively.Results: A total of 354 (33.3% cases and 66.7% controls) HIV positive reproductive age women were interviewed with response rate of 97.8%. The study revealed being in age group of 39 and above [AOR=0.17, 95% CI (0.06, 0.48)], being divorced/separated and widowed [AOR=0.05, 95% CI (0.003, 0.61)], having supportive opinion and strongly supportive opinion regarding family planning service availability in ART clinic [AOR= 5.01, 95% CI (1.79, 14.07)], [AOR= 7.81, 95% CI (2.54, 24.01)] and having no future fertility intention [AOR= 7.03, 95% CI (2.73, 18.06)] were statistically significant determinants for long acting contraceptive method utilization.Conclusion: Woman in age group of 39 and above, having no future fertility intention and being divorced/separated and widowed was found to be determinants of long acting contraceptive method utilization among HIV positive reproductive age women. In addition our study support the WHO Strategic Considerations for Strengthening the Linkages between Family Planning and HIV/AIDS Policies, Programs, and Services. Key words: - long acting contraceptive methods, HIV positive reproductive age women, Ethiopia


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262431
Author(s):  
Sewunet Sako Shagaro ◽  
Teshale Fikadu Gebabo ◽  
Be’emnet Tekabe Mulugeta

Background Modern contraceptive method is a product or medical procedure that interferes with reproduction from acts of sexual intercourse. Globally in 2019, 44% of women of reproductive age were using a modern method of contraception but it was 29% in sub-Saharan Africa. Therefore, the main aim of this analysis was to assess the prevalence of modern contraceptive utilization and associated factors among married women in Ethiopia. Method The current study used the 2019 Ethiopia mini demographic and health survey dataset. Both descriptive and multilevel mixed-effect logistic regression analysis were done using STATA version 14. A p-value of less than 0.05 and an adjusted odds ratio with a 95% confidence interval were used to report statistically significant factors with modern contraceptive utilization. Result The overall modern contraceptive utilization among married women in Ethiopia was 38.7% (95% CI: 37.3% to 40.0%). Among the modern contraceptive methods, injectables were the most widely utilized modern contraceptive method (22.82%) followed by implants (9.65%) and pills (2.71%). Maternal age, educational level, wealth index, number of living children, number of births in the last three years, number of under 5 children in the household, religion, and geographic region were independent predictors of modern contraceptive utilization. Conclusion In the current study only four out of ten married non-pregnant women of reproductive age utilized modern contraceptive methods. Furthermore, the study has identified both individual and community-level factors that can affect the utilization of modern contraceptive methods by married women in the country. Therefore, concerned bodies need to improve access to reproductive health services, empower women through community-based approaches, and minimize region wise discrepancy to optimize the utilization.


2014 ◽  
Vol 9 (4) ◽  
pp. 24-29
Author(s):  
N Bhandari ◽  
GK Shrestha ◽  
PC Thakuri

Background The use of contraception can prevent pregnancies related complication and helps in improving the women’s health and quality of their lives. Objective To explore reproductive characteristics among married women of reproductive age. To find out method of contraceptive use and side effects among married women of reproductive age. To uncover factors related to contraceptive use among married women of reproductive age. Methods This cross-sectional was carried out among (369) married couples of reproductive age group in ward number 5, 6 and 7 of Dhulikhel Municipality using purposive sampling. Those who fell in between the age group of (14-49 years) and willing to participate were included and pregnant women were excluded from the study. Questionnaire was used to obtain informations. Results Among 369(81.3%) of the respondents of reproductive age were using a modern contraceptive method. Regarding education 331(89.5%) of women’s and 352(95.1%) of husbands were literate and 275(91.6%) of women were found to be involved in decision making and had good inter-spousal communication that is 280(93.3%). Among the temporary method of family planning, Depo-Provera was the choice 150(54.5%) of contraceptive method. Conclusion The present study put more emphasis on increase in women’s literacy, women’s involvement in decision making and inter-spousal communication which helps to promote the effective use of contraceptive methods. As women play an important role in the decision making, women should be included in all aspects of reproductive health and family planning programs. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 24-29 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10233


2021 ◽  
Vol 2 (1) ◽  
pp. 055-059
Author(s):  
Jane N. Mugwe ◽  
Patricia Wangari

Family planning services allows individuals to achieve desired birth spacing and family size, and contributes to improved health outcomes for infants, children, women, and families. Family planning is one of the 10 great public health achievements of the 20th century. A number of contraceptive methods are available in family planning clinics to prevent unwanted pregnancy each with particular advantages and disadvantages. This study was conducted to determine factors influencing the uptake of contraceptives among women of reproductive age attending a maternal care health and family planning clinic. Their social demographic characteristics, family planning method used and the association between demographic factors and contraceptive methods were analyzed. There were significant positive correlations between age, education and preferred methods of contraception.


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