scholarly journals Determinants of Long Acting Contraception Among Women Using Modern Contraception in Cameroon.

2021 ◽  
Author(s):  
Michael Guy TOGUEM
Keyword(s):  
Family Planning ◽  
Statistical Significance ◽  
Multivariate Logistic Regression Analysis ◽  
Cost Effective ◽  
Single Women ◽  
Reproductive Age ◽  
Modern Contraception ◽  
Contraception Use ◽  
Long Acting

Abstract Background: In Cameroon, 23% of married women, 34% of sexually active single women have unmet needs for family planning and 58% of the reproductive age patients are not interested in family planning. While a long acting contraception such as intra uterine devise is known to be safe, highly effective, and cost effective; less than 1% of reproductive age women in Cameroon use a long acting reversible contraception. These contribute to Cameroon’s mother mortality rate of 600 per 100,000 live births. In this study, we tried to identify the determinants of use or none use of long acting contraception among Cameroonian women using a modern contraception so that they can be acted upon to improve long acting contraception use in cameroon.Methods: The study uses data from 2,231 women aged 15 to 49 years old, using a modern contraception and included in the demographic health survey of Cameroon 2018/19. Bivariate, then multivariate logistic regression analysis was conducted for the study outcome of short versus long term modern contraception. Statistical significance was taken at p < 0.05.Results: Among women using a modern contraception in Cameroon, 45.4% were using a long acting contraception. The mean determinants for this were: increase age, being more than 10 people in the household, belonging to the poorer and middle economic quintiles, being insulted or made to feel bad sometimes by the husband or the partner. Conclusion: To improve the use of long acting contraception among women using a modern contraception in Cameroon, a special consideration should be given to women experiencing domestic violence without forgetting the other determinants.

scholarly journals Determinants of Modern Contraception use Among Reproductive Age Women in Cameroon.

2021 ◽  
Author(s):  
Michael guy Toguem
Keyword(s):  
Family Planning ◽  
Statistical Significance ◽  
Unmet Need ◽  
Multivariate Logistic Regression Analysis ◽  
Reproductive Age ◽  
Unexpected Finding ◽  
Modern Contraception ◽  
Reproductive Age Women ◽  
Contraception Use ◽  
Main Determinants

Abstract Background: In Cameroon, 23% of married women, 34% of sexually active single women have unmet needs for family planning and 58% of reproductive age women are not interested in family planning. This contributes to the high mother mortality rate, which is at 600 per 100.000 live births. In this study, we tried to identify the factors contributing to the current use of modern contraception by Cameroonian women so that they can be act on to meet the unmet need for modern contraception. Methods: The study uses data from 12,411 women aged from 15 to 49 years old included in the demographic health survey of Cameroon 2018/19. Bivariate, then multivariate logistic regression analysis were conducted on the study outcome of Modern versus non-modern contraception. Statistical significance was taken at p < 0.05.Results: We found out that 18% of the women in Cameroon use a modern contraception. The main determinants for this were; not working, increasing socioeconomic class, no more wanting children, wanting to delay the next childbirth by at least 2 years, and history of domestic violence. Conclusion: The above factors should be considered in the making of a national contraception improvement plan. Meanwhile, none working women being more likely to use a modern contraception should be considered with some reserve because this is a highly unexpected finding.

scholarly journals Level and determinants of long-acting family planning utilization among reproductive age women in Harar, Eastern Ethiopia

2021 ◽  
Vol 17 ◽  
pp. 174550652110632
Author(s):  
Astawus Alemayehu ◽  
Abebaw Demissee ◽  
Dereje Feleke ◽  
Maruf Abdella
Keyword(s):  
Family Planning ◽  
Multivariate Logistic Regression Analysis ◽  
Population Expansion ◽  
Planning Method ◽  
Family Planning Method ◽  
Reproductive Age ◽  
P Value ◽  
Eastern Ethiopia ◽  
Reproductive Age Women ◽  
Long Acting

Background: Ethiopia’s population is currently estimated to be 117,814,659 people and continues to have countries with the highest maternal mortality rates. Family planning is one of the most effective techniques for lowering mother and child mortality, in addition to limiting rapid population expansion. Objective: The aim of this study was to assess level and determinants of long-acting family planning method among reproductive age women in Harar, Eastern Ethiopia, 2021 Method: Community-based cross-sectional study was conducted among 845 randomly selected reproductive age women. Data were collected by trained data collector using pretested structured questionnaire. Data were coded and entered into Epidata v.3 and analyzed using SPSS v.26 software. Descriptive statistics, bivariate and multivariate logistic regression analysis was used. Variable with p-value less than 0.05 was declared as statistically significant. Result: The prevalence of long-acting family planning method was 74.7%, while 53.6% and 46.4% was from rural and urban, respectively. The mean age of participants was 28.5 (± 5.6) years. Married women four times (AOR: 4.1; 95% CI: 1.6, 10.4) more likely to use long-acting family planning method than single women. Women with educated husband four times (AOR: 4.4; 95% CI: 1.8, 10.6) more likely to use long-acting family planning method than women with illiterate husband. Conclusion: There is high level of utilization of long-acting family planning. The women’s marital status, increased education level of husbands, increasing in age of women, intention to spacing birth, and having less than five children were found to significantly increase the utilization of long-acting family planning.

scholarly journals PENERAPAN TERAPI KOMPLEMENTER UNTUK MENGURANGI KECEMASAN DAN NYERI PADA AKSEPTOR KB IMPLANT

2021 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Rahayu Widaryanti ◽  
Herliana Riska ◽  
Ester Ratnaningsih ◽  
Istri Yuliani
Keyword(s):  
Virtual Reality ◽  
Family Planning ◽  
Essential Oil ◽  
Complementary Therapies ◽  
Cost Effective ◽  
Complementary Therapy ◽  
Reproductive Age ◽  
Deep Breathing ◽  
Service Activity

Background: Long-term contraception is the most cost-effective type of modern contraception and to prevent unwanted pregnancies for 3-10 years, one of the methods of MKJP is implant birth control. In 2019, the coverage of long-term contraception acceptors was 23.1%, and the number of implant users was 4.7%. Many acceptors were less interested in implants because they were afraid of how to install them. Therefore, to reduce anxiety and pain, the servants tried to use complementary therapy such as the use of virtual reality, slow deep breathing, and lavender essential oil. Methods: This community service activity is included in a series of events commemorating World contraception day and contributes to the success of the 250,000 MKJP programs launched by BKKBN. The activity was carried out on 19 and 24 August 2020 at PMB Istri Yuliani and was attended by 28 implant acceptors. Results: The number of implant acceptors who participated in this activity was 28 mothers, with an average age at healthy reproductive age (85.7%), an average level of education for secondary education (85.7%), and having more than 1 child ( 64.3%) only 32.1% of the acceptors have never used family planning before, the rest have used various contraceptive methods. The use of effective complementary therapies can reduce anxiety levels in mothers by 9.50 points. Besides, the use of complementary therapies is also effective in reducing pain felt by implant acceptors. Conclusion: Complementary virtual reality therapy, slow deep breathing, and lavender essential oil can reduce the level of anxiety and pain in implant family planning acceptors.Keywords: anxiety, pain, implants, complementary therapy

scholarly journals Role of husband’s attitude towards the usage of contraceptives for unmet need of family planning among married women of reproductive age in Pakistan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammad Farhan Asif ◽  
Zahid Pervaiz ◽  
Jawad Rahim Afridi ◽  
Ghulam Abid ◽  
Zohra S. Lassi
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Family Planning Programs ◽  
Contraception Use ◽  
Wide Range

Abstract Background Family planning services deliver a wide range of benefits to the well-being of females and the community. It can curtail the risk of maternal and neonatal mortality through the reduction in abortions and pregnancies. The government of Pakistan has been struggling to convince people about the usefulness of family planning programs. However, different factors related to social norms, values, and culture are important to determine the success of these programs. One such factor is the patriarchal structure of Pakistani society where most of the household decisions are made by men. The objective of this research is to examine the role of the husband’s attitude towards the usage of contraceptives for the unmet need of family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan. Method The dataset of Pakistan Demographic and Health Survey 2017–18 is utilized to examine the role of the husband’s attitude towards the usage of contraceptives in UMNFP among MWRA in Pakistan. Results The UMNFP was considerably lower among MWRA between 40 years and above compared to women 15–19 years. The odds of UMNFP were higher among women and men who were educated up to the primary level compared to those with no education. Odds of UMNFP were higher among women from the poor wealth quintile compared to the poorest wealth quintile; similarly, it was significantly lower among women who were from the richer and the richest wealth quintile compared to the poorest wealth quintile. The odds of UMNFP were lower among women who were employed compared to those who were not employed. Lastly, the odds of UMNFP were higher among women whose husbands opposed to using contraceptives, who perceived that there was a religious prohibition for such use and when a decision on the contraception use was solely made by the husband. Conclusions Husband’s attitude towards the usage of contraceptives is an important predictor of UMNFP. Liaising with the community and religious leaders to persuade people particularly men about the usefulness of family planning programs and encouraging men to understand their women’s say in using contraceptives should be encouraged.

scholarly journals Integration of Family Planning Counselling to Mass Screening Campaign for Cervical Cancer: Experience from Guinea

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
D. W. A. Leno ◽  
F. D. Diallo ◽  
A. Delamou ◽  
F. D. Komano ◽  
M. Magassouba ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Family Planning ◽  
Mass Screening ◽  
Local Treatment ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Capital Cities ◽  
Long Acting ◽  
Cancer Experience

Aim. To assess feasibility of integrating family planning counselling into mass screening for cervical cancer in Guinea. Methodology. This was a descriptive cross-sectional study conducted over a month in Guinea regional capital cities. The targeted population comprised women aged 15 to 49 years. Nearly 4000 women were expected for the screening campaigns that utilized VIA and VIL methods with confirmation of positive tests through biopsy. A local treatment was immediately performed when the patient was eligible. Results. Overall 5673 women aged 15 to 60 years were received, a surplus of 42% of the expected population. 92.3% of women were aged 15–49 years and 90.1% were 25–49 years. Long-acting methods were the most utilized (89.2% of family planning users). 154 precancerous and cancerous lesions were screened, a global positivity rate of 2.7%. Conclusion. Integration of counselling and family planning services provision during cervical cancer mass screening is a feasible strategy. A cost-effective analysis of this approach would help a better planning of future campaigns and its replication in other contexts.

scholarly journals DETERMINAN PEMILIHAN METODE KONTRASEPSI JANGKA PANJANG PADA AKSEPTOR KB AKTIF DI PUSKESMAS PEDAMARAN

2019 ◽  
Vol 1 (01) ◽  
Author(s):  
Lusia Weni ◽  
Muhammad Yuwono ◽  
Haerawati Idris
Keyword(s):  
Multivariate Analysis ◽  
Family Planning ◽  
Information Needs ◽  
Large Population ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
Contraceptive Methods ◽  
Long Acting ◽  
Selection Of

<span lang="IN">Determinant of the selection of long-term contraceptive methods on family planning acceptors in Pedamaran community health center. </span><span lang="EN"> The population problem faced by Indonesia is a large population with a low quality of life. Uncontrolled population rate will cause baby booming so information needs to be disseminated about the benefits of family planning (FP). Long-term contraceptive method has a high level of effectiveness and can reduce the rate of population growth. </span><span lang="EN">This study aim to determine the factors that affect the selection of long-term contraceptive methods in active family planning acceptors.</span><span lang="EN">This study used a cross-sectional study design and using</span><span lang="IN"> simple random sampling</span><span lang="EN"> technique, consisted of 243 acceptors. Analyzes of data were univariate analysis, bivariate analysis using chi-square test with α = 0.05 and 95% confidence interval value, and multivariate analysis using binary logistic regression.</span><span lang="EN">Based on multivariate analysis was the variables significantly related to the selection of long-acting contraception include </span><span lang="IN">age (p = 0.01; OR = 2,24; 95% CI: 1,17-4,29), education (p = 0.01; OR = 0,31; 95% CI: 0,13-0,75) and number of children (p = 0.03; OR = 2; 95% CI: 1,05-3,81).</span><span lang="EN"> Thus, age was the variable that had the greatest impact on determining the selection of long-acting contraception.</span><span lang="IN">The </span><span lang="EN">acceptors with ≥ 35 years old, low educated and have &gt;2 children more likely to choose long-acting contraception. It is hoped that family planning workers can educate and persuade people of all ages with </span><span lang="IN">different educational backgrounds so total fertility rate can be reduce.</span>

DESIRE FOR MORE CHILDREN, CONTRACEPTIVE USE AND UNMET NEED FOR FAMILY PLANNING IN A REMOTE AREA OF BALI, INDONESIA

2010 ◽  
Vol 42 (4) ◽  
pp. 549-562 ◽  
Author(s):  
MELLISSA WITHERS ◽  
MEGUMI KANO ◽  
GDE NGURAH INDRAGUNA PINATIH
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Multivariate Logistic Regression Analysis ◽  
Reproductive Age ◽  
Access To Health Services ◽  
The Past ◽  
Access To Health ◽  
Living Children

SummaryExploring fertility preferences in relation to contraceptive use can increase the understanding of future reproductive behaviour and unmet family planning needs. This knowledge can help assist women in meeting their reproductive goals. The influences on the desire for more children and current contraceptive use were examined among 1528 married women of reproductive age in an isolated community in Bali, Indonesia, using multivariate logistic regression analysis. Women who were younger, had fewer living children, had given birth in the past year and had regular access to health services were more likely to desire children. Being older, having fewer living children, not having regular access to health services, having given birth in the past year and having the desire for more children were associated with a lower likelihood of using contraception. Women with regular access to health care are more likely to desire more children, probably because they are confident in their ability to have successful birth outcomes. However, specialized clinics or family planning outreach workers may be required to reduce barriers to service utilization among some groups. The findings of this study identify key target populations for family planning, including older women and postpartum women – groups that may not perceive themselves to be at risk for unintended pregnancy. Meeting unmet need for family planning among these groups could help women meet their fertility goals, as well as reduce maternal morbidity and mortality.

scholarly journals The relationship between area deprivation and prescription of long-acting reversible contraception in women of reproductive age in Lothian, Scotland, UK

2017 ◽  
Vol 43 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Catherine Rachel Morgan ◽  
Hanhua Liu
Keyword(s):  
Teenage Pregnancy ◽  
Unplanned Pregnancy ◽  
Cost Effective ◽  
Reproductive Age ◽  
Electronic Prescribing ◽  
Area Deprivation ◽  
Health Clinics ◽  
Long Acting ◽  
To Receive ◽  
The Relationship

BackgroundReducing unplanned pregnancy in Scotland is a key government objective. Long-acting reversible contraception (LARC) is a cost-effective way to reduce unintended pregnancy. Abortion and teenage pregnancy rates are highest in the most deprived areas. One possible explanation could be contraceptive prescribing inequality. This study examined the relationship between area deprivation measured by the Scottish Index of Multiple Deprivation and LARC prescription.MethodsUsing Scottish electronic prescribing data from primary care and sexual and reproductive health clinics, this study analysed female Lothian residents with a valid postcode aged 16–49 years who received a contraceptive prescription from 1 April 2012 to 31 March 2014. Prescription of LARC (intrauterine, implant or injectable contraceptive) compared with non-LARC (oral pill, patch, ring or diaphragm) was examined. Logistic regression was performed adjusting for age group and prescription location.ResultsA total of 90 150 women were included; 21.1% of prescriptions were LARC and 15.3% vLARC (intrauterine method or implant). Women residing in the most deprived quintile (Q1) and prescribed contraception received a significantly higher proportion of LARC than quintiles 2–5 (Q2–5). Odds ratios compared with Q1 were: Q2 0.86, Q3 0.77, Q4 0.59 and Q5 0.51. Women in quintile 1 were also significantly more likely to receive vLARC than quintiles 2–5.ConclusionWomen in the most deprived quintile in Lothian who are prescribed contraception are significantly more likely to receive LARC and vLARC compared with women in less deprived quintiles.

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