scholarly journals Effectiveness of task-sharing in providing comprehensive long-acting reversible contraceptives through Level IV health extension workers in rural Ethiopia

2021 ◽  
Author(s):  
Alula Teklu ◽  
Awol Seid ◽  
Kassahun Mormu ◽  
Tesfa Demlew ◽  
Ephrem Tekle ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Extension Workers ◽  
Chi Square ◽  
New Family ◽  
Positive Attitudes ◽  
Desire To Have Children ◽  
Modern Family ◽  
Planning Methods ◽  
Long Acting ◽  
Long Acting Reversible Contraceptives

Abstract Background: Modern family planning uptake in Ethiopia, primarily short-acting injectables, has increased after the engagement of community health extension workers (HEWs). The aim of this study was to investigate the effectiveness of using Level IV health extension workers to deliver long-acting reversible contraceptives (LARCs) at the community level. Methods: A retrospective cohort study design was used to recruit 710 women who received LARC insertion services at pilot health posts within eight months before survey time. The interviewer administered a data collection tool to collect the required data through a house-to-house survey. The questionnaire had sections covering demographic and socioeconomic characteristics, reproductive history, use of family planning methods, knowledge about LARC methods (i.e., IUCD and Implanon), and service satisfaction. Descriptive statistics were used to analyze data. Chi-square test was used to identify the determinants of LARC use. Results: Out of 702 LARC users included in the study, 92.7% received services from Level IV HEWs. The median age of clients was 30 years (IQR: 25–35), 92.7% were married, and 22.6% were new family planning users (75% Implanon users and 19.4% Jaddelle users). Of the aggregated variables, 67.38% had good knowledge of LARC, 92.28% had positive attitudes in availing services at health posts, and 92.76% was the satisfaction score of clients. New users tended to be young, Muslim, less likely to want more children, and more likely to decide on contraception on their own. At eight months post insertion, LARC use was effective in preventing pregnancy (99.7%) with low removal (n = 36, 5.1%) and expulsion rates (n = 1, 0.1%). No infection was reported. The major reasons for removal were side effects and the desire to have children. Client knowledge, attitude, and satisfaction were found to be high. In conclusion, trained Level IV HEWs provided LARCs safely and effectively at the health post level as an alternative service delivery outlet.

scholarly journals Awareness, Knowledge and Comprehension of Media Messages on Family Planning as Predictors of Practice among Civil Servants in Lagos State, Nigeria

2019 ◽  
Vol 12 (1) ◽  
pp. 96
Author(s):  
Helen Odunola Adekoya ◽  
Mofoluke Akoja ◽  
Charles Maduabuchi Ekeh ◽  
Nneoma Anaeto
Keyword(s):  
Family Planning ◽  
Control Method ◽  
Population Control ◽  
Civil Servants ◽  
Chi Square ◽  
Lagos State ◽  
Planning Methods ◽  
Long Acting ◽  
Study Participants ◽  
Family Planning Methods

Family planning is a population control method practiced in various countries including Nigeria; however, it cannot be practice unless people are aware of it and its methods. Thus, awareness, knowledge and comprehension of family planning messages as predictors of practice is studied. 478 copies of questionnaire were distributed to that number of civil servants at the Lagos state secretariat, Alausa from where the population for the study was drawn. With a response rate of 95.8%, 458 copies were retrieved and analyzed using the statistical package for social sciences (SPSS) version 22, while hypotheses were tested using the Pearson Chi-Square. Findings revealed that there is high awareness of family planning messages among study participants with posters as the major medium of awareness. The study also found that the long-acting family planning methods are the most known family planning methods and that the practice is well known and common among study participants.

HUBUNGAN UMUR DAN PARITAS DENGAN PEMILIHAN ALAT KONTRASEPSI METODE OPERASI WANITA (MOW) DI POLIKLINIK KEBIDANAN RS BHAYANGKARA PALEMBANG TAHUN 2012

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Y. Widyastuti Y. Widyastuti
Keyword(s):  
Family Planning ◽  
Medical Records ◽  
Test Results ◽  
Family Planning Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Planning Methods ◽  
Chi Square Test ◽  
Family Planning Methods ◽  
Selection Of

  ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW).                                      ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik  Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya  9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik  di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki  umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden  (55%) dan yang memiliki  paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB  di RS. Bhayangkara Palembang  agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).    

scholarly journals Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso

2020 ◽  
Vol 3 ◽  
pp. 1499
Author(s):  
Dawn S. Chin-Quee ◽  
Kathleen Ridgeway ◽  
Yentéma Onadja ◽  
Georges Guiella ◽  
Guy Martial Bai ◽  
...  
Keyword(s):  
Family Planning ◽  
Burkina Faso ◽  
Health Workers ◽  
Scale Up ◽  
Family Health ◽  
Pilot Project ◽  
Steady Increase ◽  
Task Sharing ◽  
Planning Methods ◽  
Long Acting

Background: The Family Health Directorate of the Ministry of Health  and Marie Stopes Burkina Faso, with implementing partners, Association Burkinabè pour le Bien-être Familial  and Equilibres & Populations  collaboratively conducted a pilot project in Burkina Faso focused on “increasing access to family planning (FP) services through task-sharing short- and long-acting family planning methods to primary care cadres.” Four cadres of providers  provided intrauterine devices (IUDs) and implants, while community health workers (CHWs)  provided pills and subcutaneous injectables. FHI 360 and the Institut Supérieur des Sciences de la Population  evaluated the project’s impact on method uptake, client satisfaction, safety, acceptability and the feasibility of task sharing. Methods: The evaluation employed FP service statistics on new users and conducted 425 client exit interviews  and 27 in-depth interviews . New FP clients, community representatives, MoH officials, and pilot project-trained FP providers from Dandé and Tougan districts participated in these interviews. Results: Providers, community representatives and government officials all spoke favorably of the pilot project and considered it a boon to women and the communities in which they lived. FP clients were satisfied with their methods and the services they received from their respective providers, and they reported no safety concerns. However, service statistics did not show a clear and steady increase in method uptake for the four methods beyond spikes coinciding with pre-existing free contraceptive weeks. Conclusions:  A scale-up plan for 2020-2022 is in place and will purposefully implement sensitization and demand generation activities to improve FP uptake beyond free contraceptive weeks.

scholarly journals Family Planning Methods and Practices Adopted by Married Women in Anambra

2021 ◽  
Vol 11 (6) ◽  
pp. 182-189
Author(s):  
Alagbu C. E. ◽  
Iloghalu, A. N. ◽  
Nnaemezie, N. O
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Married Women ◽  
Chi Square ◽  
Anambra State ◽  
Significant Difference ◽  
The Family ◽  
Planning Methods ◽  
Wide Issue ◽  
Family Planning Methods

Introduction: Family planning is a world-wide issue in reproductive health which tends to affect individuals of every tribe or race, irrespective of age, religion or educational level. This study investigated the family planning methods and practices adopted by married women in Anambra State. Methods: Three research questions were formulated to guide the study and two null hypotheses tested at 0.05 level of significance. The design for the study was descriptive survey. The study has a population of 133, 736 married women in Onitsha, Nnewi and Awka who were registered under the population commission of Anambra State as at August, 2019. A sample of 420 married women was involved in the study. The instrument titled “Questionnaire Family planning methods and practices adopted by married women in Anambra State was used for collection of data. The data collected was analyzed using Frequency and Percentage and Chi Square. Results: The findings indicated that greater percentage of married women in Anambra State is aware of family planning but practicing it was the major problem. There were no significant difference in the family planning methods adopted by married women in Anambra State based on their ages and parity level. Conclusion: Based on the findings and their implications, it was recommended among others, that there is need for there is need to create more awareness or sensitization on other methods of family planning which the women might not know. Key words: Family planning, reproductive health, married women, Anambra

Reproductive mortality and its relation to different methods of birth control

1990 ◽  
Vol 22 (3) ◽  
pp. 323-331 ◽  
Author(s):  
Ulf Högberg ◽  
Stig Wall
Keyword(s):  
Family Planning ◽  
Modern Contraceptive ◽  
Younger Women ◽  
The Us ◽  
Modern Family ◽  
Planning Methods ◽  
1960S And 1970S ◽  
The 1960S ◽  
High Level ◽  
Family Planning Methods

SummaryThis report evaluates the decrease in maternal mortality and its relation to family planning methods in Sweden during the years 1911–80. In the 1930s fertility was low but illegal abortions were at a high level and the associated maternal death rate was 18·5 per 1000 women. With the legalization of abortion and the introduction of modern contraceptive methods, the crude reproductive mortality rate in 1965–70 was 1·7 per 100,000 women and this was reduced still further, especially for younger women, by the late 1970s. Standardized reproductive mortality was then 80% higher than the crude rate, indicating the importance of modern family planning methods. Mortality associated with oral contraceptive or IUD use in Sweden during the 1960s and 1970s was lower than in England and the US. Mortality associated with sterilization was 6·2 per 100,000 procedures.

scholarly journals Inequalities in the Use of Family Planning in Rural Nepal

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Suresh Mehata ◽  
Yuba Raj Paudel ◽  
Bhogendra Raj Dotel ◽  
Dipendra Raman Singh ◽  
Pradeep Poudel ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Household Survey ◽  
Risk Groups ◽  
Reproductive Age ◽  
Younger Women ◽  
Modern Family ◽  
Planning Methods ◽  
Rural Nepal ◽  
Modern Family Planning

This paper explores inequalities in the use of modern family planning methods among married women of reproductive age (MWRA) in rural Nepal. Data from the 2012 Nepal Household Survey (HHS) were utilized, which employed a stratified, three-stage cluster design to obtain a representative sample of 9,016 households from rural Nepal. Within the sampled households, one woman of reproductive age was randomly selected to answer the survey questions related to reproductive health. Only four out of every ten rural MWRA were using a modern family planning method. Short-acting and permanent methods were most commonly used, and long-acting reversible contraceptives were the least likely to be used. Muslims were less likely to use family planning compared to other caste/ethnic groups. Usage was also lower among younger women (likely to be trying to delay or space births) than older women (likely to be trying to limit their family size). Less educated women were more likely to use permanent methods and less likely to use short-term methods. To increase the CPR, which has currently stalled, and continue to reduce the TFR, Nepal needs more focused efforts to increase family planning uptake in rural areas. The significant inequalities suggest that at-risk groups need additional targeting by demand and supply side interventions.

scholarly journals The Utilization of Long-Acting Reversible Contraception and Associated Factors Among Women in Indonesia

2020 ◽  
Vol 12 (3) ◽  
pp. 110
Author(s):  
Maria Gayatri
Keyword(s):  
Older Women ◽  
Associated Factors ◽  
Descriptive Analysis ◽  
Working Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Chi Square ◽  
Long Acting ◽  
Complex Sample Design ◽  
Long Acting Reversible Contraceptives

Long-acting reversible contraceptives (LARCs), consist of IUD and implats, were effective and efficient methods in preventing the pregnancy. However, the used of these methods in Indonesia was still low. This study sought to explore LARC utilization trends and the factors influencing LARC used among reproductive women in Indonesia. This research analyzed data from the Indonesia Demographic and Health Survey 2017. Respondents in this study were women who currently used modern contraceptive methods. A total of 20,409 women who used modern methods were included in the analysis. Descriptive analysis was performed using chi-square and percentages. Logistic regression with complex sample design was used to determine the associated factors in LARC utilization. Among women in reproductive age who currently used modern contraception, IUDs and implants were viewed particularly unfavorably which only 16.5% of women used LARC. Findings highlighted that higher LARC use among reproductive age women in Indonesia correlated with higher parity, older women, higher education, working women, desire to limit the pregnancy in the future and more visited by fieldworkers in the last 12 months. This study underscored that even though only 4% of respondents were visited by fieldworkers, the utilize of LARC was higher among women who visited by fieldworkers. This study suggests that communication skills among fieldworker need to be enhanced to do counselling and work closely with the community member.

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