scholarly journals Web Comparison of Three Contingent Valuation Techniques in Women of Childbearing Age: The Case of Ovulation Induction in Quebec

10.2196/13355 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e13355
Author(s):  
Aissata Dieng ◽  
Jie He ◽  
Thomas G Poder
Keyword(s):  
Confidence Interval ◽  
Contingent Valuation ◽  
Ovulation Induction ◽  
Accurate Method ◽  
Total Sample ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Bid Price ◽  
Bid Prices ◽  
The Government

Background In Canada, 11.5% to 15.7% of couples suffer from infertility. Anovulation, or failed ovulation, is one of the main causes of infertility in women. In Quebec, the treatment for ovulation induction and other services related to assisted reproductive technology (ART) have been partially reimbursed by the government since 2010. Objective This study aimed to compare the willingness to pay (WTP) of women of childbearing age to receive drug treatment in the event of failed ovulation according to 3 different contingent valuation methods. Methods The following elicitation techniques were used: simple bid price dichotomous choice (DC), followed by an open-ended question (DC-OE), and a simplified multiple-bounded discrete choice (MBDC). Each participant was randomly assigned to 1 of 3 elicitation techniques. Bid prices ranged from Can $200 to Can $5000. Of the 7 bid prices, 1 was randomly proposed to each participant in the DC and DC-OE groups. For the DC-OE group, if the answer to the DC bid price was no, respondents were asked what was the maximum amount they were willing to pay. For the MBDC group, each respondent was offered an initial bid price of Can $1500, and the subsequent bid price offer increased or decreased according to the answer provided. “Do not know” responses were considered as a “no”, and each individual was questioned as to their certainty after each choice. WTP values were estimated using probit and bivariate models; the Welsh and Poe model was also performed for the MBDC group. Results The survey was conducted from 2009 to 2010 with a total sample of 680 women. Analyses were performed on 610 respondents (199 DC, 230 DC-OE, and 181 MBDC). Of the 70 respondents who were excluded, 6 did not meet the age criterion, 45 had an annual income less than Can $2500, and 19 did not respond to the WTP question. Mean WTP values were Can $4033.26, Can $1857.90, and Can $1630.63 for DC, DC-OE, and MBDC, respectively. The WTP for MBDC “definitely yes” and “probably yes” values were Can $1516.73 and Can $1871.22, respectively. The 3 elicitation techniques provided WTP value differences that were statistically significant (P<.01). The MBDC was the most accurate method, with a lower confidence interval (Can $557) and a lower (CI/mean) ratio (0.34). Conclusions A positive WTP for ovulation induction was found in Quebec. Adding a follow-up question resulted in more accurate WTP values. The MBDC technique provided a more accurate estimate of the WTP with a smaller and, therefore, more efficient confidence interval. To help decision making and improve the effectiveness of the fiscal policy related to the ART program, the WTP value elicited with the MBDC technique should be used.

scholarly journals Web Comparison of Three Contingent Valuation Techniques in Women of Childbearing Age: The Case of Ovulation Induction in Quebec (Preprint)

2019 ◽  
Author(s):  
Aissata Dieng ◽  
Jie He ◽  
Thomas G Poder
Keyword(s):  
Confidence Interval ◽  
Contingent Valuation ◽  
Ovulation Induction ◽  
Accurate Method ◽  
Total Sample ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Bid Price ◽  
Bid Prices ◽  
The Government

BACKGROUND In Canada, 11.5% to 15.7% of couples suffer from infertility. Anovulation, or failed ovulation, is one of the main causes of infertility in women. In Quebec, the treatment for ovulation induction and other services related to assisted reproductive technology (ART) have been partially reimbursed by the government since 2010. OBJECTIVE This study aimed to compare the willingness to pay (WTP) of women of childbearing age to receive drug treatment in the event of failed ovulation according to 3 different contingent valuation methods. METHODS The following elicitation techniques were used: simple bid price dichotomous choice (DC), followed by an open-ended question (DC-OE), and a simplified multiple-bounded discrete choice (MBDC). Each participant was randomly assigned to 1 of 3 elicitation techniques. Bid prices ranged from Can $200 to Can $5000. Of the 7 bid prices, 1 was randomly proposed to each participant in the DC and DC-OE groups. For the DC-OE group, if the answer to the DC bid price was <i>no</i>, respondents were asked what was the maximum amount they were willing to pay. For the MBDC group, each respondent was offered an initial bid price of Can $1500, and the subsequent bid price offer increased or decreased according to the answer provided. “<i>Do not know</i>” responses were considered as a “<i>no</i>”, and each individual was questioned as to their certainty after each choice. WTP values were estimated using probit and bivariate models; the Welsh and Poe model was also performed for the MBDC group. RESULTS The survey was conducted from 2009 to 2010 with a total sample of 680 women. Analyses were performed on 610 respondents (199 DC, 230 DC-OE, and 181 MBDC). Of the 70 respondents who were excluded, 6 did not meet the age criterion, 45 had an annual income less than Can $2500, and 19 did not respond to the WTP question. Mean WTP values were Can $4033.26, Can $1857.90, and Can $1630.63 for DC, DC-OE, and MBDC, respectively. The WTP for MBDC “<i>definitely yes</i>” and “<i>probably yes</i>” values were Can $1516.73 and Can $1871.22, respectively. The 3 elicitation techniques provided WTP value differences that were statistically significant (<i>P</i>&lt;.01). The MBDC was the most accurate method, with a lower confidence interval (Can $557) and a lower (CI/mean) ratio (0.34). CONCLUSIONS A positive WTP for ovulation induction was found in Quebec. Adding a follow-up question resulted in more accurate WTP values. The MBDC technique provided a more accurate estimate of the WTP with a smaller and, therefore, more efficient confidence interval. To help decision making and improve the effectiveness of the fiscal policy related to the ART program, the WTP value elicited with the MBDC technique should be used.

scholarly journals FAKTOR YANG MEMPENGARUHI PENGGUNAAN JENIS METODE KONTRASEPSI JANGKA PANJANG (MKJP) PADA WANITA MENIKAH USIA SUBUR DI PROVINSI JAWA TIMUR

2019 ◽  
Vol 13 (2) ◽  
pp. 246
Author(s):  
Luki Triyanto
Keyword(s):  
Family Planning ◽  
Multinomial Logistic Regression ◽  
Secondary Data ◽  
Women Of Childbearing Age ◽  
Residential Areas ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Multinomial Logistic Regression Analysis ◽  
Family Planning Programs ◽  
The Government

Long-Acting and Permanent Method (LAPM) is a very effective method of contraception, but women of childbearing age majority use short-term contraceptive methods. The purpose of this study was to apply multinomial logistic regression analysis in predicting factors affecting Fertile Women in the use of LAPM in East Java Province in 2012. This research use secondary data that was result of Indonesia Demographic Health Surveys (IDHS) year 2012 using the number of 171 respondents. The results of this study indicated the variables that affected the use of LAPM of WUS age (p = 0.008), education level (p = 0,004), occupation (p = 0,029), source of family planning services (p = 0,000), residence area (p = 0.016). The conclusion of this study was age, educational level, occupation, source of FP services, and residential areas affecting the use of long-term contraceptive methods in women of childbearing age. Therefore the government  through the National Family Planning Coordinating Board (BKKBN),­ still pay attention to the family planning program and ensure every community to implement family planning programs and educate and promote family planning programs to resolve the problems of the population.

scholarly journals Incisional hernia repair in women of childbearing age: A nationwide propensity-score matched study

2019 ◽  
Vol 109 (4) ◽  
pp. 295-300
Author(s):  
E. Oma ◽  
K. K. Jensen ◽  
L. N. Jorgensen ◽  
T. Bisgaard
Keyword(s):  
Chronic Pain ◽  
Propensity Score ◽  
Confidence Interval ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Subsequent Pregnancy ◽  
Secondary Outcome ◽  
Women Of Childbearing Age ◽  
Childbearing Age

Background & Aims: Although incisional hernia repair in women of childbearing age is not rare, hernia disease in this group of patients is sparsely documented. The aim of this study was to examine long-term clinical results after incisional hernia repair in women of childbearing age. Material and methods: This nationwide cohort study examined incisional hernia repair from 2007 to 2013 in women of childbearing age, registered prospectively in the Danish Ventral Hernia Database. All women with a subsequent pregnancy were included, and a 1:3 propensity-score matched group of women with an incisional hernia repair without a subsequent pregnancy. A prospective follow-up was conducted, including a validated questionnaire. The primary outcome was recurrence, and the secondary outcome was chronic pain from the operated site. Results: In total, 124 (70.5%) women responded, 47 and 77 women with and without a subsequent pregnancy, respectively. The 5-year cumulative incidence of recurrence was 41.0% (95% confidence interval 32.0%–49.9%). After adjustment for potential confounders, subsequent pregnancy was independently associated with recurrence (hazard ratio 1.83, 95% confidence interval 1.02–3.29, p = 0.044). Twenty-six (21.0%) women reported chronic pain (moderate, n = 21; severe, n = 5) with no difference between women with and without a subsequent pregnancy. Hernia recurrence, higher body mass index, and smoking were associated with chronic pain. Conclusion: Pregnancy following incisional hernia repair was associated with an increased risk of recurrence, but not with chronic pain.

A Predictive Model for Fertility Behavior of Women of Childbearing Age: Based on the Apriori Algorithm and Smooth Cut-Point Calculation

2020 ◽  
Vol 24 (3) ◽  
pp. 260-264
Author(s):  
Feng Chen ◽  
◽  
Xiuwu Zhang
Keyword(s):  
Reproductive Behavior ◽  
Fertility Behavior ◽  
Data Mining Algorithm ◽  
Apriori Algorithm ◽  
Migrant Women ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cut Point ◽  
Point Calculation ◽  
The Government

We combine the Apriori data mining algorithm and smooth cut-point calculation to build a model that uses microscopic individual data to predict fertility behavior. The data of China’s migrant population from 2013 to 2015 are used to predict the reproductive behavior of migrant women. The accuracy of the prediction results is over 84%. The model also quantifies the extent to which the existing characteristics of individuals influence their reproductive behavior. The government can regulate individual fertility behavior based on the quantified scores.

scholarly journals The Relation of Hormonal Contraception Use With Obesity in Women of Childbearing Age (WUS) of Public Health Insurance Participants In The Lamongan Clinic

2020 ◽  
Vol 9 (2) ◽  
pp. 964-969
Author(s):  
Asyaul Wasiah
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Hormonal Contraception ◽  
Total Sample ◽  
Public Health Insurance ◽  
Hormonal Contraceptives ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Contraception Use

Obesity is caused by several factors, one of them is the use of contraception in particular the use of hormonal contraceptives that its use can cause various side effects such as changes in body weight-acceptor. The research aims to determine the relation of hormonal contraception use with obesity in women of childbearing age (WUS) of public health insurance participants in the Lamongan clinic. This study is an Observational Analytics with cross-sectional. The total sample of 77 respondents. The respondents who use hormonal contraception are 49 respondents while the respondents who did not use contraception are 28 respondents. The respondents who use hormonal contraception and were obese are 22 respondents. Conclusion: The type of contraception most widely used by women of childbearing age is hormonal contraceptives and there is no relationship between the use of contraception with obesity in women of childbearing age at Lamongan clinic.

scholarly journals Gambaran Tingkat Pengetahuan Wanita Usia Subur Tentang HIV/AIDS di Wilayah Kerja Puskesmas Gurah Kabupaten Kediri

2021 ◽  
Vol 1 (1) ◽  
pp. 12-27
Author(s):  
Ratna Frenty Nurkhalim
Keyword(s):  
Human Immunodeficiency Virus ◽  
Health Workers ◽  
Signs And Symptoms ◽  
Total Sample ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Immunodeficiency Virus ◽  
Level Of Knowledge ◽  
Hiv Aids

HIV / AIDS is an infectious disease caused by infection with the Human Immunodeficiency Virus (HIV) which attacks the immune system. (RI Ministry of Health, 2017). The high case of HIV / AIDS in women is feared to have an impact on the increase in cases of HIV / AIDS in children who get from perinatal transmission or transmission of infections that occur during pregnancy or childbirth. Another contributing factor is the lack of knowledge and awareness about HIV / AIDS that has threatened ordinary people including women of childbearing age. This study aims to determine the level of knowledge of women of childbearing age about HIV / AIDS in the Gurah Health Center area of ​​Kediri Regency. The method used was cross-sectional by distributing questionnaires to a group of women of childbearing age with a total sample of 98 respondents. With variables including the characteristics of respondents and knowledge of HIV / AIDS. Based on the research results obtained for the most age at the end of adulthood (35.7%), the most education was high school / vocational school (62.2%), IRT work (65.3%), electronic media information sources (41.8%). While knowledge of HIV / AIDS was sufficient as much as 43.9%, knowledge about transmission is low (49.9%), knowledge of prevention about limiting sexual relations (70.4%), condom use (55.1%), knowledge of signs and symptoms of people appear healthy (73.5%) , knowledge of characteristics affected by HIV / AIDS (59.2%), knowledge of prevention of HIV / AIDS testing (54.1%), and place of testing services (53.1%). The conclusion that can be taken was the level of knowledge of women of childbearing age about HIV / AIDS was in the sufficient category and was expected to be further improved so that it becomes a high level by conducting counseling by health workers in the Puskesmas and other agencies.   HIV/AIDS merupakan penyakit menular yang disebabkan oleh infeksi Human Immunodeficiency Virus (HIV) yang menyerang sistem kekebalan tubuh. (Kemenkes RI, 2017). Tingginya kasus HIV/AIDS pada perempuan dikhawatirkan akan ikut berdampak pada peningkatan kasus HIV/AIDS pada anak-anak yang didapat dari penularan melalui perinatal atau penularan infeksi yang terjadi pada saat kehamilan atau persalinan. Faktor penyebab lainnya adalah kurangnya pengetahuan dan kesadaran tentang HIV/AIDS yang telah mengancam kalangan orang biasa termasuk wanita usia subur. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan wanita usia subur tentang HIV/AIDS di wilayah Puskesmas Gurah Kabupaten Kediri. Metode yang digunakan adalah cross-sectional dengan menyebarkan kuesioner ke kelompok wanita usia subur dengan jumlah sampel sebanyak 98 responden. Dengan variabel meliputi karakteristik responden dan pengetahuan HIV/AIDS. Berdasarkan penelitian diperoleh hasil untuk usia terbanyak pada dewasa akhir (35.7%), pendidikan terbanyak yaitu SMA/SMK (62.2%), pekerjaan IRT (65.3%), sumber informasi media elektronik ( 41.8%). Sedangkan pengetahuan HIV/AIDS yaitu cukup sebanyak 43.9%, pengetahuan mengenai penularan yaitu rendah (49.9%), pengetahuan pencegahan tentang membatasi hubungan seksual (70.4%), pemakaian kondom (55.1%), pengetahuan tanda dan gejala orang tampak sehat (73.5%), pengetahuan ciri terkena HIV/AIDS (59.2%), pengetahuan penanggulangan adanya tes HIV/AIDS (54.1%), dan tempat pelayanan tes (53.1%). Simpulan yang dapat diambil adalah tingkat pengetahuan wanita usia subur tentang HIV/AIDS berada pada kategori cukup dan diharapkan dapat lebih ditingkatkan sehingga menjadi tingkatan yang tinggi dengan dilakukan penyuluhan oleh tenaga kesehatan yang ada di Puskesmas maupun instansi lainnya.

Behavioral Determinants of IVA Inspection in Women of Childbearing Age

2021 ◽  
Vol 4 (2) ◽  
pp. 160-168
Author(s):  
Lifiah Ninja Astuti ◽  
La Ode Ali Hanafi ◽  
Juslan
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Health Center ◽  
Health Workers ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Behavioral Determinants

Data from the Jati Raya Health Center UPTD found that the number of women of childbearing age who did the IVA examination was still lacking. This study aimed to determine the factors related to the Acetic Acid Visual Inspection (IVA) as early detection of cervical cancer in women of childbearing age in the working area of Jati Raya Public Health Center in Kendari City. This study employed an observational analytic method with a Cross-Sectional Study approach. The population amounted to 488 people with a total sample of 83 people, using simple random sampling. The method of analysis used the Chi-Square test. The results of the study showed that knowledge with value X2count=13.414>X2table=4.605, attitude with value X2count=31.867>X2table=2.705, and health workers support with value X2count=0.163>X2table=2.705. In conlusion, there was a relationship between knowledge and attitude with IVA as early detection of cervical cancer in women of childbearing age and there was no relationship between the health workers support and IVA as early detection of cervical cancer in women of childbearing age. It is recommended to the Jati Raya Health Center to increase socialization and provide information about the implementation of the IVA program.

Socio-Economic Analysis and Incidence of Sexually Transmitted Infections in North Sumatra Province

2021 ◽  
Vol 3 (1) ◽  
pp. 29
Author(s):  
Samsul Askhori
Keyword(s):  
Multivariate Analysis ◽  
Sexually Transmitted Infections ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
The Government ◽  
North Sumatra

<p><strong><em>Introduction:</em></strong> <em>Until now, Sexually Transmitted Infections (STIs) are still a health problem in the world, both developed and developing countries continue to strive to face and find solutions to overcome this disease, although prevention efforts carried out in various countries do not seem to have yielded satisfactory results. The purpose of this study was to analyze the determinants of sexually transmitted infections (STIs) based on data from the 2017 North Sumatra IDHS. <strong>Method: </strong>This type of research is an observational analytic study using a cross-sectional study design based on data from the 2017 North Sumatra Province IDHS. The population of this study was women aged 15-49 years who have had sexual relations. After cleaning the data, 1728 samples were included in the study. The data analysis technique used the frequency distribution of categorical variables, the analysis of the relationship between the independent variable and the dependent variable used the chi-square test, then the multivariate analysis used logistic regression test. <strong>Result :</strong> The results showed that the prevalence of sexually transmitted infections among women of childbearing age in North Sumatra was 25% (95% CI = 23.7% - 27.7%). The results showed that there was a significant relationship between age, education level and area of residence with the incidence of sexually transmitted infections (STIs). Then the multivariate analysis showed that the area of residence variable was the most dominant risk factor in causing the incidence of sexually transmitted infections (STIs). It is hoped that the government can overcome the problem of STIs through interventions on risk factors by providing education related to STIs in the community, especially women of childbearing age.</em></p>

KNOWLEDGE OF FEMALE ABOUT CERVICAL CANCER AND IVA TEST AT PUSKESMAS TIBAN BARU

2021 ◽  
Vol 11 (2) ◽  
pp. 1
Author(s):  
Dino Gagah Prihadianto ◽  
Ade Ricky Harahap
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Total Sample ◽  
Test Method ◽  
Bivariate Analysis ◽  
P Value ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Cancer Early Detection

Background : According to WHO, cervical cancer is the second cancer after breast cancer which causes the death of women in the world. In Indonesia, more than 26 women die every day, because within three years about 42,000 died. For every screening out of 1,000 people, there is 1 woman who develops cervical cancer. Early detection coverage in Indonesia is less than five percent. This study aims to determine the knowledge of women of childbearing age and IVA Test. Method : The design in this study was cross sectional, namely to determine the relationship between the knowledge of women of childbearing age about cervical cancer with IVA test. The location of this research was at the puskesmas Tiban Baru and was carried out for 6 months. The population in this study were fertile aged women in the working area of Puskesmas Tiban Baru. The sample of this study used purposive sampling with a total sample of 61 respondents. This study uses bivariate data analysis with Chi Square statistical test. Result :The results of the study were obtained from 61 respondents, the majority of which had sufficient knowledge as many as 43 people (71%). And most of them performed IVA test as many as 45 people (74%), from the bivariate analysis obtained a p-value of 5 0.005, conclusion : there is a significant relationship between the knowledge of women of childbearing age about cervical cancer to the IVA examination. Suggestions to respondents are expected to be able to increase knowledge about cervical cancer and routinely carry out cervical cancer early detection checks by means of IVA examinations at health centers or health facilities that provide IVA Test

scholarly journals DETERMINING FACTORS RELATED TO THE TYPE OF CONTRACEPTIVES IN INDONESIA

2020 ◽  
Vol 9 (2) ◽  
pp. 112
Author(s):  
Natya Ayu Candrika Ramania
Keyword(s):  
Health Insurance ◽  
Hormonal Contraception ◽  
Secondary Data ◽  
Residential Area ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Number Of Children ◽  
The Government ◽  
Cross Sectional Design

Family Planning Program is a government program designed as an effort to control population. The government initially recommends non-hormonal contraception, however in Indonesia, the use of non-hormonal contraception is less desirable by women of childbearing age. Most women of childbearing age in Indonesia prefer to use hormonal contraception. The study was conducted to determine the relationship between age, education, occupation, residential area, number of children alive, health insurance, husband’s support by determining the type of contraception in women of childbearing age in Indonesia. The study utilized secondary data obtained from the 2017 IDHS by using a cross-sectional design. The research sample is subjects who put the last type of contraception in a private midwivery and subjects who use implanted contraception, injections, pills, condoms, and IUD. The sample size in this study was 6,030 subjects. According to the study, several factors were found that showed a relationship with the determination of the type of contraceptives in Indonesia. These factors include age, level of education, employment status, residential area, number of children alive, and health insurance. However, the husband's support factor shows that it has no relationship with determining the type of contraceptives for women of childbearing age in Indonesia.

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