Predictors and Barriers to Post Abortion Family Planning Uptake in Hai District, Northern Tanzania: A Mixed Methods Study

Introduction: Post Abortion Care (PAC) encompassing family planning counselling and contraception provision is a key strategy to reducing maternal morbidity and mortality especially in countries with restrictive abortion laws. Various factors affect the uptake of PAC modern family Planning (FP) in different settings. This study aimed at determining the prevalence, assessment of factors and barriers to PAC modern FP uptake in Hai district, Northern Tanzania Methods: A mixed-methods study was conducted using an explanatory sequential design. Exit interviews using questionnaires was conducted among 189 women. In-depth interviews were conducted with 26 healthcare providers (HCPs) and 28 women who received PAC in Hai district hospital, Machame hospital and Moshi Specialists health centre in Hai district. Quantitative data was analysed using a Statistical Package for Social Science (IMB SPSS Statistics for Windows version 20.0 (SPSS Inc., Chicago, Ill., USA)). Bivariate and multivariable analyses were applied to estimate the predictors of uptake of PAC modern FP. Thematic content analysis was employed to explore barriers to uptake of post-abortion modern family planning. Results: The prevalence of uptake of modern family planning following PAC was 59/189(31.2%). 56% of the 189 women who received PAC did not receive counselling services on family planning. Marital status and partner’s support were predictors of PAC modern family planning uptake (p=.007 vs. p= <.05, respectively). Misinformation and misconception about modern contraceptives, lack of knowledge and fear of side effects were reported to be the major barriers to uptake of post-abortion family planning. Most women reported to have not received comprehensive family planning information from the HCPs. On the other hand, HCPs perceived their poor counselling skills as the barrier to post-abortion family planning uptake. This study observed poor coordination of PAC services within each visited facility and this was linked to women leaving the facility without family planning counselling and/or contraceptives provision. Conclusion: Suboptimal modern family planning counselling during PAC contributes to the low uptake of contraceptives methods in this setting. Strategies are needed to improve PAC modern family planning services uptake. Strategies such as; provision of counselling skills to HCPs with comprehensive information targeting local contextual misconception and promoting PAC provision as a one-stop service.

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

10.21203/rs.3.rs-66142/v1 ◽

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.

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A community-based, mixed-methods study of the attitudes and behaviors of men regarding modern family planning in Nigeria

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2016.04.009 ◽

2016 ◽

Vol 135 (1) ◽

pp. 86-90 ◽

Cited By ~ 1

Author(s):

Godwin Akaba ◽

Nathaniel Ketare ◽

Wilfred Tile

Keyword(s):

Mixed Methods ◽

Family Planning ◽

Mixed Methods Study ◽

Community Based ◽

Attitudes And Behaviors ◽

Modern Family ◽

And Behaviors ◽

Modern Family Planning

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

BMC Women s Health ◽

10.1186/s12905-020-0885-0 ◽

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

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Knowledge, Attitude and Acceptance of Modern Family Planning Method Among Women Attending Post–Natal Clinic in Ayeka Basic Health Centre in Okitipupa Local Government Area, Ondo State, Nigeria

Biomedical Journal of Scientific & Technical Research ◽

10.26717/bjstr.2017.01.000361 ◽

2017 ◽

Vol 1 (4) ◽

Author(s):

Obalase Stephen Babatunde

Keyword(s):

Family Planning ◽

Local Government ◽

Health Centre ◽

Local Government Area ◽

Planning Method ◽

Family Planning Method ◽

Basic Health ◽

Modern Family ◽

Ondo State ◽

Modern Family Planning

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

10.21203/rs.2.14117/v2 ◽

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.

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

10.21203/rs.2.14117/v3 ◽

2020 ◽

Author(s):

Leah A. Schrumpf ◽

Maya J. Stephens ◽

Nathaniel E. Nsarko ◽

Eric Akosah ◽

Joy Noel Baumgartner ◽

...

Keyword(s):

Family Planning ◽

Side Effects ◽

Contraceptive Use ◽

Unmet Need ◽

Mixed Methods Study ◽

Modern Contraceptive ◽

Modern Family ◽

Depth Interviews ◽

Modern Family Planning

Abstract Background: Despite availability of modern contraceptive methods and documented unmet need for family planning in Ghana, many women still report forgoing modern contraceptive use due to anticipated side effects. The goal of this study was to examine the use of modern family planning, in particular hormonal methods, 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 in the Amansie West District of Ghana between May and July 2018. 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. Side effects mentioned include menstrual changes (heavier bleeding, amenorrhea or oligomenorrhea), infertility and childbirth complications. 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.

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

10.21203/rs.2.14117/v1 ◽

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

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Risk perception on the labour ward: A mixed methods study

Journal of Patient Safety and Risk Management ◽

10.1177/25160435211002428 ◽

2021 ◽

Vol 26 (2) ◽

pp. 56-63

Author(s):

Claire McCarthy ◽

Sarah Meaney ◽

Marie Rochford ◽

Keelin O’Donoghue

Keyword(s):

Mixed Methods ◽

Lived Experience ◽

Healthcare Providers ◽

Emergency Obstetric Care ◽

Obstetric Care ◽

Daily Basis ◽

Mixed Methods Study ◽

Structured Interviews ◽

Staff Support ◽

Staff Wellbeing

Healthcare providers commonly experience risky situations in the provision of maternity care, and there has been increased focus on the lived experience in recent years. We aimed to assess opinions on, understanding of and behaviours of risk on the LW by conducting a mixed methods study. Staff working in a LW setting completed a descriptive questionnaire-based study, followed by qualitative structured interviews. Statistical analysis was performed with SPSS on quantitative data and thematic analysis performed on qualitative data. Nearly two thirds of staff (64%; 73/114) completed the questionnaire, with 56.2% (n = 47) experiencing risk on a daily basis. Experiencing risk evoked feelings of apprehension (68.4%; n = 50) and worry (60.2%; n = 44) which was echoed in the qualitative work. Structured clinical assessment was utilised in risky situations, and staff described “ going on autopilot” to manage these situations. A large number of respondents reflected on their provision of care following an adverse event (87.7%; n = 64). Debriefing was mentioned as an important practice following such events by all respondents. This study describes the negative terminology prevailing in emergency obstetric care. These experiences can have a profound impact on staff. Risk reduction strategies and the provision of increased staff support and training are crucial to improve staff wellbeing in stressful scenarios.

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