The Effect of Women's Autonomy in the Uptake of Long-Acting and Permanent Contraception Methods among Women Reproductive Age in East Kalimantan

2020 ◽  
Vol 6 (1) ◽  
pp. 98-103
Author(s):  
Annisa Nurrachmawati Syaiful bahri ◽  
Ike Anggreini G ◽  
Mugia Bayu Raharja ◽  
Dewi Endah Ramadhani
Keyword(s):  
Family Planning ◽  
Reproductive Age ◽  
Bivariate Analysis ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
East Kalimantan ◽  
Permanent Contraception ◽  
Long Acting

Background:  Despite decreased fertility rate, East Kalimantan Province still facing unmet needs. Moreover, almost all contraceptive use in East Kalimantan depends on short-acting contraceptive methods. Only a few studies have ever been conducted on women's autonomy in relation to  Long-Acting Permanent Contraception Methods (LAPMs) choices. It is, therefore, essential to find the associated factors affecting LAPMs uptake. This study aimed to analyze the influence of sociodemographic, knowledge, women's autonomy and fertility on LAPMs uptake at the household level. Methods: The data derived from the Indonesian Demographic and Health Survey (IDHS) 2017 of East Kalimantan Province. As much as 570 women of childbearing age (10–49 years) with marital status who still using contraception in any method was included as samples.  Results: Factors correlate with the uptake of LAPMs in the bivariate analysis were age, insurance ownership, family planning knowledge and women's autonomy (p value<0.05). While in the multivariate analysis only women autonomy and insurance ownership were related to the uptake of LAPMs. Conclusion: This finding provides evidence for including women empowerment programs in the family planning program. Keywords: Family planning, women autonomy, long acting contraceptive methods

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>

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.

2021 ◽  
Author(s):  
Eden Dagnachew Zeleke ◽  
Dawit Getachew Assefa ◽  
Tigist Tekle Woldesenbet ◽  
Rediet Gido
Keyword(s):  
Family Planning ◽  
Waiting Time ◽  
Contraceptive Method ◽  
Educational Status ◽  
Planning Method ◽  
Reproductive Age ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
Poor Knowledge ◽  
Long Acting

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.

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.

2021 ◽  
Author(s):  
Eden Dagnachew Zeleke ◽  
Dawit Getachew Assefa ◽  
Tigist Tekle Woldesenbet ◽  
Rediet Gido
Keyword(s):  
Family Planning ◽  
Educational Status ◽  
Reproductive Age ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
The West ◽  
Poor Knowledge ◽  
Planning Methods ◽  
Long Acting ◽  
Family Planning Methods

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.

scholarly journals Knowledge, attitude and practice of family planning among women of reproductive age group attending outpatient department in a tertiary centre of Northern India

2019 ◽  
Vol 8 (5) ◽  
pp. 1775 ◽  
Author(s):  
Mahvish Qazi ◽  
Najmus Saqib ◽  
Sachin Gupta
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Total Fertility Rate ◽  
Reproductive Age ◽  
Age Group ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
Jammu And Kashmir ◽  
Planning Methods ◽  
Family Planning Methods

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.

scholarly journals Knowledge, attitude and practice of family planning among married women of reproductive age in a VDC of eastern Nepal

2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Descriptive Analysis ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods. 

scholarly journals Pregnancy in multiple sclerosis: from scientific aspects to practical

2021 ◽  
Vol 64 (3) ◽  
pp. 78-84
Author(s):  
Anna Belenciuc ◽  
◽  
Ana-Maria Bubuioc ◽  
Olesea Odainic ◽  
Marina Sangheli ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Family Planning ◽  
Immune Reconstitution ◽  
Interferon Beta ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Disease Modifying Drugs ◽  
Choice Of Treatment ◽  
Key Issues ◽  
Disease Modifying

Background: Multiple sclerosis (MS) is a disease that affects young people of reproductive age (20-40 years old), predominantly women. Therefore, almost every patient has questions about pregnancy and breastfeeding. Family planning is one of the key issues in the choice of treatment tactics. Despite the growing number of therapeutic options for individualized treatment, it is still a question how to manage women with MS who become pregnant while taking disease-modifying drugs or want to become pregnant after starting this treatment. Conclusions: Women with MS should not be discouraged from pregnancy due to their illness. It is necessary to proactively discuss pregnancy planning with all women with MS of childbearing age. Based on available data, interferon beta and glatiramer acetate appear to be most suitable for use up until the time of confirmed pregnancy. A large amount of data (more than 1000 cases) obtained from registries shows that use of interferon beta before conception and during pregnancy suggests no evidence of increase in the rate of congenital anomalies or spontaneous abortions. For women with persistent high disease activity, pulsed immune reconstitution therapy gives additional opportunity for family planning after the last dose. The choice between available options for pulsed immune reconstitution therapy should be based on efficacy balanced against the risks.

scholarly journals Determinants Associated with Discontinuation of Modern Contraceptive in East Kalimantan: a Further Analysis of Indonesia Demographic and Health Survey 2017

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Ike Anggraeni ◽  
Annisa Nurrachmawati ◽  
Winardi Winardi ◽  
Hasmawati Hasmawati ◽  
Dewi Endah Ramadhani
Keyword(s):  
Family Planning ◽  
Health Survey ◽  
Urban Areas ◽  
Demographic And Health Survey ◽  
Modern Contraceptive ◽  
Entertainment Education ◽  
Childbearing Age ◽  
Cross Sectional ◽  
East Kalimantan ◽  
Modern Contraceptives

The national family planning program in East Kalimantan needs to achieve a larger target on modern contraceptives. Despite the fertility decline, this program still facing increasing discontinuation rates. A better understanding of the factors behind the discontinuation of a modern method would help in improving programs. This study aims to analyze the determinants of discontinuation of modern contraceptive use. This was a cross-sectional study, the dataset came from Indonesia Demographic and Health Survey 2017 of East Kalimantan Province. The sample is all couples of childbearing age between 10–49 years with marital status who have used and are still using contraception (408 samples). Descriptive analyses were used to assess the reasons for discontinuation. Multiple logistic regression was used to estimate the likelihood of discontinuation by demographic characteristics and others. The proportion of respondents who continue using modern contraceptives was 51%, against 49% discontinuation. The reasons for discontinuation were the husband’s disapproval (31%) and health problems related to side effects (26.5%). In the multivariate analysis showed maternal age, women who live in urban areas, and women with birth planning near the future will have an opportunity to discontinue in modern contraceptives. It concluded that there is still high modern contraceptive discontinuation in East Kalimantan, therefore it needed for disseminating information through entertainment-education in social media, health workers better counseling services from also better tools, and include the male participation in family planning counseling. DETERMINAN YANG BERHUBUNGAN DENGAN PUTUS PAKAI KONTRASEPSI MODERN DI KALIMANTAN TIMUR: ANALISIS LANJUT SURVEI DEMOGRAFI DAN KESEHATAN INDONESIA 2017Program keluarga berencana nasional di Kalimantan Timur perlu mencapai target yang lebih baik dalam penggunaan kontrasepsi modern. Meskipun terdapat penurunan fertilitas, namun program keluarga berencana masih menghadapi peningkatan angka putus pakai. Pemahaman yang lebih baik tentang faktor-faktor di balik putus pakai metode kontrasepsi modern akan membantu meningkatkan program. Penelitian ini bertujuan menganalisis faktor-faktor penentu putus pakai penggunaan kontrasepsi modern. Desain penelitian ini adalah cross-sectional, set data berasal dari Survei Demografi Kesehatan Indonesia 2017 untuk Provinsi Kalimantan Timur. Sampel adalah semua pasangan usia subur berusia 10–49 tahun dengan status perkawinan baik bagi yang pernah menggunakan dan masih menggunakan kontrasepsi, yaitu 408 sampel. Analisis deskriptif digunakan untuk menilai alasan putus pakai. Regresi logistik berganda digunakan untuk memperkirakan kemungkinan putus pakai berdasar atas karakteristik demografis dan lainnya. Proporsi responden yang masih terus menggunakan kontrasepsi modern adalah 51% dibanding dengan 49% putus pakai. Alasan penghentian adalah ketidaksetujuan suami (31%) dan masalah kesehatan yang berkaitan dengan efek samping (26,5%). Dalam analisis multivariat menunjukkan usia ibu, wanita yang tinggal di daerah perkotaan, dan wanita dengan perencanaan kelahiran dalam waktu dekat akan memiliki kesempatan untuk berhenti menggunakan kontrasepsi modern. Dapat disimpulkan bahwa kejadian putus pakai kontrasepsi modern masih tinggi di Kalimantan Timur, oleh karena itu diperlukan diseminasi informasi melalui entertainment-education dalam sosial media, layanan konseling dari petugas kesehatan, serta alat bantu konseling yang lebih baik dan juga keikutsertaan pria dalam proses konseling.

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