scholarly journals Family planning clients at a Tertiary hospital in Niger Delta, Nigeria: Where they on any contraceptive method prior to first visit?

2021 ◽  
Vol 1 (3) ◽  
pp. 022-029
Author(s):  
Nonye-Enyidah Esther ◽  
Enyidah Nonyenim ◽  
Jumbo A
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
University Teaching ◽  
Contraceptive Device ◽  
Modern Contraceptive ◽  
State University ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Age Range

Background: Maternal and child morbidity and mortality in developing countries have been shown to be reduced by effective use of contraceptive methods. Contraceptive use also improves the lives of women and children. Experience with previous use of contraceptives may affect the uptake rate of modern contraceptive methods. Aim and objective: To determine the pattern of previous contraceptive usage, uptake rates of the contraceptives, the continuation and discontinuation rates and the sources of prior contraceptives. The socio-demographic characteristics and sources of information on current contraceptive use at the Rivers State University Teaching Hospital during the study period. Methods: This was a retrospective study of clients’ records in family planning clinic at theRivers State University Teaching (RSUTH) over a period of five years. Their cards were retrieved, reviewed; data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version25.0 (Armonk, NY). Results: There were 874 contraceptive acceptors attending family planning clinic between 1st January, 2015 and 31st December, 2019 in the centre. Of this number, 566 (64.8%) were using one form of contraceptive method or the other while 308 (35.2%) were not on any form of contraception. Of this 566 women who used contraceptive method prior to their visit to the family planning clinic, intrauterine contraceptive device (IUCD) use accounted for 118 (20.8%), others were barrier method, 107 (18.9%), oral contraceptive pills (OCPs), 95 (16.8%), depot medroxyprogesterone acetate (DMPA), 72 (12.7%), implanon, 40 (7.1%), noristerat, 36 (6.4%), postinor, 28 (5.0%), withdrawal method, 26 (4.6%) and calendar method, 24 (4.2%). Most of the previous contraceptives used came from Government hospital accounting for 44.4%. Most women (72%) obtained their information concerning current contraception from clinical personnel. More than half of the clients (64.1%) were within the age range of 30-39 years and 2 (0.2%) were below 20 years. Age range for the study was 19-51years. Majority of the clients (70.7%) were multipara while 162 (18.5%) were grandmultipara. Modal parity was para 3. The women with formal education were 867 (99.2%). Married women and Christians accounted for843 (96.5%) and 867 (99.2%) respectively. Conclusion: Most clients were in their thirties, married, educated and multiparous. Thirty five percent of the women were not using any form of contraceptive method which is quite alarming and definitely would have led to unwanted pregnancies and possibly induced abortions with its sequalae.

scholarly journals Pattern of contraceptive use at a family planning clinic in Southern Nigeria

2020 ◽  
Vol 8 (6) ◽  
pp. 2082
Author(s):  
Esther I. Nonye Enyidah ◽  
Nonyenim S. Enyidah ◽  
Chisomaga Eshemogie
Keyword(s):  
Family Planning ◽  
Formal Education ◽  
Contraceptive Use ◽  
Downward Trend ◽  
University Teaching ◽  
Contraceptive Device ◽  
Sources Of Information ◽  
Family Planning Clinic ◽  
Contraceptive Usage ◽  
Age Range

Background: Contraception is very important in preventing unwanted pregnancies thereby reducing maternal and child mortality as well as improving the lives of women and their families. This paper aims to determine the pattern of contraceptive usage, uptake rates of the contraceptives, the socio-demographic characteristics and sources of information on contraceptive use at the Rivers State University Teaching Hospital (RSUTH) during the study period.Methods: This was a retrospective study of clients’ records in family planning clinic at RSUTH over a period of ten years. Their records were retrieved, reviewed; data extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0.Results: There were 1893 contraceptive acceptors attending family planning clinic between 1st January, 2008 and 31st December, 2017 in the centre. The uptake rate of the contraceptives throughout the study period was on the downward trend.  Over half of the clients (60.7%) were within the age range of 30-39years and 6 (0.3%) were below 20 years. Age range for the study was 19-51years. Majority of the users (66.1%) were multipara. Modal parity was para 3 and 1862 clients (98.4%) had formal education. Most of the clients were married 1814 (95.8%) and of Christian religion 1813 (95.7%). Most preferred contraceptive method was the intrauterine contraceptive device (IUCD), 814 (43%). Clinical personnel were the commonest source of information accounting for 1425 (75.3%).Conclusions: There was a downward trend in the use of contraceptives during the study period. Most clients were in their thirties, married, educated and multiparous.

scholarly journals The effect of Women’s decision-making autonomy on family Planning acces in Senegal in 2017

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N M Sougou ◽  
O Bassoum ◽  
M M M M Leye ◽  
A Tal-Dia
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Modern Contraceptive Method ◽  
Significant Difference ◽  
Modern Contraceptive Use ◽  
The Impact

Abstract Background The impact of access to decision-making on women’s health in the choice of fertility control has been highlighted by research. The aim of this study was to analyze the impact of access to decision-making for women’s health on access to family planning in Senegal in 2017. Methods The analyses of this study had been done on the Individual Records file of Senegal’s Demographic Health Survey 2017. This data covered 8865 women aged 15 to 49 years. The propensity scores matching method had been done. The variable access to the decision was considered as the variable of interest. Matching was done using variables that were not modified by the effect of the treatment. These were religion and socio-economic level. The outcome variables were modern contraceptive use, the existence of unmet needs and the type of modern contraceptive method used. Significance was at 5%. The condition of common support had been respected. The analysis was done with the STATA.15 software. Results Six percent (6.26%) of women could decide about their health on their own. Access to decision-making increased significantly with the woman’s age (p < 0.05). Fifteen percent (15.24%) women used a modern contraceptive method. Women using a contraceptive method were more numerous in the group with access to decision-making (29.43%) with a significant difference with the other group of 8% (p < 0.05). After matching, there was no significant difference between women in terms of modern contraceptive use and the existence of unmet needs. There was a significant difference in the type of contraceptive method used between the two groups of women. These differences were 23.17% for Intra Uterine Device, 52.98% for injections, 08.9% for implants and 10.79% for condoms. Conclusions Access to decision-making for health would facilitate women’s access to long-acting contraceptive methods. These findings show the importance of implementing gender transformative interventions in improving access to family planning. Key messages Access to decision-making for health would allow better access to modern contraceptive methods, especially those with a long duration of action. Better consideration of gender disparity reduction could improve access to family planning in Senegal.

scholarly journals A 4 Year Experience with Copper T Intrauterine Contraceptive Device at Federal Medical Centre (Fmc), Katsina

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Abdulfattah Mohammed Lawal ◽  
Nnadozie Igbokwe ◽  
Abdulkarim Nura ◽  
Ibrahim Habib
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Unwanted Pregnancy ◽  
Acceptance Rate ◽  
Medical Centre ◽  
Contraceptive Device ◽  
Modern Contraceptive ◽  
Duration Of Action ◽  
Intrauterine Contraceptive

Background: The prevalence of contraceptive use is still very low in Nigeria. Use of modern contraceptive methods has been shown to reduce unwanted pregnancy, high parity and maternal mortality. Objectives: The aim of this study is to determine the acceptance rate of intrauterine contraceptive method, the socio-demographic characteristics of its users, side-effects, discontinuation and the reason thereof, at Federal Medical Centre, Katsina. Method: A retrospective study that reviewed records of all clients who used intrauterine contraceptive method at the family planning clinic over a 4-year period (1st January 2011 to 31st December 2014). Results: Out of the 1892 family planning clients, 111 used IUCD, with IUCD acceptance rate of 5.87%. The modal age group was 20-24 years (30.0%). Most of them (n=54) were grandmultiparous (48.6%), and of Islamic faith (98%). Almost all the clients were married (97.8%), and majority had secondary education (71%). Thirty- ive (31.5%) of the users discontinued the method, with the commonest indication being desire for pregnancy (45.7%). No contraceptive failure was recorded during the study period. Conclusion: IUCD is the fourth commonly used method. Its use is influenced by maternal age, parity and literacy level. In spite of its long duration of action, most of the reversal was due to the desire for pregnancy. Acceptability of IUCD can be improved by health education, adequate counseling and careful client selection.

Contraceptive Use: Patterns and Preferences among New Acceptors in Malaysia, 1990 to 2018

2021 ◽  
Vol 12 (3) ◽  
pp. 503-509
Author(s):  
Nor AzahSamat Et.al
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Well Being ◽  
Future Research ◽  
Contraceptive Device ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Contraceptive Pills ◽  
Hormone Injection ◽  
Contraception Use

Family planning is one of the important aspects in the Sustainable Development Goals (SDG's) in Goal 3 on Health and Goal 5 on Gender Equality and Women’s Empowerment. Family planning is the basic need and women’s right to pregnancy, to get optimal health. The use of contraceptive enables women to attain their desired number of children and determine the gap of pregnancies towards the improvement of the families’ well-being of. The aim of this paperisto describe the patterns and preferences of contraceptive use among new acceptors attending a family planning clinic at National Population and Family Development Board (NPFDB) in sixteenstates in Malaysia. The data analysis includes the new acceptors of contraception use among married women aged 15 to 49 years old, who attended a family planning clinic at NPFDB for the year 1990 to 2018. There are various types of contraceptive methods considered: contraceptive pills, Intrauterine Contraceptive Device (IUD), condom, hormone injection, implant, sterilization, rhythm and others. Results of the analysis show that contraceptive pills and sterilization have continued to be the most preferred contraceptive methods among new acceptors at NPFDB clinic, with decreasing pattern from 1990 to 2018.While the use of implant, hormone injection and condom has increased steadily since 2004. The state of Perak has the highest number of new acceptors in most years, whilethe federal territory of Labuan has the lowest number of acceptors in most years within 29 years from 1990 to 2018. In addition, the most popular contraceptive method among women for all states in Malaysia in most years from 1990 to 2018 is contraceptive pills, which is preferred in ten states: Kelantan (83%), Kuala Lumpur (72%), Labuan (40%), Negeri Sembilan (86%), Pahang (66%), Perlis (45%), Pulau Pinang (35%), Sabah (60%), Selangor (69%), and Terengganu (76%). While sterilization is the most popular in four states: Johor (62%), Kedah (59%), Melaka (52%), and Perak (66%). Finally, hormone injection is the most popular method in Putrajaya (100%), and condom is the most popular in Sarawak (40%).As a conclusion, this study has found that although the use of contraceptive pillsisdecreasing, it still becomes the most popular among new acceptors in most of the states in Malaysia since 1990. However, the decreasing pattern of new acceptors for all types of contraceptive methods becomes our concern. Future research should therefore,concentrate on the investigation of the reduction number of new acceptors at NPFDB clinic. This is important to make sure the demands of contraceptive can be met and NPFDB clinics couldprovide better services towards better quality of life and better families’ well-being.

scholarly journals Study of Contraceptive Use Among Comprehensive Abortion Care Clients in Family Planning Clinic of Tribhuban University Teaching Hospital

2014 ◽  
Vol 9 (2) ◽  
pp. 22-26
Author(s):  
B R Bhandari ◽  
R Jha ◽  
J Baral ◽  
R R Wagle
Keyword(s):  
Family Planning ◽  
Teaching Hospital ◽  
Unwanted Pregnancy ◽  
University Teaching ◽  
Modern Contraceptive ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Abortion Care ◽  
Study Results ◽  
Comprehensive Abortion Care

Aims: This study was done to assess the use of family planning method among comprehensive abortion care clients in Tribhuvan University Teaching Hospital (TUTH).   Methods: A hospital based observational study was conducted in family planning clinic at TUTH from 14th April 2009 to 14th June 2010 among one hundred clients who opted for comprehensive abortion care (CAC) at the hospital CAC centre and met the inclusion criteria of this study.   Results: Around 98% women had knowledge of different types of modern contraceptive methods. Majority of CAC clients (91%) had ever used contraceptive methods in the past. Injectables were the most common method of contraceptive used by the CAC clients (55%). Almost 22% clients had come for repeat induced abortion. About 43% clients opted CAC service for complete family and 33% for contraceptive failure. Withdrawal method failure was seen in 17% of clients. Almost 86% women intend to use contraceptive after CAC service in future.   Conclusions: This study concluded that despite knowledge of modern contraceptive methods and ever uses of different family planning methods, majority of clients had no consistency in use of various contraceptives. Effective family planning counseling along with information of emergency contraceptive is required for each CAC clients to prevent unwanted pregnancy and abortion.DOI: http://dx.doi.org/10.3126/njog.v9i2.11740

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 Oral Contraceptive Pills: Socio-demographic Characteristics of Acceptors at the Rivers State University Teaching Hospital, Nigeria

2019 ◽  
pp. 1-6
Author(s):  
EI Nonye-Enyidah ◽  
F. C. C. Wekere ◽  
R. Donubari
Keyword(s):  
Oral Contraceptive ◽  
Family Planning ◽  
Demographic Characteristics ◽  
University Teaching ◽  
State University ◽  
Family Planning Clinic ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
The Family ◽  
Rivers State

Background: Oral Contraceptive Pills (OCPs) are the most widely prescribed form of hormonal contraception both in developed and developing countries. They are also the most popular non-surgical method of contraception. Objective: To determine the prevalence rate and socio-demographic characteristics of oral contraceptive pills acceptors at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt. Methods: A 10 year review of all clients who accepted oral contraceptive pills in the family planning clinic of the hospital from 1st January, 2008 to 31st December, 2017. Data was extracted, coded and analyzed using the Statistical Package for Social Sciences (SPSS) IBM version 25.0 (Armonk, NY). Results: There were 1893 contraceptive acceptors during the study period, out of which 86 (4.5%) accepted the oral pills. Majority of the clients 66 (76.8%) were between the age range of 20 to 34, married 82 (95.3%), multiparous 48 (55.8%), Christians 82 (95.3%) and 82 (95.3%) had formal education. Clinical personnel were the commonest source of information on the use of oral contraceptive pills, accounting for 36 (41.8%). Conclusion: Oral contraceptive pills are methods of contraception used by young, multiparous and educated women. Only 4.5% of the women accepted OCPs during the study period therefore concerted efforts should be made to improve its uptake in the family planning clinic.

scholarly journals Contraceptive prevalence and factors influencing utilization among women in Pakistan: a focus on gender-based violence

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thao Thi Nguyen ◽  
Sarah Neal
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Gender Based Violence ◽  
Contraceptive Methods ◽  
Content Type ◽  
Modern Contraception ◽  
Factors Influencing ◽  
Contraceptive Prevalence ◽  
Gender Based

PurposeIn this study, the authors determined the prevalence of contraceptive use among Pakistani women and assessed factors influencing the utilization of contraception with a particular focus on the experience of gender-based violence.Design/methodology/approachThe dataset used in this study was the Pakistan Demographic Health Survey 2018, which includes married women only. Bivariate analysis and multivariate logistic regression were used to investigate the association between contraceptive use and a number of explanatory variables including experience of gender-based violence.FindingsFrom 2006 to 2018, the contraceptive prevalence rate (CPR) and the use of modern contraceptive methods increased slowly. The findings of this study demonstrated that higher educational level and wealth index increased the likelihood of contraceptive uptake and the use of modern contraception. Media exposure to family planning and spousal communication were protective factors that encouraged women to use contraception, including modern contraception, to avoid unwanted pregnancy. Women who experienced gender-based violence (GBV) were more likely to use contraception than women who did not experience GBV.Research limitations/implicationsThe use of secondary data limited the variety of important variable that should be investigated including knowledge of women on SRH, the attitude of women toward SRH and family planning, the skills of a healthcare provider on counseling family planning, and other barrier variables such as transportation and willingness to pay for contraceptive methods. 10;The sensitivity of the topic is considered as another challenge when collecting data. Women might be hesitant to share about their GBV experience. The experience to GBV is also hard to define and depends on the feeling of each person, especially emotional violence.Originality/valueThis paper is one of the very few studies to examine the association between GBV and contraceptive use, and thus is valuable in opening up debate about the links between these two factors.

scholarly journals Determinants of contraceptive method choice in Bangladesh: Male perspectives

2014 ◽  
Vol 3 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Md. Shahidul Islam
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Traditional Methods ◽  
Positive Effects ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Level Of Knowledge ◽  
High Level

Family planning programs are considered to be an important way to control the rapid population growth of Bangla-desh with the main focus being women. As a male dominant country, the knowledge of, attitude towards, and ap-proval of family planning is largely influenced by the male member of couples in their choice of appropriate contra-ceptive methods. This paper examined the determinants of current choices in family planning methods in relation to male knowledge, attitude and approval of family planning practices in Bangladesh. A total of 430 married men aged 15-49 years were interviewed in Narsingdi, a district town of Bangladesh. The findings revealed that the men’s level of contraceptive knowledge and their attitude to modern contraceptive was high in this area. The findings asserted that the contraceptive prevalence rate among couples was (62.1%), with oral pills (26.51%) and withdrawals (6.25%) being the most preferred modern and traditional methods respectively. The multinomial logistic regression model has been applied to understand the determinants of the choice of contraceptive method. These findings indi-cated that women in skilled occupation, positive attitude towards modern contraceptives of male, high level of knowledge on contraceptive methods of male, approval of family planning by male, and current living children had significantly more positive effects on using modern contraceptives by the couple. It was also found that couples who desired more children were less likely to use modern contraceptives. Alternatively, the education level of the hus-band and the desired number of additional children had a negative impact on the use of traditional methods while media exposure, a high level of knowledge on contraceptives, and an approval of family planning had positive im-pacts on the use of traditional contraceptives over not using any method. The government should increase the fund-ing and availability of family planning programs which promote the use of modern contraceptive methods, espe-cially those that are targeted towards the male population. South East Asia Journal of Public Health 2013; 3(1): 50-56 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17711

scholarly journals Study of factors affecting contraceptive use among married women of reproductive Age

2014 ◽  
Vol 9 (4) ◽  
pp. 24-29
Author(s):  
N Bhandari ◽  
GK Shrestha ◽  
PC Thakuri
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Spousal Communication

Background The use of contraception can prevent pregnancies related complication and helps in improving the women’s health and quality of their lives. Objective To explore reproductive characteristics among married women of reproductive age. To find out method of contraceptive use and side effects among married women of reproductive age. To uncover factors related to contraceptive use among married women of reproductive age. Methods This cross-sectional was carried out among (369) married couples of reproductive age group in ward number 5, 6 and 7 of Dhulikhel Municipality using purposive sampling. Those who fell in between the age group of (14-49 years) and willing to participate were included and pregnant women were excluded from the study. Questionnaire was used to obtain informations. Results Among 369(81.3%) of the respondents of reproductive age were using a modern contraceptive method. Regarding education 331(89.5%) of women’s and 352(95.1%) of husbands were literate and 275(91.6%) of women were found to be involved in decision making and had good inter-spousal communication that is 280(93.3%). Among the temporary method of family planning, Depo-Provera was the choice 150(54.5%) of contraceptive method. Conclusion The present study put more emphasis on increase in women’s literacy, women’s involvement in decision making and inter-spousal communication which helps to promote the effective use of contraceptive methods. As women play an important role in the decision making, women should be included in all aspects of reproductive health and family planning programs. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 24-29 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10233

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