scholarly journals Utilization of Family Planning Services in Karnali Academy of Health Science, Jumla

2018 ◽  
Vol 1 (3) ◽  
pp. 27-30
Author(s):  
Sharmila Shrestha ◽  
S. Chaulagain ◽  
K. Pandey
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Health Science ◽  
Planning Service ◽  
Family Planning Services ◽  
Child Health Outcomes ◽  
Planning Methods ◽  
Contraceptive Prevalence ◽  
Contraception Counseling ◽  
Family Planning Methods

Introduction: Family planning is an integral part of maternal health as its uptake is a significant factor in the reduction of maternal mortality and in ensuring positive child health outcomes specially in developing countries, however, its usage remains low. Objectives: To describe prevalence and pattern of contraceptive use, among women accessing family planning facilities. Study design: A retrospective review of hospital records of family planning clinic clients at the teaching hospital was conducted. Results: Total 2811 clients accepted a family planning service during the period. Contraceptive prevalence rate was 21%. Modal age group of clients (81%) was below 20 years old. Injection Depo was the most common method (69%) and implant was less used method (8%) among the temporary method of family planning. Conclusion: There is an identified need for promotion of uptake of family planning methods. Involvement of young women, uneducated women and men in contraception counseling and services is essential to improve its uptake and continuity.

scholarly journals Factors associated with long-acting family planning service utilization in Ethiopia: a systematic review and meta-analysis

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Tamirat Tesfaye Dasa ◽  
Teshager Worku Kassie ◽  
Aklilu Abrham Roba ◽  
Elias Bekele Wakwoya ◽  
Henna Umer Kelel
Keyword(s):  
Systematic Review ◽  
Family Planning ◽  
Observational Studies ◽  
Family Planning Service ◽  
Planning Service ◽  
Family Planning Services ◽  
Employed Women ◽  
Planning Methods ◽  
Long Acting ◽  
Family Planning Methods

Abstract Background Even though the modern contraceptive use was improved in Ethiopia, the utilization of long-acting family planning services is still low because of numerous factors. The aim of this systematic review was to synthesize logical evidence about factors associated with long acting family planning service utilization in Ethiopia. Methods The participants of the study were married women of reproductive age in Ethiopia. This search included all published and unpublished observational studies written in the English language conducted before April 30, 2018, in Ethiopia. Electronic and non-electronic sources were used. PubMed, MEDLINE (EBSCO), CINHAL (EBSCO), Embase (EBSCO), POPLINE and the search engines like Google, Google Scholar Mednar and world cat log were used. The overall selected search results were 15 studies. Each study was evaluated using the Joanna Briggs Institute Quality Assessment Tool for Observational Studies. Data synthesis and statistical analysis were conducted using ReviewManagerVersion5.3.5. Results Women’s inadequate knowledge level [OR, 0.29; 95% CI: 0.10, 0.83, P = 0.02], women’s age between 15 and 34 [OR, 0.82; 95% CI: 0.53, 0.93, P = 0.01], not having electronic media [OR, 0.65; 95% CI: 0.53, 0.79, P < 0.0001] and women from rural area [OR = 0.65;95% CI:0.50, 0.81, P = 0.0009] were less likely associated in the use of long-acting family planning services. The odds of utilizing long acting family planning methods were high among non-government- employed women and husband [OR, 1.77; 95% CI: 1.29, 2.43, P = 0.0004], [OR, 1.69; 95% CI: 1.33, 2.15, P < 0.0001] respectively. Having no previous exposure to any modern family planning method [OR = 2.29; 95%CI: 1.83, 2.86, P < 0.00001] and women having no discussion with husband [OR = 1.92 (95%CI: 1.50, 2.45) P < 0.00001] were more likely associated in the utilization of long-acting family planning services. Conclusion Lack of information and knowledge, having discussion with husband, being women of younger age, having less than five living children, being government-employed women and husband, not having electronic media, and being residents in rural area were significant barriers for underutilization of long acting family planning methods in Ethiopia. Hence, the investigators suggest that key stakeholders should design interventions strategies to avert attitudinal, cultural and informational barriers towards long-acting family planning methods. Systematic review registration PROSPERO: 2018: CRD42018096373.

scholarly journals Unmet Need of Family Planning Among Rural Women in Bangladesh

1970 ◽  
Vol 19 (1) ◽  
pp. 11-15 ◽  
Author(s):  
SK Ferdousi ◽  
MA Jabbar ◽  
SR Hoque ◽  
SR Karim ◽  
AR Mahmood ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Planning Methods ◽  
Contraceptive Prevalence ◽  
Family Planning Methods

Objective: This study aims to find out the unmet need of family planning among the rural women. To explore the obstacles to use family planning methods and to estimate the prevalence of contraceptive use. Study design: Cross-sectional type of descriptive study. Settings: The study was conducted at Sreepur upazila under Gazipur district. Subjects: All the married women of reproductive age, residing in a selected village of Sreepur upazila, were selected as the study subject. Results: The study revealed that unmet need was (22.4%). Most of the respondents (72.1%) were using contraceptive methods. Among those who used contraceptives, OCP was the most commonly used method (61.7%). About 28% were not using any method. The main reason was fear of side effects (46.1%). Conclusion: The study concluded that a nationwide contraceptive prevalence study may be carried out to explore the problem in detail. Key words: Unmet need; family planning; contraceptive prevalence rate. DOI: 10.3329/jdmc.v19i1.6244 J Dhaka Med Coll. 2010; 19(1) : 11-15.

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 The Effect of Women’s Empowerment in the Utilisation of Family Planning in Western Ethiopia: A Structural Equation Modelling Approach

2021 ◽  
Vol 18 (12) ◽  
pp. 6550
Author(s):  
Muluken Dessalegn Muluneh ◽  
Lyn Francis ◽  
Mhiret Ayele ◽  
Sintayehu Abebe ◽  
Misrak Makonnen ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Structural Equation ◽  
Contraceptive Use ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Household Decision ◽  
Planning Methods ◽  
Western Ethiopia ◽  
Family Planning Methods

This study examines the associations between women’s empowerment and family planning use in Jimma Zone, Western Ethiopia. A total of 746 randomly selected married women of reproductive age were interviewed. The data were employed by structural equation modelling (SEM) to investigate the complex and multidimensional pathways to show women’s empowerment domains in family planning utilisation. Results of the study revealed that 72% of married women had used family planning. Younger women, having access to information, having access to health facilities and being aware about family planning methods, living in a rural area, having an older partner and increased household decision-making power were associated with using family planning methods. Women’s empowerment is an important determinant of contraceptive use. Women’s empowerment dimensions included increased household decision-making power, socio-demographic variables and having access to information about family planning and accessible health facilities. These were found to be important determinants of contraceptive use. Future interventions should focus on integrating women’s empowerment into family planning programming, particularly in enhancing women’s autonomy in decision making. Further research is warranted on the socio-cultural context of women that influences women’s empowerment and family planning use to establish an in-depth understanding and equity of women in society.

scholarly journals Experiences of women, men and healthcare workers accessing family planning services in Malawi: A grounded theory

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Idesi T. Chilinda ◽  
Alison Cooke ◽  
Dame T. Lavender
Keyword(s):  
Grounded Theory ◽  
Family Planning ◽  
Healthcare Workers ◽  
Contraceptive Use ◽  
National Level ◽  
Modern Contraceptive ◽  
Core Category ◽  
Unwanted Pregnancies ◽  
Planning Methods ◽  
Family Planning Methods

Background: The importance of modern contraceptive methods in averting unwanted pregnancies has been acknowledged in Malawi. Currently, the country has registered the highest rates of unsafe abortions, unmet needs for contraception and a low contraceptive prevalence rate. Understanding why these rates exist is important. However, women’s views and experiences regarding uptake of family planning methods in Malawi have not been explored.Methods: A grounded theory methodology was used. Data were gathered through in-depth interviews with women (n = 18), men (n = 10), healthcare workers (n = 10) and non-participant observations of family planning clinic consultations (n = 10). Data were analysed using constant comparative technique. Methods of open, axial and selective coding enabled subsequent conceptualisations until theoretical saturation occurred.Results: The core category ‘disenabling environment prevents women’s family planning needs from being met’ provides an understanding of women’s, men’s and healthcare workers’ experiences of contraceptive use and non-use. The disenabling environment contributed to shaping women’s family planning experiences. This was supported by three main categories: navigating the processes, disempowerment of women and learning by chance.Conclusion: Findings from this study illuminate contextual issues into how women, men and healthcare workers experience family planning use and non-use in Malawi. A multifaceted strategy is required to support a woman’s family planning needs. At community level, awareness and education of family planning methods is required to actively inform all people in society so that they support a woman’s family planning needs. At national level, laws that would empower women with decision-making ought to be developed and enforced.

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

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.

CONSISTENCY IN REPORTING CONDOM USE BETWEEN HUSBANDS AND WIVES IN BANGLADESH

2010 ◽  
Vol 42 (4) ◽  
pp. 563-572 ◽  
Author(s):  
MOHAMMAD AMIRUL ISLAM ◽  
SABU S. PADMADAS ◽  
PETER W. F. SMITH
Keyword(s):  
Condom Use ◽  
Contraceptive Use ◽  
Multinomial Logistic Regression ◽  
Age Difference ◽  
Planning Methods ◽  
Regression Techniques ◽  
Alternative Approaches ◽  
Contraceptive Prevalence ◽  
Family Planning Methods ◽  
Developing Settings

SummaryConsistency in reporting contraceptive use between spouses is little understood, especially in developing settings. This research challenges the accuracy of measuring contraceptive prevalence rate, which is traditionally calculated based on women's responses. Multinomial logistic regression techniques are employed on a couple dataset from the 1999–2000 Bangladesh Demographic and Health Survey (DHS) to investigate the consistency in reporting condom use between husbands and wives. The level of inconsistency in reporting condom use was about 46%, of which about 32% was explained by husbands reporting condom use while wives did not, and 14% by wives reporting condom use while husbands did not. Regression analysis showed that couple education and age difference between the spouses are significant determinants of inconsistent reporting behaviour. The findings suggest the need for alternative approaches (questions) in the DHS to ensure consistency in the collection of data related to use of family planning methods.

scholarly journals Improving Utilisation and awareness of Family Planning services in Adults of Reproductive age through Community Sensitization in Police Wing Village, Jinja District.

2021 ◽  
Author(s):  
◽  
Rodgers Isiko
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Project Implementation ◽  
Number Of Children ◽  
Planning Methods ◽  
Sub Saharan ◽  
Family Planning Methods

Background Family planning refers to a conscious effort by a couple to space the number of children they have through the use of contraceptive methods. According to WHO, an estimated 225 million women in developing countries, 24.2% of women of reproductive age have an unmet need for contraception. However, contraceptive use in sub-Saharan Africa is low at only 21%. The total fertility rate remains high for many countries in the region (4.6 in Kenya and Rwanda, 5.4 in Tanzania, 6.2 in Uganda, and 6.4 for Burundi). Methodology This was a community-based project implementation on increasing awareness and utilization of family planning methods in Police Wing village, Jinja district. Consent was gotten from the VHT, LC1, and DHO before mobilizing people to gather at the VHT’s home and her neighbour’s compound where we carried out the different educational sessions. Different team members got different roles to play as regards the health education session. One week later, we evaluated the progress of our project implementation through the administration of questionnaires to the same people we health educated. The questionnaire assessed the level of utilization, awareness, myths, misconception, and demography of the participants. Results 28% had heard about at least three family planning methods and 24.1% had at one time used family planning while 75.9% of the participants admitted not to have used it. The post-session assessment showed an increase from 28% to 93% in knowledge regarding the available methods of FP and an increase in the utilization of FP from 28% to 42%.   Conclusion and recommendations Addressing the myths and misconceptions about FP by exposing them as a fallacy would help increase the uptake as evidenced by the will of the community to take up the different methods. Organize frequent health talks about FP in the community.

scholarly journals Factors associated with fertility limiting intention and contraceptive use among currently married men in India

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Bal Govind Chauhan ◽  
Ramu Rawat ◽  
Noli Nivedita Tirkey ◽  
Satish Kumar Chauhan
Keyword(s):  
Social Media ◽  
Family Planning ◽  
Sex Education ◽  
Contraceptive Use ◽  
Multinomial Logistic Regression ◽  
Married Couples ◽  
Geographic Region ◽  
Married Men ◽  
Planning Methods ◽  
Family Planning Methods

Family planning methods are generally considered as women’s responsibility in India. The volumes of research done so far in the family planning methods and reproductive behaviors have kept women at the center of the matter. Consequently, the research on the men’s perspective on the same is generally being neglected. The present study intends to address intention of fertility stopping or fertility limiting and contraception behaviors and their associated factors among currently married men aged 20-49 years in India who had at least one living child. The fourth round of the National Family Health Survey in 2015-2016 was used to achieve the study objectives. Descriptive statistics and binary and multinomial logistic regression models were applied to more than 48,000 men who met the requirement. The findings of the analysis indicate that more than three-fourths currently married men did not want another child, and the fertility stopping intention significantly varies by demographics (i.e., men’s age, number of children, and sex composition of children), socio-economic characteristics, residence, geographic region, and religion of the respondents together with type of caste and social media exposure. The men’s fertility stopping intention was also linked with geographic region, types of religion and castes, and exposure of social media. Result further reveals that only <30% of men who did not want to have another child were using a contraceptive method at the time survey. Among users, female sterilization was the most popular method among married couples in India. Demographic factors, socio-economic characteristics, region and culture, and exposure of social media were all associated with use or not-using and use of a specific conceptive method. Overall, the findings suggest men’s fertility stopping intention and their use of contraception are complicated, and it needs to consider men as a target group in fertility regulation interventions. The reproductive health programs aiming to increase uptake of modern contraceptives by sexually active men in India should consider the importance of sex education and ensure access to mass media.

Contraceptive knowledge and attitudes in urban Ilorin, Nigeria

1986 ◽  
Vol 18 (3) ◽  
pp. 273-283 ◽  
Author(s):  
Gbolahan A. Oni
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Married Women ◽  
Demographic Characteristics ◽  
Contraceptive Knowledge ◽  
Knowledge And Attitudes ◽  
Planning Methods ◽  
Independent Effects ◽  
The City ◽  
Family Planning Methods

SummaryExamination of the effect of various socioeconomic, cultural and demographic characteristics of married women in Ilorin, Nigeria, who are in their prime childbearing ages, on their contraceptive knowledge and on their attitudes towards modern contraception shows that only the woman's education, age and area of residence within the city have significant independent effects on contraceptive knowledge. More than 90% of the women interviewed thought that women should be free to practise family planning. Also, more than 95% of all the women believed that too frequent births could endanger the health of the mother and her children. However, only the women with previous contraceptive knowledge overwhelmingly (more than 80%) thought that the best way to prevent too frequent births is by family planning. On the contrary, 66.5% of those without previous contraceptive knowledge before this study suggested that traditional abstinence should be used and only 28.9% suggested family planning. Adequate awareness of the availability and usefulness of family planning methods can influence attitudes of women towards contraception and may also enhance contraceptive use.

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