scholarly journals Practices and Perceptions on Contraception Acceptance among Clients Availing Safe Abortion Services in Nepal

2012 ◽  
Vol 9 (3) ◽  
pp. 179-184 ◽  
Author(s):  
V Khanal ◽  
C Joshi ◽  
D Neupane ◽  
R Karkee

Background The Government of Nepal has implemented safe abortion policy since 2002. There are 245 approved sites providing safe abortion services to women across the country. Family planning counselling is one of the components of the safe abortion policy, which is important to reduce unwanted pregnancy, maternal morbidity and mortality due to the consequences of unsafe abortion and the service burden. Objectives This study explains the perceptions, practices and factors affecting the use of family planning among abortion clients attending safe abortion services in Nepal. Methods A cross sectional study was carried out on September, 2008 enrolling 58 women who were waiting in the dressing room for safe abortion services in Paropkar Maternity Hospital, Nepal. All women attending hospital clinic for receiving safe abortion services were approached for interview till the targeted number was fulfilled. A convenience sampling was applied to reach the sample size. Results Of the 58 respondents, majority of the respondents were Hindus (83%), residing in Kathmandu district (76%); of the age group 20-29 years (69%); and 98% were married. One fifth (20.68 %) of the respondents had previous history of spontaneous or induced abortion. The main reason for abortion did not want any more babies/complete family (45%). The knowledge of modern contraception was high (98.27%).The knowledge of emergency contraception was low (25.9%). Side effects was the main reason (48%, n=31) for discontinuation of contraceptives. Intention to use some modern family planning methods after the abortion was expressed by 83% clients. The major enabling factor for continued contraceptive use was the absence of side effects. The family planning counselling was acceptable for 91% clients. ConclusionKnowledge, acceptance of counselling service and intention to use family planning measure was high in the study participants. There is need to provide skills on adapting with the adverse effect of family planning measure through continuous education and reinforcement.DOI: http://dx.doi.org/10.3126/kumj.v9i3.6301 Kathmandu Univ Med J 2011;9(3):179-84 

2018 ◽  
Vol 4 (2) ◽  
pp. 10-13
Author(s):  
Rubina Shrestha ◽  
Pimsurang Taechaboonsermsak ◽  
Sulkontha Siri

INTRODUCTION: Unplanned and unwanted pregnancy is one of the leading causes of maternal mortality and morbidity and still continues despite availability of a range of modern and effective contraceptives. Comprehensive Abortion Care (CAC) is to provide safe, high quality services to women in an affordable and acceptable way. The study is intended to identify the proportion of the women who have intention to use contraceptive methods following CAC, in the future and to know the reason for current nonuse. MATERIAL AND METHODS: A descriptive cross-sectional study of women undergoing CAC in maternity hospital Kathmandu was conducted from 1st February to 21st  February 2011. Different factors affecting Intention to use contraceptives following CAC and their association were identified and analyzed. SPSS statistical software was used to perform analysis. RESULTS: Following CAC 61.5% had an intention to use contraceptives, injectables being the most common method followed by IUCD and pills. Side effects were the main reason for stopping and not having an intention to use. There was a significant association between duration of marriage,current use of contraceptive methods, attitude towards contraceptive method, subjective norm and intention to use contraceptive methods. CONCLUSION: The acceptance of contraceptives can be increased by having positive attitude, providing sufficient information to avoid fear related to side effects. Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 10-13 


Author(s):  
Tiara Adella ◽  
Rita Damayanti ◽  
Martya Rahmaniati Makful

Latar Belakang. Indonesia adalah negara dengan populasi terbanyak di Asia Tenggara. Dalam mengantisipasi masalah laju pertumbuhan penduduk, Pemerintah mempersiapkan program Keluarga Berencana dan salah satu sasarannya adalah remaja.Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan antara kebutuhan pelayanan keluarga berencana pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasaMetode. Penelitian menggunakan kuantitatif analitik dengan pendekatan cross sectional. Kuesioner yang digunakan Remaja Pria (RP) dan Wanita Usia Subur (WUS). Populasi dalam penelitian ini adalah seluruh remaja belum kawin di Indonesia dengan sampel berjumlah 18.464 responden.Hasil. 82,6% remaja yang berniat menggunakan kontrasepsi di masa dewasa. Hasil uji chi-square terdapat hubungan antara kebutuhan pelayanan KB pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasa. Hasil analisis multivariat, ada hubungan antara kebutuhan pelayanan KB pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasa setelah di kontrol variabel perancu.Kesimpulan. Remaja pria belum kawin yang tidak butuh pelayanan KB, terpapar media massa, memiliki pengetahuan <4 alat/cara KB lebih tidak berniat menggunakan kontrasepsi di masa dewasa. ABSTRACTBackground. Indonesia is the country with the most population in Southeast Asia. In anticipating a Population Growth Rate problem, the government is preparing a family planning program with youth as one of the targets. Objective. This study aimed to determine the relationship between the need for family planning services in unmarried adolescents and the intention to use contraception in adulthood.Method. The study is quantitative analytic with a cross-sectional approach. The questionnaire used by Adolescent Men (RP) and Women of Fertile Age (WUS). The population in this study were all unmarried adolescents in Indonesia, with sample amount 18,464 respondents. Results. 82.6% of adolescents intend to use contraception in the future. Chi-square test results show a relationship between the need for family planning services for unmarried adolescents with the intention to use contraception in adulthood. The result of the multivariate analysis shows a relationship between the need for family planning services for unmarried adolescents with the intention to use contraception in adulthood after being controlled for confounding variables.Conclusion: Unmarried male adolescents who do not need family planning services, are exposed to mass media, have knowledge of <4 methods/methods of contraception and do not intend to use contraception in adulthood.


2017 ◽  
Vol 4 (2) ◽  
pp. 30-42
Author(s):  
Ghanshyam K Bhatta ◽  
Josue Orellana ◽  
Bidya Mahat ◽  
Ishwar Nath Mishra ◽  
Chandeshwari Tamrakar ◽  
...  

Background: Family Planning (FP) is a key developmental focus for the government of Nepal. Use of modern contraceptives has stagnated at 43.2% since 2011. Unmet need for family planning (FP) in Nepal remains high at 27%. A factor contributing to this levelling of contraceptive use despite relatively high unmet need is the limited range of methods available to most clients at most sites. To address the FP need among married women of reproductive age (WRA), we tested integration of FP into agricultural programs.   Aim: To assess the effectiveness of a FP program integrated into an agriculture (e.g. non-health) sector program. Methods: A cross-sectional interventional study conducted November 2015 to February 2016 among 525 WRA who were participants in an agriculture program. Results: The contraceptives commonly used by women in the study location were Depo Provera and Minilap.  After Technical Integration Coverage and Access (TICA) interventions, almost all of the respondents (99.6%) had heard about FP of which 67.8% correctly understood FP as a method to prevent unwanted pregnancy. About 50% of the respondents were found currently using FP.  The percentage of WRA aware of long-acting and permanent FP methods increased from 49.0% to 62.0% and 39.0% to 52.0% respectively. Decisions on using a FP method were predominantly made by the husband (68.0%). However, 68.4% women reported that they were motivated by their husband. The proportion of men willing to use FP increased from 5.2% to 15.5% after TICA activities implementation. The main reason identified for not currently using FP devices was that the husband and wife were not living together (88.8%). Most of the women (98.0%) reported that FP utilization improved their quality of life. Conclusion: TICA activities were very successful in both increasing FP knowledge level as well as utilization of FP services among the targeted beneficiaries. The use of FP increased among agriculture program beneficiaries after the integration of TICA activities with a gradual shift from short-acting FP methods to long-acting and permanent FP methods. For easy integration, FP projects should also utilize existing community structures such as cooperatives, women’s groups, men’s groups, and youth clubs.


e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Andrie E. Lukas ◽  
Suzanna P. Mongan ◽  
Freddy W. Wagey

Abstract: Family planning program is a program of the government of the Republic of Indonesia that aims to achieve a healthy and prosperous family by limiting births. Tondano is the center of Minahasa district and has four sub-districts and population of 70,467 people with a female number of 34,800. Data on women using family planning showed a number of 25,749 people which indicates a large and growing population. This study was aimed to evaluate the level of knowledge and attitudes of mothers towards the family planning program. This was a descriptive study with a cross-sectional design. Data were obtained by using questionnaire as the instrument. Respondents were 50 postpartum mothers who came to Dr. Sam Ratulangi Hospital Tondano and were willing to fill in the distributed questionnaires. The results showed that 92% of responsdents had good knowledge and 8% had poor knowledge. Meanwhile, based on the attitudes of respondents, 70% of them were positive and 30% were negative. In conclusion, family planning services based on the level of knowledge and attitudes of postpartum mothers at Dr. Sam Ratulangi Hospital Tondano were good or above average. Albeit, postpartum mothers who had good knowledge may not necessarily had good attitudes.Keywords: family planning, contraception, knowledge, attitude Abstrak: Program Keluarga Berencana (KB) bertujuan untuk membentuk gerakan keluarga sehat dan sejahtera dengan cara membatasi kelahiran. Tondano merupakan pusat dari Kabupaten Minahasa dan memiliki empat kecamatan dengan populasi sebesar 70.467 jiwa dan jumlah perempuan sebesar 34.800 jiwa. Data perempuan yang memakai KB ialah 25.749 jiwa. Data tersebut menunjukkan jumlah penduduk yang banyak dan terus bertambah. Penelitian ini bertujuan untuk mengevaluasi tingkat pengetahuan dan sikap ibu postpartum terhadap program KB di RSUD Dr. Sam Ratulangi Tondano. Jenis penelitian ialah deskriptif dengan desain potong lintang. Pengambilan data menggunakan kuesioner sebagai instrumen penelitian. Responden penelitian ialah ibu postpartum yang datang di RSUD Dr. Sam Ratulangi Tondano dan bersedia mengisi kuesioner yang dibagikan. Hasil penelitian mendapatkan total 50 responden. Sebanyak 92% ibu memiliki pengetahuan baik dan 8% memiliki pengetahuan kurang baik. Untuk pengukuran sikap dari responden, sebanyak 70% wanita bersikap positif dan 30% yang bersikap negatif. Simpulan penelitian ini ialah bahwa pelayanan KB berdasarkan tingkat pengetahuan dan sikap ibu di RSUD Dr. Sam Ratulangi Tondano sudah baik atau di atas rata-rata. Walaupun demikian ibu yang memiliki pengetahuan baik belum tentu memiliki sikap yang baik.Kata kunci: keluarga berencana, kontrasepsi, pengetahuan, sikap


1970 ◽  
Vol 8 (2) ◽  
pp. 169-172 ◽  
Author(s):  
V Shrivastava ◽  
L Bajracharya ◽  
S Thapa

Introduction: In spite of legalising abortion and making safe abortion available at affordable price at accessible distance to almost everyone, unsafe abortion especially second trimester abortion is still a big health problem in Nepal. Objective: The objective of the study is to find the demographic profile, reasons for seeking abortion and to see the effectiveness of Misoprostol in preparing the cervix. Materials and methods: A prospective study was done in the two second trimester abortion trainings conducted in Maternity hospital, Kathmandu. Total 57 clients had second trimester abortion performed. Information was collected from structured questionnaire and then data was analysed. Results: Commonest reason for seeking abortion was, multiparity (61.4%). Common reasons for second trimester abortion were, completed family size with unwanted pregnancy (61.4%), unwanted pregnancy in married (10.52%) unwanted pregnancy in unmarried (5.26%). Conclusions: Second trimester abortion is one of the most common procedures performed in reproductive-aged women and when performed by a skilled provider in the appropriate setting, it is one of the safest surgeries, if it is well supported by change in policy of the country and acceptability of the people. Key words: Maternal death; Safe abortion; Second trimester abortion DOI: 10.3126/kumj.v8i2.3552 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 169-172


2014 ◽  
Vol 9 (4) ◽  
pp. 307-316 ◽  
Author(s):  
Melonie M. Walcott ◽  
John Ehiri ◽  
Mirjam C. Kempf ◽  
Ellen Funkhouser ◽  
Marion Bakhoya ◽  
...  

The objective of this study was to identify the association between gender norms and family planning practices among men in Western Jamaica. A cross-sectional survey of 549 men aged 19 to 54 years attending or visiting four government-operated hospitals was conducted in 2011. Logistic regression models were used to identify factors associated with taking steps to prevent unwanted pregnancy, intention to have a large family size (three or more children), and fathering children with multiple women. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated from the models. Reduced odds for taking steps to prevent unwanted pregnancy among men with moderate (AOR = 0.5; 95% CI = 0.3-0.8) and high (AOR = 0.3; 95% CI = 0.1-0.6) support for inequitable gender norms was observed. Desiring large family size was associated with moderate (AOR = 2.0; 95% CI = 1.3-2.5) and high (AOR = 2.6; 95% CI = 1.5-4.3) support for macho scores. For men with two or more children (41%), there were increased odds of fathering children with multiple women among those who had moderate (AOR = 2.1; 95% CI = 1.0-4.4) and high (AOR = 2.4; 95% CI = 1.1-5.6) support for masculinity norms. Support for inequitable gender norms was associated with reduced odds of taking steps to prevent unwanted pregnancy, while support for masculinity norms was associated with desiring a large family size and fathering children with multiple women. These findings highlight the importance of including men and gender norms in family planning programs in Jamaica.


2021 ◽  
Author(s):  
Martin Wiredu Agyekum ◽  
Grace Frempong Afrifa-Anane ◽  
Frank Kyei-Arthur ◽  
Bright Addo

The acceptance or otherwise of the COVID-19 vaccine by health care workers can influence the uptake of COVID-19 vaccines among the general population as they are a reliable source of health information. In this study, we sought to determine the acceptability of COVID-19 vaccines among health care workers in Ghana. Using a cross-sectional design, we collected data from 234 health care workers through a self-administered online survey from 16 January to 15 February 2021. Descriptive, bivariate and multivariate analyses using binary logistic regression were performed using STATA version 15. The results showed that 39.3% of health care workers had the intention of receiving the COVID-19 vaccine. Factors such as sex, category of health care workers, relative being diagnosed with COVID-19, and trust in the accuracy of the measures taken by the government in the fight against COVID-19 proved to be significant predictors of the acceptability of the COVID-19 vaccine. Concerns about the safety of vaccines and the adverse side effects of the vaccine were identified as the main reasons why health care workers would decline uptake of the COVID-19 vaccine in Ghana. The self-reported low intention of health care workers to accept the COVID-19 vaccine in Ghana requires the urgent call of the Government of Ghana and other stakeholders to critically address health care workers' concerns about the safety and adverse side effects of COVID-19 vaccines, as this would increase vaccine uptake. Interventions must also take into consideration sex and the category of health care workers to achieve the desired results. Keywords: COVID-19, Vaccines, Vaccine acceptance, Health care workers, Ghana


2020 ◽  
Author(s):  
Annet Nanvubya ◽  
R.K. Wanyenze ◽  
T. Nakaweesa ◽  
J. Mpendo ◽  
B. Kawoozo ◽  
...  

Abstract BackgroundFamily planning (FP) is a key component in the conduct of HIV prevention trials and FP knowledge is a determinant of modern contraceptive use. Although fishing communities (FCs) participate in HIV prevention trials, knowledge about FP in this population is scarcely known. We determined correlates of FP knowledge in FCs of L. Victoria in Uganda to inform improvements in FP interventions in preparation for other HIV prevention trials.MethodsWe conducted a cross-sectional survey among participants aged 16-49 years in Kigungu and Nsazi FCs. A semi-structured questionnaire was administered to assess FP knowledge. A composite score with 5 parameters including; awareness about FP methods, knowledge about ideal number of children for a couple, knowledge about ideal birth spacing interval, knowledge about FP methods and their side effects and interval between the last 2 children was used to determine whether participant’s knowledge was or wasn’t satisfactory. Satisfactory FP knowledge was attributed to a score of ≥80% from the five parameters. We also conducted 10 in-depth interviews and 4 focus group discussions.ResultsOf the 1,410 screened participants, 95% were aware of at least one FP method while only 21% had satisfactory knowledge. Participants aged 30-39 years, those engaged in trade/business, housewives, those from Nsazi, the married or those who were divorced, separated or widowed were more likely to have satisfactory FP knowledge compared to those aged 16-29 years (aOR: 1.59 95% CI: 1.14-2.22), farmers (aOR: 3.14 95% CI: 1.21-8.17), and (aOR: 3.69 95% CI: 1.35-10.1), those from Kigungu (aOR: 1.58 95%CI: 1.09-2.30), those who were single (aOR: 6.96 95% CI: 3.42-14.13) or (aOR: 17.67 95% CI: 8.54-36.54).There were concerns about side effects and effectiveness of some modern FP methods. Misconceptions about effects of FP like sterility, cancers and foetal abnormalities were common. Cultural beliefs on contraception are key barriers to FP information.ConclusionPeople from FCs in Uganda are aware of FP but their knowledge is largely unsatisfactory. Concerns about method safety, effectiveness of some methods, misconceptions and cultural barriers exist. A FP education tool tailored for a mobile, high risk and remote population is recommended to improve FP knowledge.


2019 ◽  
Vol 61 (2) ◽  
pp. 50
Author(s):  
Anudha Moodley ◽  
Ozayr Mahomed

Background: The contraceptive implant (Implanon) has been recognised as one of the most effective family planning methods and is a healthier choice for women in Africa due to its efficacy and convenience. Despite the evidence of effectiveness and safety of the implant, the actual uptake for Implanon use in the Ugu district of KwaZulu-Natal is relatively low. The aim of the study was to determine factors associated with Implanon uptake in Ugu North Sub District 2016/17.Methods: An observational cross-sectional study with an analytical component using self-administered questionnaires to collect information from 385 participants using randomised systematic sampling was conducted at family planning clinics at GJ Crookes Hospital and seven surrounding primary health care clinics. The chi-square test and multivariate logistic regression was used to determine associations.Results: Some 16% (n = 60) of the participants utilised Implanon. Despite having the correct knowledge 65.7% (n = 220) were not willing to use Implanon if it were offered. In addition, 55% of participants (n = 177) believed Implanon had more side effects. Parity ( 4 children) was found to be a statistically significant protective factor against (p 0.05) Implanon uptake.Conclusion: Implanon is a highly unattractive method of contraception for women residing in the Ugu North Sub District. Fear of side effects and invasive method of insertion were identified as the major barriers to Implanon use. Education and increased patient awareness are strategies to increase the desirability and uptake of Implanon.


2020 ◽  
Author(s):  
Chisato Masuda ◽  
Elisa Oreglia ◽  
Ly Sokhey ◽  
Megan McLaren ◽  
Caroline Free ◽  
...  

Abstract Background: Women working in Cambodian garment factories have unmet needs for family planning (contraception and safe abortion) services, because of their background and living conditions. This study describes their experiences regarding abortion and contraception as part of a larger project to develop an intervention to support comprehensive post-abortion care.Methods: We conducted semi-structured interviews with women seeking abortion services at private health facilities. In addition, we interviewed the private providers of abortion and contraception services surrounding garment factories. Interviews lasted up to 60 minutes and were conducted in Khmer and later translated into English. A thematic analysis was undertaken, with medical abortion experiences coded according to the Cambodia comprehensive abortion care protocol.Results: We interviewed 16 women and 13 providers between August and November 2018. Most women reported being married and had at least one child. Among factory workers the major reported reasons for abortion were birth spacing and financial constraints. Family, friends, or co-workers were the major information resources regarding abortion and contraception, and their positive or negative experiences strongly influenced women’s attitude towards both. Medical abortion pills were not always provided with adequate instructions. Half of the participants had a manual vacuum aspiration procedure performed after medical abortion. While women knew the side effects of medical abortion, many did not know the adverse warning signs and the signs of abortion completion. Only three women started post abortion family planning, as most of the women expressed fear and hesitation due to concerns about side effects of modern contraception. Fear of infertility was particularly reported among young women without children. Conclusion: This research shows that in this setting not all women are receiving comprehensive abortion care and contraceptive counselling. Provision of accurate and adequate information about abortion methods and modern contraception was the dominant shortfall in abortion care. Future work to address this gap could involve the development of appropriate interventions and informative tools for women in the Cambodian garment industry such as through existing client contact-centres or social media, including creation of videos or posts on topics that come from clients questions.


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