scholarly journals Contraceptives Knowledge and Use among Reproductive Aged Women from Squatters of Kathmandu, Nepal

2016 ◽  
Vol 10 (2) ◽  
pp. 14-18
Author(s):  
R Dhital ◽  
SM Shrestha ◽  
PMS Pradhan ◽  
AK Rajbhandari

Aims: This study aims to assess the knowledge and use of contraceptives and the associated factors among the married reproductive aged women residing in squatters of Kathmandu, Nepal.Methods: This descriptive cross sectional study was conducted in six squatter settlements of Kathmandu in February 2015. A total of 156 married reproductive aged women were included through convenient sampling. Descriptive statistics were summarized and bivariate logistic regression was performed.Results: A total of 80.7% had knowledge and 66.6% of women were currently using at least one modern contraceptives method. Injectable was most commonly used (58%) whereas condom was the least (3%). The women who were less than 35 years of age, having a child less than five years of age and women who were literate were more likely to have knowledge on contraceptives with (OR=2.609, p=0.011), (OR=5.579, p=0.025) and (OR=3.6, p=0.007) respectively. Similarly, women less than 35 years of age and women having last child less than five years of age were less likely to be using contraceptives currently with (OR=0.344, p=0.033) and (OR=0.397, p=0.01) respectively.Conclusions: This study showed the actual use was lower than the knowledge. Among the contraceptives used, condom usage was very low. Younger women and mothers with last child less than five years of age were less likely to use contraceptives. These results highlight the risk related to sexual and reproductive health in this vulnerable population.

2020 ◽  
Author(s):  
Muhammad Zakaria ◽  
Junfang Xu ◽  
Farzana Karim ◽  
Subarna Mazumder ◽  
Feng Cheng

Abstract Background: Improving the sexual and reproductive health (SRH) of adolescent girls is one of the primary agenda of the Sustainable Development Goals (SDGs). Adequate and accurate knowledge, favorable attitude, safe behavior, and regular practice contribute to the adolescent girls’ SRH, maternal, and child health. In the background, this study aims to explore the level of knowledge, attitudes, and practices (KAP) of SRH among college-going older adolescent girls in Chittagong district, Bangladesh. Methods: An institution-based cross-sectional study was conducted in four colleges among the older adolescent girls age group of 16-17 (N = 792) attending a higher secondary grade in Chittagong district. Data were collected using a structured and self-administered questionnaire. Descriptive statistics and multiple linear regression analyses were used to summarize the SRH-related KAP and identify the associated factors, respectively. Results: 62% of study participants had the awareness that both physical and psychological changes occur in the adolescence period, while only 36% knew that menstruation is not a disease. Besides, only 30% of adolescent girls were informed about taking birth control has no adverse effect on the sexual relationship of a couple. Moreover, only 40% of students were learned that HIV could not be spread through the mosquito and flea, whereas only 25% knew that transmission of HIV is unlikely from an infected person’s coughing and sneezing. Of older adolescent girls, 35% disagreed perfectly whether sexual education can lead to more sexual activity. Besides, more or less 20% of participants opined that adolescent girls should refrain from going outside even to the school, entering into the kitchen, touching anyone, brushing hair, and see in the mirror. Moreover, 52% of adolescent girls wanted to learn more details about SRH, while 48% felt timid and afraid of their puberty changes. Besides, 62.5% of adolescent girls reported their using cloth during the menstrual cycle instead of the sanitary pad. Standardized coefficients beta (β) and p value < .05 in linear regression analyses explored that adolescent girls’ study of science, urban residence, reading or watching SRH contents on the mass media appeared as the more significant predictors for outcome variables. Conclusion: Many problems related to SRH exist among older adolescent girls in Bangladesh, such as behaviors and social constraints associated with menstruation, myths, and assumptions, recognition of the value of awareness and knowledge of reproductive health. Therefore, strengthening SRH-related comprehensive education programs incorporating into the curriculum, effective use of mass media, and supplying behavioral change communication materials are essential.


2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Bedilu Kifle ◽  
Kifle Woldemichael ◽  
Mamo Nigatu

Background. Though onchocerciasis control and elimination through community directed treatment with ivermectin were conducted for the last fifteen years, prevalence of onchocerciasis and factors associated with it in the study area are yet not known. The aim of the current study is to assess prevalence of onchocerciasis and associated factors among adults aged greater than or equal to fifteen years in Semen Bench district, Bench Maji zone, southwest Ethiopia: community based cross-sectional study 2018. Methods. Community based cross-sectional study was conducted on 553 study participants selected by multistage sampling in April 2018. Data were collected using a pretested interviewer-administered questionnaire. Data were entered using EpiData version 3.1 and exported to SPSS version 20 for statistical analysis. Descriptive statistics were done to summarize dependent and independent variables. Bivariate logistic regression was done to select candidate variables. Multivariable logistic regression was performed to identify independent predictors of onchocerciasis infection. Adjusted odds ratios with 95% CI were calculated to assess association and statistical significance, respectively. Confidence interval was used to declare statistical significance. Result. The overall prevalence of onchocerciasis infection in the study area was 6.32%. Age category of 35-44 years (AOR: 13.48, 95%CI: 3.51, 51.76), age of 45 years and above (AOR: 9.41, 95% CI: 2.26, 39.06), male sex (AOR 4.568, 95% C.I: 1.622, 12.861), not being compliant with ivermectin treatment (AOR: 3.804, 95%CI: 1.524, 9.49), and residing at less than 2Km from the river (AOR: 9.15, 95%CI: 3.9, 21.49) were significantly associated with onchocerciasis infection. Conclusion and Recommendation. After more than a decade of treatment with ivermectin, onchocerciasis in the study area is still hypoendemic. Zonal health department and other stakeholders should evaluate therapeutic coverage and community directed treatment with ivermectin in the study area. Zonal health department with other stokeholds should give community based information education communication, giving due attention to older ages, male residents, and those living near the rivers. Further community based study should also be done to identify factors hindering the community compliance with the treatment.


Author(s):  
Robin Munkvold

This study explores how different end user qualities affect actual use of support sources in organizations. It identifies three qualities: information technology-skills; computer self-efficacy; information technology (IT) -involvement. Sources of support are divided in: formal sources of support; informal sources of support; use of internal documentation and use of external documentation. Hypotheses are tested empirically through a cross sectional study in a large Norwegian organization. The results show end user qualities in varying degree may affect the end users’ choice of different support sources. The study also shows access to a computer expert and giving collegial support might be important factors for explaining the variation in the end users’ choices of support services.


Author(s):  
Muhammad Zakaria ◽  
Farzana Karim ◽  
Subarna Mazumder ◽  
Feng Cheng ◽  
Junfang Xu

Improving the sexual and reproductive health (SRH) of adolescent girls is one of the primary aims of the Sustainable Development Goals (SDGs). Adequate and accurate knowledge, a favorable attitude, safe behavior, and regular practice contribute to adolescent girls’ SRH, maternal health, and child health. Considering this, this study aims to explore the level of knowledge, attitudes, and practices (KAP) of SRH among college-going older adolescent girls in Chittagong district, Bangladesh. An institution-based cross-sectional study was conducted in four colleges among the older adolescent girl age group of 16–17 years old (N = 792) attending a higher secondary grade in Chittagong district. Data were collected using a structured and self-administered questionnaire. Descriptive statistics and multiple linear regression analyses were used to summarize the SRH-related KAP and identify the associated factors, respectively. The level of knowledge about puberty, family planning, maternal health, and HIV/AIDS was not satisfactory among the older adolescent girls. Different myths are common in the rural area with regards to menstruation, which impose several restrictions on adolescent girls and adult women. Standardized coefficients of beta (β) and p value < 0.05 in linear regression analyses demonstrated that being a student of the science group (β = 0.29, p < 0.001) and reading about or watching SRH issues on media (β = 0.21, p < 0.001) were significantly associated with older adolescent girls’ high level of knowledge in this regard. Furthermore, being a student of the science group (β = 0.17, p < 0.001), urban residence (β = 0.20, p < 0.001), regular SRH communication (at least once a month) with a mother/sister/friend (β = 0.10, p = 0.003), and reading or watching any SRH content on media (β = 0.22, p < 0.001) appeared as predictors of adolescent girls’ positive attitude towards SRH issues. Moreover, being a student of the science group (β = 0.07, p = 0.048), urban residence (β = 0.22, p < 0.001), regular SRH discussions with a mother/sister/friend (β = 0.09, p = 0.005), pre-knowledge on periods before menarche (β = 0.12, p < 0.001), and reading or watching any SRH content on media (β = 0.18, p < 0.001) are the most important factors influencing a regular hygienic practice of SRH. This study suggests strengthening SRH-related comprehensive education programs incorporated into the curriculum, the effective use of mass media, and supplying behavioral change communication materials.


2018 ◽  
Vol 17 (4) ◽  
pp. 709
Author(s):  
Abdulsalam Alfawzan ◽  
Anas Al Ahmed ◽  
Sara Almuhanna ◽  
Hadeel Alfahmi ◽  
Abdulallah Alshein ◽  
...  

2019 ◽  
Vol 9 (3) ◽  
pp. 22-28
Author(s):  
Rajani Shah ◽  
Dinesh Kumar Malla

 Background: Family planning contributes in preventing maternal and child mortality and empowers women. For the past ten years contraceptive prevalence rate has remained stagnant in Nepal. This study aimed at iden­tifying the use and factors associated with modern contraceptive methods in Piple, Chitwan, Nepal. Methods: It was a cross-sectional study. Piple village development com­mittee was selected purposively, in which two wards were randomly se­lected. Married women of reproductive age (n=332) of each household were interviewed. Descriptive, bivariate and multivariate analysis were performed. Results: About half (49%) of the respondents had used a modern contra­ceptive method. Women in the age groups 25-39 years [aOR: 2.39; 95% CI: 1.16 - 4.92] and 40-49 years [aOR: 4.67; 95% CI: 1.71 - 12.70] were more likely to use modern contraceptives compared to the women in the age group 15-24 years. Similarly, women having 3 or more living children [aOR: 2.98; 95% CI: 1.19 - 7.50] were more likely to use the modern contracep­tives than women with upto two children. Women whose husbands would approve of using the contraceptives [aOR: 11.33; 95% CI: 3.93-32.62] were more likely to use the methods than those who got or perceived no ap­proval from husband. Conclusions: Information and service on modern contraceptive methods should be focused to younger women. Involvement of husbands in family planning program would contribute to use of modern contraceptives by women.


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