scholarly journals Determinants of Intrauterine Contraceptive Device Use Among the Women of Urban Areas of Nepal

2014 ◽  
Vol 8 (2) ◽  
pp. 16-20 ◽  
Author(s):  
R Joshi ◽  
S Bhattarai ◽  
K Simkhada ◽  
S Thapa

Aims: This study aimed to identify the determinants of Intrauterine Contraceptive Device (IUCD) use among the married women of reproductive age group living in urban areas of Nepal. Methods: This study was an analytical cross-sectional study which aimed to compare different factors between 110 IUCD users and 110 non-users. Both groups were selected randomlyand interviewed by using semi-structured questionnaire. Chi-square test was used to detect the difference between two groups and corresponding odds ratios with 95% confidence intervals were also computed. Results: When the IUCD users were compared to non-users, religion, occupational status of women, occupational status of the husbands, total number of children, sources of information about IUCD, having wrong beliefs about IUCD, availability of IUCD services, reproductive intention and spousal communication were significantly associated with the use of IUCD.The main reason for using IUCD was due to the effectiveness for longer duration and for not using IUCD was due to the feeling of no need. Conclusions: Wrong beliefs about the device discouraged women from using IUCD, hence, awareness programs are strongly recommended.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 16-20 DOI: http://dx.doi.org/10.3126/njog.v8i2.9760

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Waqas Hameed ◽  
Syed Khurram Azmat ◽  
Moazzam Ali ◽  
Wajahat Hussain ◽  
Ghulam Mustafa ◽  
...  

Introduction. Women who do not switch to alternate methods after contraceptive discontinuation, for reasons other than the desire to get pregnant or not needing it, are at obvious risk for unplanned pregnancies or unwanted births. This paper examines the factors that influence women to switch from Intrauterine Contraceptive Device (IUCD) to other methods instead of terminating contraceptive usage altogether.Methods. The data used for this study comes from a larger cross-sectional survey conducted in nine (9) randomly selected districts of Sindh and Punjab provinces of Pakistan, during January 2011. Using Stata 11.2, we analyzed data on 333 women, who reported the removal of IUCDs due to reasons other than the desire to get pregnant.Results. We found that 39.9% of the women do not switch to another method of contraception within one month after IUCD discontinuation. Use of contraception before IUCD insertion increases the odds for method switching by 2.26 times after removal. Similarly, postremoval follow-up by community health worker doubles (OR = 2.0) the chances of method switching. Compared with women who received free IUCD service (via voucher scheme), the method switching is 2.01 times higher among women who had paid for IUCD insertion.Conclusion. To increase the likelihood of method switching among IUCD discontinuers this study emphasizes the need for postremoval client counseling, follow-up by healthcare provider, improved choices to a wider range of contraceptives for poor clients, and user satisfaction.


Author(s):  
Aparajita Dasgupta ◽  
Nivedita Roychoudhury ◽  
Dipak Pal ◽  
Lina Bandyopadhyay ◽  
Sweta Suman ◽  
...  

Background: Emergency Contraception (EC) is an important option for women exposed to unprotected sex to prevent unintended pregnancy and induced abortion. EC has a potential to offer women an important option for fertility control. The objective of the study was to assess knowledge about Emergency Contraception among currently married women of reproductive age in a rural area of West Bengal.Methods: A community based cross sectional study was conducted on 608 currently married women of reproductive age for 1 year from May 2017 to April 2018. Questionnaire was administered to women on knowledge of emergency contraception (EC). Data was analyzed in SPSS version 16.Results: Among the study participants 66% had knowledge of emergency contraception. A small number (8.9%) of the total participants ever used EC to prevent pregnancy. Only 65.3% of them had correct knowledge regarding timing of EC. Effectiveness of post-coital pill was known to them while none of these women were aware of the existence of Intra Uterine Contraceptive Device (IUCD) insertion as an option for EC.Conclusions: Marked lacunae were observed regarding knowledge and practice of emergency contraceptives among the WRA. Proper and correct knowledge on Emergency Contraception is of urgent need among all sexually active women especially in this country for population stabilization.


Author(s):  
Nidhi Gupta ◽  
Renuka Sinha ◽  
Abha Mangal

Background: The objectives of the study were to assess knowledge, attitude and practice in post-partum intrauterine contraceptive device method of family planning and to know about willingness for post-partum intrauterine contraceptive device (PPIUCD) when knowledge is provided for the same.Methods: This is a cross sectional observational study including 1200 patients of immediate post-partum period (<48 hrs of delivery), delivered at Safdarjung hospital. Women were evaluated with the help of a pre-designed and pre-tested questionnaire.Results: Out of 1200 women 864 (72%) were aware of some family planning method but only 672 (56%) had used some family planning method in the past. 108 (9%) women had knowledge regarding Post-partum intrauterine contraceptive device (PPIUCD). Among these, 72 (6%) women opted for PPIUCD. After knowledge regarding PPIUCD had been given, 80 more women adopted this as a method of contraception. So total 152 (12.67%) opted PPIUCD.Conclusions: This study highlights that awareness and knowledge does not always lead to use of contraceptives. A lot of educational and motivational activities are needed.


Author(s):  
Rupali Atmaram Gaikwad ◽  
Shrinivas N. Gadappa ◽  
Sonali S. Deshpande

Background: In this modern or scientific era even though women are working equally or one step ahead of men, in family planning decision they are still lagging behind. Postpartum period is very crucial for a woman especially for many of those belonging to the villages as this may be the only time she comes in contact with a health personnel and in a mood to listen health advice. Keeping this in mind, this crucial period was considered as opportunity to test the issue of awareness regarding contraception.Methods: We conducted a cross-sectional study in the department of obstetrics and gynecology of Govt medical college and hospital, Aurangabad between August 2016 to December 2016. A total 720 post-partum women were interrogated and counselled regarding various methods of contraception.Results: Only 55.69% were aware about various methods of contraception. Awareness was maximum for Sterilisation (91%) followed by Intrauterine contraceptive device (81%) and Oral contraceptive pills (41%). Women knew about contraception from health care system (45%) and mass media (36%). After counselling 97% patients ready to use.Conclusions: There is lack of awareness regarding contraception. Contraceptive services are to be strengthened by intergrating with antenatal sevices.


2014 ◽  
Vol 3 (2) ◽  
pp. 30-34
Author(s):  
Anima Haldar ◽  
Samir Kumar Roy ◽  
Tushar Kanti Saha ◽  
Rama Prasad Roy ◽  
Baijayanti Baur ◽  
...  

As a part of its commitment towards provision of quality spacing services in family planning, the Government of India introduced Cu-T 380A in 2002 with an effective protection for 10 years replacing the earlier Cu-T 200B. In India, the use of the intrauterine device (IUD) is very low among married women of reproductive age, despite the fact that the Government offers IUD (Cu-T) services free of cost. The aim of the study was to assess the current status of intrauterine contraceptive device (Copper-T) utilization and to determine the relevant factors influencing utilization by currently married women of the reproductive age. The community-based cross-sectional study was carried out in 3 Blocks and 2 Municipality areas of the West Midnapur district in West Bengal. A multistage random sampling method was carried out to select villages of sub-center areas and wards from Municipality areas. A total of 16 areas were selected for the purpose of the study; 125 eligible couples from each selected area were interviewed by a house-to-house survey in order to cover 2000 eligible couples throughout the district. Only females were the respondents. It was found that 67.4% of the couples admitted to the use of any method of contraception. The Couple Protection Rate (by modern method) was found to be 62.6% in the study area. However, it was demonstrated that Cu-T acceptance rate was only 1.3%. Ligation (38.8 %) contributed the highest – other methods included: oral contraceptive pill (19.4%), condom (3%), vasectomy (0.1%) and others (4.8%). The ever use rate of intrauterine contraceptive device (Cu-T/loop) in the study area was 6.2%, which increased significantly with the advancement of maternal age, but no association was found with literacy status of the respondents. Lack of motivation (48.4%), misconception (14%), unawareness (11.3%) unwillingness (9.3%) and religious/cultural barrier (2.4%) were the major factors for underutilization/non-utilization as elicited from the present study. Advocacy through mass media and sustenance of behavior change communication also needed for higher IUD utilization in both rural and urban area. DOI: http://dx.doi.org/10.3329/seajph.v3i2.20036 South East Asian Journal of Public Health Vol.3(2) 2013: 30-34


2013 ◽  
Vol 1 (2) ◽  
pp. 42-45 ◽  
Author(s):  
Meherunnessa Begum ◽  
Khondoker Bulbul Sarwar ◽  
Nasreen Akther ◽  
Rokshana Sabnom ◽  
Asma Begum ◽  
...  

Background: Every year, world wide, 200 million women become pregnant. The development of urban areas allowed women to receive more care and treatment. However, in rural areas such measures are not available to every woman. Data on delivery practice of rural woman may help the social and public health planners and decision makers to minimize and prevent maternal mortality and morbidity ensuring safe motherhood.Objective: The aim of the study was to observe the delivery practice of rural women of Bangladesh. Materials and method: A cross-sectional study was conducted and data were collected from Dhamrai upazila, Dhaka, Bangladesh in April 2008. Total 159 women of reproductive age group at least having one child were selected purposively to elicit information on various demographic, socioeconomic, cultural and selected programmatic variables including maternal health care and delivery practices. Results: Among the respondents about 55% were literate. Majority (80%) of the respondents delivered at home and most of the them (71%) felt that home delivery was comfortable where as about 29% of the respondents were compelled to deliver at home due to family decision and financial constraint. Among the deliveries about 82% occurred normally and 18.2% were by cesarean section. A considerable percentage of deliveries (49%) were attended by traditional birth attendants. Blade was used for cutting umbilical cord in majority of the cases (74%) who delivered at home. Most of the respondents (90%) took ante natal check up and about 74% were vaccinated by tetanus toxoid. Conclusion: The results of the study suggest that a lot of work is still to do for the policy makers and health planners to target, plan, develop and deliver maternal health services to the rural women of Bangladesh. DOI: http://dx.doi.org/10.3329/dmcj.v1i2.15917 Delta Med Col J. Jul 2013;1(2):42-45


Author(s):  
T. K. Shaanthy Gunasingh ◽  
T. S. Meena ◽  
R. Mothilal

Background: Postpartum intrauterine contraceptive device is a postpartum family planning method which provides spacing to the next pregnancy and also it helps to avoid unwanted / unintended pregnancy during postpartum period. Our aim was to study the willingness and acceptability of Postpartum intrauterine contraceptive device among primi paraous women and compare them as a factor of route of insertion (vaginal versus caesarean).Methods: A cross sectional analytical study was done in a tertiary care teaching institution to know the willingness and acceptance among primi paraous delivery (either vaginal and caesarean deliveries) for the period of three months using the hospital records that a total number of 587 primi paraous deliveries and among them 433 mothers had Postpartum intrauterine contraceptive device over the three months period, were taken as a secondary data and studied for their willingness and acceptance for Postpartum intrauterine contraceptive device.Results: 82.8 % of primi paraous women were showing willingness for Postpartum intrauterine contraceptive device and 73.8 % of them had Postpartum intrauterine contraceptive device insertion. Postpartum intrauterine contraceptive device insertions were more in caesarean deliveries than in vaginal deliveries of mothers with one child.Conclusions: Postpartum intrauterine contraceptive device is a strong weapon in the family planning and should be encouraged in both vaginal and caesarean deliveries. The acceptability of Postpartum intrauterine contraceptive device in women with one child was effective and statistically significant at p value is < 0.05.


2013 ◽  
Vol 1 (4) ◽  
Author(s):  
Raji MO ◽  
Oche MO ◽  
Kaoje AU ◽  
Raji HO ◽  
Ango JT

Background: Objectives: Methods: Nigeria, with a contraceptive prevalence of 15% is characterized by high fertility (5.7 births per women), rapid population growth (2.8%) and has rural women on the average having 2 children more than urban women.This study aimed to assess the awareness and utilization of family planning commodities in a rural community of northern Nigeria.This was a community based, descriptive cross-sectional study conducted in January 2013 as part of community diagnosis of Kware Local Government Area (LGA) of Sokoto state. Multi-stage sampling technique was used to select study respondents. All the 100 women of reproductive age group living in the settlement participated in the study. A set of semi structured interviewer administered questionnaire, containing 3 sections was used to obtain information on respondents' socio-demographic characteristics, awareness of family planning and practice of family planning.Results: Conclusion: Key words: Majority (69.1%) of the respondents had ever heard of family planning


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