scholarly journals Factors Associated with Postpartum Family Planning in a Cohort of Kelantanese Women with Previous Caesarean Delivery in Malaysia

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Hafizah I ◽  
Tengku Alina TI ◽  
Suhaily MH ◽  
Zaharah S
Keyword(s):  
Social Support ◽  
Family Planning ◽  
Health Education ◽  
Caesarean Delivery ◽  
Contraceptive Use ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Postpartum Family Planning

 Introduction: This community-based, cross-sectional study aimed to identify the factors associated with postpartum family planning use among a cohort of women with recent caesarean delivery in a state with the lowest contraceptive use in Malaysia. Materials and Methods: A total of 281 women aged between 18-49 years old who had caesarean delivery in government tertiary centres in Kelantan from January until April 2017 were enrolled in this study. The study was conducted from January until April 2018. Women were selected through stratified random sampling with probability proportional to size. Data were collected through a validated structured questionnaire. The main outcome was binary (postpartum family planning use or non-use). The factors included socio-demographic details, reproductive history, previous contraceptive use, contraceptive health education received, knowledge, and social support. Simple and multiple logistic regression were conducted to identify significant determinants of postpartum family planning use. Results: The factors associated with postpartum family planning use included a secondary and below education level of women (AOR= 2.37, 95% CI (1.05, 5.34)), previous contraceptive use (AOR= 9.82, 95% CI (4.81, 20.06)), individual health education (AOR= 4.19, 95% CI (1.23, 14.30)), higher knowledge score (AOR= 1.12, 95% CI (1.03, 1.23)), and higher social support score (AOR= 1.09, 95% CI (1.03, 1.16)). Conclusions: here remains a need to enhance personalised contraceptive counselling in the primary care setting as well as to promote longer acting reversible contraceptive methods.

scholarly journals Determinants of modern contraceptive use among married women of reproductive age: a cross-sectional study in rural Zambia

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e030980 ◽  
Author(s):  
Joseph Lasong ◽  
Yuan Zhang ◽  
Simon Afewerki Gebremedhin ◽  
Sampson Opoku ◽  
Chrissie Stansie Abaidoo ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Factors Associated ◽  
Modern Contraceptive Use ◽  
Rural Zambia

ObjectiveZambia is among the world’s top 10 countries with higher fertility rate (5.5 births/woman); unmet family planning need for births spacing (14%) and limiting births (7%). Women in rural Zambia (24%) are reported to have unmet need for family planning than those in urban areas (17%). This study was conducted to ascertain factors associated with modern contraceptive use among rural Zambian women.DesignCross-sectional study.SettingRural Zambia.ParticipantsSecondary data of 4903 married or cohabiting rural women (15–49 years) after filtering out the pregnant, urban based and unmarried women from 2013 to 2014 Zambian Demographic and Health Survey (ZDHS) were analysed using SPSS V.22. Multiple logistic regression, Pearson’s χ2and descriptive statistics were performed to examine factors associated with modern contraceptive use.ResultsFactors that were positively associated with contraceptive use were respondent’s education (secondary adjusted ORs (AOR = 1.61, p≤0.002); higher (AOR = 2.39, p≤0.050)), wealth index (middle class, (AOR = 1.35, p≤0.005); rich (AOR = 2.04, p≤0.001) and richest (AOR = 1.95, p≤0.034)), high parity (1–2 (AOR = 5.31, p≤0.001); 3–4 (AOR = 7.06, p≤0.001); 5+ (AOR = 8.02, p≤0.001)), men older than women by <10 years (AOR = 1.50, p≤0.026) and women sensitised about family planning at health facility (AOR = 1.73, p≤0.001). However, old age (40–49 years (AOR = 0.49, p≤0.001)), other religions (Protestants, African traditionalists and Muslims) (AOR = 0.77, p≤0.007), ever had pregnancy miscarried, aborted or stillbirth (AOR = 0.78, p≤0.026) and women without knowledge of number of children husband desires (AOR = 0.71, p≤0.001) were negatively associated with contraceptive use.ConclusionModern contraceptive use in rural Zambia among currently married women of reproductive age group is relatively low (43%). We recommend that appropriate interventions are instituted to increase contraceptive access and use especially among uneducated older rural Zambian women.

scholarly journals Uptakes and associated factors of postpartum family planning in southern Ethiopia: A cross-sectional study

2021 ◽  
Vol 8 (3) ◽  
pp. 388-396
Author(s):  
Dubale Dulla Koboto ◽  
Sintayehu Assefa
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
First Year ◽  
Sectional Study ◽  
Cross Sectional ◽  
Postpartum Family Planning

Post-partum family planning aims to prevent unintended pregnancy within the first year postpartum. Closely spaced pregnancy within the first year of post-partum (PP) is associated with higher risk of preterm birth, low birth weight or small for gestational age. However, the perceived uptakes of postpartum contraceptives is very low. The intention of this study was determine uptakes and associated factors of postpartum family planning in southern Ethiopia. The study was conducted in Hawassa city administration which is the capital of SNNPR. Community based cross-sectional study was employed women who gave birth in the last 12 months before survey. Data was collected using structured questionnaire proceeding informed verbal consent. Logistic regression model was used to identify associations between variables and findings were presented by tables and figures. The prevalence of current post-partum contraceptive use was 85.1%. After adjusting for covariates; the odds of using postpartum contraceptive were 1.31 times, 12.13 times, 5.17 times, 10.77 time and 4.69 times higher among women with, knowledge about advantages and side effects of contraceptives, partner support for contraceptive use, previously contraceptive use and not returned period respectively with (P &#60;0. 05).uptakesofpostpartum contraceptives in Hawassa city administration was promising. Detailed counseling about postpartum contraceptive use, could assist equipping women with knowledge of family planning methods; empowering them to be decisive in the health and positivity of male partners are very crucial to promote postpartum use of contraceptives.

scholarly journals Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal

2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Kusum Thapa ◽  
Rolina Dhital ◽  
Sameena Rajbhandari ◽  
Shikha Thapa ◽  
Sabina Pokhrel ◽  
...  
Keyword(s):  
Family Planning ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
Planning Method ◽  
Family Planning Method ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Postpartum Family Planning ◽  
Ethical Approval ◽  
Service Coverage

Introduction: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese governmentand with the support from the International Federation of Obstetrics and Gynecology hasimplemented an initiative to institutionalize postpartum family planning services in selected majorreferral facilities of Nepal to address the gap of low uptake of postpartum family planning in Nepal.The aim of the study is to find the prevalence of the service coverage of postpartum contraception inthe selected facilities. Methods: A descriptive cross-sectional study was conducted in seven major referral facilities acrossNepal. Data were collected from the hospital records of all women who delivered in these facilitiesbetween October 2018 and March 2019. Ethical approval for this study was obtained from NepalHealth Research Council. Data analysis was done with SPSS version 23. Results: Among the 29,072 deliveries from all the facilities, postpartum family planning counselingcoverage was 27,301 (93.9%). The prevalence of uptake of Postpartum Intrauterine Device is 1581(5.4%) and female sterilization is 1830 (6.3%). In total 11387 mothers (52.2%) had the intention tochoose a postpartum family planning method. However, 36% of mothers neither used nor had theintention to choose a postpartum family planning method. Conclusions: The coverage of Postpartum Intrauterine Device counseling service coverage in Nepal ishigher in 2018 as compared to 2016-2017 and in other countries implementing Postpartum IntrauterineDevice initiatives. However, the prevalence of service coverage of immediate Postpartum FamilyPlanning methods, mainly Postpartum Intrauterine Device in 2018 is lower in Nepal as compared to2016-2017, and other countries implementing Postpartum Intrauterine Device initiative. More effortsare needed to encourage mothers delivering in the facilities to use the postpartum family planningmethod.

Race/Ethnic Variations in Predictors of Health Consciousness Within the Cancer Prevention Context

2020 ◽  
Vol 34 (7) ◽  
pp. 740-746
Author(s):  
Lucinda Nevarez ◽  
Shelly R. Hovick ◽  
Kimberly R. Enard ◽  
Stacy M. Lloyd ◽  
Lee Ann Kahlor
Keyword(s):  
Social Support ◽  
Health Status ◽  
Cancer Prevention ◽  
Race And Ethnicity ◽  
Cross Sectional Study ◽  
Stepwise Multiple Regression ◽  
Cross Sectional ◽  
Factors Associated ◽  
Health Consciousness ◽  
The Individual

Purpose: Although the literature establishes a link between health consciousness (HC) and prevention behavior, less explored are the individual, social, and health characteristics that are associated with increased HC. Similarly, underexamined is the influence of race and ethnicity on the relationship of these characteristics to higher levels of HC. Design: This cross-sectional study aims to identify and assess the relative importance of factors associated with higher levels of HC, highlighting the role of race and ethnicity. Participants: Participants came from a national research panel survey (N = 1007). Measures: Participants completed a 4-item scale capturing key concepts of HC as well as questionnaires capturing demographic profiles, social support, social networking activities, and health status. Analysis: A stepwise multiple regression was used to identify significant predictors of HC. Results: Female and more educated participants report higher levels of HC. African American and Hispanic participants report higher levels of HC compared to white participants. Findings indicate social support, social network participation, education, cancer survivorship, and health status were positively associated with higher HC for the collective sample. However, results revealed variations in factors associated with higher HC when stratified by race/ethnicity. Conclusion: Findings suggest that interventions aiming to motivate cancer prevention behaviors within at-risk communities may find more success by incorporating factors that are aligned with increased HC among culturally diverse populations.

scholarly journals Risk factors of induced abortion among preparatory school student in Guraghe zone, Southern region, Ethiopia: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kifle Lentiro ◽  
Teklemichael Gebru ◽  
Abdusemed Worku ◽  
Agizie Asfaw ◽  
Tigist Gebremariam ◽  
...  
Keyword(s):  
Health Education ◽  
Cross Sectional Study ◽  
Induced Abortion ◽  
Sectional Study ◽  
Sexual Health Education ◽  
School Students ◽  
Cross Sectional ◽  
Preparatory School ◽  
Factors Associated ◽  
Preparatory Schools

Abstract Background Induced abortion is a common undergo in many societies of the world. Every year, around 20 million unsafe abortions are done worldwide. From fragmented studies conducted in Ethiopia, the prevalence of induced abortion and its adverse effects are increasing over time. The aim of this study was to assess factors associated with induced abortion among female preparatory school students in Guraghe zone. Methods A cross-sectional study was conducted among female students of preparatory schools in April 2017. Systematic random sampling technique was employed to select 404 students from the total of 3960 female preparatory school students in the study area. Data was collected through self-administered questionnaires. Descriptive summary, binary and multivariate analyses were underwent to identify factors associated with induced abortion. The study was ethically approved by institutional review board of Wolkite University. Results The response rate of this study was 98.3%. The lifetime prevalence of induced abortion among young preparatory schools students whose age range from 15 to 22 years was 13.6% [95% CI (10.4, 17.1)]. The odds of induced abortion undergo was 2.3 times more likely in rural family residents [AOR = 2.3, 95% CI (1.1, 4.8)] as compared to that of urban family residents. Students without sexual health education were 6.4 times more likely to undergo induced abortion as compared to those who got sexual health education at sc0000hool [AOR = 6.4, 95% CI (3.1, 13.1)]. Furthermore, students who drank alcohol often were 4 times [AOR = 4.0, 95% CI (1.1, 14.2)] more likely to undergo induced abortion and students who consumed alcohol sometimes had 3.3 times [AOR: 3.3, 95%CI (1.4, 8.1)] the risk of induced abortion compared with girls with no history of alcohol consumption. Conclusion A high lifetime prevalence of induced abortion among young adolescent was observed. Being rural residence, not having reproductive health education, and alcohol consumption were found to be independent predictors of induced abortion undergo. Therefore, IEC/BCC programs with special emphasis on youth friendly sexual and reproductive health services should be strengthened to reduce induced abortion.

scholarly journals Evaluation of husband–wife communication regarding family planning among the couple of reproductive age group in the field practice area of Prathima Institute of Medical Sciences, Karimnagar

2018 ◽  
Vol 5 (6) ◽  
pp. 2361 ◽  
Author(s):  
Dasari Gayathry ◽  
M. Ramsagar Reddy ◽  
B. V. Rammana
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Social Contexts ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Method Choice ◽  
Field Practice ◽  
Individual Decisions

Background: Fertility decisions occur within specific social contexts and social norms therefore restrict individual decisions on fertility and behaviors related to family planning such as spacing and limiting of births and using contraception which reflects the importance of effect of inter-spousal communication on the contraceptive method choice and future intention of method use. Hence the objective of present study is to evaluate the husband wife communication and contraceptive use, method choice and timing of initiation of discussion among couples in study area.Methods: A cross - sectional study was conducted during February 2013 - January 2014 among couples residing in the field practice study areas. A semi-structured questionnaire consisting of socio-demographic characteristics, questions related to awareness, sources and decision making towards family planning was administered to 406 couples of study area.Results: It has been observed that regarding decision making, about 39.4% of the men had taken a decision on the use of contraceptive methods, and only 21.7% wives had autonomy of using contraception of their choice. Around 67.5% of the men had discussion with their wives about the family planning and more than half (57%) of the time the discussion was initiated by men.Conclusions: Husband was the decision maker in nearly half of the couples and family planning was discussed among majority of respondents. Family planning education should be encouraged through effective IEC programs and strategies for promoting husband wife communication should be considered inorder to increase family planning adoption.

scholarly journals Factors Impacting Family Planning Use in Mali and Senegal

2020 ◽  
Vol 17 (12) ◽  
pp. 4399
Author(s):  
Aissata Mahamadou Sidibe ◽  
Paul I Kadetz ◽  
Therese Hesketh
Keyword(s):  
Family Planning ◽  
Total Fertility Rate ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Fertility Rate ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Modern Family ◽  
Rural Sites ◽  
Structured Questionnaire

The total fertility rate in Mali (6.2) is the third highest in the world. Despite sociocultural similarities, the total fertility rate in neighboring Senegal is 4.2. The aim of this study is to identify factors which may help to explain the differences between the two countries and which may thereby inform family planning policy in Mali. A cross-sectional study was conducted with a convenience sample of 602 married women aged 16–50 from urban and rural sites in southern Mali and Senegal. A total of 298 respondents from Mali and 304 from Senegal completed a structured questionnaire between July and October 2018. In total, 11.1% of the Malian respondents and 30.9% of the Senegalese respondents were currently using family planning, and 34.6% and 40.5%, respectively, had ever used a modern family planning method. Pressure from husbands was cited as a primary influence for having more children (in 50.3% of Malians and 45.4% of Senegalese, p = 0.000). Women’s age, education level, and knowledge of different contraceptive methods were associated with ever use of contraceptives. After adjustment for confounders, discussing family planning with one’s husband was the strongest predictor of contraceptive use among both Senegalese (OR = 3.4, 95% CI (1.9–6.3), p = 0.000) and Malian respondents (OR = 7.3, (4.1–13.3), p = 0.000).

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