scholarly journals Pemberdayaan Akseptor Dan Kader Mengenal Efek Samping Kontrasepsi Hormonal Di Pustu Tanjung Kabupaten Ende

2021 ◽  
Vol 4 (4) ◽  
pp. 771-778
Author(s):  
Martina Bedho ◽  
Khrispina Owa ◽  
Yoseph Woge ◽  
Fitria Syafrudin Pua Sawa
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Community Service ◽  
Hormonal Contraception ◽  
Hormonal Contraceptives ◽  
Modern Contraceptive ◽  
New Family ◽  
Measure Blood Pressure ◽  
Intensive Observation ◽  
Injectable Contraceptives

ABSTRAK Peserta KB aktif dan akseptor KB baru di kabupaten Ende 53,2 %, lebih memilih menggunakan alat kontrasepsi hormonal sedangkan pemilihan alat kontrasepsi lain berada dibawah 20%. Alat kontrasepsi suntik yang paling banyak digunakan, berikutnya implant dan pil. Akseptor yang mengalami efek samping kenaikan berat badan dan hipertensi 32 orang (11,03%), dan akseptor terbanyak berada di Puskesmas pembantu Tanjung. Tujuan pengabdian masyarakat ini adalah pemberdayaan akseptor dan kader kesehatan mengenal efek samping penggunaan kontrasepsi hormonal, dimana sasarannya adalah kader dan akseptor. Metode yang digunakan adalah screening,ceramah, diskusi, simulasi dan praktikum oleh khalayak sasaran. Hasil pengabdian masyarakat menunjukan semua akseptor memiliki pengetahuan baik (83,33%) pada pretest sedangkan posttest (100%) namun belum tahu tentang lama penggunaan kontrasepsi hormonal baik secara suntik, implant dan pil. Keterampilan yang dicapai adalah semua kader dan akseptor 28 orang (100%) dapat mengukur tinggi badan, menimbang berat badan, dan mengukur tekanan darah. Diharapkan pengamatan yang intensif dari bidan Pustu Tanjung dan dapat diperdaya oleh kader KB untuk membantu mengawasi efek samping kontrasepsi hormonal. Kunci : Pemberdayaan akseptor dan kader, efek samping kontrasepsi hormonal.                                    ABSTRACT 53.2% of active family planning participants and new family planning acceptors in the Ende district prefer to use hormonal contraceptives while the choice of other contraceptives is below 20%. The most widely used injectable contraceptives are implants and pills. There were 32 acceptors who experienced side effects of weight gain and hypertension (11.03%), and the most acceptors were in the Tanjung auxiliary health center. Research in Kumasi sub-district, Ghana, India, because some acceptors experienced long and heavy menstruation, spotting, no menstruation, and vaginal discharge so they were afraid of modern contraceptive methods (Kimberly Daniels, 2015). The aim of this community service is to empower acceptors and health cadres to recognize the side effects of using hormonal contraceptives, where the targets are cadres and acceptors. The methods used are screening, lectures, discussions, simulations, and practicum by the target audience. The results of community service show that all acceptors have good knowledge (83.33%) at pretest while posttest (100%), but they do not know about the length of time using hormonal contraceptives both by injection, implant, and pill. The skill achieved is that all 28 cadres and acceptors (100%) can measure height, weight body weight, and measure blood pressure. It is hoped that intensive observation from the midwife of Pustu Tanjung and the family planning cadres can help to monitor the side effects of hormonal contraception. Keywords:  Empowerment of acceptors and cadres, side effects of hormonal contraception.

scholarly journals Update on male hormonal contraception

2019 ◽  
Vol 10 ◽  
pp. 204201881983484 ◽  
Author(s):  
Giulia Gava ◽  
Maria Cristina Meriggiola
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Method ◽  
Hormonal Contraception ◽  
Active Role ◽  
Hormonal Contraceptives ◽  
Contraceptive Methods ◽  
Men And Women ◽  
Male Contraceptive ◽  
The World

Despite increases in female contraceptive options, 40–45% of pregnancies across the world are still unplanned. While several effective female contraceptive methods have been developed, contraceptive choices for men are still limited to the male condom with its high failure rates and to vasectomies, which are invasive and not reliably reversible. Several studies have demonstrated a great interest among men and women for effective, reversible, and safe male contraceptive methods. Over the years, numerous studies have been performed to develop male hormonal and nonhormonal safe and effective contraceptives. A variety of new molecules are under development as oral or transdermal hormonal contraceptives for men demonstrating few side effects. In our overpopulated world, the development and commercialization of a male contraceptive method that will allow both men and women to take an active role in family planning is mandatory and further research on this topic is required.

scholarly journals A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Susan Ontiri ◽  
Lilian Mutea ◽  
Violet Naanyu ◽  
Mark Kabue ◽  
Regien Biesma ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Peer Influence ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Modern Contraceptive ◽  
Modern Contraception ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background Addressing the unmet need for modern contraception underpins the goal of all family planning and contraception programs. Contraceptive discontinuation among those in need of a method hinders the attainment of the fertility desires of women, which may result in unintended pregnancies. This paper presents experiences of contraceptive use, reasons for discontinuation, and future intentions to use modern contraceptives. Methods Qualitative data were collected in two rural counties in Kenya in 2019 from women with unmet need for contraception who were former modern contraceptive users. Additional data was collected from male partners of some of the women interviewed. In-depth interviews and focus group discussions explored previous experience with contraceptive use, reasons for discontinuation, and future intentionality to use. Following data collection, digitally recorded data were transcribed verbatim, translated, and coded using thematic analysis through an inductive approach. Results Use of modern contraception to prevent pregnancy and plan for family size was a strong motivator for uptake of contraceptives. The contraceptive methods used were mainly sourced from public health facilities though adolescents got them from the private sector. Reasons for discontinued use included side effects, method failure, peer influence, gender-based violence due to covert use of contraceptives, and failure within the health system. Five reasons were provided for those not willing to use in the future: fear of side effects, cost of contraceptive services, family conflicts over the use of modern contraceptives, reduced need, and a shift to traditional methods. Conclusion This study expands the literature by examining reasons for contraceptive discontinuation and future intentionality to use among women in need of contraception. The results underscore the need for family planning interventions that incorporate quality of care in service provision to address contraceptive discontinuation. Engaging men and other social influencers in family planning programs and services will help garner support for contraception, rather than focusing exclusively on women. The results of this study can inform implementation of family planning programs in Kenya and beyond to ensure they address the concerns of former modern contraception users.

scholarly journals Correlates of family planning knowledge among people in fishing communities of Lake Victoria in Uganda

2020 ◽  
Author(s):  
Annet Nanvubya ◽  
R.K. Wanyenze ◽  
T. Nakaweesa ◽  
J. Mpendo ◽  
B. Kawoozo ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Hiv Prevention ◽  
Lake Victoria ◽  
Cultural Beliefs ◽  
Fishing Communities ◽  
Modern Contraceptive ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Trials

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.

scholarly journals Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilary Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
First Year ◽  
Modern Contraceptive ◽  
Group Discussions ◽  
Program Success ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background In Rwanda, nearly a third of contraceptive users discontinue within the first year of use. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users and minimizing discontinuation is imperative for long-term family planning program success. This study explores the efforts providers and contraceptive users in Rwanda employ to prevent one of the greatest challenges to family planning programs: contraceptive discontinuation. Methods This was a qualitative study conducted in Rwanda between February and July 2018. It included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with experienced modern contraceptive users. Data were collected in two districts with the highest (Musanze) and lowest (Nyamasheke) rates of contraceptive use. Data were analyzed using thematic content approach. Results Family planning providers in this study used the following strategies to prevent discontinuation: counseling new users on the potential for side effects and switching, reminding clients about appointments for resupply, as well as supporting dissatisfied users by providing counseling, medicine for side effects, and discussing options for switching methods. Users, on the other hand, employed the following strategies to prevent discontinuation: having an understanding that experiences of side effects vary by individuals, supporting peers to sustain use, persisting with use despite experiences of side effects, and switching methods. Conclusions The strategies used by family planning providers and users in Rwanda to prevent discontinuation suggest the possibility of long-term sustained use of contraception in the country. Harnessing and supporting such strategies could contribute to sustaining or improving further contraceptive use in the country.

scholarly journals Peningkatan Pengetahuan Wanita Usia Subur Tentang Efek Penggunaan Kontrasepsi Progestin Terhadap Kesehatan Organ Reproduksi

2021 ◽  
Vol 4 (5) ◽  
pp. 1227-1236
Author(s):  
Nora Veri ◽  
Alchalidi Alchalidi ◽  
Dewita Dewita ◽  
Nuswatul - Khaira ◽  
T. Iskandar Faisal
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Reproductive Organs ◽  
Reproductive Age ◽  
Hormonal Contraceptives ◽  
Women Of Reproductive Age ◽  
Family Planning Programs ◽  
The Family ◽  
The Government

ABSTRAK Pemerintah menggalakan program Keluarga Berencana (KB) untuk mengendalikan pertumbuhan penduduk. Salah satu program KB adalah dengan penggunaan kontrasepsi. Metode kontrasepsi yang saat ini yang paling banyak digunakan oleh Wanita Usia Subur (WUS) adalah suntikan Depo Medroxy Progesterone Acetate (DMPA) yang berisi hormon progesteron. DMPA memiliki efek samping yang merugikan organ reproduksi untuk penggunaan jangka panjang. Tujuan kegiatan pengabdian dilakukan untuk meningkatkan pengetahuan wanita usia subur tentang efek samping penggunaan kontrasepsi hormonal DMPA jangka panjang pada organ reproduksi. Metode pelaksanaan adalah dengan edukasi peningkatan pengetahuan tentang kontrasepsi DMPA dengan sasaran wanita usia subur akseptor KB DMPA sebanyak 60 orang. Hasil kegiatan diperoleh bahwa mayoritas pengetahuan wanita usia subur pada kategori kurang pada saat pretest sebanyak 41 orang (68,33%) dan pada saat posttest mayoritas berada pada kategori baik sebanyak 53 orang (88,33%). Adanya peningkatan pengetahuan setelah dilakukan edukasi tentang penggunaan kontrasepsi DMPA dan efek samping yang ditimbulkan akibat penggunaan jangka panjang terhadap kesehatan organ reproduksi. Kata Kunci :   Depo Medroxy Progesterone Acetate (DMPA), Wanita Usia Subur, Kontrasepsi, Keluarga Berencana  ABSTRACT The government is promoting the Family Planning (KB) program to control population growth. One of the family planning programs is the use of contraception. The method of contraception currently most widely used by women of reproductive age is the injection of Depo Medroxy Progesterone Acetate (DMPA) which contains the progesterone hormone. DMPA has adverse side effects on reproductive organs for long-term use. The purpose of this service is to increase the knowledge of women of reproductive age about the side effects of long-term use of DMPA hormonal contraceptives on the reproductive organs. The method of implementation is education to increase knowledge about DMPA contraception with the target of women of reproductive age DMPA to acceptors as many as 60 people. The results of the activity showed that the majority of knowledge of women of reproductive age were in the lack knowledge at the time of the pretest as many as 41 people (68.33%) and at the time of the posttest the majority were in the good knowledge category as many as 53 people (88.33%). There is an increase in knowledge after education about the use of DMPA contraceptives and the side effects caused by long-term use on the health of the reproductive organs. Keywords: Depo Medroxy Progesterone Acetate (DMPA), women of reproductive age, Contraception, Family Planning

Bleeding patterns and weight gain in users of injectable progestogen-only contraceptives: A retrospective study

2015 ◽  
Vol 1 (2) ◽  
pp. 27-34
Author(s):  
JO Sotunsa ◽  
A Inofomoh ◽  
AK Akinseku ◽  
FI Ani ◽  
AO Olatunji
Keyword(s):  
Retrospective Study ◽  
Weight Gain ◽  
Side Effects ◽  
Menstrual Cycle ◽  
Menstrual Bleeding ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
The Mean ◽  
One Year ◽  
Injectable Contraceptives

Objective: Modern contraceptive methods have been very effective in family planning and well-being. The injectable contraceptives, though effective, had been discontinued by some users because of side effects like abnormal menstrual bleeding and weight gain. This study compared the pattern of menstrual bleeding and weight gain in users of Depot Medroxyprogesterone Acetate (DMPA) and Norethisterone-Enanthate (Noristerat) in Sagamu. Method: A retrospective study of 323 patients who used either DMPA or Noristerat over a 7-year period (January 2007 to December 2013). Data extracted from case notes included bio-data, parity, previous contraceptive methods and reasons for discontinuation of the contraceptives. Clients' weights, pattern of menstrual cycle and side effects were also documented for the rst, second and third visits, and up to 1 year after commencing the injectable contraceptives. Results: The mean age of the participants was 32.72± 5.47 years. About 13.5% experienced no change in their menstrual cycle, but 55.9% and 58.9% of those who used Noristerat and DMPA respectively, had amenorrhoea by the end of one year. The mean weight was 62.89kg±12.84 for Noristerat group and  0.93kg±9.94 for DMPA group at commencement and 65.15kg±13.70 for Noristerat group and 64.05kg±10.30 for DMPA group at the end of one year. There was significant weight gain (p<0.05) in both groups by the end of the First year. Weight gain was perceived as a problem by 2% of Noristerat users and 0.9% users of DMPA. Conclusion: There were significant weight changes with use of injectable contraceptives. However, very few clients perceived this as a problem. Amenorrhoea was the commonest menstrual change experienced by clients over the period. 

scholarly journals The Potential of Hormonal Contraception to Influence Female Sexuality

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Filipa de Castro Coelho ◽  
Cremilda Barros
Keyword(s):  
Side Effects ◽  
Sexual Function ◽  
Female Sexuality ◽  
Hormonal Contraception ◽  
Narrative Review ◽  
Hormonal Contraceptives ◽  
Female Sexual Function ◽  
Sexual Side Effects ◽  
The Impact

The association between female sexual function and hormonal contraception is controversial. Recognition and management of sexual side effects in women using hormonal contraceptives are challenging. An unsatisfactory number of studies report the influence of the available contraceptives on female sexuality. This article provides an updated narrative review regarding the effect and the magnitude of the impact that hormonal contraceptives play in female sexual function.

scholarly journals Studi Lama dan Jenis Kontrasepsi Hormonal yang Digunakan dengan Gangguan Menstruasi Akseptor KB Aktif di Wilayah Kerja Puskesmas Jati Raya Kota Kendari

bionature ◽  
2019 ◽  
Vol 20 (2) ◽  
pp. 123
Author(s):  
Amiruddin Amiruddin ◽  
Agriansyah A Agriansyah A ◽  
Risna Risna
Keyword(s):  
Family Planning ◽  
Health Center ◽  
Contraceptive Use ◽  
Hormonal Contraception ◽  
Hormonal Contraceptive ◽  
Cross Sectional Study ◽  
Hormonal Contraceptives ◽  
Menstrual Disorders ◽  
Chi Square ◽  
Cross Sectional

Abstract. Based on initial observations on hormonal contraceptive KB acceptors in the working area of the Jati Raya Health Center in Kendari City, many acceptors experience menstrual disorders. This study aims to determine the relationship between duration of use and the type of hormonal contraception used with menstrual disorders inactive family planning acceptors in the working area of Jati Raya Health Center, Kendari City. This type of research is an association with the Cross-Sectional Study design. The population in this study was 153 acceptors. The sample was determined by purposive sampling of 138 respondents using a questionnaire. The results showed respondents with a duration of use <6 months (45.7%), 6 months - 1 year (31.2%), and> 1 year (23.2%), the type of hormonal contraception used is; injections (80.4%), pills (13.8%) and implants (5.8%), menstrual disorders before using hormonal contraceptives namely; normal (39.1%) and mild disorders (60.9%) and after using hormonal contraception, mild disorders (15.9%), moderate (39.1%) and severe (44.9%). The results of data analysis with the chi-square test concluded that the length of hormonal contraceptive use was significantly related to menstrual disorders in active KB acceptors in the working area of the Jati Raya Health Center in Kendari City and the type of hormonal contraception used was significantly related to menstrual disorders in active KB acceptors in the Puskesmas work area. Jati Raya Kendari City (p <0.05). Keywords: old, hormonal contraception, menstrual disorders, family planning acceptors.

scholarly journals Examining and strengthening the role of patent and proprietary medicine vendors in the provision of injectable contraception in Nigeria

2018 ◽  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Scale Up ◽  
Health Sector ◽  
Modern Contraceptive ◽  
Public And Private ◽  
Care Experience ◽  
Contraceptive Services ◽  
Injectable Contraceptives

Results from an implementation research study in Nigeria found that with training, Patent and Proprietary Medicine Vendors (PPMVs), regardless of their previous health care experience, could competently administer injectable contraceptives and that clients reported receiving quality services from trained PPMVs. From 2015 to 2018, the Evidence Project conducted a study to better understand the role of PPMVs in offering voluntary injectable services (e.g., selling, counseling, referring to health centers, and administering). The study was conducted in response to Nigeria's family planning context and the role of PPMVs in the informal health sector. | In Nigeria, the bulk of contraceptive services are provided by private sources, including hospitals, clinics, pharmacies, and PPMVs. Of the contraceptives used, injectable contraception is the most popular, accounting for approximately 40 percent of modern contraceptive use in the country. Among both public and private sources for family planning, PPMVs are the most popular for voluntary contraceptive services. According to Nigeria's 2013 National Demographic Health Survey, 38 percent of all contraceptive users and 13 percent of injectable users received their method from a PPMV. | The knowledge generated from this study helps inform the potential scale-up of PPMV delivery of voluntary injectable contraceptive services. The evidence provides insights on how to support and mentor PPMVs to provide quality FP counseling and provision of injectable contraceptives.

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