scholarly journals Contraceptive Practice and Protection of Women’s Health

1970 ◽  
Vol 39 (1) ◽  
pp. 11-15
Author(s):  
Rabeya Akther

Family planning is an essential tool for reducing fertility rate. An increase in contraceptive prevalence results in reduction of population growth, which in turn contributes significantly to the improvement of maternal health. It is a cross-sectional study done during period of April-July 2007 in a large Medical Centre at Motijheel, Dhaka. Information on reproductive history was obtained to find out their contraceptive prevalence and regulation of fertility. Two hundred and thirty one (231) women (childbearing age) were selected randomly to find out their contraceptive prevalence. Eighty four (n=197) percent women needs family planning service .Among them 87.82 percent (N-173) use any method of contraception. 79.76% ( N-138) women use modern method and 20.23 percent ( N-35) couple use natural method .Thirty three (33.53 %)percent couple practice barrier method, twenty two (22.54%) percent use oral pill. Present study revealed that contraceptive practice and fertility rate both are low among servicing women. Contraception and fertility control is an underlying factor for the achievement of several Millennium Development Goals (MDGs). For reduction of infant mortality (4th MDG) and maternal mortality (5th MDG) contraception is essential. Finally it plays a role in combating poverty within the first MDG. DOI: 10.3329/bmj.v39i1.6227 Bangladesh Medical Journal 2010; 39(1): 11-15

1970 ◽  
Vol 37 (1) ◽  
pp. 10-14
Author(s):  
Rabeya Akther ◽  
Hasina Afroj ◽  
Sayeeda Sultana

 Family planning is an essential tool for reducing fertility rate. An increase in contraceptive prevalence rate results in reduction of population growth, which in turn contributes significantly to the improvement of people's health. It is a cross-sectional, descriptive type, observational study done during April-July 2007 in a large Medical Centre. Reproductive history was used as research instrument for data collection. The present study aimed at exploring Contraceptive prevalence and related issue among service holder and regulation of fertility among them. Two thirty one (231) women (childbearing age ) were selected randomly to find out their contraceptive prevalence. Eighty four (n=197) percent women need family planning service.Among them 87.82 percent (N-173) of the respondents use any method of contraception. 79.76 %( N-138) women use modern method and 20.23 percent( N-35) women use natural method .Thirty three (33.53 %) percent couple practice barrier method, twenty two(22.54%) percent use oral pill, female sterilization is 9.25 percent, injectable (DMPA) 5.78 percent, 7.97 percent mixed method .There is progressive decline in oral pill use from 55% to 26%. Fertility rate, menstruation regulation is lower among servicing women. Education, empowerment and social position of women help to reduce fertility.   DOI: 10.3329/bmj.v37i1.3601 Bangladesh Medical Journal 37(1) 2008 10-14


Author(s):  
Aissata Mahamadou Sidibe ◽  
Paul I Kadetz ◽  
Therese Hesketh

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).


2018 ◽  
Vol 34 (1) ◽  
pp. 33 ◽  
Author(s):  
Asep Novianto ◽  
Ova Emilia ◽  
Djaswadi Dasuki

Purpose: This study aims to determine the relationship of provider bias with unmet need of KB in couples of childbearing age in Kecamatan Kraton Kota Yogyakarta.Method: This cross-sectional study involved 121 respondents of childbearing age couples in Kraton Sub-district Yogyakarta city. Data retrieval technique with multistage random sampling. Data analysis with univariable. Bivariable analysis using chi-square test with significance level (p <0,05) and 95% confidence level CI. Multivariable analysis using logistic regression statistic test. This research was conducted in May-June 2017.Results: This study showed that there was a significant relationship both statistically and practically between provider bias and unmet need of KB in couples of childbearing age. The results of the provider's bias analysis after considering the support of husbands, occupations and the number of children affected by 15% in the opportunities for unmet need KB.Conclusion: Quality of service to provide understanding of contraception needs to be improved. Family planning providers need to acquire communication skills to provide family planning services through capacity building activities for providers in a sustainable manner.


2018 ◽  
Vol 17 (4) ◽  
pp. 436 ◽  
Author(s):  
Abdulhakeem M. Okour ◽  
Rami A. Saadeh ◽  
Mona Zaqoul

Objectives: Counselling plays a key role in enhancing reproductive services, providing contraception-related information and supporting long-term family planning for women of childbearing age. This study aimed to evaluate family planning counselling sessions in selected governmental and private clinics in northern Jordan. Methods: This cross-sectional study was conducted between January and June 2016 in Irbid, Jordan. A total of 200 women attending two private clinics affiliated with the Jordanian Association for Family Planning and Protection (JAFPP) and six governmental clinics were invited to participate in the study. Counselling sessions were attended by an independent observer and evaluated with regards to their compliance with the standard Greet, Ask, Tell,Help, Explain, Return (GATHER) framework. Results: A total of 198 women participated in the study (response rate: 99.0%), including 80 women (40.4%) from JAFPP clinics and 118 (59.6%) from governmental clinics. In total, 42.9% of the counselling sessions were deemed adequate, with providers applying 80% or more of the GATHER framework, while 26.8% of the sessions were deemed semi-adequate and 30.3% were considered inadequate. Counselling services provided in the governmental clinics were significantly less adequate than those provided in JAFPP clinics (P <0.001). Conclusion: The quality of counselling services in governmental family planning centres in Jordan needs to be improved to ensure that women receive the highest possible level of care. Healthcarepolicymakers should therefore focus on developing and supporting effective family planning counselling services in northern Jordan.


2020 ◽  
Vol 10 (2) ◽  
pp. 70-75
Author(s):  
L. F. Nyirenda ◽  
S. G. Hinderaker ◽  
O. F. Ogundipe ◽  
P. Owiti ◽  
E. Geoffroy ◽  
...  

Setting: Malawi committed to increase modern contraceptive prevalence rate to 60% for all women by 2020, but current use ranges from 37% to 59% among women of different ages and marital status.Objectives: To describe characteristics of first-time family planning (FP) users and associations between characteristics and methods used among women of childbearing age accessing injectables, oral contraceptives and implants in rural mobile clinics in Mulanje, Malawi, in 2017–2018.Design: This was a cross-sectional retrospective study.Results: Among 2120 first-time FP users, 65% were <25 years. Half (50%) had 2–4 live children and only 1% were nulliparous. HIV infection rate among all users was 4%. Of the three methods, injectables were used most (75%), with a significantly higher use in HIV-positive clients (91%). Nearly 25% of first-time users used implants and the proportion increased from 21% in 2017 to 34% in 2018.Conclusion: This study demonstrated that FP can be provided to young women in remote areas if the availability of well-trained providers is ensured. It highlighted the need to target younger and nulliparous women with a broad mix of contraceptives to improve access to, and uptake of, FP services to reach national commitments.


2020 ◽  
Vol 7 (3) ◽  
pp. 95-103
Author(s):  
Roshani Agrawal Khatry ◽  
Nirmala Ghimmire ◽  
Rashmi Joshi Shrestha ◽  
Mamata Sherpa Awasthi ◽  
Niran Shrestha

Introduction: Family planning refers to a conscious effort by a couple to limit or space the number of children through the use of contraceptive methods. This study aims to identify the factors affecting the choice of contraceptives among married women of reproductive age. Method: A descriptive cross-sectional study design was adopted among 326 samples at Family Planning Sansthagat Clinic, Lalitpur from July to September 2017. Face-to-face interview using a structured questionnaire was used for data collection. Association between married women’s socio-demographic variables with the factors affecting the choice of contraceptives were analyzed. SPSS 16 was used for statistical analysis. Ethical approval was taken from the Institutional Review Board of Tribhuvan University, Institute of Medicine. Result: The study revealed that 100% of the respondents had known about condoms and pills as contraceptives methods. 314(96.3%) of the respondents were using a modern method of family planning. Among them, 186(59.2%) were using an implant. One hundred and seventy-three women (53.1%) had started using contraceptives after the birth of their first child. 142(43.6%) stated that they discontinued using some contraceptives in the past. The main reason for discontinuation was due to side effects of 70(49.3%). Purposes of using contraceptives, preference for child sex are the significant factors for the choice of contraceptives. Conclusion: This study result revealed that most of the respondents were using a modern method and among them, Implant was the most practiced family planning method. Women’s active involvement in decision-making regarding the use of contraceptives can play an important role in its utilization.


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Amadou Barrow

Background. Family planning (FP) is one of the fundamental pillars of safe motherhood and reproductive health rights. In developing countries, women with unmet need for FP constitute a significant proportion of all women of reproductive age and it is an ongoing public health challenge in the Gambia. The study aimed to determine the women’s proportion of contraceptive uptake and knowledge of FP methods. Methods. The study employed a community-based descriptive cross-sectional study conducted for 643 women of reproductive age (15–49 years) from the selected clusters in rural Gambia through a multistage sampling technique. A pretested structured interview questionnaire was used to collect data. Univariate analysis using frequencies and percentages were used to present results in this study. Data entry and analysis were done using IBM SPSS version 24. Results. The overall contraceptive prevalence rate was 30.4%, while the CPR for married or in the union was 34.2%. About 86% of women reported child spacing as the major benefits of FP, while 49.5% reported amenorrhea as the most common side effect of contraceptives. Injectable (Depo-Provera, Noristerat, and ) and pills (progesterone and combined) were the two most common FP methods used at 58.5% and 44.0%, respectively. Conclusion. The present study showed a moderately low contraceptive uptake. Thus, there is a need to focus FP services for women in rural areas, emphasizing the quality of services and gender equality. The study further recommends strengthening and mainstreaming of male involvement and religious leaders participation in FP interventions and the initiation of a communication program that explicitly promotes interspousal communication.


2021 ◽  
Vol 21 (1) ◽  
pp. 382
Author(s):  
Nuraini Nuraini ◽  
Siti Aisyah ◽  
Putu Lusita Nati Indriani

Family planning (KB) is an act that shapes an individual or a married couple to get certain objectives. Objective: To determine the relationship between parity, cost and education with implant family planning. This type of research is quantitative using an analytic survey with a cross sectional study approach to see the momentary relationship between the independent and dependent variables. The samples in this study were all women of childbearing age who were active family planning participants. The time of data collection in this study was carried out on February 12, 2020, and the data collection process was carried out on June 25 to August 18, 2020, statistical tests using the Chi-Square Test. The results of the research of respondents who did not use implant family planning (57.9%), respondents whose parity was at risk as much as (32.6%), respondents who had the cost of implanting FP implants independently were (60.0%) and those who were Implant using BPJS as much (40.0%). Meanwhile, respondents with low education were (40%). The statistical test results show that there is no significant relationship between parity (p-value = 0.363), there is a relationship between costs (p-value = 0.003), and education (p-value = 0.000). It is hoped that the health team in community services will be more active in providing training for obstetricians who are related to family planning implant acceptors.


2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Maryam Mobini ◽  
Reza Ali Mohammadpour ◽  
Yasaman Salehi ◽  
Fatemeh Niksolat

BACKGROUND: Systemic lupus erythematosus (SLE), often affects women of childbearing age. Family planning consultation is a major aspect of medical care in these patients because of the risk of disease activation and poor pregnancy and fetal outcomes. The aim of the present study was to evaluate contraceptive prevalence and consulting service in women with SLE.METHODS: In a cross-sectional study, a total of 144 female patients with SLE, ages 15-50, who were presented to rheumatology clinics in Sari, north of Iran, were evaluated. The study was conducted between March 2019 and May 2020. Patients' clinico-demographic profile and fertility information were obtained. Disease activity and damage were assessed by the systemic lupus erythematosus disease activity (SLEDAI) and Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) Damage Index (SDI).RESULTS: One hundred and forty-four SLE patients of childbearing age participated in this study. From 102 patients with the possibility of pregnancy, 36(35.2%) received contraceptive consultations in last year. Withdrawal was the most prevalent contraceptive method (41.7%), followed by permanent (11.8%), and barrier methods (9%). There were no significant differences in age, disease duration, marriage duration, SDI or SLEDAI scores between the women who received or not received contraceptive counseling (P>0.05).CONCLUSION: Many SLE patients did not receive adequate information about contraception, and it may be associated with many adverse effects on disease activity and pregnancy outcomes. Therefore, contraceptive consultation as an important aspect of patient’s management is strongly suggested.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048554
Author(s):  
Hanyu Wang ◽  
Eric Frasco ◽  
Jie Shang ◽  
Minne Chen ◽  
Tong Xin ◽  
...  

ObjectivesThis study aims to explore the association between maternal depression and the loss of the only child under the family-planning (FP) policy.DesignCross-sectional data from a Chinese population-based study were analysed.SettingPopulation from 10 (5 rural and 5 urban) areas in China.ParticipantsAround 300 000 females were included in the study. The FP group was defined as women with one or two live births. Those with no surviving child were classified into the loss-of-only-child group. The non-FP group included women who had more than two live births. Logistic regression was used to assess the relationship between major depressive disorder (MDD) and family types, after stratification and adjustment.OutcomeMDD was assessed using the Composite International Diagnostic Inventory.ResultsThe odds of MDD are 1.42 times higher in the FP group in general (OR=1.42, 95% CI: 1.28 to 1.57), as opposed to the non-FP group. In particular, the odds of MDD are 1.36 times greater in the non-loss-of-only-child group (OR=1.36, 95% CI: 1.21 to 1.51) and 2.80 (OR=2.80, 95% CI: 0.88 to 8.94) times greater in the loss-of-only-child group, compared with the non-FP group. The associations between FP groups and MDD appeared to be stronger in the elderly population, in those who were married, less educated and those with a higher household income. The association was found progressively stronger in those who lost their only child.ConclusionsPeople in the FP group, especially those who lost their only child, are more susceptible to MDD than their counterparts in the non-FP group. Mental health programmes should give special care to those who lost their only child and take existing social policies and norms, such as FP policies, into consideration.


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