scholarly journals Unmet Need of Postpartum Contraceptives Use in Urban Slums

2020 ◽  
Vol 38 (2) ◽  
pp. 46-52
Author(s):  
Jennyfer Tazneen ◽  
Shaheda Hamid ◽  
Mostafizur Rahman
Keyword(s):  
Family Planning ◽  
Family Income ◽  
Post Partum ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Urban Slums ◽  
Dhaka City ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Monthly Family Income

Background: Unwanted pregnancy is common in slum dwelling couples as they are less aware about postpartum contraceptive. Unmet need of postpartum contraceptive is also evident in slums. Objective: This study aims to assess the unmet need of post-partum contraceptives used in urban slums. Materials and Methods: This study was a cross-sectional study on fecund women in postpartum period (0 months to 24 month). A total of 162 postpartum women were face to face interviewed with a pretested semi structured questioner by using software SPSS- 20. Place and period: The study was conducted in slum area of Jurain and Moghbazar in Dhaka city, during the period of January 2016 to December 2016. Results: About 51.2% (83) of the respondents were in the age group of 22-26 years. Almost 53.1% (86) of the respondents were illiterate. 57.4% (93) of the respondents were housewife. 61.1% of the respondents gave history of monthly family income of 4200-5700 taka. Total unmet need of postpartum contraceptive period, among 162 respondents were 58% about 94 and met need 42% (68). Intention for contraceptives used, were 86% (81) among 94 respondents. Factors related with unmet need – All most 45.7% of the respondents were not used any contraceptives due to not approved by their husband among 94 respondents. Decision regarding family planning has given by husband 51.85% (84). There were significant association with education and unmet need of contraceptives use (p<0.05). Monthly family income was significant association with unmet need of contraceptives use (p<0.05). Conclusions: Unmet need for family planning has been a major concern for international population since several decades. Present study indicated a high unmet need for postpartum contraception in the selected area of urban slums in Dhaka city, with a scope to decrease constraints and address user perspective to meet the contraception needs.Change in the attitude of the husband, family and society to accept equity and equality of women and men can positively lead women’s unmet need of family planning during postpartum periods. JOPSOM 2019; 38(2): 46-52

scholarly journals Unmet need for contraception among eligible women of urban slums in Chennai

2021 ◽  
Vol 8 (11) ◽  
pp. 5352
Author(s):  
Jayashree Kalva ◽  
Arathi P. Rao ◽  
Prakash Narayanan
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Unmet Need ◽  
Urban Slum ◽  
Urban Slums ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Slum Dwellers ◽  
Living Children ◽  
Unmet Need For Contraception

Background: Unmet need for family planning is a crucial indicator to assess demand for family planning programme. It was reported that women from the world’s poorest countries have a high unmet need for contraception. Unmet need is particularly high among immigrants, urban slum dwellers, and women in the post-partum period. The objective of this study was to assess the unmet need and factors influencing the unmet need for contraception among urban slum dwellers in Chennai, South India.Methods: A community-based cross-sectional study of 375 married women was conducted among 50 urban slums of Chennai. Multistage random sampling was employed. About 6-9 women from each slum were interviewed. A semi-structured questionnaire was used to obtain data.Results: The mean age of the participants was 32.1±7.3 years. The total unmet need was 13.8%, which included 9.3% for limiting and 4.5% spacing. The major reasons for contraception non-use among women with unmet need were no preference to use modern contraceptives (30.8%) and preference to get sterilized soon (21.2%). Age, education, religion, and number of living children were the factors associated with unmet need.Conclusions: It was noted that unmet need reduced with age and increased number of living children. Though the unmet need is considerably low compared to other studies it is evident that women are still uncertain to use modern contraceptive methods for spacing and are more likely to undergo sterilization after their desired family size is achieved.

scholarly journals Analysis of Factors Affecting the Unmet Need Incidence in Couples of Childbearing Age in the West Bulotadaa Village Gorontalo City in 2019

2020 ◽  
Vol 8 (T2) ◽  
pp. 94-97
Author(s):  
Mayangsari Kau ◽  
Andi Ummu Salmah ◽  
Anwar Mallongi ◽  
Muhammad Arif Tiro
Keyword(s):  
Family Planning ◽  
Family Income ◽  
Multiple Logistic Regression Analysis ◽  
Unmet Need ◽  
Childbearing Age ◽  
The West ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Background Population

BACKGROUND: Population that continues to increase is a big problem for countries in the world, especially developing countries. One of the problems in the management of family planning programs is the high level of unmet need for family planning in Indonesia. Unmet need is the number of couples of childbearing age who want to postpone pregnancy or do not want additional children but do not use birth control methods. AIM: The aim of the study was to determine the determinants of the occurrence of unmet need in fertile age couples in the West Bulotadaa Village, Gorontalo City. METHODS: The study design was cross-sectional with a sample of 146 fertile age couples selected by systematic random sampling. Data collection was made, using questionnaires containing questions from the research variables. Data were analyzed by multiple logistic regression analysis through the SPSS for windows program. RESULTS: The visit of KB officers affected the unmet need with p = 0.032 (p < 0.05) with OR = 2.893, and there were some variables that were not significant such as the age variable p = 0.766 (p > 0.05), family income p = 0.189 (p > 0.05), distance of family planning services p = 0.057 (p > 0.05), and cost of contraception p = 0.632 (p > 0.05). CONCLUSION: It was concluded that the visit of family planning officers affected the unmet need and age, family income, distance to the place of family planning services and the cost of contraceptives did not affect the incidence of unmet need in West Bulotadaa, Gorontalo City.

scholarly journals The Increasing access to family planning services through a non-health sector: Technical Integration Coverage and Access (TICA) in Nepal

2017 ◽  
Vol 4 (2) ◽  
pp. 30-42
Author(s):  
Ghanshyam K Bhatta ◽  
Josue Orellana ◽  
Bidya Mahat ◽  
Ishwar Nath Mishra ◽  
Chandeshwari Tamrakar ◽  
...  
Keyword(s):  
Family Planning ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Health Sector ◽  
Limited Range ◽  
Reproductive Age ◽  
Cross Sectional ◽  
The Government ◽  
Long Acting ◽  
Technical Integration

Background: Family Planning (FP) is a key developmental focus for the government of Nepal. Use of modern contraceptives has stagnated at 43.2% since 2011. Unmet need for family planning (FP) in Nepal remains high at 27%. A factor contributing to this levelling of contraceptive use despite relatively high unmet need is the limited range of methods available to most clients at most sites. To address the FP need among married women of reproductive age (WRA), we tested integration of FP into agricultural programs.   Aim: To assess the effectiveness of a FP program integrated into an agriculture (e.g. non-health) sector program. Methods: A cross-sectional interventional study conducted November 2015 to February 2016 among 525 WRA who were participants in an agriculture program. Results: The contraceptives commonly used by women in the study location were Depo Provera and Minilap.  After Technical Integration Coverage and Access (TICA) interventions, almost all of the respondents (99.6%) had heard about FP of which 67.8% correctly understood FP as a method to prevent unwanted pregnancy. About 50% of the respondents were found currently using FP.  The percentage of WRA aware of long-acting and permanent FP methods increased from 49.0% to 62.0% and 39.0% to 52.0% respectively. Decisions on using a FP method were predominantly made by the husband (68.0%). However, 68.4% women reported that they were motivated by their husband. The proportion of men willing to use FP increased from 5.2% to 15.5% after TICA activities implementation. The main reason identified for not currently using FP devices was that the husband and wife were not living together (88.8%). Most of the women (98.0%) reported that FP utilization improved their quality of life. Conclusion: TICA activities were very successful in both increasing FP knowledge level as well as utilization of FP services among the targeted beneficiaries. The use of FP increased among agriculture program beneficiaries after the integration of TICA activities with a gradual shift from short-acting FP methods to long-acting and permanent FP methods. For easy integration, FP projects should also utilize existing community structures such as cooperatives, women’s groups, men’s groups, and youth clubs.

scholarly journals Unmet need for contraception among urban women: a cross sectional study in Puducherry

2017 ◽  
Vol 4 (5) ◽  
pp. 1494 ◽  
Author(s):  
Sudha V. ◽  
Vrushabhendra H. N. ◽  
Srikanth S. ◽  
Suganya E.
Keyword(s):  
Family Planning ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Married Women ◽  
Research Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Universal Family ◽  
Unmet Need For Contraception

Background: Providing universal family planning services is an important strategy to reduce maternal morbidity and to control population growth. Worldwide, when contraception is used properly and effectively to avoid unwanted pregnancy it can reduce 25–35% of maternal deaths. The present study aimed at measuring the proportion of married women with unmet need for family planning in an urban area of Puducherry.Methods: A cross sectional study was conducted among 235 married women in the urban field practice area of Sri Venkateshwara Medical College Hospital & Research Centre, Puducherry. Participants were selected based on predetermined eligibility criteria using systematic random sampling method. SPSS version 23.0 was used for statistical analysis. Proportion, Mean, Standard deviation and Logistic regression were applied to interpret the results.Results: Mean age of the participants was 33.3 ±6 years, Nearly 77 %( 181) of the participants reported having used any method of contraceptive at least once and 34.5 %( 81) were found to have unmet need for family planning. The most common reason for unmet need for contraception was fear of side effects (39.5%) and others were infrequent sex (12.3%),insisted by family members (12.3%) and religious reasons (12.3%).Conclusions: Unmet need for family planning was found to be fairly high in our study population. Health care personnel, preferably field staff should be trained to give an informed choice of contraception to the eligible couples to reduce the unmet need for contraception.

scholarly journals Prevalence of contraceptives and unmet need for family planning: does geographical location play a role?

2017 ◽  
Vol 3 (2) ◽  
pp. 175-181
Author(s):  
Palas Dutta ◽  
Sumon Chandra Debnath ◽  
Md Alamin ◽  
Ropak Chandra Roy
Keyword(s):  
Family Planning ◽  
Family Income ◽  
Unmet Need ◽  
Geographical Location ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Single Family ◽  
Low Literacy ◽  
Cross Sectional

Coastal women are the most socio-economically disadvantaged clusters with low literacy and deprived economic and living conditions. The study aims at measuring contraception and unmet need for contraceptive need among married women in the reproductive age group. A cross-sectional study was carried out among222 married women of in a coastal area of Bangladesh. The majority of the respondents (33.8%) were 31 years and above with mean (± SD) age at marriage was 16.2 ± 2.3 years. Most (85.6%) of the study sample were housewives and maximum (84.7%) were literate. About half (50.9%) of them belongs to the single family and about two-thirds (60.4%) monthly family income between 5000 and 10000 Taka. The mean age of women at marriage was 16.2± 2.2 SD, out of which, about two third (63.9%) experienced marriage below 18 years. The average number of pregnancies was 1.9 ± 1.0 SD, out of which, 39.6% experienced two pregnancies. The current contraceptive prevalence rate among married women was 80.2%. The prevalence of unmet need for family planning was 13.5%. The major reason for non-use of contraception among women with unmet need was the husband’s opposition.Asian J. Med. Biol. Res. June 2017, 3(2): 175-181

scholarly journals Knowledge and attitude towards post-partum insertion of intra uterine devices among pregnant women attending antenatal clinic at a tertiary care teaching hospital

2020 ◽  
Vol 7 (12) ◽  
pp. 5088
Author(s):  
Himanshu Vyas ◽  
Deviga T. ◽  
Mamta .
Keyword(s):  
Family Planning ◽  
Data Collection ◽  
Positive Attitude ◽  
Post Partum ◽  
Tertiary Care ◽  
Unmet Need ◽  
Negative Attitude ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitude

Background: Post-partum insertion of intra uterine devices (PPIUCD) increased the accessibility for women following childbirth. In India, the most women in the first year postpartum have an unmet need for family planning due to lack of information and fear of complications. The aim of the study is to assess the knowledge and attitude regarding postpartum insertion of intra uterine devices, among antenatal mothers.Methods: Descriptive cross-sectional survey design. The antenatal mothers, gestational age above 20weeks, registered at AIIMS Jodhpur were selected by purposive sampling technique. A total of 183 subjects were recruited for the data collection. A structured knowledge questionnaire and 5 point Likert scale was used to assess the knowledge and attitude among regarding PPIUCD respectively. Informed consent was taken from each participant prior to data collection and descriptive and inferential statistics were employed to analyze the data.Results: Majority (57.4%) of the subjects had fair knowledge, 24.6% had poor knowledge, only 18% with good knowledge and none of them had excellent in knowledge regarding PPIUCD. Majority (64.5%) had neutral attitude, 33.3% had positive attitude and 2.2% had negative attitude towards PPIUCD. A positive correlation found between the knowledge and attitude (r=0.509) regarding PPIUCD. Pregnant women’s education was found to be significantly associated with knowledge and attitude regarding PPIUCD.Conclusions: The findings underline that majority of the antenatal mothers having lack of knowledge and less positive attitude regarding PPIUCD. Hence there is a need to hence the comprehensive PPIUCD literacy and highly positive attitude among antenatal mothers in order to meet the family planning needs.

scholarly journals Unmet need for family planning services among young married women (15–24 years) living in urban slums of India

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kriti Yadav ◽  
Monika Agarwal ◽  
Mukesh Shukla ◽  
Jai Vir Singh ◽  
Vijay Kumar Singh
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Contraceptive Use ◽  
Health Centre ◽  
Unmet Need ◽  
Uttar Pradesh ◽  
Married Women ◽  
Urban Slums ◽  
Family Planning Services ◽  
Cross Sectional

Abstract Background NFHS-4 stated high unmet need for family planning (FP) among married women in Uttar Pradesh. Unmet need is highest among age groups: 15–19 and 20–24 years. Currently few data is available about unmet need for FP among vulnerable section of the community, i.e.15–24 year’s age group living in the urban slums. Therefore this study was conducted to assess the unmet need for FP services and its determinants among this under-privileged and under-served section of society residing in urban slums of Uttar Pradesh, India. Methods Cross sectional study was conducted in the slums of Lucknow, India. One Urban-Primary Health Centre (U-PHC) was randomly selected from each of the eight Municipal Corporation zones in Lucknow and two notified slums were randomly selected from each U-PHC. All the households in the selected slums were visited for interviewing 33 young married women (YMW) in each slum, with a pre-structured and pre tested questionnaire, to achieve the sample size of 535. Analysis of the data was done using logistic regression. Results The unmet need for family planning services among YMW was 55.3%. About 40.9% of the unmet need was for spacing methods and 14.4% for limiting methods. Important reasons cited for unmet need for family planning services were negligent attitude of the women towards family planning, opposition by husband or others, embarrassment / hesitation / shyness for contraceptive use, poor knowledge of the FP method or availability of family planning services. Among method related reasons health concerns and fear of side effects were frequently cited reasons. On multiple logistic regression: age, educational status, duration of marriage, number of pregnancies, knowledge of contraceptive methods, opposition to contraceptive use and contact with Auxiliary Nurse Midwife (ANM) showed independently significant association with unmet need for family planning services. Conclusions Unmet need for family planning services is very high among the YMW of urban slums. The findings stress that program managers should take into cognizance these determinants of high level of unmet need for family planning among YMW and make intense efforts for addressing these issues in a holistic manner.

scholarly journals Unmet need for family planning among eligible couples in urban slums of Prayagraj District, Uttar Pradesh, India

2020 ◽  
Vol 7 (7) ◽  
pp. 2698
Author(s):  
Yachna Setu ◽  
Shiv Prakash ◽  
Khurshid Parveen ◽  
Richa Singh
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Urban Areas ◽  
Unmet Need ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Cross Sectional ◽  
Planning Methods ◽  
Family Planning Methods

Background: Unmet need for family planning is the major problem in developing countries. The use of family planning methods is better in urban areas as compared to rural areas and it is worse in urban slums. Thus unmet need for family planning is more in urban slums. Aims and objectives: To find out the prevalence of unmet need and to estimate the factors associated with unmet need for Family Planning.Methods: A community based cross sectional study was carried out on eligible couples selected from urban slums of Allahabad district by multistage random sampling and were interviewed by using pre-tested schedule. Data analysis was done by using SPSS version 21.Results: The study revealed that 22.47% (80/356) of eligible couples had unmet need for family planning. The most common reason for unmet need was irregular supply of family planning methods (31.25%), followed by opposition from husband/family members (21.25%), fear of side effects of using any family planning methods (17.25%), lack of knowledge regarding any family planning methods (13.75%). The unmet need for family planning was found to be associated with number of live births, education of female participants and occupation of male participants.Conclusions: The unmet need for family planning is high in slums areas and to improve the condition awareness should be created.

scholarly journals Utilization of reversible long acting family planning methods among married 15-49 years women in Areka town, Southern Ethiopia

2016 ◽  
Vol 2 (1) ◽  
pp. 1 ◽  
Author(s):  
Mulugeta Yohannis Kabalo
Keyword(s):  
Family Planning ◽  
Maternal Education ◽  
Unwanted Pregnancy ◽  
Age Groups ◽  
Unmet Need ◽  
Southern Ethiopia ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Long Acting

<p class="abstract"><strong>Background:</strong> Utilization of family planning can improve the means of people in poverty. Long-acting reversible contraceptive (LARC) methods in particular can considerably reduce the level of unwanted pregnancy as well as maternal mortality and morbidity more in developing countries. Thus, study was conducted with the aim of assessing the level of LARC utilization and associated factors among married women (15-49) in Areka town, Southern Ethiopia.</p><p class="abstract"><strong>Methods:</strong> Community based cross-sectional study was conducted in a total of 357 women within the study area. Population proportion to size was used to assign sample to kebele and participates were selected by systematic random sampling technique from randomly selected kebeles. Data collection was conducted by trained data collectors, using structured and pretested questionnaire. Finally, data entered, cleaned, and analysed in SPSS 16.</p><p class="abstract"><strong>Results:</strong> The utilization of LARC was 106(29.7%) of study participants. Particularly, LARCs utilization were 81(22.7%) for implants and 25(7.0%), Intrauterine contraceptive device (IUCD). Statistically, LARC utilization was (AOR=2.47 at 95%CI (1.24-4.90)) times likely among 26-36 aged mothers compared to 15-24 age groups. Government employed mothers were (AOR=2.59 at 95%CI (1.39-4.79)) times probable to use LARC compared to merchants. Hence, maternal education and occupation were the independent predictors of LARC utilization as the principal findings of this study.</p><strong>Conclusions:</strong> Enormous extent of unmet need exist in utilization of LARC within the study area. Mothers’ age and occupation were significantly associated with its utilization. Therefore, health promotion activities on the benefits of LARC need to be undertaken to increase awareness and usage of these contraceptives.

scholarly journals Women Do Not Utilise Family Planning According to Their Needs in Southern Malawi: A Cross-Sectional Survey

2021 ◽  
Vol 18 (8) ◽  
pp. 4072
Author(s):  
Maria Lisa Odland ◽  
Oda Vallner ◽  
Marlen Toch-Marquardt ◽  
Elisabeth Darj
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
High Fertility ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Validated Questionnaire ◽  
District Hospitals

Malawi is a low-income country with a high maternal mortality rate. This study aimed to investigate the use of contraception and factors associated with unmet need of family planning among fertile women in selected health facilities in southern Malawi. A cross-sectional study design was employed using a validated questionnaire to investigate the unmet need. A total of 419 pregnant women, who attended antenatal clinics at a central hospital and two district hospitals, voluntarily participated in the study. Logistic regression analysis was used to identify possible factors associated with unmet needs. Amongst the participants, 15.1% reported unmet need, 27.0% had never used a contraceptive method, and 27.2% had an unwanted pregnancy. Being married, 20–24 years of age, living in a rural area, and high parity were protective factors against having unmet need regarding family planning. Malawi, a country with a young population and a high fertility rate, has a high level of unmet family planning need. Barriers and facilitators need to be identified and addressed at different levels by the health care system, society, and the government of Malawi.

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