Geospatial Distribution of Family Planning Services in Kira Municipality, Wakiso District, Uganda

Introduction: Access to family planning (FP) services remains a challenge, particularly in informal urban settlements. The unmet need for FP in these settings is high, with a correspondingly high prevalence of unintended pregnancies that may lead to unsafe abortions. However, there is a paucity of quality data on the distribution of FP services in such settings in Uganda. This paper described the geospatial distribution of FP services in Kira Municipality, Wakiso District, Uganda.Methods: This was a cross-sectional study in which we determined the availability and distribution of FP services in Kira Municipality. Community mapping and analysis were conducted using ArcGIS (version 10.1) and ArcGIS Online. Stata version 13.1 was used for data analysis. Chi-square test was used to compare the contraceptive provision and availability among facilities from informal and formal settlements.Results: Of the 176 healthcare facilities surveyed, only 42% (n = 74) offered contraceptives in informal settlements. The majority of the facilities were privately owned small clinics (95%). At least 80% of the facilities provided three or more modern contraceptive methods, with no difference (p = 0.107) between facilities in informal and formal settlements. Only 30.7% (p = 0.001) of the facilities provided at least one long-acting contraceptive. Similarly, 20 and 12% (p = 0.001) of the facilities had implants and intrauterine devices (IUDs) on the day of the survey. Almost 25% of the facilities did not offer contraceptive services (counseling and commodities) to unmarried adolescents.Conclusions: Most facilities were small privately-owned clinics, offering at least three modern contraceptive methods. The unavailability of long-acting reversible methods in the informal settings may affect the quality of FP services due to limited choice. The inequity in service provision that disfavors the unmarried adolescent may increase unwanted/unintended pregnancies. We recommend that local governments and partners work toward filling the existing commodities gap and addressing the discrimination against unmarried adolescents in such settings.

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IMPROVING DESIGN AND DELIVERY OF FAMILY PLANNING SERVICES TO MEET THE UNMET NEED FOR CONTRACEPTION IN QUETTA BALOCHISTAN

Pakistan Journal of Public Health ◽

10.32413/pjph.v8i4.245 ◽

2019 ◽

Vol 8 (4) ◽

pp. 213-218

Author(s):

Naiha Sagheer ◽

Saleem Ullah ◽

Noureen Latif ◽

Tabinda Zaman

Keyword(s):

Family Planning ◽

Mass Media ◽

Health Workers ◽

Unmet Need ◽

Monitoring And Evaluation ◽

Cross Sectional Study ◽

Reproductive Age ◽

Modern Contraceptive ◽

Contraceptive Methods ◽

Cross Sectional

Background: Approximeately 24 percent of married women of reproductive age in Pakistan would like to adopt family planning, but are unable to avail the means to practice contraception. This study has been conducted to find out frequency and perception about family planning practices and further to explore and analyze the causes of failure to meet the demand for contraception. Methods: A cross-sectional study was conducted on married females of reproductive age group and married males while visiting the outpatient departments of two hospitals of Quetta from January to September 2017. They were interviewed by researchers through a structured, reliable and pretested questionnaire. The data obtained and analyzed by using SPSS 21 version. Results: 76% of participants were in favour of practicing yet only 33.8% had actually practiced it sometime during their reproductive years. The major reasons for not using family planning were the apprehension of harmful effects of contraceptive methods (52.6%), non-supportive partner (30%), unavailability of services (11.4%) and religious constraints (6%). The mass media was the main source of motivational information(69%) followed by Lady health workers. Conclusion: The current prevalence of family planning is still not at the expected level, There is a dire need of the continued use of mass media and services of community health workers to raise awareness. The practice of modern contraceptive methods can be enhanced by provision of client-centered quality services.. An increase in the number of family planning centers along with an efficient functioning, monitoring, and evaluation are also required to address unmet needs of the community near their doorstep.

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Factors affecting demand for modern contraceptives among currently married reproductive age women in rural Kebeles of Nunu Kumba district, Oromia, Ethiopia

Contraception and Reproductive Medicine ◽

10.1186/s40834-019-0103-3 ◽

2019 ◽

Vol 4 (1) ◽

Cited By ~ 5

Author(s):

Alemu Kebede ◽

Sileshi G. Abaya ◽

Elias Merdassa ◽

Tariku Tesfaye Bekuma

Keyword(s):

Family Planning ◽

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Reproductive Age ◽

Modern Contraceptive ◽

Age Group ◽

Cross Sectional ◽

Modern Methods ◽

Long Acting

Abstract Background Family planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregnancy. So, women’s demand for contraceptive utilization to limit, space, or delay the number of family size can be increased by integrating family planning service at each service delivery points. Objective The main aim of this study was to assess the demand for modern contraceptive and associated factors among currently married women of the reproductive age group in rural kebeles of Nunu Kumba District, 2015. Methods A community-based cross-sectional study design was conducted from January 15–30, 2015 among 584 systematically selected currently married women of reproductive age in six rural kebeles of Nunu Kumba District. A pre-tested and interviewer-administered questionnaire was used to collect the data. Data were analyzed using SPSS version 20. Descriptive statistics were done to summarize the data. A multivariate logistic regressions analysis method was employed and odds ratio with 95% confidence interval was used to control for possible confounders. P-value < 0.05 was used to declare a significant association. Results The total demand for modern methods of contraceptive was 450 (77.1%) of which 325 (55.7%) of them were current user and 125 (21.4%) of them were had unmet need for modern contraceptive methods. Being in the younger age group (15–24 and 25–34 years [AOR = 0.196; 95% CI: 0.055, 0.692] and [AOR = 0.179, 95% CI: 0.043, 0.745] respectively, husband having no intention for more children [AOR = 4.124, 95% CI: 1.891, 8.996], number of children alive [AOR = 2.617, 95% CI: 1.056, 6.486], and couples ever not discussed on family planning [AOR = 0.340, 95% CI: 0.187, 0.619] were factors associated with demand for modern methods of contraception. Conclusion The total demand for modern methods of contraceptive was high in the study area except for long-acting and permanent methods with high unmet need for spacing than for limiting. Therefore, any program aimed at promoting family planning at the district level should look for ways and means of increasing demand for long-acting and permanent family planning methods and encouraging husband involvement to increase its utilization.

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Unmet Need for Postpartum Family Planning in Riyadh, Saudi Arabia: Findings from a cross-sectional study

10.21203/rs.3.rs-197277/v1 ◽

2021 ◽

Author(s):

Samaher Al-Mohaisen ◽

Amen Bawazir

Keyword(s):

Family Planning ◽

Postpartum Period ◽

Unmet Need ◽

Arab Countries ◽

Modern Contraceptive ◽

Related Factors ◽

Cross Sectional ◽

Unintended Pregnancies ◽

Postpartum Family Planning ◽

The Mean

Abstract Background: The use of contraceptives in the postpartum period is usually neglected by women, which results in an unmet need for postpartum family planning, and unintended or closely spaced pregnancies. Therefore, this study aimed to explore the magnitude as well as related factors of unmet need for postpartum family planning among Saudi women in Riyadh.Methods: A cross-sectional survey was conducted in Riyadh between August 1st and October 1st, 2018. All women who were less than 12 months postpartum period at the time of the study and residents of Riyadh were included in the study. The study used the systematic random sampling technique to collect data from 400 participants. The research tool consisted of a structured questionnaire. Univariate and multivariable logistic regression was used to determine the factors of unmet need.Results: The mean age of the participants was 30.6 years and the mean age at the time of marriage was 22.1 years. The proportion of unmet need for postpartum family planning among women was found to be 20.5%. Around half (55.8 %) of the participants reported that they had used family planning methods in the past. About 62% of the participants reported using modern contraceptive methods. Our findings reveal that women with a university-level education were 2 times more likely to become pregnant than those with basic education (OR: 2.321, CI: 1.06-5.07, P=0.035). Women who have 3 or more kids 2.51 times likely to experience unwanted pregnancies when compared to women who have a fewer number of kids (OR: 2.55, CI: 1.17-5.56, p = 0.018).Conclusion: The unmet need for postpartum family planning is almost double the global level of unmet need, and higher than many Arab countries. There is a need to educate women about the dangers of unintended pregnancies and increase access to contraceptives in the kingdom.

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Knowledge, attitude and practice of family planning among married women of reproductive age in a VDC of eastern Nepal

Journal of Chitwan Medical College ◽

10.3126/jcmc.v6i1.16655 ◽

2017 ◽

Vol 6 (1) ◽

pp. 48-53 ◽

Cited By ~ 3

Author(s):

S Uprety ◽

I S Poudel ◽

A Ghimire ◽

M Poudel ◽

S Bhattrai ◽

...

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Descriptive Analysis ◽

Married Women ◽

Reproductive Age ◽

Modern Contraceptive ◽

Contraceptive Methods ◽

Cross Sectional ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods.

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Predictors of modern contraceptive use among women and men in Uganda: a population-level analysis

BMJ Open ◽

10.1136/bmjopen-2019-034675 ◽

2020 ◽

Vol 10 (2) ◽

pp. e034675 ◽

Cited By ~ 2

Author(s):

Amrita Namasivayam ◽

Sarah Lovell ◽

Sarah Namutamba ◽

Philip J Schluter

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Unmet Need ◽

Secondary Data ◽

Population Level ◽

Modern Contraceptive ◽

Cross Sectional ◽

Factors Affecting ◽

Logistic Regression Models ◽

Modern Contraceptive Use

Objective(s)Despite substantial and rapid improvements in contraceptive uptake in Uganda, many women continue to have unmet need for contraception. As factors affecting contraceptive use are dynamic and complex, this study seeks to identify current predictors and provide effect size estimates of contraceptive use among women and men in Uganda.Study designA nationally representative cross-sectional population survey, using secondary data from Uganda’s 2016 Demographic and Health Survey. Stratified by sex, weighted bivariable and multivariable logistic regression models were derived from a suite of potential predictor variables. Predictive abilities were assessed via 10-fold cross-validated area under the receiver operating characteristic curves (AUCs).SettingUganda.ParticipantsAll women aged 15–49 years who were permanent residents of the selected households or stayed in the household the night before the survey were eligible to participate. In one-third of the sampled households, all men aged 15–54 years who met the same residence criteria were also eligible.Primary outcome measuresModern contraceptive use.ResultsOverall, 4914 (26.6%) women and 1897 (35.6%) men reported using a modern contraceptive method. For women and men, both demographic and proximate variables were significantly associated with contraceptive use, although notable differences in effect sizes existed between sexes—especially for age, level of education and parity. Predictively, the multivariable model was acceptable for women with AUC=0.714 (95% CI 0.704 to 0.720) but less so for men with AUC=0.654 (95% CI 0.636 to 0.666).Conclusion(s)Contemporary significant predictors of contraceptive use among women and men were reported, thereby enabling key Ugandan subpopulations who would benefit from more targeted family planning initiatives to be identified. However, the acceptable AUC for women and modest AUC for men suggest that other important unmeasured predictors may exist. Nonetheless, these evidence-based findings remain important for informing future programmatic and policy directions for family planning in Uganda.

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Determinants of Modern Contraceptive Methods Use in Piple, Chitwan of Nepal

Journal of Chitwan Medical College ◽

10.3126/jcmc.v9i3.25778 ◽

2019 ◽

Vol 9 (3) ◽

pp. 22-28

Author(s):

Rajani Shah ◽

Dinesh Kumar Malla

Keyword(s):

Family Planning ◽

Age Groups ◽

Cross Sectional Study ◽

Reproductive Age ◽

Modern Contraceptive ◽

Contraceptive Methods ◽

Cross Sectional ◽

Younger Women ◽

Modern Contraceptives ◽

Living Children

Background: Family planning contributes in preventing maternal and child mortality and empowers women. For the past ten years contraceptive prevalence rate has remained stagnant in Nepal. This study aimed at identifying the use and factors associated with modern contraceptive methods in Piple, Chitwan, Nepal. Methods: It was a cross-sectional study. Piple village development committee was selected purposively, in which two wards were randomly selected. Married women of reproductive age (n=332) of each household were interviewed. Descriptive, bivariate and multivariate analysis were performed. Results: About half (49%) of the respondents had used a modern contraceptive method. Women in the age groups 25-39 years [aOR: 2.39; 95% CI: 1.16 - 4.92] and 40-49 years [aOR: 4.67; 95% CI: 1.71 - 12.70] were more likely to use modern contraceptives compared to the women in the age group 15-24 years. Similarly, women having 3 or more living children [aOR: 2.98; 95% CI: 1.19 - 7.50] were more likely to use the modern contraceptives than women with upto two children. Women whose husbands would approve of using the contraceptives [aOR: 11.33; 95% CI: 3.93-32.62] were more likely to use the methods than those who got or perceived no approval from husband. Conclusions: Information and service on modern contraceptive methods should be focused to younger women. Involvement of husbands in family planning program would contribute to use of modern contraceptives by women.

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

Christian Journal for Global Health ◽

10.15566/cjgh.v4i2.170 ◽

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.

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The Use of Contraceptive Implant Method for Family Planning in East Java (Data Analysis of 2015 SUSENAS)

Jurnal Biometrika dan Kependudukan ◽

10.20473/jbk.v8i1.2019.30-38 ◽

2019 ◽

Vol 8 (1) ◽

pp. 32

Author(s):

Monita Destiwi

Keyword(s):

Data Analysis ◽

Family Planning ◽

Secondary Data ◽

Contraceptive Methods ◽

Chi Square ◽

Cross Sectional ◽

Contraceptive Implant ◽

Chi Square Test ◽

Contraceptive Implants ◽

Long Acting

One of the problems being faced by Indonesia is the population explosion. The increasing population is a result of the increasing birth rate. To lower thebirth rate the use of long acting contraceptive methods is being promoted. Based on data from SDKI 2012, the percentage of the the use of contraceptives in East Java is still dominated by the use of short acting contraceptive methods (80.99 percent). Meanwhile the long acting contraceptive methods are still lacking in use. One type of long acting contraceptive methods is implant. This study is aimed at exploring the factors that influence the use of implants in the East Java Province based on data from SUSENAS 2015. This is a non-reactive study which used a secondary data analysis with a cross-sectional design. The sample was taken from the data of female respondents of SUSENAS 2015 who were 15–49 years old, used implant methods and lived in East Java. Chi square test and logistic regression were used to analyze the data.The results showed that women who were 30 years of age or older (OR = 3.653), had at least three children (OR = 2.563) and had previous experinces with modern contraceptives (OR = 0.109) affected the use of contraceptive implant methods in East Java. It is expected that by conducting education and socialization on the use of contraceptive implants for family planning to couples at reproductive ages, the use of contraceptive implants can be more optimized.

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Determine the unmet need for family planning in a hilly area in a state of North India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212153 ◽

2021 ◽

Vol 10 (6) ◽

pp. 2234

Author(s):

Nidhi Chauhan ◽

Saurabh Rattan

Keyword(s):

Family Planning ◽

Prevalence Rate ◽

Universal Access ◽

Unmet Need ◽

Reproductive Age ◽

North India ◽

Modern Contraceptive ◽

Cross Sectional ◽

Contraceptive Prevalence Rate ◽

Contraceptive Prevalence

Background: The utilization of family planning services has improved over the decade, but still the SDG’s health target to ensure universal access to sexual and reproductive health care services is yet to be achieved, unmet need being one of the imperative component.Methods: A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to June 2019. Total sample size calculated was 316. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymous interview schedule was administered after taking consent.Results: The mean age of the participants was 30.2±6.1 years. The modern contraceptive prevalence rate (mCPR) was found to be 67.7% among women of reproductive age group (15-49 years). Male condom (36%), followed by female sterilisation (30%) were the most common methods preferred. Unmet need of family planning was found to be 10.4%.Conclusions: Besides male condoms and female sterilisation, other methods of contraception were adopted by meagre number of women. Though, the unmet need for family planning was lesser in this study, still, efforts are needed to plunge it, for ameliorating the contraceptive prevalence rate. Also, the availability of basket of contraceptive choices in government sector need sheer assiduity.

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Persisting Regional Disparities in Modern Contraceptive Use and Unmet Need for Contraception among Nigerian Women

BioMed Research International ◽

10.1155/2019/9103928 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9

Author(s):

Chao Wang ◽

Huimin Cao

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Unmet Need ◽

Universal Coverage ◽

Regional Disparities ◽

Demographic And Health Surveys ◽

Modern Contraceptive ◽

Cross Sectional ◽

Modern Contraceptives ◽

Unmet Need For Contraception

Background. Evidence suggests that equitable provision of contraceptive services can help women achieve their reproductive goals and has significant impact on reducing the rates abortion and unintended pregnancy at large. However, regional disparities continue to persist on top of low family planning prevalence which is a critical public health challenge for fast growing populations like Nigeria. Objectives. The present study aimed to explore the prevalence of (1) nonuse of modern contraceptives, (2) unmet need for contraception, and (3) regional disparities in these two. Methods. The present study used cross-sectional data obtained from the Nigeria Demographic and Health Surveys conducted in 2003, 2008, and 2013. Participants were women of reproductive of age (15-49 years) regardless of marital status. Regional disparities of nonuse of modern contraceptives and unmet need were analysed by descriptive and multivariate regression methods. Results. In the pooled sample of 79,656 participants during 2003, 2008, and 2013, 88.6% reported not using any modern methods, and 13.5% reported having unmet need for contraception. The prevalence rates of nonuse were, respectively, 91.8%, 90.6%, and 88.6% and those of unmet need were 14.2%, 16.6%, and 13.5% in the years 2003, 2008, and 2013. Significant differences were observed in the odds of reporting nonuse and unmet need for contraception across the geopolitical zones. Conclusions. The rates of nonuse of contraception are remarkably high among women in Nigeria with significant disparities across the six geopolitical zones. Efforts should be made to address the regional disparities in order to achieve the goals of universal coverage of family planning services in the country.

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