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).

Differences in Disaster Preparedness Among Dog and Other Pet Owners in Oporto, Portugal

2021 ◽  
pp. 1-6
Author(s):  
Zélia Pereira ◽  
Luís Cardoso ◽  
Ana Cláudia Coelho
Keyword(s):  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Cross Sectional Study ◽  
County Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Pet Owners ◽  
Inadequate Knowledge ◽  
Structured Questionnaire

Abstract Objectives: The aim of this study was to assess the knowledge and practices related to disaster preparedness among pet owners in North Portugal. The present research provides an evaluation of differences among pet owners regarding preparedness in the event of disasters. Methods: A cross-sectional study was conducted among a convenience sample of 155 pet owners between September and November 2018. Subjects were interviewed using a structured questionnaire with items addressing sociodemographic characteristics and questions related to owners’ emergency preparedness and practices. Results: In this study, 53.5% of the respondents thought about the possibility of a disaster. Only 21.3% of respondents reported having knowledge on the existence of a disaster kit for pets in case of an emergency. The majority (94.8%) of respondents said they were not aware of the preparedness county-level organization plans. Knowledge and preparedness were found to be significantly higher among dog owners compared with owners of other pet species. Conclusions: The results suggest that Portuguese pet owners have inadequate knowledge on how to prepare for inclusion of their pets in a disaster.

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 Awareness of family planning services among ASHA workers in a municipality of northern Kerala

2018 ◽  
Vol 5 (8) ◽  
pp. 3413
Author(s):  
Arya Lokesan Ratnam ◽  
Jayasree Anandabhavan Kumaran
Keyword(s):  
Family Planning ◽  
Cross Sectional Study ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Accredited Social Health Activist ◽  
Qualified Personnel ◽  
Proper Training ◽  
The Mean ◽  
Structured Questionnaire

Background: Accredited Social Health Activist (ASHA) is one of the key components of National Rural Health Mission (NRHM).The success of national health programs on family planning depends on how well ASHAs are trained and perform. Therefore it’s essential to assess the knowledge of ASHA workers. This study intends to assess the awareness of family planning services among ASHA workers in a municipality of northern Kerala.Methods: This is a cross sectional study conducted among ASHA workers working in a municipality in Kannur District, during a study period of two weeks (July 1- July14, 2017). Data was collected using a semi structured questionnaire. Data was analyzed using SPSS version 16.0 software and the results were expressed in terms of means, frequencies and percentage.Results: Majority (42.1%) of the ASHAs belongs to the age group of 42- 45 years and none of them were below 30 years. The mean population catered by ASHA workers were 1250. All of them were experienced for at least 7 years.Conclusions: All ASHA workers had satisfactory knowledge about family planning services. Despite this some of the ASHA workers don’t have adequate knowledge about ECPs, Progesterone only pills and non-contraceptive uses of condom. Hence it is essential to ensure that they are getting proper training from qualified personnel at regular intervals. 

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 Determinants of Modern Family Planning Methods in the Oromia, Amhara, and Somali Regions, Ethiopia: A Community-Based, Cross-Sectional Mixed Methods Study

2020 ◽  
Author(s):  
Hocheol Lee ◽  
Eshetu Girma Kindane ◽  
Young Ah Doh ◽  
Eun Woo Nam
Keyword(s):  
Mixed Methods ◽  
Family Planning ◽  
Fertility Rate ◽  
Mixed Methods Study ◽  
Community Based ◽  
Cross Sectional ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

Abstract Background: In 2019, Ethiopia had a total fertility rate of 4.2 births per woman with the rates varying significantly across regions. The Federal Ministry of Health of Ethiopia announced “Ethiopia FP 2020” to address the high fertility rate, aiming to reduce it to 3.0 by 2020. This study aimed to identify the determinants of the use of modern family planning services in the Amhara, Oromia, and Somali regions.Methods: A community-based, cross-sectional mixed methods study was conducted, using quantitative and qualitative data. The quantitative data were subjected to binary logistic regression analyses. Participants included over 4,117 married men and women aged 15-65 years old.Results: Respondents in Oromia were 8.673 times more likely to have modern family planning methods than those in Somali. Participants in Amhara were 5.183 times more likely to have modern family planning methods than their Somali counterparts. Women, married respondents, and recipients of media messages were more likely to have family planning experience. Family planning discussions with Health Extension Workers and health professionals played a significant role in modern family planning. Conclusion: Establishing a family planning strategy that considers the sociocultural characteristics of each region might help address regional contexts. Everyone in Somali—especially husbands and religious leaders—must be educated in family planning and funds be made available to deploy advanced measures for the same.

scholarly journals Shifting dynamics: Changes in the relationship between total fertility rate and contraceptive prevalence rate in Jordan between 2012 and 2017

2021 ◽  
Vol 4 ◽  
pp. 160
Author(s):  
Kristin Bietsch ◽  
Ali Arbaji ◽  
Jennifer Mason ◽  
Rebecca Rosenberg ◽  
Malak Al Ouri
Keyword(s):  
Family Planning ◽  
Total Fertility Rate ◽  
Prevalence Rate ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Family Health ◽  
Fertility Rate ◽  
Modern Contraceptive ◽  
Contraceptive Prevalence Rate ◽  
Contraceptive Prevalence

Background: Between the two most recent Population and Family Health Surveys, Jordan saw a dramatic decline in the Total Fertility Rate (TFR) from 3.5 to 2.7 in 5.5 years.  Over the same period, modern contraceptive use also declined, from 61.2% to 51.8% among married women.  This decrease in both TFR and the contraceptive prevalence rate (CPR) diverges from the typical relationship seen between these two factors whereby historically as CPR increases, TFR decreases.  This paper explores this unique pattern using multiple methodologies.  Methods: First, we validate the survey data using nationally collected data on fertility and contraceptive distribution.  Second, we look to changes that have historically influenced changes in CPR and TFR, including changes in ideal family size and wanted fertility rates. Third, we explore proximate determinants and other influences on fertility and changes in contraception, examining the changes in the method mix and unmet need; marriage patterns, including the demographics of the married population, spousal separation, and time since last sex; postpartum insusceptibility; infecundity, both primary and secondary; and abortion, to see if any have shifted significantly enough to allow for fertility to decline with less contraceptive use. Results: We find that the decline in fertility in Jordan was driven by a reduction in mistimed or unwanted pregnancies and there was a significant increase in the share of reproductive aged women who are infecund. We also concluded that the changes in fertility and contraceptive use are driven by changes in Jordanian nationals, not by the growing Syrian refugee population. Conclusions: Jordan is not the only country to be experiencing a shift in the typical relationship between CPR and TFR.  Results can inform both future approaches for family planning programs and our expectations regarding what kind of change our family planning investments might buy.

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 Kelangsungan Penggunaan Kontrasepsi di Indonesia

2009 ◽  
Vol 3 (5) ◽  
pp. 206
Author(s):  
Sariana Sistri
Keyword(s):  
Total Fertility Rate ◽  
Prevalence Rate ◽  
Contraceptive Use ◽  
Secondary Data ◽  
Fertility Rate ◽  
Related Factors ◽  
Cross Sectional ◽  
Contraceptive Prevalence Rate ◽  
Analysis Technique ◽  
Contraceptive Prevalence

Indonesia merupakan negara dengan jumlah penduduk terbesar keempat di dunia setelah Republik Rakyat Cina, India dan Amerika Serikat. Pada periode 2000-2002, penduduk Indonesia meningkat 1,25% atau 7,3 juta setiap tahun, sehingga pada tahun 2002 jumlah penduduk Indonesia menjadi sekitar 215 juta jiwa. Berdasarkan data SDKI, Total Fertility Rate (TFR) tahun 1997 (2,8) dan 2003 (2,6), dalam kurun waktu dua dasawarsa. Contraceptive Prevalence Rate (CPR), di Indonesia, pada 1977 (26) meningkatan dua kali lipat pada tahun 1997 (57) Penelitian ini bertujuan untuk mengetahui kelangsungan pemakaian kontrasepsi sejak pertama kali pemakaian pada periode 1997-2002, berikut berbagai faktor yang berhubungan. Desain penelitian yang digunakan adalah kohort retrospektif, dengan analisis survival, regresi cox. Sumber data yang digunakan adalah data sekunder SDKI 2002-2003, dengan jumlah sampel 5.072 kepala keluarga. Dari penelitian ini didapatkan lama kelangsungan pemakaian kontrasepsi pada periode 1997-2002 di Indonesia sejak pertama kali pakai hingga pemakaian 72 bulan adalah 50,32%. Faktor-faktor yang berhubungan dengan kelangsungan pengunaan kontrasepsi adalah tingkat pendidikan ibu dan status pekerjaan ibu.Kata kunci: Kelangsungan penggunaan kontrasepsi, determinanAbstractIt has been known that Indonesia is the fourth largest population in the world, after People Republic of China, India, and United States. At the year of 2002, Indonesia total population is about 215 million, with a growth rate between 2000 and 2002 is about 1.25% meaning that there is about 7.3 million people every year. The success of the Family Planning Program is recognized by its indicators, namely Total Fertility Rate (TFR) and Contraceptive Prevalence Rate (CPR). The TFR at SDKI 1997 was 2.8 and in SDKI 2003 was 2.6. While CPR, in two decades has increased double fold from 26 in 1977 to 57 in 1997. The study is carried out in order to know the length of continuation on contraceptive use since the first time of using, in the period of 1997-2002 and related factors. The design is cross sectional with retrospective cohort, using survival analysis technique. Data is secondary data of SDKI 2002-2003 on 5,072 samples. The results of the study showed that contraceptive continuation since it first use until 72 months follow up period is 50.32%. Factors related to the continuation are level of education and occupation of the mother.Keywords: Contraceptive use, determinant

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