scholarly journals Family Planning Uptake in Kagera and Mara Regions in Tanzania: A Cross-Sectional Community Survey

2021 ◽  
Vol 18 (4) ◽  
pp. 1651
Author(s):  
Joseph Massenga ◽  
Rita Noronha ◽  
Bayoum Awadhi ◽  
Dunstan R. Bishanga ◽  
Oliva Safari ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Antenatal Care ◽  
Health Workers ◽  
Unmet Need ◽  
Reproductive Age ◽  
Mixed Effect ◽  
Factors Associated ◽  
Planning Methods ◽  
Family Planning Methods

In Tanzania, 27.1% of all women of reproductive age are currently using modern contraception and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania. The survey, which collected information beyond that collected in the Tanzania Demographic Health Survey, used a two-stage, stratified-cluster sampling design, conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15–49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. A total of 393 (33.2%) women used family planning methods and 929 (79%) required prior approval from their partners. Participation of men in utilization of maternal health care was low, where 680 (57.8%) women responded that their partners accompanied them to at least one antenatal care (ANC) counselling visit and 120 (10%) responded that their partners participated in family planning counselling. Women who did not want to disclose whether they had discussed family planning with their partners, strikingly had the highest percentage of using family planning methods after birth. Factors independently associated with family planning uptake included: having discussed family planning with the partner (aOR 3.22; 95% CI 1.99–5.21), having been counselled on family planning during antenatal care (aOR 2.68; 95% CI 1.78–4.05), having discussed family planning with a community health worker (CHW) (aOR 4.59; 95% CI 2.53–8.33) and with a facility health care worker (aOR 1.93; 95% CI 1.29–2.90), having primary or higher educational level (aOR 1.66; 95% CI 1.01–2.273), and being in union (aOR 1.86; 95% CI 1.02–3.42). Educational interaction with community and facility health workers, as well as having a supportive partner as facilitator increased uptake of family planning. This needs to be prioritized in regions with similar socio-cultural norms in Tanzania and beyond.

scholarly journals Factors Associated with Unmet Need for Family Planning among Married Reproductive Age Women in Toke Kutaye District, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala
Keyword(s):  
Family Planning ◽  
Maternal Education ◽  
Health Workers ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.

scholarly journals Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

2020 ◽  
Author(s):  
Joseph Batholomeo Massenga ◽  
Ritha Norohna ◽  
Bayoum Awadhi ◽  
Dunstan Bishanga ◽  
Oliva Safari ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Community Health ◽  
Univariate Analysis ◽  
Unmet Need ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Factors Associated

Abstract BackgroundIn Tanzania, 27.1% of all women of reproductive age are currently using modern contraception, and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania.MethodsSub-analysis of a cross-sectional household survey conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15-49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. Univariate analysis was used to present crude effects of covariates, followed by stepwise forward selection to build a multiple logistic regression model. A p-value ≥ 0.20 was applied as the criterion to retain a variable into the model.ResultsAmong 1184 women within two years after giving birth, 393 (33.2%) used family planning methods. After adjusting for (1) age, (2) level of education, (3) living in union, (4) being accompanied to ANC by a partner and (5) being able to mention at least one method, factors independently associated with family planning uptake included: (1) having discussed family planning with the partner (aOR 2.90; 95% CI 1.88-4.49), (2) having been counselled on family planning during ANC (aOR 2.15; 95% CI 1.48-3.13), (3) having discussed family planning with a community health worker (aOR 3.32; 95% CI 1.91-5.77), (4) having discussed family planning with a facility health care worker (aOR 1.79; 95% CI 1.22-2.62), (5) having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273) and (6) being in union (aOR 1.86; 95% CI 1.02-3.42).ConclusionSupportive constitutes including educational interaction with facility and community health workers, as well as having a supportive partner are facilitators to increased uptake of family planning among women in Tanzania

scholarly journals Knowledge, Attitude and Practice on Family Planning among Married Muslim Women of Reproductive Age

2020 ◽  
Vol 18 (2) ◽  
pp. 238-242
Author(s):  
Usha Dhakal ◽  
Ram Bahadur Shrestha ◽  
Surendra Kumar Bohara ◽  
Samir Neupane
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Muslim Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Planning Methods ◽  
Knowledge Attitude And Practice ◽  
Family Planning Methods

Background: Maternal mortality is associated with the unmet need of family planning. Family planning has been subjected as taboos in the Muslim community with low use of its methods. Gulariya Municipality is the second largest community for Muslim. This research focuses on knowledge, attitude and practice of family planning among Muslim women of reproductive age.Methods: Descriptive cross-sectional study design was undertaken in Gulariya Municipality. Married Muslim women of reproductive age group from 164 households were interviewed using systematic random sampling. Key informant interview was also applied.Results: The percentage of women who have knowledge on family planning methods was found 94.5%. On the means of contraception, most of the women (73.2%) knew about Depo. The attitude of the respondents was seen positive. A total of 79.3% of women were found to have practiced temporary means of family planning while none of the women surveyed were found using permanent family planning methods. Association between all socio-economic and demographic factors with knowledge of family planning methods were found insignificant at 0.05 level of significance. However, association between wealth rank and practices on family planning shows statistically significant association. Conclusions: Majority of women have knowledge on family planning, but still lack knowledge on few method like condom. Most of them found practicing family planning, despite the practice was not seen being done regularly. Language barrier seems to be influencing knowledge, attitude and practice of family planning. The research warrants newer strategies to be developed and employed to deal with the multi-disciplinary prospective of family planning among Muslim women.Keywords: Family planning; knowledge, attitude and practice; muslim women

scholarly journals Improving Utilisation and awareness of Family Planning services in Adults of Reproductive age through Community Sensitization in Police Wing Village, Jinja District.

2021 ◽  
Author(s):  
◽  
Rodgers Isiko
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Project Implementation ◽  
Number Of Children ◽  
Planning Methods ◽  
Sub Saharan ◽  
Family Planning Methods

Background Family planning refers to a conscious effort by a couple to space the number of children they have through the use of contraceptive methods. According to WHO, an estimated 225 million women in developing countries, 24.2% of women of reproductive age have an unmet need for contraception. However, contraceptive use in sub-Saharan Africa is low at only 21%. The total fertility rate remains high for many countries in the region (4.6 in Kenya and Rwanda, 5.4 in Tanzania, 6.2 in Uganda, and 6.4 for Burundi). Methodology This was a community-based project implementation on increasing awareness and utilization of family planning methods in Police Wing village, Jinja district. Consent was gotten from the VHT, LC1, and DHO before mobilizing people to gather at the VHT’s home and her neighbour’s compound where we carried out the different educational sessions. Different team members got different roles to play as regards the health education session. One week later, we evaluated the progress of our project implementation through the administration of questionnaires to the same people we health educated. The questionnaire assessed the level of utilization, awareness, myths, misconception, and demography of the participants. Results 28% had heard about at least three family planning methods and 24.1% had at one time used family planning while 75.9% of the participants admitted not to have used it. The post-session assessment showed an increase from 28% to 93% in knowledge regarding the available methods of FP and an increase in the utilization of FP from 28% to 42%.   Conclusion and recommendations Addressing the myths and misconceptions about FP by exposing them as a fallacy would help increase the uptake as evidenced by the will of the community to take up the different methods. Organize frequent health talks about FP in the community.

scholarly journals Postpartum family planning in Rwanda: a cost effectiveness analysis

2019 ◽  
Vol 3 ◽  
pp. 887
Author(s):  
Pamela Williams ◽  
Katie Morales ◽  
Vikram Sridharan ◽  
Alekya Tummala ◽  
Elliot Marseille
Keyword(s):  
Cost Effectiveness ◽  
Family Planning ◽  
Unmet Need ◽  
Cost Effectiveness Analysis ◽  
Reproductive Age ◽  
World Health ◽  
Effectiveness Analysis ◽  
Postpartum Family Planning ◽  
Planning Methods ◽  
Family Planning Methods

Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women in this group want family planning for birth spacing or to avoid unintended pregnancies and stop child bearing once desired family size has been reached. Women spend on average about 30 years, or three-quarters of their reproductive lives, attempting to avoid pregnancy. In total 76% of Rwandan women want family planning postpartum, yet a 26% unmet need remains. Methods: This cost effectiveness analysis compared the two most frequently-used family planning methods in Rwanda, longer-acting reversible contraception (LARC), injections and subdermal implants, and shorter-acting reversible contraceptives (non-LARC), pills and condoms. Women who do not use contraception postpartum were also represented. A time horizon of 24 months was used to reflect the World Health Organization suggested two-year spacing from birth until the next pregnancy, and the analysis was conducted from a health systems perspective. Results: For women of reproductive age (12-49 years) in Rwanda, including LARC postpartum family planning methods in the options, saves $18.73 per pregnancy averted, compared to family planning options that offer non-LARC methods exclusively. Conclusion: $2.8 million US$ per year can be saved if LARC is included as a contraceptive choice across all health centers in Rwanda; this cost savings provides the opportunity for these funds to be allocated to other high value interventions. Potential inclusion of these methods at Rwanda’s faith-based health facilities warrants further attention.

scholarly journals Knowledge, attitude and practices for antenatal care, danger signs of pregnancy and family planning among pregnant women in a rural area of Kerala, India

2020 ◽  
Vol 8 (1) ◽  
pp. 201
Author(s):  
Nimmy N. John ◽  
Amrutha George
Keyword(s):  
Family Planning ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Area ◽  
Health Workers ◽  
Critical Role ◽  
Danger Sign ◽  
Danger Signs ◽  
Planning Methods ◽  
Family Planning Methods

Background: Maternal health services have a potentially critical role in the improvement of reproductive health. The use of health service related to availability, quality and cost of services as well as the social structures, health beliefs and personal characteristics of the users. Objective was to determine the level of knowledge, attitude, and practice related to antenatal care (ANC), danger signs and family planning among the pregnant women.Methods: This cross-sectional study was carried out in May 2020 to August 2020 in a rural area of Thrissur district of Kerala, India. 150 pregnant women (aged 18‑35 years) attending the antenatal clinics were interviewed using a predesigned, pretested questionnaire.Results: The knowledge and attitude of the participants towards antenatal care, danger signs of pregnancy and adopting family planning methods was adequate in the study population. The total score of knowledge was 80%, positive attitude was 91% and practice was 77%. The participants also had knowledge regarding pregnancy danger signs. Nearly 92% were aware of bleeding per vagina being a danger sign, 85% stated weak or no movement of baby as a danger sign, 75% knew that pain in abdomen was a danger, 68% knew excessive vomiting as a danger sign while a mere 41% reported that convulsions were a danger sign.Conclusions: The role of health workers in increasing awareness among mothers about the importance of ANC, the danger signs of pregnancy and adopting family planning methods are of paramount concern.

scholarly journals Unmet Need of Family Planning Among Rural Women in Bangladesh

1970 ◽  
Vol 19 (1) ◽  
pp. 11-15 ◽  
Author(s):  
SK Ferdousi ◽  
MA Jabbar ◽  
SR Hoque ◽  
SR Karim ◽  
AR Mahmood ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Planning Methods ◽  
Contraceptive Prevalence ◽  
Family Planning Methods

Objective: This study aims to find out the unmet need of family planning among the rural women. To explore the obstacles to use family planning methods and to estimate the prevalence of contraceptive use. Study design: Cross-sectional type of descriptive study. Settings: The study was conducted at Sreepur upazila under Gazipur district. Subjects: All the married women of reproductive age, residing in a selected village of Sreepur upazila, were selected as the study subject. Results: The study revealed that unmet need was (22.4%). Most of the respondents (72.1%) were using contraceptive methods. Among those who used contraceptives, OCP was the most commonly used method (61.7%). About 28% were not using any method. The main reason was fear of side effects (46.1%). Conclusion: The study concluded that a nationwide contraceptive prevalence study may be carried out to explore the problem in detail. Key words: Unmet need; family planning; contraceptive prevalence rate. DOI: 10.3329/jdmc.v19i1.6244 J Dhaka Med Coll. 2010; 19(1) : 11-15.

scholarly journals DETERMINANTS OF UNMET NEED FOR FAMILY PLANNING METHODS AMONG MARRIED WOMEN OF REPRODUCTIVE AGE IN OMBADA LOCALITY, KHARTOUM STATE, SUDAN. 2019

2021 ◽  
Vol 9 (10) ◽  
pp. 1159-1166
Author(s):  
Sarra E. Saied ◽  
◽  
Nada G.O. Ahmed ◽  
Elmuez E.A ◽  
Egbal A.B.A. Karaig ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Unmet Need ◽  
Married Women ◽  
Health Facilities ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
The Public ◽  
Planning Methods ◽  
Family Planning Methods

Introduction:The unmet need for family planning reflects the gap between womens reproductive intentions and their contraceptive behavior. Its a useful indicator for tracking progress towards the target of achieving universal access to reproductive health. Aim:This study aimsat measuringthe level of unmet need for family planning in Ombada locality to identify the determinants that affectutilization of FP methodsand to assessthe readiness of the public health facilities to the provision of FP services. Methods:The study was a descriptive cross-sectional health facility and community-based studyusinga multistage sampling technique.The study collected data from married women of reproductive age (15-49 years)and from the public health facilities providingfamily planning services in the study area using structured questionnaire and checklist respectively. The data were analyzed using the Statistical Package for Social Sciences version20. Results:Currently users for family planning methods were (21.55%). The total unmet need for family planning was high and measured as (39.26%), while the total demand for family planning was (60.8%). Factors such as age, age at marriage, living children, knowledge about family planning methods and discussion with husband were found to be significantly related to the high total unmet need. Major reasons for the non-use of family planning methods were husband/family objection, fear of side effects and a lack of knowledge about family planning methods. Assessment of health facilities revealed poor infrastructure readiness. Conclusion: Women in the surveyed locality are still not empowered regarding their reproductive health choices, as they are still under the control of husbands and families concerning the use of contraceptive methods. In addition, the lack of counsellingcomponent, which was the weakest link in the provision of family planning services, lead to voluntary or un-voluntary avoid of using FP methods, or adopting unprofessional sources or methods as alternatives. Thus, policymakers and directorates managers have to carefully consider such findings when planning for FP interventions.

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