scholarly journals KNOWLEDGE, ATTITUDE AND PERCEPTION OF CONTRACEPTION AMONG MEDICAL STUDENTS IN UNIVERSITI PUTRA MALAYSIA

2019 ◽  
Vol 19 (2) ◽  
pp. 11-19
Author(s):  
Ma Saung Oo ◽  
Nursyahira Binti Mohd Ismail ◽  
Wei Rou Ean ◽  
Habibah Abdul Hamid ◽  
Nik Rafiza Affendi
Keyword(s):  
Family Planning ◽  
Medical Students ◽  
Unintended Pregnancy ◽  
Educational Level ◽  
Tertiary Education ◽  
Negative Attitude ◽  
Demographic Characteristics ◽  
Contraceptive Knowledge ◽  
Unintended Pregnancies ◽  
Level Of Knowledge

The incidence of unintended pregnancy and unsafe abortion are significantly high due to the lack of knowledge and negative attitude towards contraception and it can be prevented by effective and appropriate contraceptive knowledge and usage.  Considering the future role of medical students as family planning educator as well as counsellors, it is not only important to determine their knowledge, attitude and perception towards contraception but also should be updated for improvement on the quality of future healthcare professionals on contraceptive knowledge which may lead to the reduction in the number of unintended pregnancy with improving maternal morbidity and mortality. This was a cross sectional study using self-reported questionnaires survey that consists of four sections as socio-demographic characteristics information, knowledge towards contraception, attitude towards contraception, and perception of education and training in sexual and reproductive health among medical student. Questions were, distributed among medical students in Faculty of Medicine and Health Sciences and analyzed. The response rate was 100%. and most of the respondents in this study were Malay (64·4%), female (68·3%), single (98·6%) and live in urban area (69·1%). Most of their parents had tertiary education level (father educational level, 63·3%; mother educational level, 50·0%). 56·1% of the respondents had poor level of knowledge and 59.2% of them had negative attitude towards contraception. Regarding the perception on contraception, most of the respondents thought that they did not have sufficient clinical practice (50·4%) though adequate training (57·6%) in counselling the patients for family planning service during their clinical posting. There was a significant association between gender, place of birth, ethnicity, marital status, father educational status and level of knowledge. There were a higher percentage of respondents who had poor knowledge and negative attitude towards contraception. Assessing the knowledge and attitude of medical students on contraception and their relationship with socio-demographic characteristics and socio-economic factors plays a leading role in public health projects which are aimed to combat maternal mortality through reducing unintended pregnancies. To change the attitude towards contraception and further increase the level of knowledge of contraception among medical students, collaborated health education and similar studies among health workers are highly recommended.

scholarly journals Unmet need in family planning at the Cape Coast Teaching Hospital of Ghana

2019 ◽  
Vol 8 (7) ◽  
pp. 2582
Author(s):  
Diallo Abdoul Azize ◽  
Ekanem Evans ◽  
Agyare-Gyan Frederick
Keyword(s):  
Family Planning ◽  
Marital Status ◽  
Teaching Hospital ◽  
Educational Level ◽  
Associated Factors ◽  
Tertiary Education ◽  
Unplanned Pregnancy ◽  
Unmet Need ◽  
Cape Coast ◽  
Unintended Pregnancies

Background: Knowing the prevalence of unintended pregnancy, unmet need in family planning and the associated factors in cape coast, is important for ensuring that all women have access to the most effective methods of family planning in order to reduce the occurrence of unintended pregnancies. This study aims to determine the prevalence of unintended pregnancies, unmet need in family planning and the associated factors among women attending antenatal clinics at the Cape Coast Teaching Hospital, Republic of Ghana.Methods: A prospective cross-sectional study with descriptive and analytical components was carried out from 20th April 2015 to 20th June 2015 to simultaneously measure the prevalence of unmet need for family planning and related factors.  All clients reporting for ANC at the Cape Coast Teaching Hospital during the study period were recruited into the study.Results: A total of 324 clients were recruited. The mean age was 29.98±5.86 years, 85.80% were married, 46.58% had tertiary education and 79.94% had a source of income. Up to 54.94% of the clients had not planned their index pregnancy. Among subjects who had not planned their index pregnancies, 74.71% had not used a family planning method. There is a significant association between age, educational level, the presence of a source of income, marital status and the occurrence of unplanned pregnancy.Conclusions: There were high prevalence of unplanned pregnancy and unmet need for family planning. There is a significant association between age, educational level, the presence of a source of income, marital status and the occurrence of unplanned pregnancy.

scholarly journals Unintended Repeat Pregnancies Among HIV Positive Women in Rio De Janeiro, Brazil

2018 ◽  
Vol 12 (1) ◽  
pp. 174-180
Author(s):  
Bernardo B. Wittlin ◽  
Alice W. Carvalho ◽  
Giulia P. Lima ◽  
Rune Andersson ◽  
Susanne Johansson ◽  
...  
Keyword(s):  
Viral Load ◽  
Family Planning ◽  
Antenatal Care ◽  
Unintended Pregnancy ◽  
Rio De Janeiro ◽  
Hiv Positive ◽  
Continuous Family ◽  
Unintended Pregnancies ◽  
Illegal Abortion ◽  
Hiv Positive Women

Introduction: High rates of unintended pregnancies among HIV positive women have been reported by several studies. Among repeated pregnancies, these rates may be higher. Our aim was to describe the unintended pregnancy rate in repeat gestations of the same group of HIV-positive women. Methodology: From a prospective cohort of HIV-infected pregnant women followed-up from 1995 to 2013 in an Antenatal Clinic (ANC) in Rio de Janeiro, we selected women who had at least two consecutive pregnancies. Patient data were prospectively obtained from standardized questionnaires. The main dependent variable was if the pregnancy was intended or unintended. Some of the other variables were: age, the interval between pregnancies, household income, CD4 cells count at admission in the ANC and at delivery, viral load<1000 copies/ml at admission and close to delivery, and attempts to illegal abortion. Results: From a total of 287 women included, the number of unintended pregnancies increased from 138 (63.6%) at first pregnancy to 198 (81.8%) at second pregnancy (p < 0.01). At first pregnancy, we observed 8 women who had made an attempt to illegal abortion (7 with an unintended pregnancy and 1 with a wanted pregnancy, p = 0.06), while at second pregnancy, 34 of them had made an attempt (33 with unintended pregnancy and 1 with a wanted pregnancy, p < 0.01). Regarding viral load suppression close to delivery, there was no statistic difference between first and second pregnancies (72,7% vs. 70,5%, p = 0.36) as well as between intended and unintended pregnancies (in first pregnancy: 80% vs. 86%, p = 0.4; in second pregnancy: 72% vs. 83%, p = 0,1). Conclusion: High rates of unintended pregnancies and illegal abortion attempts, along with their increase from one pregnancy to the subsequent, reinforce the need for continuous family planning practices in HIV-infected patients. The majority of the women were able to reach undetectable viral load at the end of the pregnancy, including those with unintended pregnancies. Implications: HIV infected patients presenting in antenatal care for sequential unintended pregnancies. Despite the fact that abortion is illegal in this country, a substantial number of women, still attempt it before attending antenatal care. Family planning actions should be performed during the antenatal care.

scholarly journals Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Elizabeth Peach ◽  
Christopher Morgan ◽  
Michelle J. L. Scoullar ◽  
Freya J. I. Fowkes ◽  
Elissa Kennedy ◽  
...  
Keyword(s):  
Family Planning ◽  
Pregnant Women ◽  
Papua New Guinea ◽  
Unintended Pregnancy ◽  
Male Partner ◽  
New Guinea ◽  
Targeted Interventions ◽  
Male Partner Involvement ◽  
Unintended Pregnancies ◽  
Partner Involvement

AbstractUnintended pregnancy is a major driver of poor maternal and child health in resource-limited settings. Data on pregnancy intention and use of family planning (FP) is scarce in Papua New Guinea (PNG), but are needed to inform public health strategies to improve FP accessibility and uptake. Data from a facility-based cross-sectional sample of 699 pregnant women assessed prevalence and predictors of unintended pregnancy and modern FP use among pregnant women in East New Britain Province, PNG. More than half (55%) the women reported their pregnancy as unintended. Few (18%) reported ever having used a modern FP method, and knowledge of different methods was low. Being single, separated or divorced (AOR 9.66; 95% CI 3.27–28.54), educated to a tertiary or vocational level (AOR 1.78 CI 1.15–2.73), and gravidity > 1 (AOR 1.43 for each additional pregnancy CI 1.29–1.59) were associated with unintended pregnancy; being accompanied by a male partner to ANC was associated with a reduced unintended pregnancy (0.46 CI 0.30–0.73). Factors associated with modern FP use included male partner involvement (AOR 2.26 CI 1.39–3.67) and gravidity > 1 (AOR 1.54 for each additional pregnancy CI 1.36–1.74). FP use also varied by the facility women attended. Findings highlight an urgent need for targeted interventions to improve FP knowledge, uptake and access, and male partner involvement, to reduce unintended pregnancies and their complications.

scholarly journals A point on the use of test animals in educational process

2021 ◽  
Vol 9 (1) ◽  
pp. 95-100
Author(s):  
Yu.V. Shkatula ◽  
Yu.O. Badion
Keyword(s):  
Medical Students ◽  
Animal Species ◽  
Negative Attitude ◽  
Educational Process ◽  
Alternative Methods ◽  
Animal Testing ◽  
Training Process ◽  
Legal Requirements ◽  
New Information ◽  
Level Of Knowledge

The article considers the issues of experiments on animals during the training process of medical students. The objective of the work is to assess the possibility, necessity and expediency of experiments on animals during the training of medical students with identification of possible alternatives. An anonymous impersonal survey of 83 interns was conducted. The purpose of the experiments, animal species, methods of anesthesia, respondent’s role in the experiment, and the level of acquired knowledge were investigated. As an option, the respondents offered an alternative to experiments on animals during the educational process. It was found that 47% of respondents perceive experiments on animals during training as an indispensable, traditional and common practice. A significant part of respondents (33.7%) stated complete absence of new information obtained, 47% admitted that the level of knowledge obtained was moderate, and 19.3% reported considerable level of knowledge obtained. Most respondents were not familiar with the same issue in other countries and with the relevant national laws and regulations. In general, 86.7% of respondents expressed their negative attitude to causing harm to animals. The practice of experiments on animals must be brought into accordance with legal requirements. It is unacceptable to use animals for educational purposes, if this goal can be achieved in other ways. Animal testing is justified only when there is a reason to expect that the results will significantly contribute to the solution of current scientific problems. The introduction of alternative methods and means in the educational process will improve the learning process and reduce the number of experiments on animals.

scholarly journals Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

2020 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Unintended Pregnancy ◽  
Rural Areas ◽  
Urban Areas ◽  
Access To Health Care ◽  
Pregnancy Termination ◽  
Childbearing Age ◽  
Unintended Pregnancies ◽  
Access To Health

Abstract Background: Unintended pregnancy can cause pregnancy termination, which leads to safety risks. The purpose of the study was to analyze the factors that influence unintended pregnancies in Indonesia.Methods: The analysis unit was women aged 15-49 years old who gave birth to the last 5 years. The sample size was 36,472 women. In addition to unintended pregnancy as the dependent variable, other variables analyzed were the place of residence, age, education, husband/partner, employment, wealth, parity, pregnancy termination, the person deciding woman's access to health care, heard about family planning messages on radio, television, and newspaper/magazines. The final stage analysis uses binary logistic regression.Results: Women in urban areas were 1.834 times more likely than women in rural areas to experience an unintended pregnancy. The 20-24 age group was 0.202 times more than the 15-19, while the 45-49 was 1.916 times compared to the 15-19 to experience an unintended pregnancy. Secondary education women were 1.447 times more likely than no education women, while the poorer women were 1.190 times more likely than the poorest women to experience an unintended pregnancy. Parity was found to be a strong determinant of unintended pregnancy. History of pregnancy, decision making by husbandpartner, and heard about family planning messages on radio and television in the last few months are risk factors for unintended pregnancy.Conclusions: Eight variables affect unintended pregnancy, namely age, education, wealth, parity, pregnancy termination, the person deciding woman's access to health care, and heard about family planning messages on radio and television.

Contraceptive knowledge and attitudes in urban Ilorin, Nigeria

1986 ◽  
Vol 18 (3) ◽  
pp. 273-283 ◽  
Author(s):  
Gbolahan A. Oni
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Married Women ◽  
Demographic Characteristics ◽  
Contraceptive Knowledge ◽  
Knowledge And Attitudes ◽  
Planning Methods ◽  
Independent Effects ◽  
The City ◽  
Family Planning Methods

SummaryExamination of the effect of various socioeconomic, cultural and demographic characteristics of married women in Ilorin, Nigeria, who are in their prime childbearing ages, on their contraceptive knowledge and on their attitudes towards modern contraception shows that only the woman's education, age and area of residence within the city have significant independent effects on contraceptive knowledge. More than 90% of the women interviewed thought that women should be free to practise family planning. Also, more than 95% of all the women believed that too frequent births could endanger the health of the mother and her children. However, only the women with previous contraceptive knowledge overwhelmingly (more than 80%) thought that the best way to prevent too frequent births is by family planning. On the contrary, 66.5% of those without previous contraceptive knowledge before this study suggested that traditional abstinence should be used and only 28.9% suggested family planning. Adequate awareness of the availability and usefulness of family planning methods can influence attitudes of women towards contraception and may also enhance contraceptive use.

Multisite Effectiveness Study of the Marquette Method of Natural Family Planning Program

2020 ◽  
pp. 002436392095751
Author(s):  
Qiyan Mu ◽  
Richard J. Fehring ◽  
Thomas Bouchard
Keyword(s):  
Family Planning ◽  
Pregnancy Rate ◽  
Unintended Pregnancy ◽  
Healthcare Providers ◽  
Pregnancy Rates ◽  
Natural Family Planning ◽  
Natural Family ◽  
Unintended Pregnancies ◽  
Planning Methods ◽  
Family Planning Methods

Women of reproductive age need reliable and effective family planning methods to manage their fertility. Natural family planning (NFP) methods or fertility awareness-based methods (FABMs) have been increasingly used by women due to their health benefits. Nevertheless, effectiveness of these natural methods remains inconsistent, and these methods are difficult for healthcare providers to implement in their clinical practice. The purpose of this study is to evaluate the effectiveness of the Marquette Model NFP system to avoid pregnancy for women at multiple teaching sites using twelve months of retrospectively collected teaching data. Survival analysis (Kaplan–Meier) was used to determine typical unintended pregnancy rates for a total of 1,221 women. There were forty-two unintended pregnancies which provided a typical use unintended pregnancy rate of 6.7 per 100 women over twelve months of use. Eleven of the forty-two unintended pregnancies were associated with correct use of the method. The total unintended pregnancy rate over twelve months of use was 2.8 per 100 for women with regular cycles, 8.0 per 100 women for the postpartum and breastfeeding women, and 4.3 per 100 for women with irregular menstrual cycles. The Marquette Model system of NFP was effective when provided by health professionals who completed the Marquette Model NFP teacher training program. Summary: This study involved determining whether healthcare professionals at ten sites across the United States and Canada trained to provide the Marquette Method NFP services can replicate the effectiveness demonstrated in previous studies of the method. We found a high level of effectiveness (i.e., very low pregnancy rates) in using the Marquette Method among women from various regions across North America with diverse reproductive backgrounds and in particular when using hormonal fertility marker. Healthcare providers who have been trained to teach NFP can successfully incorporate NFP services in their practice and assist their clients in choosing appropriate family planning methods.

scholarly journals Contraceptive Knowledge, Substance Abuse and Unintended Pregnancy among First-Year Medical Students Attending a Public University in Mexico City

2018 ◽  
Vol 06 (03) ◽  
Author(s):  
Monica Beatriz Aburto-Arciniega ◽  
Antonio Rafael Villa ◽  
Angelica Arce-Cedeno ◽  
Ricardo Antonio Escamilla Santiago ◽  
Claudia Diaz-Olavarrieta ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Medical Students ◽  
Mexico City ◽  
Unintended Pregnancy ◽  
Public University ◽  
First Year ◽  
Contraceptive Knowledge ◽  
First Year Medical Students

scholarly journals Faktor-Faktor yang Memengaruhi Kehamilan Tidak Diinginkan di Indonesia

2021 ◽  
Vol 49 (3) ◽  
pp. 155-166
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono
Keyword(s):  
Family Planning ◽  
Unintended Pregnancy ◽  
Health Care Access ◽  
Access To Health Care ◽  
Contraceptive Use ◽  
Pregnancy Termination ◽  
Binary Logistic Regression ◽  
Age Group ◽  
Childbearing Age ◽  
Unintended Pregnancies

Unintended pregnancy can cause pregnancy termination, which leads to safety risks. This study analyzed factors affecting unintended pregnancy in Indonesia. The analysis units were women aged 15-49 who gave birth in the past five years. The sample size was 36,472 women. The research variable was unintended pregnancy, residence, age, education, husbands/partners, employment, wealth, parity, pregnancy termination, decision-maker in woman's access to health care, access to family planning information on radio, television, and newspapers/magazines. The final stage analysis used binary logistic regression. Women in urban were 1.834 times more likely to experience an unintended pregnancy than women in rural. The 20-24 age group was 0.202 times more likely to experience an unintended pregnancy than the 15-19 age group. Women with secondary education were 1.447 times more likely to experience an unintended pregnancy than no education women. The poorer were 1.190 times more likely to experience an unintended pregnancy than the poorest. Multiparity was a strong determinant of unintended pregnancy. History of pregnancy, a decision by husbands, and access to family planning information on radio and television in the last few months were risk factors for unintended pregnancies. The study concluded that eight variables affected unintended pregnancies. Keywords: unintended pregnancy, women of childbearing age, contraceptive use, family planning, maternal health. Abstrak Kehamilan yang tidak diinginkan dapat menyebabkan terminasi kehamilan, yang berujung pada risiko. Studi menganalisis faktor yang mempengaruhi kehamilan tidak diinginkan di Indonesia. Unit analisis wanita usia 15-49 tahun yang melahirkan dalam lima tahun terakhir. Besar sampel 36.472 responden. Variabel penelitian adalah kehamilan tidak diinginkan, tempat tinggal, usia, pendidikan, pasangan, pekerjaan, kekayaan, paritas, terminasi kehamilan, pengambil keputusan akses perempuan terhadap pelayanan kesehatan, akses informasi KB di radio, televisi, dan surat kabar/majalah. Analisis tahap akhir menggunakan regresi logistik biner. Hasil penelitian menunjukkan bahwa perempuan di perkotaan 1,834 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan perempuan di perdesaan. Usia 20-24 tahun 0,202 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan kelompok 15-19 tahun. Wanita dengan pendidikan menengah 1,447 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang tidak berpendidikan. Kelompok yang lebih miskin 1,190 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang paling miskin. Multiparitas adalah determinan kuat dari kehamilan yang tidak diinginkan. Riwayat kehamilan, keputusan suami, dan akses informasi KB di radio/televisi merupakan faktor risiko terjadinya kehamilan yang tidak diinginkan. Studi menyimpulkan delapan variabel yang mempengaruhi kehamilan yang tidak diinginkan. Kata kunci: kehamilan tidak diinginkan, wanita usia subur, penggunaan kontrasepsi, keluarga berencana, kesehatan ibu

Postpartum Contraceptive Use Among HIV Positive Women in Cipto Mangunkusumo Hospital Jakarta, Indonesia: A Cross Sectional Study

KnE Medicine ◽  
2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Merry Amelya
Keyword(s):  
Family Planning ◽  
Unintended Pregnancy ◽  
Contraceptive Use ◽  
Elective Caesarean Section ◽  
Hiv Positive ◽  
Potential Contribution ◽  
Original Cohort ◽  
Unintended Pregnancies ◽  
Hiv Positive Women ◽  
Long Acting

<p><strong>Background: </strong>Prevention of unintended pregnancy among HIV positive women is the second element of prevention of mother to child transmission of HIV. Contraceptive use in Indonesia remains low, despite the potential contribution of family planning (FP) to the prevention of HIV infection and unintended pregnancy. It is anticipated that this research will update existing knowledge, inform policy makers and programmers to support safer and healthier reproductive options among HIV positive women in the study area.<strong></strong></p><p><strong>Methods: </strong>The study was conducted in Cipto Mangunkusumo Hospital Jakarta, Indonesia, since January 1<sup>st</sup> 2013 until December 31<sup>st</sup> 2014. Of the original cohort of 5499 women delivered in 2013-2014, 65 were HIV positive. The 58 subjects in this study were selected from each group of HIV positive women and HIV negative who had delivery in this hospital either by emergency admission or elective caesarean section. <strong></strong></p><p><strong>Results: </strong>There were a total of 5449 deliveries, during the study period, out of which 65 were HIV positive women (1,2%). From 58 randomly selected patients, the mean age of HIV positive mothers was 27,74 ± 4,73 years. Their parity ranged from zero to five. With significantly uses of long acting contraception as IUD and sterilization on HIV-positive women as well as booked cased patients.<strong></strong></p><strong>Conclusions: </strong>The high rates of unintended pregnancies in the sample of HIV positive women suggest that the WHO’s strategy of preventing unintended pregnancies amongst HIV positive women to minimise vertical transmission of HIV must be reinforced. Long acting and permanent methods could fill an important gap in family planning services in Indonesia given women’s stated fertility preferences indicating a strong desire to either not have a future pregnancy or to wait several years before the birth of their next child.

Sign in / Sign up

Export Citation Format

Share Document