scholarly journals Unmet Need for Family Planning among Women of Reproductive Age Group in a Rural Area of Kanchipuram District, Tamil Nadu

2018 ◽  
Vol 8 (2) ◽  
pp. 63-69
Author(s):  
Khola Noreen ◽  
Kausar Aftab Khan ◽  
Naeem Khan ◽  
Shahzad Ali Khan ◽  
Nadia Khalid

Background: Family planning includes knowledge, services, attitude, policies and practices which enable individuals to decide whether they want to have child and allow them to avoid unwanted pregnancy. Pakistan with population of 195.390 million with estimated population growth rate as 1.89 is the sixth most populous country in the world. Our objectives were to assess the total demand of family planning, contraceptive prevalence rate, unmet need for family planning and factors associated with unmet need of family planning among women of reproductive age group. Methods: We conducted this cross-sectional study on 355 females of reproductive age attending the out-patient department as patient or attendant. Data were collected using structured questionnaire after the participants' verbal consent. Results: The prevalence of unmet need was 34%. The proportion of unmet need for spacing was 63.6% and for limiters it was found to be 36.3%. Contraceptive prevalence rate was 57%. Total demand for family planning was 92.1%.Almost all study participant had knowledge regarding at least one method of contraception. Unmet need of family planning was found to be significantly associated with age and education status of women. High unmet need was there in women with low education status (p=0.047) and older age group (p=0.003). Main reasons for not using contraceptive was family opposition both family and husband (66.9), and fear of side effects (17.3%). Conclusion: More than one third females had unmet need which strongly points towards the strong influence of various socio demographic factors contributing towards the unmet need.


2020 ◽  
Author(s):  
Matewos Wotango Wonago ◽  
Desalegn Tsegaw Hibstu

Abstract Back Ground: The Ethiopia Demographic and Health Survey, report indicates that high level with slight decrement of unmet need for family planning among married women that is, 37%, 25%, and 22% in 2000, 2011 and 2016 respectively. One of the consequences of unmet need is unwanted pregnancy with its serious squeal of induced abortion, and ultimately results in high maternal morbidity and mortality. The risk would increase in developing countries considerably (10). Therefore, this study focused on assessing magnitude of unmet need for FP and associated factors among married women of reproductive age group in Shebedino district, Sidama Zone, South Ethiopia, 2019.Methods: Community-based cross-sectional study was conducted from April 12 to 28, 2019. Data on married reproductive age groups women were collected using a pre-tested and interviewer administered structured questionnaire from 447 women using systematic random sampling technique. The data were entered using Epi Data version 3.1 and then exported in to SPSS version 20.0 Software for analysis. The result of bi-variable and multi-variable was reported by Adjusted Odd Ratio with 95% confidence. Result: A total of 447 married reproductive age group (15-49 years) women were included in the study with 100 % response rate. Fifty Six (12.5%) 95% CI: 9.5%-15.5%) women had unmet need for family planning [42 (9.4%) for spacing and 14 (3.1%) for limiting]. Age of the respondents [AOR= 6.02, CI: 2.73, 13.27], Age at first marriage [AOR= 9.3, CI: 1.9, 45.42], birth interval, [AOR= 2.9, CI, 1.3, 6.3], Number of alive children, [AOR= 9.3, CI: 1.9, 45.42], and Age at first start to use family planning to control birth (AOR= 3.69, CI: 1.44, 9.45) were identified as a positively associated factors.Conclusion: The level of unmet need for family planning in this study (12.5%) was lower than both the national (22%) and South Regional State (21%). Thus, spacing among births for at least two or more years, enforcing the law on minimum age for the first marriage, involvement of men in shaping reproductive preferences, reducing early marriage and participating relevant stakeholders to minimize mistimed and unwanted pregnancies and unmet need for family planning are recommended.


Author(s):  
Jayita Pal ◽  
Shamshad Ahmad ◽  
Arohita Siva

Background: Unregulated growth of population is the most important problem that is hindering the socio-economic growth of a developing country like India since its independence. Multiple socio-economic factors are responsible for non-acceptance of contraception. To meet the unmet need these factors are needed to be explored. The current study aimed to assess the rate of acceptance of different contraceptive methods, various socio-demographic factors affecting acceptance and to find out the reasons for non-acceptance among married women of reproductive age group in a rural area of West Bengal.Methods: An institution based cross sectional study was conducted among 224 married women of reproductive age group with the help of a predesigned, pretested schedule.Results: Almost entire study population (98.2%) had the knowledge of any modern accepted method of contraception; health personnel (91.1%) being the most common source of knowledge. In majority of cases (69.6%) the decision of contraceptive use was taken by the husband and wife jointly. The overall prevalence of current use of contraception was 33.9% of which most common method adopted was found to be tubectomy (42.1%). The total unmet need was 50%. Multivariate analyses revealed that women aged more than 27 years, belonging to Hindu religion, nuclear family of higher per capita income with education of self and husband being up to or above middle level, having at least two leaving issue and one male child had higher odds of ever use of contraception.Conclusions: To bridge the gap of knowledge and practice intense awareness generating programmes focusing on the local barriers of contractive practice were the need of the hour to address this alarming public health problem.


Author(s):  
Radha Ramaiah ◽  
Srividya Jayarama

Background: India was the first country to implement Family Planning Programme in 1952. The extent of acceptance of contraceptive methods still varies within societies and also among different religious groups. Objectives: To determine knowledge, attitude, practice regarding contraceptive use among married women of reproductive age group in a rural area of Karnataka.Methods: A community based, cross sectional study was conducted among 200 married women of reproductive age group residing in a rural area of Karnataka. Data regarding knowledge, attitude, practice of contraceptive methods was collected using a predesigned questionnaire prepared in local language. Institutional ethical committee approval, informed consent from the study participants was taken and anonymity, confidentiality was ensured.Results: Out of 200 study participants, 81% had knowledge and awareness of family planning methods, positive attitude for contraceptive use was shown by 76% of study participants, 53% were practicing different contraceptive methods.Conclusions: Women education and counseling of couples can play an important role to adopt family planning methods. 


Author(s):  
Ramesh Devidas Pawar ◽  
Shital Pratapsing Solanke

Background: Unmet need is the discrepancy between reproductive intentions and birth control practices. If the unmet needs remained neglected it leads to population explosion which is one of the greatest threats to India’s economic, social and political development.  A community-based study was carried out in rural areas with the objective to find the prevalence of unmet need for family planning and its socio-demographic determinants among married women of reproductive age.Methods: A community based cross sectional study was conducted between January to June 2019. After calculation of sample size 670 participants were selected by simple random sampling method.  Predesign and semi structured Performa was used for data collection. Data was collected and analyse using Epi Info 7.Results: Unmet needs of family planning among the study subject was 31.19% (57.58% for the spacer and 42.42% for limiter). It was significantly higher among the Muslim (66.67%) and Boudh (40.38) religion. It was higher among Illiterate (40.82%), women residing in joint families (72.16%). Unmet need of family planning was significantly associated with age of women, religion, educational status of women and their husbands, occupation, type of family, no of children the women have and age at marriage.Conclusions: Unmet needs among married women in the reproductive age group was still high and was significantly associated with age of women, religion, educational status of women as well as their husband, occupation, type of family, number of children the women had and age at marriage.


Author(s):  
Kokila K. ◽  
Chellavel Ganapathi K.

Background: In India, non-scalpel vasectomy (NSV) technique was introduced in 1992 to improve the male participation in family planning, though it has failed to achieve its goal. Hence this study was planned to know the real concern about this condition. This study was carried out to assess the knowledge and attitude about non- scalpel vasectomy (NSV) and practices of any contraceptive methods among married females in reproductive age in an urban slum.Methods: This was a cross-sectional study done in urban field practice area of Institute of Community Medicine, Madras Medical College, Chennai-03, Tamil Nadu in the period July 2014 to August 2014 among Married females of reproductive age group (15-49 years).Specific questions on knowledge, attitude regarding NSV were asked. Data were entered in Microsoft Excel sheet and analysed in SPSS version 20. Results: This is a questionnaire based study. All (106 participants) were aware of vasectomy. Among them 50% knew that vasectomy is an option for permanent sterilization. About 36% of them knew that cash incentive is given for vasectomy & 30% knew that insurance given for pregnancy and other complications followed by vasectomy. Around 31% of the respondents knew that vasectomy does not affect sexual performance. About 29% knew that vasectomy does not need prolonged bed rest. Only 19% of the participants knew that vasectomy is done free of cost and as an OP procedure and 11.3% knew that vasectomy is done without any incision. Among the participants 81% agreed that limiting family size stabilizes the financial condition of the family. About 48% of the participants agreed that family planning is also a responsibility of males and 56% were willing to recommend vasectomy for others. Only 35% of the females agreed to adopt vasectomy for their spouse. Among the respondents 73.6% were practicing some form of contraception currently. Conclusions: We conclude that there is a need to design and develop a need based behavioural change communication strategy to bridge the existing information gap among the eligible couples about NSV & to improve the male participation in family planning. Involvement of media, community participation and successful stories of males who have adopted NSV would enhance the effectiveness of all the interventions. 


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