Perception and uptake of contraception among health workers in Ile-Ife, South-western Nigeria

2015 ◽  
Vol 1 (1) ◽  
pp. 21-28
Author(s):  
A Olaleye ◽  
E Orji ◽  
A Akintayo ◽  
A Olaleye ◽  
J Imaralu

Objective: This study was carried out to assess the perception of health workers towards contraceptive methods, determine the proportion of health workers using modern contraceptive methods and identify factors influencing their contraceptive practice. Methods: A cross sectional descriptive survey of 300 practicing nurses in the health facilities within Ile-Ife, Nigeria was done using pre-tested, self-administered semi-structured questionnaires. Results: Most of the respondents were less than 30years, married, multiparous and had practised for more than 2years. Prevalence of modern contraceptive use was 75.2%. Knowledge of contraceptives was poorest for injectables and oral contraceptive pills (32% each). Twenty six percent of respondents believed that contraception should be limited to women who had completed their families, while 32.4% were either uncertain or disagreed with the safety of contraceptives. The commonest method used was the condom, though contraceptive choice varied with cadre of staff. Desire for another pregnancy was the main reason for discontinuing contraception (51.2%). Older age, religion and marriage positively influenced contraceptive use. Conclusion: Knowledge and perception of contraception among nurses in Ile-Ife is relatively poor. Ensuring accurate information on contraception among this target group of health workers is an important step towards achieving success in the national family planning programme.

Author(s):  
D. Fathima Bee ◽  
P. A. Chandrasekharan ◽  
G. Prameela Devi

Background: The present study was conducted to assess knowledge, attitude, the practice of family planning and to study the determinants of fertility in different socio religious population in Tirupati, Andhra Pradesh, India.Methods: The present cross-sectional study was carried out among 150 study subjects using a self-administered questionnaire. The data was collected and analyzed with Epi info version 7.Results: Only 144 participants actively participated and given their consent. Majority of them have knowledge about any one method of contraception. An average of both Muslim and Hindu religion have known about the natural contraceptive methods, oral contraceptive pills and IUCD was equal and an average of 11-12% of the participant were aware about side effects of oral contraceptive pills. The objections to contraceptive preventing women from using contraceptives coming from husbands and mother-in-law were strongly agreed/agreed in Hindu and Muslim population almost similar. The religious believes were strongly agreed/agreed in Muslim women than Hindu. Even though most of the participants visited or consulted with health care professionals in health center for family planning and 3/4th of them were using contraception. While comparing the four proximate determinants of fertility, index of contraception had greater impact on fertility than others.Conclusions: The present study highlighted that most of the women have not practised and have less knowledge about modern contraceptive methods. Innovative approaches have to be planned, tested and implemented to ensure their access to information, contraceptive methods and family planning services.


2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  

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. 


2019 ◽  
Vol 8 (4) ◽  
pp. 213-218
Author(s):  
Naiha Sagheer ◽  
Saleem Ullah ◽  
Noureen Latif ◽  
Tabinda Zaman

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.


Author(s):  
Pierre Z. Akilimali ◽  
Nguyen-Toan Tran ◽  
Anastasia J. Gage

Urban populations have been increasing at an alarming rate, with faster growth in urban slums than that in nonslums over the past few decades. We examine the association between slum residence and the prevalence of contraceptive use among women of reproductive age, and assess if the effect was modified by household wealth. We conducted cross-sectional analysis comprising 1932 women in slums and 632 women in nonslums. We analyzed the moderating effect through an interaction between household wealth and neighborhood type, and then conducted stratified multivariable logistic-regression analysis by the type of neighborhood. Fewer women living in nonslum neighborhoods used modern methods compared to those living in slum neighborhoods. Within slum neighborhoods, the odds of using modern contraceptive methods were higher among women visited by community health workers than among those who had not been visited. Parity was one of the strong predictors of modern contraceptive use. Within nonslum neighborhoods, women from the wealthiest households were more likely to use modern contraceptives than those from the poorest households. Household wealth moderated the association between the type of neighborhood and modern contraceptive use. The study findings suggested heterogeneity in modern contraceptive use in Kinshasa, with a surprisingly higher contraceptive prevalence in slums.


2020 ◽  
Vol 17 (2) ◽  
pp. 548-557
Author(s):  
Belma Toptaş ◽  
Hilmiye Aksu

The aim of this study was to determine contraceptive method use in perimenopausal women. This cross-sectional study was carried out in XXXXXXXXXXX Hospital between 6 June and 7 September in 2016. The study sample included 243 women selected through random sampling, a non-probability sampling. Data were collected with a questionnaire created by the researchers in light of the literature. The analysis of the data obtained from the research was carried out in the SPSS 20.0 package program. Percentage ratios, arithmetic mean and standard deviation, chi square test have been used in analysis of data. The mean age of the women was 47.7±3.4 years. At the time of the study, 77.4% of the women were using a contraceptive method, but 22.6% of the women were not using any contraceptive methods. The most frequent method was intrauterine device at the rate of 25.1%. Twenty-three-point nine percent of the women had tubal ligation and 14.8% of the women were using withdrawal. Formerly, the most frequently used modern contraceptive method had been contraceptive pills at the rate of 53.8%. The second most frequent former method had been male condom at the rate of 46.5% and the third most frequent former method had been copper intrauterine device at the rate of 32.9%. Nine-point nine percent of the women had not used any contraceptive methods previously. Fifty-four-point three percent of the women did not know how long they should use a contraceptive method after their periods ended due to menopause. The decreased rate of contraceptive use and not knowing how long contraceptives should be used in perimenopausal women reveal an unfulfilled need for counseling in these women. It can be recommended that perimenopausal women should be provided counseling appropriate for their age and needs. ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet Bu araştırmanın amacı perimenopozal dönemdeki kadınların kontraseptif yöntem kullanım durumlarını belirlemektir. Kesitsel tipteki bu çalışma XXXXXXXXXXX Hastanesi’nde 06/06/2016 ile 07/09/2016 tarihleri arasında yapılmıştır. Araştırmanın örneklemini 243 kadın oluşturmuş ve örnekleme alınacak kadınları belirlemede olasılıksız örnekleme yöntemlerinden gelişigüzel örnekleme yöntemi seçilmiştir. Araştırma verileri, araştırmacılar tarafından literatüre uygun elde edilen soru formu ile toplanmıştır. Verilerin analizi SPSS 20,0 paket programında gerçekleştirilmiştir. Verilerin analizinde, yüzdelik oranlar, aritmetik ortalama, standart sapma, ve Ki kare testi kullanılmıştır. Kadınların yaş ortalamaları 47,7±3,4’dir.  Kadınların %77,4’ü halen gebelikten korunmak için bir yöntem kullanırken %22,6’sı hiçbir yöntem kullanmamaktadır. Şuanda kullanılan kontraseptif yöntemin en yüksek oranda (%25,1) rahim içi araç (RİA) olduğu belirlenmiştir. Kadınlar %23,9 oranında tüp ligasyon ve %14,8 oranında ise geri çekme yöntemi ile gebelikten korunmaktadırlar. Araştırmaya katılan kadınların yarıdan fazlası (%53,8) geçmişte gebelikten korunmak için modern yöntem olarak hap kullanmıştır. Erkek kondomu %46,5 oranı ile ikinci sırada yer alırken, %32,9 oranı ile bakırlı RİA üçüncü sırada kullanılmıştır. Yöntem kullanmayan kadın oranı ise %9,9’dur. Kadınların %54,3’ü menopoz nedeni ile adetten kesildikten sonra ne kadar süre daha gebelikten korunmaları gerektiğini bilmemektedir. Perimenopozal dönemde yöntem kullanımının azalması ve bu dönemde ne kadar süre gebelikten korunması gerektiğinin bilinmemesi kadınların karşılanamayan danışmanlık gereksinimlerinin olduğunu ortaya koymaktadır. Bu danışmanlığın kadının yaşına ve ihtiyacına uygun verilmesi önerilebilir.


Author(s):  
Jyotsana Lamba ◽  
Nikita Gandotra ◽  
Nivedita Prashar

Background: Aim of current study was to assess the knowledge, attitude and practices of contraceptives amongst married women of reproductive age group.Methods: A cross sectional study was conducted in obstetrics and gynaecology out door patient department (OPD) of SMGS hospital Jammu. 100 married women aged between 15-45 years were included in this study. Along with the sociodemographic characteristics of the women, their knowledge, attitude /86*and practices on contraception were evaluated with the help of predesigned questionnaire.Results: It was observed that out of 100 women, majority of them were Hindu (58%), higher secondary educated (21%), housewives (45%) and belonged to low socio economic status (36%). 88% females had knowledge about contraceptive methods that was mainly obtained from health workers (59%) followed by media (23.8%) and social circle (14,7%). 38% women were practicing contraceptive methods, out of which most of them were using condom (39.4%) followed by Oral Contraceptive Pills (OCPs) (21.05%), intra uterine contraceptive device (15.7%) etc. Though most of the women had knowledge about contraceptive methods majority (62%) had negative attitude towards family planning.Conclusions: In spite of having good knowledge, utilization of contraceptives was less because of religious myths and beliefs, fear of side effects, cultural and political barriers.


Author(s):  
N. E. Uzoma-Nwosi ◽  
I. N. Ojule ◽  
B. M. Moore

Contraceptive use is the intentional desire of an individual to prevent or limit pregnancy and it is one of the major components of family planning, an important pillar in the prevention of over-population, which has become a most pressing global problem.  Materials and Methods: The study adopted a cross-sectional design that aimed at identifying the prevalence and determinants of current contraceptive use among women aged 18-49 years in a community in Port Harcourt, the capital city of Rivers State, Nigeria. A semi-structured questionnaire was administered to 216 women recruited from two clusters chosen randomly out of six clusters in the study area. Data were analyzed using SPSS version 20. Chi-square test was used to test for association between socio-demographic variables and contraceptive use. Logistic regression was used to identify determinants of uptake. Result: One hundred and five women (55.22%) were currently using contraceptive methods. Older than 29 years, being married/cohabiting, and having two or more living children were significantly associated with contraceptive use (P<0.05). Conclusion: This study identified a high proportion (55.22%) of women in our locality to be current users of modern contraceptive methods when compared to national average (27.0%). The male condom was the commonest used modern method (30.5%). The withdrawal method and prolonged breastfeeding were the preferred traditional methods (20.0% and 7.6% respectively). Older age of women (above 29 years), living with a partner, and having at least two living children were positive determinants of current contraceptive use.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258142
Author(s):  
Ciin Ngaih Lun ◽  
Thida Aung ◽  
Kyaw Swa Mya

Reproductive health service is crucial for youth to reduce maternal and child mortality. However, many young women face unintended pregnancies and pregnancy-related complications due to insufficient knowledge of contraceptive methods and low contraceptive utilization. This study aims to assess the modern contraceptive prevalence rates among youth and identify factors influencing modern contraceptive utilization among youth. We used Myanmar Demographic and Health Survey (2015–2016) data. This study included 1,423 men and 3,677 women aged 15–24 years from all states and regions of Myanmar. We used multivariable binary logistic regression analysis and reported the results using adjusted Odds Ratios (AOR) with 95% Confidence Intervals (CI). Data analysis was done by STATA software (version 15.1). Ever-married youth used mainly injectable contraception, followed by oral contraceptive pills. Never-married male youth mainly used oral contraceptive pills; however, almost all never-married female youth did not use contraception. The modern contraceptive prevalence rates were 14.9% among total youth, 10% among males, 16.8% among females, 1.5% among never-married males, 44.7% among ever-married males, and 54% among ever-married female youth. The knowledge on modern contraceptive methods favored the utilization. Sexually active youth utilized more contraception than sexually inactive youth. We also found geographical variation and low utilization among rural youth. The desire for more children was also a significant predictor of contraceptive utilization among married youth. The utilization of modern contraception was low among Myanmar youth. Reproductive health program needs to be emphasized on the youth population especially in the area with low utilization to have equitable access to quality reproductive health services. Moreover, the revitalization of Youth Information Corner and youth-friendly reproductive health education programs should be implemented to increase reproductive health knowledge and prevent unsafe sex, unintended pregnancies, and abortions which might help in reducing maternal and child mortality. We warranted conducting mixed method studies to explore the barriers and challenges of contraceptive utilization and male involvement in the choice of contraception among youth.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Nancy L. Hancock ◽  
Carla J. Chibwesha ◽  
Marie C. D. Stoner ◽  
Bellington Vwalika ◽  
Sujit D. Rathod ◽  
...  

Introduction. Although increasing access to family planning has been an important part of the global development agenda, millions of women continue to face unmet need for contraception.Materials and Methods. We analyzed data from a repeated cross-sectional community survey conducted in Lusaka, Zambia, over an eight-year period. We described prevalence of modern contraceptive use, including long-acting reversible contraception (LARC), among female heads of household aged 16–50 years. We also identified predictors of LARC versus short-term contraceptive use among women using modern methods.Results and Discussion. Twelve survey rounds were completed between November 2004 and September 2011. Among 29,476 eligible respondents, 17,605 (60%) reported using modern contraception. Oral contraceptive pills remained the most popular method over time, but use of LARC increased significantly, from less than 1% in 2004 to 9% by 2011 (p<0.001). Younger women (OR: 0.46, 95% CI: 0.34, 0.61) and women with lower levels of education (OR: 0.70, 95% CI: 0.56, 0.89) were less likely to report LARC use compared to women using short-term modern methods.Conclusions. Population-based assessments of contraceptive use over time can guide programs and policies. To achieve reproductive health equity and reduce unmet contraceptive need, future efforts to increase LARC use should focus on young women and those with less education.


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