scholarly journals Perception of family planning and reasons for low acceptance of NSV among married males of urban slums of Lucknow city - A community based study

2020 ◽  
Vol 9 (1) ◽  
pp. 303
Author(s):  
Shazia Shafi ◽  
Uday Mohan
Keyword(s):  
Family Planning ◽  
Urban Slums ◽  
Community Based

scholarly journals Adaptation of community-based distribution of family planning services to context-specific social networks: a case of marriage counsellors in Lusaka district, Zambia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lucy Nyundo ◽  
Maxine Whittaker ◽  
Lynne Eagle ◽  
David R. Low
Keyword(s):  
Social Network ◽  
Family Planning ◽  
Qualitative Data ◽  
Accurate Information ◽  
Sources Of Information ◽  
Community Based ◽  
Family Planning Services ◽  
Fertility Decisions ◽  
Modern Contraceptives ◽  
The Social

Abstract Background The significant contribution of community-based distribution (CBD) of family planning services and contraceptives to the uptake of contraceptives in hard-to-reach communities has resulted in the scaling-up of this approach in many Sub-Saharan countries. However, contextual factors need to be taken into consideration. For example, social network influence (e.g. spouse/partner, in-laws, and parents) on fertility decisions in many African and Asian societies is inevitable because of the social organisational structures. Hence the need to adapt CBD strategies to the social network context of a given society. Methods Data collection involved structured interviews from August 2018 to March 2019. Randomly selected respondents (n = 149) were recruited from four purposively selected health facilities in Lusaka district, Zambia. Respondents were screened for age (> 15 yrs.) and marital status. A mix of categorical and qualitative data was generated. The Statistical Package for Social Sciences (SPSS®24) was used to carry out descriptive analysis and tests of association (Fisher’s exact) while Nvivo®12 was used to analyse the qualitative data using a deductive thematic approach. Results The results indicate that pre-marriage counselling (pre-MC) influences key elements of the husband-wife relationship (p > 0.005), namely; sexual relationship, inter-personal communication, assignation of roles and responsibilities, leadership and authority. These elements of the husband-wife relationship also affect how spouses/partners interact when making fertility decisions. More importantly, the majority (86%) of the respondents indicated having a continuing relationship with their marriage counsellors because of the need to consult them on marital issues. Conclusion Marriage counsellors, though hardly reported in fertility studies, are important ‘constituents’ of the social network in the Zambian society. This is because marriage counsellors are trusted sources of information about marital issues and often consulted about family planning but perceived not to have the correct information about modern contraceptives. In this context, pre-MC offers a readily available, sustainable and culturally appropriate platform for disseminating accurate information about modern contraceptives provided in a private and personal manner. Therefore, the CBD strategy in Zambia can harness marriage counsellors by recruiting and training them as community agents.

scholarly journals Men’s involvement in family planning service utilization among married men in Kondala district, western Ethiopia: a community-based comparative cross-sectional study

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Lemessa Assefa ◽  
Zemenu Shasho ◽  
Habtamu Kebebe Kasaye ◽  
Edao Tesa ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Family Planning ◽  
Service Utilization ◽  
Family Planning Service ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Planning Service ◽  
Community Based ◽  
Cross Sectional ◽  
Western Ethiopia ◽  
Men’S Involvement

Abstract Background Men involvement is one of the important factors in family planning (FP) service utilization. Their limitation in the family planning program causes a decrease in service utilization as well as the discontinuation of the method which eventually leads to failure of the program. Family planning uptake is low but there is no enough study conducted on the parameters of husband involvement in Ethiopia. Hence, this study focused to assess men’s involvement in family planning service utilization in Kondala district, western Ethiopia. Methods Community based comparative cross-sectional study design was employed in urban and rural kebeles of kondala district using quantitative and qualitative data collection tools. The multi-stage sampling method was employed to select 370 participants from each of the four urban and eight rural kebeles. Logistic regression analysis was used to identify variables that affect husbands’ involvement in FP service utilization. Statistical significance was declared at p-value of < 0.05 with 95% confidence interval (CI) and strength of association was reported by odds ratio (OR). Results The study showed that 203(55.6%) men from urban and 178(48.8%) from rural were involved in FP service utilization. The median age of the respondents was 36+ 8.5 years (IQR: 27.5–44.5) in urban and 35 years (IQR: 25–45) in rural parts. Respondents who had four and above current children (AOR = 3.25, 95%CI = 1.51–7.02) in urban and (AOR = 4.20, 95%CI = 1.80–9.79) in rural were positively associated with men’s involvement in FP service utilization. In the urban setting, being government employee (AOR = 2.58, 95%CI = 1.25–5.33), wishing less than two children (AOR = 3.08, 95%CI = 1.80–5.24) and having a better attitude towards FP methods (AOR = 1.86, 95%CI = 1.16–2.99) were positively associated with FP service utilization. While good educational background (AOR = 2.13, 95%CI = 1.02–4.44), short distance from home to health facility (AOR = 2.29, 95%CI = 1.24–4.19) and having better knowledge (AOR = 4.49, 95%CI = 2.72–7.38) were positively associated with men involvement in FP service utilization in the rural area. Conclusion Low involvement of men in family planning service utilization was reported in both settings. Factors associated with husbands’ involvement were varied between the two setups, except for the current number of children. Future FP program should incorporate infrastructure associated with the health facility, knowledge, and attitudinal factors.

Community Health Education in Rural Ghana: The Danfa Project—An Assessment of Accomplishments

2005 ◽  
Vol 25 (1) ◽  
pp. 37-48 ◽  
Author(s):  
William B. Ward ◽  
Alfred K. Neumann ◽  
Matilda E. Pappoe
Keyword(s):  
Family Planning ◽  
Health Education ◽  
Study Data ◽  
Health Practices ◽  
Community Health Education ◽  
Community Based ◽  
Planning Project ◽  
Planning Methods ◽  
And Control

The Danfa Comprehensive Rural Health and Family Planning Project was a joint effort of the Ghana Medical School, the Ministry of Health, UCLA, and USAID. A health education component was developed as an integral part of program inputs during the initial conceptual phase of the project. As a result non-equivalent experimental and control areas were designated permitting an assessment of program impact during a five-year period (1972–1977) for which baseline and follow-up study data were available. A new cadre of community-based workers (Health Education Assistants) was developed from existing health personnel in the country, and trained in health education and multipurpose health work. Although the HEAs were found to have difficulty in bringing about changes in health practices when other support services were not available, they did have measurable impact on villagers' adoption of family planning methods and a number of specific health practices.

scholarly journals Implementasi Program Perlindungan Anak Terpadu Berbasis Masyarakat di Kota Palangka Raya

2018 ◽  
Vol 18 (1) ◽  
pp. 48-56
Author(s):  
Mita Sari ◽  
Wahyu Wahyu ◽  
Bachruddin Ali Achmad
Keyword(s):  
Family Planning ◽  
Child Protection ◽  
Population Control ◽  
Women's Empowerment ◽  
City Government ◽  
Women’S Empowerment ◽  
Community Based ◽  
The People ◽  
Planning Office ◽  
The City

The purpose of this study was to find out, explain how the implementation of an integrated community-based child protection program, as well as the factors that support and inhibit integrated community-based child protection programs. This research was conducted at the Department of Population Control and Family Planning, Women's Empowerment, Child Protection in Palangka Raya City using qualitative methods. The results of this study indicate that the Implementation of the Community Based Integrated Child Protection Program (PATBM) in the Department of Population Control and Family Planning, Women's Empowerment, Child Protection in Palangka Raya City includes the integrated community-based child protection program that has been running and on target, a community-based integrated child protection program is useful and accepted in the City of Palangka Raya, during the implementation of an integrated community-based child protection program there has been a decrease in the number of violence, Resources Implementation of integrated community-based child protection programs both in terms of human resources and budget is still lacking and inadequate, integrated community-based child protection program received a good response from the people of Palangka Raya City, and strategy undertaken by the Population Control and Family Planning Office, Women's Empowerment, Child Protection in Palangka Raya City in implementing a community-based integrated child protection program is to carry out socialization and training activities for activists or cadres of Integrated Community Based Child Protection in the City Government Palangka Raya.

Community-based distribution of family planning services in Saradidi, Kenya

1987 ◽  
Vol 81 (sup1) ◽  
pp. 135-143 ◽  
Author(s):  
Dan C. O. Kaseje ◽  
Esther K. N. Sempebwa ◽  
Harrison C. Spencer
Keyword(s):  
Family Planning ◽  
Community Based ◽  
Family Planning Services

scholarly journals Individual-level and community-level factors associated with the family planning use among pastoralist community of Ethiopia: a community-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036519 ◽  
Author(s):  
Mussie Alemayehu ◽  
Araya Abrha Medhanyie ◽  
Elizabeth Reed ◽  
Afework Mulugeta
Keyword(s):  
Family Planning ◽  
Cross Sectional Study ◽  
Married Women ◽  
Community Level ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Individual Level ◽  
Pastoralist Community ◽  
The Individual

ObjectiveThe study aimed to identify the effects of the individual-level and community-level factors on the use of family planning (FP) among married women in the pastoralist community of Ethiopia.DesignA community-based cross-sectional study was conducted in September 2018. Data were analysed using R software. To determine the fixed effect of individual-level and community-level factors of FP use, a two-level mixed-effects logistic regression was used. The result was described using the Adjusted OR (AOR), and the variance partition coefficient.Setting and participantsAfar, Ethiopia (2018; n=891) married women of reproductive age (15–49) years.Primary outcome measuresFP use or non-use.ResultsThe current use of FP was 18.7% (16.31%–21.43%). Women who need to walk 1 hour and more to the nearest health facility (AOR 0.14, 95% CI 0.05 to 0.3), have ANC visit of 4 and above (AOR 6.02, 95% CI 1.74 to 20.8), had their last birth at a health facility (AOR 2.71 95% CI 1.27 to 5.81), have five and more children (AOR 4.71, 95% CI 1.86 to 11.9), have high knowledge on FP (AOR 2.74, 95% CI 1.11 to 6.74) and had high intentions to use FP (AOR 10.3, 95% CI 3.85 to 27.6) were more likely to report FP use. The magnitude of the effect of for FP use was smaller than that of 9 of the 13 individual factors. Apart from this 19.4% of the total variance in the odds of using FP attributed to between community difference (intraclass correlation coefficient=0.194). Regarding the community-level characteristics, clusters of having higher electronic media possession (AOR 2.84, 95% CI 1.2 to 6.72) and higher women decision making on FP (AOR 8.35, 95% CI 2.7 to 27.1) were significantly associated with increased FP use compared with clusters with lower reports of these aspects.ConclusionFP use among the pastoralist community is influenced by both individual cluster/community-level characteristics or factors. Even though the effect of clustering in FP use was large in comparison with the unexplained between-cluster variation, it was lower than the individual-level factors.Trail registrtion numberNCT03450564

scholarly journals Comparison of preventive health service provision before and after reorganization of primary care in Turkey: a community-based study

2019 ◽  
Vol 20 ◽  
Author(s):  
Çiğdem Apaydın Kaya ◽  
Mehmet Akman ◽  
Pemra Cöbek Ünalan ◽  
Serap Çifçili ◽  
Arzu Uzuner ◽  
...  
Keyword(s):  
Primary Care ◽  
Vitamin D ◽  
Family Planning ◽  
Preventive Health ◽  
Planning Method ◽  
Family Planning Method ◽  
Healthy Children ◽  
Community Based ◽  
Care Services ◽  
At Home

Abstract Aim To investigate the changes in the provision of preventive health services in terms of woman and child health after reorganization of the primary health care services. Background The primary care system in Turkey has undergone fundamental changes as a part of Health Transformation Program during last decade. But there was no community-based study to evaluate these changes. Method This community-based and cross-sectional study was conducted in 2010, just before the reorganization of primary care services and in 2015, five year after the reforms. The 30×7 cluster sampling method was used in Zümrütevler quarter of Maltepe District. The socio-demographic characteristics of the participants, the presence of the physician who can be consulted for any health problem, the presence of smokers at home were questioned. The women aged 18 years or older and gave consent provided information about history of pregnancy and birth, the number of follow-ups during pregnancy, family planning method usage, cervical and breast cancer screening, breastfeeding duration, vaccinations, and prophylactic iron and vitamin D supplementation for their children. Findings After the reorganization of primary care, more people stated that they had physicians to whom they could consult for all kinds of health problems (27.8 versus 44.7%; P<0.001) and that physician was the primary care physician (30.2 versus 64.7%; P<0.001). The reported frequency of at least one smoker at home was decreased after reorganization of primary care (63.6 versus 53.1%; P=0.034). There were no significant differences in terms unplanned pregnancy, the use of family planning method, the number of pregnancy follow-ups and the frequency of Pap smears and mammography. There are no significant differences in terms of healthy children follow-ups, vaccination, vitamin D and iron supplementation (P>0.05). It was found that the duration of total breastfeeding increased after reorganization of primary care (P<0.001).

Sign in / Sign up

Export Citation Format

Share Document