scholarly journals Demand for Long Acting Reversible Contraceptives and Associated Factors among Women Accessing Family Planning Service in ARFH Model Clinic Ibadan, South West Nigeria

2016 ◽  
Vol 01 (03) ◽  
Author(s):  
Adako O ◽  
Okunfulure FO
Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 87 ◽  
Author(s):  
Amie L. Bingham ◽  
Cameryn C. Garrett ◽  
Anne M. Kavanagh ◽  
Louise A. Keogh ◽  
Rebecca J. Bentley ◽  
...  

Background Long-acting reversible contraceptives are an effective means of preventing unwanted pregnancies and associated negative consequences. The Sexual Health and Family Planning Association of Australia has called for efforts to address barriers to the uptake of long-acting reversible contraceptives (LARCs) in Australia, where LARC uptake is thought to be low, though comprehensive data describing use and associated factors is scarce. The aims of this study were to describe patterns of prescriptions for the etonogestrel-releasing subdermal implant (SDI) in Australia, 2008–2012, and associated factors. Methods: Records of prescriptions written through Australia’s Pharmaceutical Benefits Scheme from 2008 to 2012 were obtained, including patient age and geographic location. Direct, age-standardised rates (ASR) of prescriptions were calculated for each year and location, with multivariate analysis used to examine associations between prescription rates and patient age, location and proximity to family planning clinics (FPC) or Aboriginal Medical Services (AMS). Results: ASR of prescriptions rose ~6% per year (OR 1.06, 95%CI: 1.05–1.06) from 13.05 per 1000 (2008) to 15.76 per 1000 (2012; P < 0.01). Rates were highest among 15- to 19-year-olds, increasing from 20.81 (2008) to 29.09 per 1000 (2012: P < 0.01) and lowest among 45- to 49-year-olds, increasing from 3.37 to 3.73 per 1000 (P < 0.01). ASR by location were significantly higher in regional than metropolitan areas. Conclusions:This is the first analysis of SDI prescriptions across all ages and regions of Australia. Uptake of SDI in Australia is increasing but remains low. Significant associations were found between prescription rates and patient age and residence in regional/remote areas.


Author(s):  
Tamirat Tesfaye Dasa ◽  
Teshager Worku Kassie ◽  
Aklilu Abrham Roba ◽  
Elias Bekele Wakwoya ◽  
Henna Umer Kelel

Abstract Background Even though the modern contraceptive use was improved in Ethiopia, the utilization of long-acting family planning services is still low because of numerous factors. The aim of this systematic review was to synthesize logical evidence about factors associated with long acting family planning service utilization in Ethiopia. Methods The participants of the study were married women of reproductive age in Ethiopia. This search included all published and unpublished observational studies written in the English language conducted before April 30, 2018, in Ethiopia. Electronic and non-electronic sources were used. PubMed, MEDLINE (EBSCO), CINHAL (EBSCO), Embase (EBSCO), POPLINE and the search engines like Google, Google Scholar Mednar and world cat log were used. The overall selected search results were 15 studies. Each study was evaluated using the Joanna Briggs Institute Quality Assessment Tool for Observational Studies. Data synthesis and statistical analysis were conducted using ReviewManagerVersion5.3.5. Results Women’s inadequate knowledge level [OR, 0.29; 95% CI: 0.10, 0.83, P = 0.02], women’s age between 15 and 34 [OR, 0.82; 95% CI: 0.53, 0.93, P = 0.01], not having electronic media [OR, 0.65; 95% CI: 0.53, 0.79, P < 0.0001] and women from rural area [OR = 0.65;95% CI:0.50, 0.81, P = 0.0009] were less likely associated in the use of long-acting family planning services. The odds of utilizing long acting family planning methods were high among non-government- employed women and husband [OR, 1.77; 95% CI: 1.29, 2.43, P = 0.0004], [OR, 1.69; 95% CI: 1.33, 2.15, P < 0.0001] respectively. Having no previous exposure to any modern family planning method [OR = 2.29; 95%CI: 1.83, 2.86, P < 0.00001] and women having no discussion with husband [OR = 1.92 (95%CI: 1.50, 2.45) P < 0.00001] were more likely associated in the utilization of long-acting family planning services. Conclusion Lack of information and knowledge, having discussion with husband, being women of younger age, having less than five living children, being government-employed women and husband, not having electronic media, and being residents in rural area were significant barriers for underutilization of long acting family planning methods in Ethiopia. Hence, the investigators suggest that key stakeholders should design interventions strategies to avert attitudinal, cultural and informational barriers towards long-acting family planning methods. Systematic review registration PROSPERO: 2018: CRD42018096373.


2019 ◽  
Author(s):  
Tadesse Wuletaw Demissie ◽  
Arya Mesfin Nigatu ◽  
Enatinesh Mesfin Tegegne

AbstractBackgroundMen’s involvement in family planning can be either as a user of male contraceptive methods and or supportive partner of female users.It is very important to improve women’s health in particular and reproductive health in general. In some developing countries, levels of communication on this issue are low for decision-making. Communication and discussion positively affect contraceptive uptake and continued use, whereas failure to communicate limits couples’ effective and sustained contraceptive use. Unmet need for FP suggested that unwanted pregnancy and unsafe abortion are the main causes of maternal mortality in Ethiopia.ObjectiveTo assess men’s involvement in family planning service and associated factors among married men at Debre Tabor Town, Northwest Ethiopia.MethodsA community based cross-sectional study design was conducted from April to June. 2017 at Debre Tabor Town. Simple random sampling method was recruited then systematic sampling technique was used to include 382 married males. Data were collected by face to face interview using a structured questionnaire. The data were entered into epi. Info 7 and descriptive statistics were analyzed using SPSS version 21 statistical software package.ResultFrom three hundred eighty-two participants, 373 participants with 97.6% response rate participated in the study. The age range of the participant was from20 to 65years, the mean age was 38.6 with the standard deviation of 7.8. Majority of the participants were orthodox 358(96%). One hundred twenty-four (33.2%) were greater than secondary education and from the occupation, farmers took the least rank 4 (2.4%). The magnitude of male involvement in family planning was 254(68.1%), 370 (99 .2%) of the participants had information on different family planning methods. Adjusting all other factors for the last model, educational status AOR [95%CI] = 2.39 [1.084, 5.260], source of information information AOR [95%CI] =1.88 [1.016, 3.485], men’s approval AOR [95%CI] = 0.07 [0.036, 0.134], ever used contraceptive AOR [95%CI] = 0.21[0.064, 0.705] were found to be associated with men’s involvement.ConclusionThe level of male involvement was moderate, but their actual utilization is low.


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