Current Status and Correlates of Modern Family Planning Utilization in Hard to Reach Ethnic Minorities: The Case of Gumuz, Northwest Ethiopia

This paper explores inequalities in the use of modern family planning methods among married women of reproductive age (MWRA) in rural Nepal. Data from the 2012 Nepal Household Survey (HHS) were utilized, which employed a stratified, three-stage cluster design to obtain a representative sample of 9,016 households from rural Nepal. Within the sampled households, one woman of reproductive age was randomly selected to answer the survey questions related to reproductive health. Only four out of every ten rural MWRA were using a modern family planning method. Short-acting and permanent methods were most commonly used, and long-acting reversible contraceptives were the least likely to be used. Muslims were less likely to use family planning compared to other caste/ethnic groups. Usage was also lower among younger women (likely to be trying to delay or space births) than older women (likely to be trying to limit their family size). Less educated women were more likely to use permanent methods and less likely to use short-term methods. To increase the CPR, which has currently stalled, and continue to reduce the TFR, Nepal needs more focused efforts to increase family planning uptake in rural areas. The significant inequalities suggest that at-risk groups need additional targeting by demand and supply side interventions.

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Effects of community-based health insurance on modern family planning utilization in Ethiopia

Gates Open Research ◽

10.12688/gatesopenres.12960.1 ◽

2019 ◽

Vol 3 ◽

pp. 1461

Author(s):

Girma Kassie ◽

Bekele Tefera

Keyword(s):

Health Care ◽

Health Insurance ◽

Family Planning ◽

Married Women ◽

Reproductive Age ◽

Community Based ◽

Community Based Health Insurance ◽

Outcome Monitoring ◽

Modern Family ◽

Modern Family Planning

Background: Community-based health insurance (CBHI) has been established in a number of developing countries to expand access to modern health care service. However, few studies have focused on health care utilization of CBHI members in Ethiopia. Accordingly, the aim of this study was to assess the effect of CBHI on modern family planning (FP) utilization as part of its routine outcome monitoring activities. Methods: The USAID Transform: Primary Health Care project, conducted a continuous monitoring follow up visit using a multistage sampling technique in its four major targeted regions. A total of 3433 households were selected and 3313 women of reproductive age (15-49 years) were interviewed. The questionnaire captured the CBHI status of each household and FP use data from randomly selected women. Microsoft Access database was used to enter the data, which was then transferred to SPSS Version 20 for further analysis. Results: In total 50.8% of married women (aged 15-49 years) were found to be enrolled in CBHI. Current modern FP use is 47.5% among married women in project-supported areas. Modern FP use is 50.9% among married women who are exposed to CBHI schemes, versus 44.1% among women who are not exposed to CBHI which is statistically significant. Conclusions: Modern FP utilization among insured women was higher compared with uninsured women. While FP methods are provided for free, CBHI enrolment improves FP use among women of child-bearing age. Women who have access to CBHI may frequently visit health facilities seeking services for themselves and their families, during which they may be introduced to FP services. This in turn may improve their awareness and attitude towards FP. The results will increase awareness for program implementers of the benefits of CBHI schemes in FP programming, particularly in rural settings, and provide an opportunity to increase lifelong returns in Ethiopia.

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A Composite Index to Measure Family Planning Performance with Application to India

10.1101/2020.12.16.20248368 ◽

2020 ◽

Cited By ~ 1

Author(s):

Aalok Ranjan Chaurasia

Keyword(s):

Family Planning ◽

Development Strategy ◽

Performance Index ◽

Significant Variation ◽

Composite Index ◽

Modern Family ◽

Planning Methods ◽

Method Mix ◽

Modern Family Planning ◽

Family Planning Methods

AbstractThis paper develops a composite family planning performance index that takes into account the met demand for modern family planning methods and the structure of the met demand or the method mix. Application of the index to India suggests that, although, there has been an improvement in India’s family planning performance, yet it has remained poor throughout the period 1992 through 2016 and there are significant variation in the performance across states/Union Territories and across districts. The classification modelling exercise reveals that districts in India can be grouped into eight clusters in terms of family planning performance and both met demand for modern family planning methods and the structure of the met demand are essentially different in different clusters. The paper emphasises that family planning in the country must be promoted as a development strategy rather than an intervention to limit births.

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Immediate Postpartum Modern Family Planning Utilization and Associated factors among women gave birth public Health facilities, Addis Ababa, Ethiopia

10.21203/rs.3.rs-479663/v2 ◽

2021 ◽

Keyword(s):

Public Health ◽

Family Planning ◽

Full Text ◽

Associated Factors ◽

Addis Ababa ◽

Health Facilities ◽

Public Health Facilities ◽

Modern Family ◽

Modern Family Planning

Abstract The full text of this preprint has been withdrawn by the authors due to author disagreement with the posting of the preprint. Therefore, the authors do not wish this work to be cited as a reference. Questions should be directed to the corresponding author.

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