scholarly journals Effect of counseling on contraceptive uptake in Nigeria

2018 ◽  
Vol 6 (3) ◽  
pp. 1-6
Author(s):  
O.R. Balogun ◽  
A. Adewole ◽  
A.S. Adeniran ◽  
R. Adegboye

Despite multiple options for contraception, choices are limited with low satisfaction among clients in low resource countries. Effective counseling may improve satisfaction and compliance if adequately pursued. The objective of this study was to evaluate the influence of counseling on contraceptive choices and its associated factors. This was a prospective, descriptive study involving consenting family planning clients at the family planning clinic of a tertiary hospital in Ilorin, Nigeria. All participants completed an interviewer administered questionnaire designed for the study. Statistical analysis was done using SPSS version 21.0 (IBM, USA) and p value <0.05 was significant. Among the 260 participants, the mean age was 30.3±5.7 years, mean parity 3.0±1.0 and modal age 20–39years (93.5%). The commonest preferred contraceptive pre- and post-counseling was intrauterine device (36.5% vs. 53.5%); increased post-counseling desire was reported for injectables (28.8% vs. 35.4%) and implant (0% vs. 3.1%). Preferences increased post-counseling for highly effective methods (38.1% vs. 60.4%; p<0.0001), long term methods (38.1% vs. 60.4%; p<0.0001) and permanent methods (1.5% vs. 3.8%; p<0.001). Significant predictor of contraceptive choice precounseling was level of education (p=0.032) and parity (p<0.001) post-counseling. The study shows that counseling can improve choices, encourage satisfaction and possibly enhance compliance among contraceptive clients.Journal of Medical and Biomedical Sciences (2017) 6(3), 1 - 6

2021 ◽  
Vol 8 (2) ◽  
pp. 70-74
Author(s):  
Surya Anita ◽  
Dewi Rismauli Bancin ◽  
Friska Sitorus

The decrease in TFR (Total Fertility Rate) will be closer to the condition of the population growing in balance, a strategy is needed in the implementation of the family planning program. Activities that can be carried out are promoting long-term effective contraceptive methods. This study aims to determine the understanding and support of husbands for the participation of mothers in becoming IUD KB acceptors in Secanggang District, Langkat Regency. The research design used in this study was an analytical survey with cross sectional approach. The sample in this study was 30 respondents who came and wanted to do family planning. The data analysis used was univariate and bivariate analysis. The results of this study indicate that there is a significant relationship between Husband's understanding of the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency, with a  pvalue of 0.000. And there is a significant relationship between the husband's support for the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency  with a p value of 0,000. It is hoped that it can increase respondents' knowledge about contraceptives so that they can support and understand their wives in choosing contraceptives.   Keywords: Understanding, Support, IUD


Author(s):  
INTAN SARI INTAN SARI

ABSTRAK AKDR (Alat Kontrasepsi Dalam Rahim) merupakan kontrasepsi yang dimasukkan melalui serviks dan dipasang di dalam uterus. Banyak keunggulan metode kontrasepsi AKDR) / AKDR ini, namun tidak semua yang berminat dikarenakan berbagai alasan yang berbeda-beda seperti takut efek samping, takut proses pemasangan, dilarang oleh suami karena takut benangnya mengganggu saat bersenggama dan kurangnya pengetahuan tentang KB AKDR. Penelitian ini bertujuan untuk diketahuinya faktor-faktor yang berhubungan antara umur, pendidikan, pekerjaan dan paritas dengan Penggunaan Kontrasepsi AKDR di Klinik Budi Mulia Medika Palembang tahun 2015. Jenis penelitian ini adalah kuantitatif menggunakan metode survei analitik dengan pendekatan crosss sectional. Populasi dalam penelitian ini adalah seluruh peserta KB aktif yang menggunakan kontrasepsi sebanyak 256 orang. Analisa data menggunakan uji statistik Chi–Square. Hasil analisis univariat ini menunjukkan bahwa responden yang menggunakan kontrasepsi AKDR sebesar 146 (57%) lebih besar dari yang menggunakan kontrasepsi selain AKDR 110 (43%). Analisa bivariat menunjukkan ada hubungan yang bermakna antara Umur (P value=0,010), Pendidikan (P value=0,005), Pekerjaan (P value=0,025) dan Paritas (P value=0,000) dengan Pemakaian Kontrasepsi AKDR. Dari hasil analisis  multivariat menunjukkan variabel yang paling berpengaruh adalah paritas dengan Exp (B) = 2.928. Disarankan Hasil penelitian ini dapat dijadikan sebagai bahan informasi bagi klinik untuk mengevaluasi program KB terutama kontrasepsi AKDR pada wanita dan dapat mengetahui jumlah akseptor yang menggunakan kontrasepsi jangka panjang atau KB efektif serta dapat mengadakan penyuluhan tentang kontrasepsi AKDR sehingga membuat semua akseptor KB aktif berganti cara untuk berminat menggunakan kontrasepsi jangka panjang yaitu kontrasepsi AKDR.   ABSTRACT The IUD (intrauterine device) is a contraceptive that is inserted through the cervix and placed in the uterus. Many advantages of the IUD contraceptive method) / IUD, but not all that interested in due to various reasons which vary as the fear of side effects, fear of the installation process, forbidden by the husband for fear of disturbing yarn during intercourse and lack of knowledge about the IUD birth control. This study aims to know the factors related between age, education, work and parity with the IUD contraceptive use in the Budi Mulia Medika Palembang clinic 2015. The research is a quantitative survey method crosss sectional analytic approach. The population in this study are all planning participants actively use contraception as many as 256 people. Analysis of data using statistical test Chi-Square. The results of univariate analysis showed that respondents who use IUD contraception is 146 (57%) greater than that using an IUD contraception other than 110 (43%). Bivariate analysis showed no significant relationship between age (P value = 0.010), Education (P value = 0.005), Employment (P value = 0.025) and parity (P value = 0.000) with the IUD Contraception. Multivariate analysis showed that the most influential variable is parity with Exp (B) = 2,928. Suggested results of this study can be used as information for the clinic to evaluate family planning programs, especially contraceptive IUD in women and can determine the number of acceptors that use long-term contraception or family planning effectively and be able to conduct counseling on contraceptive IUD thus making all acceptors actively changed the way for interested using long-term contraception is contraception IUD.


Author(s):  
Elfa Lailatul Izza

One the factors that influence the succes of family planning is husband support. Based on BKKBN data until the end of December 2015, the quantity of PUS (Couple Age Fertile) amounted to 13,46%. This figur is lower than the achievement in 2014 which amounted to 16,51%. While for acceptor of KB injection equal to 49,93%, pill 26,36%, IUD 6,81%, implant equal to 9,63%, other method 2,1% (BKKBN, 2016). This study aims to determine the relationship of husband support with long-term family participation in BPM Sri Hastuti S.ST Surabaya            The type of this research is the observasional design of the population in this study is the family planning acceptors  which amounted to 45 people, the sample in this study is the family planning acceptors in July 2017 which amounted to 40 people. The data of this research was done in July 2017 by using questionnaire and presented in diagram.            Family planning acceptors who have husband support in the selection of long-term contraceptives is 5 people (12%) who didn’t participate some 35 people (88%).            The quantity of family planning acceptors taking long-term contraceptive methods was 19 (47%) while those who did not participated in 21 people (53%). Based on statistical test using chi square, it is found that p value 0,012 < α (0,05) and calculate value x² 6,316 > count value 3,841, in other words, Ho is rejected and Hi is accepted so it can be concluded that there is relationship of husband support with long-term family participation. This is in accordance with the theory that a wife in decision making to use contraception requires approval from the husband because the husband is seen  as the head of the family.


2020 ◽  
Vol 5 (4) ◽  
pp. 36
Author(s):  
Mwangi John Hiuhu ◽  
Maina Eva Mumbi ◽  
Mutinda Lewis Muendo ◽  
Maingi Nancy Nyambura

Purpose: the main objective of the study was to assess male partner involvement in long term contraceptive uptake among selected couples in Murang’a county central Kenya Methodology: This was a descriptive, cross-sectional study employing both qualitative and quantitative approaches. Data collection tools were Interviewer administered - Semi Structured Questionnaires, Key Informant interviews guide and Focused Group Discussions guide .Pre-test of Instruments was done at Othaya Sub County in Nyeri. Eligible couples were systematically sampled using the EPI spatial sampling methods adopted by WHO for use in low income countries Data was analyzed using SPSS version 20 software. Descriptive statistics, chi square, binary and multiple logistic regressions was computed. Those variables that were significant at P-value ≤ 0.05 were entered into multivariate analysis. The odds ratio was calculated to assess the association and strength of association of variables. P-value < 0.05 was taken as a cut point. Qualitative data was triangulated with the quantitative data to enhance validity and reliability of the study findings. Findings: Majority of couples interviewed (73%) reported being in a long-term relationship Most participants (61%) cited male involvement as male partner participation and contribution, which they believed was important in family planning services utilization. Whereas most women(57%)  reported that the partner’s permission was not necessary and the decision to use any family planning method was their own, key informant indicated that despite receiving information about benefits of long-term family planning method, many women remained (53%) reluctant to undergo some procedures without first obtaining their partners permission. Most of the male partners(51%)  were not willing to undergo vasectomy as they equated it with castration and the stigma which was to accompany the tag. Unique contribution to theory, practice and policy: There is need to increase the level of knowledge and awareness among male partners on long term family planning methods and their benefits. Future research should explore the feasibility and effectiveness of engaging male partners in utilization of long-term family planning methods


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


2016 ◽  
Vol 2 (3) ◽  
pp. 106
Author(s):  
Ardhiyani Muslimah ◽  
Nur Indah Rahmawati

<p>Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318&gt;(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.</p>


2012 ◽  
Vol 34 (1) ◽  
pp. 244-253 ◽  
Author(s):  
Gillian Schofield ◽  
Mary Beek ◽  
Emma Ward

2019 ◽  
Vol 8 (1) ◽  
pp. 52
Author(s):  
Pratiwi Purbaningrum ◽  
Iswari Hariastuti ◽  
Arief Wibowo

Intrauterine Device (IUD) is one type of contraceptives that is made from flexible plastic and implanted in the uterus. The IUD is included as a long-term contraception which is very effective in regulating the distance of pregnancy, is reversible, and can be worn by women of all reproductive ages. Therefore, the government is doing all kinds of effort to the number of IUD users. Surprisingly, the number of women using the IUD has kept decreasing every year. This study aims to analyze the factors affecting the low use of IUD contraception in East Java in 2015. The data were obtained from the Mid-term Development Plan Survey in 2015 by taking a sample from all the women who were willing to be interviewed in the Mid-term Development Plan Survey in East Java Province with the following characteristics: being 15–49 years of age, being married, not getting pregnant, and were still using contraceptions. There were 1,220 respondents who could be interviewed. The result of binary regression testing with a significant degree of 5% yielded three significant variables, namely age (P-value = 0.002), education (P-value = 0.000), and birth control service (P-value = 0.000). Healthy women who were around 15–19 years old, had low education, and had limitted access to private birth control services tended to avoid the IUD contraception more. Therefore, it is expected that the government is making cooperation with the related sectors in an attempt to increase the use of IUD contraceptives in the East Java Province in 2015 with more emphases on age, education and birth control service locations.


2011 ◽  
Vol 5 (4) ◽  
pp. 171
Author(s):  
Aragar Putri ◽  
Besral Besral

Efisiensi dan efektivitas sistem informasi keluarga berencana (KB)-kesehatan yang telah disosialisasikan sejak tahun 2007 dibandingkan dengan sistem yang lama belum diketahui. Suatu penelitian survei dilakukan di empat provinsi, yaitu DKI Jakarta, Lampung, Kalimatan Tengah, dan Bali. Di tiap provinsi dipilih dua kabupaten/kota dan pada tiap kabupaten/kota dipilih dua puskesmas (kecamatan) yang sudah menerapkan sistem informasi KB-kesehatan tersebut. Pengumpulan data dilakukan pada bulan Juni-September 2008. Penelitian ini menemukan bahwa efektivitas dan efisiensi sistem informasi KB yang baru cukup baik, 77,8% responden menyatakan lebih efektif atau sangat lebih efektif dan 66,7% responden menyatakan lebih efisien atau sangat lebih efisien dibandingkan dengan sistem yang lama. Skor efektivitas dan efisiensi berbeda antar provinsi (nilai p <0,01), skor terendah di provinsi Bali (rata-rata 68,9 untuk efektivitas dan 61,3 untuk efisiensi), dan skor tertinggi di Kalimantan Tengah (rata-rata 82,7 untuk efektivitas dan 82,2 untuk efisiensi). Tidak ada perbedaan skor efektivitas dan efisiensi sistem informasi KB menurut lingkup kerja dan jabatan responden (nilai p> 0,05). Disarankan kepada Kementerian Kesehatan untuk dapat melakukan perbaikan pada komponen sistem informasi keluarga berencana, terutama dalam pembuatan grafik pemantauan wilayah setempat KB dan mengimplementasikannya di pelayanan KBdi puskemas beserta jaringannya.Kata kunci: Efektivitas, efisiensi, sistem informasi, keluarga berencanaAbstractA study is to know the efficiency and effectiveness of the new family planning information system that has been socialized since 2007. To compare with the previous information system, this study was conducted in four provinces i.e., DKI Jakarta, Lampung, Central Kalimatan, and Bali. In each province two districts were randomly selected, and from each selected district two health centers were then randomly selected. Data was collected from June to September 2008. Results of this study revealed that the effectiveness and efficiency of the new family planning information system is considered good, where 77,8% of the respondents reported it as effective or more effective, and 66,7% stated more or much more efficient compared to the previous system. The mean score for effectiveness and efficiency vary between provinces (p-value <0,01). The lowest score was found in Bali (mean 68,9 for effectiveness and 61,3 for efficiency), and the highest scorewas in Central Kalimantan (mean 82.7 for effectiveness and 82.2 for efficiency). There is no significant difference of the score according to characteristics of the respondents. This study recommends to improve the family planning information system, especially by providing and implementing thelocal monitoring graph, in the health center and its network.Key words: Effectiveness, efficiency, information system, family planning


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