“Impact on Family Planning Services in Primary Healthcare Facilities in Rural Sindh – Secondary Data Analysis of Pre- and on-going COVID-19 Crisis Period”

The current COVID-19 pandemic has devastated the improvements in family planning services during the past years. This study assessed the impact of the global pandemic that compromised the provision of family planning services in primary healthcare facilities in Sindh – Pakistan. A retrospective data from District Health Information System (DHIS) before Covid-19 (January – February 2020) and during Covid-19 (March – June 2020) was extracted on the provision of family planning services in primary healthcare facilities in Sindh. The study was conducted to understand the impact of service provision through time-series trend analysis by comparing two health facilities i.e., BHUs and BHU plus facilities on monthly average visits (Jan-Feb average) and differences in percentage change over time on the uptake of short and long-acting family planning methods. The findings suggested that due to lockdown and restrictive mobility, the family planning services have fallen drastically in terms of clients visit the health facility from the onset of the COVID-19 outbreak in the month of March 2020 and remain stagnant till June 2020 as compare to before COVID-19 period. The overall analysis revealed the largest decay in the uptake of family planning methods specifically, pills with 31% and 26% during April 2020 in BHU and BHU plus facilities. On the contrary, uptake of Implants showed 25% and 23% decline in the month of June and May in BHU and BHU plus facilities respectively, compared to the average percentage of the pre-COVID Period. The COVID-19 pandemic has adversely affected the provision of family planning services and steeply decreased the uptake of Pills and Implants in primary healthcare facilities in Sindh. On the contrary, the disruption and decrease in services have provided an opportunity to undertake further research exploration to develop future strategies and policies to combat health challenging situations in such pandemics.

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“Impact on Family Planning Services in Primary Healthcare Facilities in Rural Sindh – Secondary Data Analysis of Pre- and on-going COVID-19 Crisis Period”

Journal of Medicine and Healthcare ◽

10.47363/jmhc/2021(3)169 ◽

2021 ◽

pp. 1-6

Author(s):

Nelofer Baig ◽

Keyword(s):

Family Planning ◽

Primary Healthcare ◽

Health Information System ◽

District Health ◽

Family Planning Services ◽

Healthcare Facilities ◽

Average Percentage ◽

Planning Methods ◽

The Impact ◽

Family Planning Methods

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HUBUNGAN UMUR DAN PARITAS DENGAN PEMILIHAN ALAT KONTRASEPSI METODE OPERASI WANITA (MOW) DI POLIKLINIK KEBIDANAN RS BHAYANGKARA PALEMBANG TAHUN 2012

Jurnal Kebidanan : Jurnal Medical Science Ilmu Kesehatan Akademi Kebidanan Budi Mulia Palembang ◽

10.35325/kebidanan.v3i2.47 ◽

2019 ◽

Vol 3 (2) ◽

Author(s):

Y. Widyastuti Y. Widyastuti

Keyword(s):

Family Planning ◽

Medical Records ◽

Test Results ◽

Family Planning Services ◽

Chi Square ◽

Cross Sectional ◽

Planning Methods ◽

Chi Square Test ◽

Family Planning Methods ◽

Selection Of

ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW). ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya 9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden (55%) dan yang memiliki paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB di RS. Bhayangkara Palembang agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).

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The attitudes and activities of pastors and faith leaders in Zimbabwe on the use of family planning methods among their members

Christian Journal for Global Health ◽

10.15566/cjgh.v4i2.188 ◽

2017 ◽

Vol 4 (2) ◽

pp. 66-74 ◽

Cited By ~ 1

Author(s):

Moses Alikali

Keyword(s):

Family Planning ◽

Non Profit ◽

Healthcare Facilities ◽

Face To Face ◽

Faith Leaders ◽

Correct Information ◽

Planning Methods ◽

The Government ◽

The Right ◽

Family Planning Methods

Background Faith leaders are important gatekeepers in disseminating reproductive health messages and influencing positive behavior change within communities. Faith leaders are seen as the most powerful, visible, and reachable form of authority, even trusted more than governments or non-profit organizations. In addition to providing counsel and advice aimed at enhancing health and wellbeing of the worshippers, faith leaders also play an important role in advocating and influencing what is taught in schools and what services are provided in healthcare facilities. Because of this influence, faith leaders often have an unparalleled opportunity—indeed, a moral obligation—to prioritize conversations about family planning, advocating, and closing the contraception gap. The overall objective of this study was to ascertain the attitude and activities of pastors and faith leaders in Zimbabwe on the use of family planning methods among their members. The result revealed that some faith leaders believed that spreading information about family planning education was the responsibility of the government and tended to avoid such responsibility. However, through training on family planning advocacy, much can be achieved. Methods Qualitative study methods were used to better understand the attitude and activities of pastors and faith leaders in Zimbabwe on the use of family planning methods among their members. The participants of this survey were drawn from 8 of 10 provinces in Zimbabwe, which include: Bulawayo, Harare, Manicaland, Mashonaland Central, Mashonaland East, Mashonaland West, Masvingo, and Matabeleland North. Paper-based questionnaires were answered by 24 pastors and 26 faith leaders in Zimbabwe (Table 1) through personal face-to-face meetings, while interviews were conducted with a select few pastors and faith leaders. The samples were drawn from randomly selected churches in Zimbabwe. Data was analyzed using Epi info 7 and Microsoft Excel. Results Generally, the pastors and faith leaders understood the benefits of longer birth intervals for the health of their members and their children, and the need for them to be involved in family planning awareness. However, both seemed slow to incorporate family planning into their programs. The faith leaders indicated an interest in being a part of various forms of campaigns to promote family planning if they could be equipped with correct information on family planning. Many strongly believed family planning to be of great importance to them and their families in situations where their financial incomes were low, and that family planning could reduce the rate of abortion. A majority agreed family planning was in agreement with their religious beliefs. Some felt their members had basic information on family planning methods, but only 44 percent of the faith leaders actually counseled their members on family planning methods from time to time. Although many would like to be part of those who create awareness in their various places of worship, only 28 percent of them had the right information on family planning through training. Conclusion One major factor for the limited involvement of faith leaders in family planning awareness is their lack of correct information on family planning. The gap can be narrowed by organizing family planning advocacy training workshops. Networks such as Africa Christian Health Association Platform (ACHAP), the Islamic Medical Association of Zimbabwe (IMAZ), Zimbabwe Association of Church-Related Hospitals (ZACH), and Zimbabwe Council of Churches (ZCC) can also be leveraged to disseminate and accelerate the spread of family planning information.

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Quality of family planning services delivered at health posts and associated factors

British Journal of Midwifery ◽

10.12968/bjom.2020.28.8.476 ◽

2020 ◽

Vol 28 (8) ◽

pp. 476-484 ◽

Cited By ~ 1

Author(s):

Andualem Tamiru ◽

Alemi Kebede ◽

Tesfaye Dagne ◽

Mulugeta Berhanu ◽

Muluneh Getachew ◽

...

Keyword(s):

Family Planning ◽

Qualitative Data ◽

Cross Sectional Study ◽

Family Planning Services ◽

Cross Sectional ◽

Planning Education ◽

Jimma Zone ◽

Planning Methods ◽

Family Planning Methods

Background This study aimed to assess factors associated with quality of family planning services in the Jimma zone, Ethiopia, 2018. Method Cross-sectional study was conducted at health posts in the Jimma zone from 13 March to 13 April 2018. Logistic regression analysis was used to identify client satisfaction on family planning services and qualitative data were presented by triangulating with quantitative findings. Conclusion Less than 50% of clients were satisfied with family planning services which significantly associated with availability of family planning methods and attending family planning education. Therefore, family planning education and availing different family planning methods is important to improve family planning services at the Jimma zone health posts.

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Contraceptive method skew in India 1992-2016

10.1101/2020.07.14.20154013 ◽

2020 ◽

Cited By ~ 1

Author(s):

Aalok Ranjan Chaurasia

Keyword(s):

Family Planning ◽

Central Region ◽

Contraceptive Method ◽

Family Planning Services ◽

Regional Pattern ◽

Administrative Capacity ◽

Growth Increase ◽

Planning Methods ◽

Very High ◽

Family Planning Methods

This paper analyses the contraceptive method skew in districts of India over more than two decades. The analysis reveals clear regional pattern in the method skew. In the northern and eastern regions, method skew is low and average but high or very high in the southern part of the country where factors such as poverty, education, social class, religion contributes little to deciding the method skew. In the central region, religious composition of the population has an impact on the method skew. In northern and eastern regions, poverty and education have an impact on the method skew. The analysis indicates that India has focussed on only one method - female sterilisation - to promote family planning, reduce fertility and curtail population growth. Increase in the prevalence of other family planning methods, especially, modern spacing methods, appears to be the need of the time. This requires improving the organisational efficiency and strengthening the administrative capacity of the official family planning services is the need of the time.

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Awareness and acceptance of family planning methods amongst women undergoing MTP: a prospective study in Himalayan region

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20185004 ◽

2018 ◽

Vol 4 (12) ◽

pp. 291

Author(s):

B. R. Sharma ◽

Poojan Dogra ◽

Reena Sharma ◽

Sushruti Kaushal

Keyword(s):

Family Planning ◽

Reproductive Age ◽

Family Planning Services ◽

Medical Termination ◽

Planning Methods ◽

Planning Staff ◽

A Prospective Study ◽

Source Of Information ◽

Family Planning Methods

Background: Family planning services have important role in improving the quality of the lives of a couple and their economic welfare. The objective of the study was to assess the level of awareness and acceptance of different family planning methods among women undergoing to medical termination of pregnancy (MTP).Methods: This study was done at IGMC KNSHM&C Shimla on 1168 women who reported for MTP in department of Obstetrics and Gynaecology. This study was conducted to find out the awareness about the contraceptive practices, source of information and knowledge, the most preferred method and impact of MTP on acceptance of contraception. Results: Majority about 97.5% had knowledge about the contraceptive methods and only 2.5% were unaware of any method. Source of information was health and family planning staff. The next source was friends, relatives and mass media, teaching institutions had least role. In spite of knowledge only about 49% were practicing contraception prior to MTP that too OCP and CC only.Conclusions: Majority of women had optimal knowledge but only less than half of them were using contraceptives. Lacuna is still there, we need to educate and motivate couples to improve family planning services. There is a great need to strengthen the awareness, education and communication regarding various family planning methods in women of reproductive age group.

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Factors associated with long-acting family planning service utilization in Ethiopia: a systematic review and meta-analysis

Contraception and Reproductive Medicine ◽

10.1186/s40834-019-0095-z ◽

2019 ◽

Vol 4 (1) ◽

Cited By ~ 2

Author(s):

Tamirat Tesfaye Dasa ◽

Teshager Worku Kassie ◽

Aklilu Abrham Roba ◽

Elias Bekele Wakwoya ◽

Henna Umer Kelel

Keyword(s):

Systematic Review ◽

Family Planning ◽

Observational Studies ◽

Family Planning Service ◽

Planning Service ◽

Family Planning Services ◽

Employed Women ◽

Planning Methods ◽

Long Acting ◽

Family Planning Methods

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.

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Awareness, attitude and practice of family planning methods in a tertiary care hospital, Uttar Pradesh, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170370 ◽

2017 ◽

Vol 6 (2) ◽

pp. 500 ◽

Cited By ~ 3

Author(s):

Uruj Jahan ◽

Kavita Verma ◽

Shruti Gupta ◽

Renu Gupta ◽

Simmi Mahour ◽

...

Keyword(s):

Family Planning ◽

Tertiary Care ◽

Reproductive Age ◽

Common Source ◽

Care Hospital ◽

Family Planning Services ◽

Cross Sectional ◽

Level Of Education ◽

Planning Methods ◽

Family Planning Methods

Background: Family planning services have the potential to improve the quality of the lives of people and their economic welfare. The objective of the study was to assess the level of awareness, attitude, and current practice of different family planning methods and to elicit reasons for couples not using any method.Methods: A cross sectional descriptive study was done among 1050 married women of reproductive age .Results: Most of the women were between 21-34 years of age (60.1%) and had primary level of education (40%).It was observed that with increase in level of education, awareness also increased (77.7%). The most common source of information was mass media (53.2%). Contraceptive prevalence rate was 62.9%, higher than the national data as 28.5%. Most of them (93.1%) were aware of atleast one family planning method. The most commonly known were OCPs (74.8%), condom (68.8%) and IUCD (56.6%). Awareness about female sterilisation (36.4%) was more than male sterilisation (25.3%). 62.9% had used atleast one contraceptive method, three prevailing methods used were condom (65.1%), OCPs (31.8%) and IUCD (9.09%). Reasons precluding women from practicing contraception were desire to have a child (60.5%), lack of knowledge (42.4%), and unbearable side effects (25.5%). Majority (92.4%) thought that contraceptive use was beneficial but only (27.2%) expressed the willingness to start practicing contraception if they received more information about the subject.Conclusions: Majority of women had optimal knowledge and favourable attitude, still there is need to educate and motivate couples to improve family planning services.

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Utilization of Family Planning Services in Karnali Academy of Health Science, Jumla

Journal of Karnali Academy of Health Sciences ◽

10.3126/jkahs.v1i3.24150 ◽

2018 ◽

Vol 1 (3) ◽

pp. 27-30

Author(s):

Sharmila Shrestha ◽

S. Chaulagain ◽

K. Pandey

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Health Science ◽

Planning Service ◽

Family Planning Services ◽

Child Health Outcomes ◽

Planning Methods ◽

Contraceptive Prevalence ◽

Contraception Counseling ◽

Family Planning Methods

Introduction: Family planning is an integral part of maternal health as its uptake is a significant factor in the reduction of maternal mortality and in ensuring positive child health outcomes specially in developing countries, however, its usage remains low. Objectives: To describe prevalence and pattern of contraceptive use, among women accessing family planning facilities. Study design: A retrospective review of hospital records of family planning clinic clients at the teaching hospital was conducted. Results: Total 2811 clients accepted a family planning service during the period. Contraceptive prevalence rate was 21%. Modal age group of clients (81%) was below 20 years old. Injection Depo was the most common method (69%) and implant was less used method (8%) among the temporary method of family planning. Conclusion: There is an identified need for promotion of uptake of family planning methods. Involvement of young women, uneducated women and men in contraception counseling and services is essential to improve its uptake and continuity.

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Awareness and use of family planning methods among women in Northern Saudi Arabia

Middle East Fertility Society Journal ◽

10.1186/s43043-021-00053-8 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Ghzl Ghazi Alenezi ◽

Hassan Kasim Haridi

Keyword(s):

Health Care ◽

Saudi Arabia ◽

Primary Health Care ◽

Family Planning ◽

Contraceptive Method ◽

Family Planning Services ◽

Cross Sectional ◽

Primary Health ◽

Planning Methods ◽

Family Planning Methods

Abstract Background Evaluation of awareness and use of family planning methods is important to improve services and policies. This study aimed to assess awareness and use of family planning methods among women in an urban community in the north of Saudi Arabia. A cross-sectional study was carried out in a maternity hospital and 12 primary health care (PHC) centers in Hail City between December 1st, 2019, and May 30, 2020. Results Four hundred married sexually active women aged 18–49 years were interviewed using a pretested structured questionnaire. The mean age of the participant was 32.0±7.5 years, 73.5% were university educated, and 58% were housewives. More than two-thirds of them (67.6%) had ≥3 living children. Most women (85%) ever used, and 66.5% were currently using any method of contraception; however, only one in five who get counseling for the contraceptive method used, and 40% of the last births were unplanned for. Almost all women reported unavailable family planning clinics in their primary healthcare centers. Most participants (83.0%) desired to have >3 children, which indicates that the main purpose of family planning was child spacing rather than limitation. Relying on natural methods as being safer (36.3%), desire to have more children (19%), being afraid from side effects (15.3%), and possibility of difficulty getting pregnant or might cause infertility (13.0%) were reasons the participants viewed for unsung modern contraceptives. Conclusion This study revealed that most women in urban Hail community, northern Saudi Arabia, were aware about and have a positive attitude towards family planning. The majority of the participants ever used, and two-thirds were currently using any contraceptive method/s, which is higher than the national estimate for Saudi Arabia. However, only one in five counseled by healthcare providers for the type of contraceptive method used. Unavailability of family planning services in primary health care centers impedes getting professional counseling. It is imperious to consider family planning clinics to provide quality family planning services.

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