Study on Perspectives and Practice of Contraception in Women

2016 ◽  
Vol 8 (1) ◽  
pp. 16-20
Author(s):  
Vishma H Shetty
Keyword(s):  
Socioeconomic Status ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Informed Choice ◽  
Male Involvement ◽  
Contraceptive Device ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Medical Discipline ◽  
Knowledge Usage

ABSTRACT Purpose of the study This study is undertaken to determine the knowledge, preferences, practice, experiences and perspectives of women toward contraception and also to note down the various factors influencing the acceptance and usage of contraception among women. Methodology Five hundred women of age group 15 to 49 years who were currently married were studied. Sexually active unmarried women were excluded from the study. The study data were obtained using a questionnaire. The questionnaire was divided under four broad headings: personal details, knowledge, usage and expectations. The data collected was analyzed. Changing trends, knowledge, usage and expectations of the women toward various contraceptive methods were noted. Results The most common method used was female sterilization (41.4%), followed by intrauterine contraceptive device (IUCD) (14.8%) and condom (9%). Among the sociodemographic patterns, women belonging to lower socioeconomic status, with rural background, younger women, Christians and illiterate women the prevalence of contraceptive use was lower compared to their counterparts. Spacing methods was most commonly used by women residing in urban and women with higher education background. Couple protection rate in this study was 77%. The unmet need was 9.8%. Knowledge of female sterilization was most common in 93% followed by oral contraceptives (OCP) 73.2%. The knowledge was higher among upper socioeconomic status and urban women. 78.8% had discussion with spouse. More than 70% had preference for male child. Conclusion This study stresses upon the fact that contraception services should be affordable delivered by informed choice and sensitive to individual's needs. The unmet need of contraception can be reduced by improving female literacy, contraceptive counseling, male involvement and availability of contraceptive services. These measures will indeed reduce unwanted pregnancies, improve self-esteem of women as they will have control over their fertility and in future reduce population explosion to some extent by limiting the family. Capsule Fertility control is an important medical discipline, it is essential for the welfare of the individual, family and the nation. The usage of contraceptive method depends on knowledge, preference, acceptance and experience. Objectives of the study • To determine the awareness, perception and acceptance of contraceptive methods • To study the contraception usage by the women. How to cite this article Shetty VH, Nagarathnamma R. Study on Perspectives and Practice of Contraception in Women. J South Asian Feder Obst Gynae 2016;8(1):16-20.

scholarly journals USE OF MALE METHODS OF CONTRACEPTION WORLDWIDE

2016 ◽  
Vol 49 (5) ◽  
pp. 648-663 ◽  
Author(s):  
John Ross ◽  
Karen Hardee
Keyword(s):  
Condom Use ◽  
Time Trends ◽  
Contraceptive Use ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Geographic Variations ◽  
Male Contraceptive ◽  
Use Patterns ◽  
Method Mix ◽  
Male Sterilization

SummaryThis article analyses male contraceptive use, both globally and for developing countries. Shares of all contraceptive use due to males are examined, in the context of female use and all use. Patterns according to wealth quintiles are analysed, as well as time trends and geographic variations. Data are drawn primarily from compilations by the UN Population Division and from the Demographic and Health Series and subjected to relatively simple statistical methods including correlation/regression applications. Contraceptive methods that men use directly, or that require their co-operation to use, including condoms, withdrawal, rhythm and male sterilization, account for one-quarter of all contraceptive use worldwide. This represents 13% of married/in-union women. Both the share and the prevalence of male methods vary widely by geography and by the four methods, as well as by quintile wealth groups. With greater wealth there is an unbroken rise for total use; among the male methods, the shares of condom use and rhythm rise by wealth quintiles, while the share of withdrawal drops. The share for male sterilization is highest in the lowest and highest wealth quintiles and dips for the middle quintiles. The overall time trend since the 1980s has been steady at one-quarter of all use involving men; moreover, the share is about the same at all levels of total use. The female-only methods continue to dominate: female sterilization, IUD, pill, injectable and implant, again with great diversity geographically. In surveys men report less total use but more condom use, while females report more injectable use. For the future the male share of one-quarter of use seems secure, with little prospect of an increase unless concerted programmatic efforts are made to expand access to male methods and promote their use as part of a broadened contraceptive method mix.

scholarly journals Modern contraceptive use among adolescent girls and young women in Benin: a mixed-methods study

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e054188
Author(s):  
Noudéhouénou Crédo Adelphe Ahissou ◽  
Lenka Benova ◽  
Thérèse Delvaux ◽  
Charlotte Gryseels ◽  
Jean-Paul Dossou ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Young Women ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Modern Method ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Modern Contraceptives ◽  
Modern Methods ◽  
Qualitative Part

ObjectivesThe study aimed to assess the determinants of modern contraceptive method use among young women in Benin.DesignA mixed-methods design.Setting and participantsWe used the Benin 2017–2018 Demographic and Health Survey datasets for quantitative analysis. Data collection was conducted using multiple-cluster sampling method and through household survey. Qualitative part was conducted in the city of Allada, one of the Fon cultural capitals in Benin. The participants were purposively selected.OutcomesContraceptive prevalence rate, unmet need for modern method and percentage of demand satisfied by a modern method for currently married and sexually active unmarried women were measured in the quantitative part. Access barriers and utilisation of modern methods were assessed in the qualitative part.ResultsOverall, 8.5% (95% CI 7.7% to 9.5%) among young women ages 15–24 were using modern contraceptives and 13% (12.1% to 14.0%) among women ages 25 or more. Women 15–24 had a higher unmet need, and a lower demand satisfied by modern contraceptive methods compared with women ages 25 or more. 60.8% (56.9% to 64.7%) of all unmarried young women had unmet need for modern contraceptives. Young women were more likely to use male condoms which they obtain mainly from for-profit outlets, pharmacies and relatives. The factors associated with demand satisfied by a modern method were literacy, being unmarried, knowing a greater number of modern contraceptive methods and experiencing barriers in access to health services. On the other hand, the qualitative study found that barriers to using modern methods include community norms about pre-marital sexual intercourse, perceptions about young women’s fertility, spousal consent and the use of non-modern contraceptives.ConclusionContraceptive use is low among young women in Benin. The use of modern contraceptives is influenced by sociodemographic factors and social norms. Appropriate interventions might promote comprehensive sexuality education, increase community engagement, provide youth-friendly services and address gender inequalities.

scholarly journals Predictors of age at first child’s birth and contraceptive use among men in Uganda

2019 ◽  
Vol 3 ◽  
pp. 1492
Author(s):  
Henry Nsobya ◽  
Allen Kabagenyi ◽  
Jean Christophe Rusatira
Keyword(s):  
Reproductive Health ◽  
Behavioral Change ◽  
Contraceptive Use ◽  
Male Involvement ◽  
Outcome Variable ◽  
Contraceptive Methods ◽  
Significance Level ◽  
Services Delivery ◽  
Strategic Allocation ◽  
Health Rights

Background: Globally, research on age at first child’s birth among men has been neglected especially in Africa. Consequently, little is known about its impact on male involvement in reproductive health. This paper examined the socio-demographic, economic and proximate predictors of age at first child’s birth among men aged 15-54 years in Uganda. Methods: We used the 2016 Uganda Demographic and Health Survey (UDHS) on a sample of 3,206 men aged 15-54 years who had a biological child.  The outcome variable was age at first childbirth categorized as: below 17, 18-24 and 25 years and above (25+). Analysis was done using descriptive statistics,  un-adjusted and adjusted multinomial regressions with significance level at 95%. Results: Median age at first child’s birth was 22 years (IQR = 20-25). The majority of men (62.4%) had fatherhood onset between 18 and 24 years. Only 5.2% had fatherhood onset at 17 years or earlier, increasing to 32.4% at 25+. Respondents whose first sexual encounter was before 18 years was 44.3% and 92.7% by 24+. Few respondents (44.1%) reported use of any contraceptive methods. Anglican religion (RRR=1.62; CI 1.06 – 2.46) or not having attended school (RRR=2.20; CI 1.02-4.71) were predictors of childbirth onset before 17 years.  Age of sex debut at 18 years or higher (RRR= 2.09, CI 1.72 – 2.54) and secondary and above education (RRR = 1.76, CI 1.42-2.18) were predictors of fatherhood onset at 25+.  Contraceptive use among men had no association with age at first child’s birth. Conclusion: These findings are important for strategic allocation of resources to curb early onset of fatherhood among adolescent and young men under the age of 25 years. They highlight the need for gender-sensitive interventions targeting men for behavioral change, participation in Sexual and Reproductive Health Rights (SRHR) programming and improved access to services delivery.

scholarly journals Family Welfare Expenditure, Contraceptive Use, Sources and Method-Mix in India

2021 ◽  
Vol 13 (17) ◽  
pp. 9562
Author(s):  
Sheuli Misra ◽  
Srinivas Goli ◽  
Md Juel Rana ◽  
Abhishek Gautam ◽  
Nitin Datta ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Universal Access ◽  
Family Welfare ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Large Country ◽  
Family Planning Programs ◽  
Method Mix ◽  
Welfare Expenditure

Making universal access to sexual and reproductive health care a reality, and thus building momentum for comprehensive family planning by 2030, is key for achieving sustainable development goals. However, in the last decade, India has been retreating from progress achieved in access to family planning. Family planning progress for a large country such as India is critical for achieving sustainable developmental goals. Against this backdrop, the paper investigated the question of how far family welfare expenditure affects contraceptive use, sources of contraceptive methods, and method-mix using triangulation of micro and macro data analyses. Our findings suggest that, except for female sterilizations, modern methods of contraception do not show a positive relationship with family welfare expenditure. Notwithstanding a rise in overall family welfare expenditure, spending on core family planning programs stagnates. State-wise and socio-economic heterogeneity in source-mix and method-mix continued to influence contraceptive access in India. Method-mix continued to skew towards female sterilization. Public sector access is helpful only for promoting female sterilization. Thus, the source-mix for modern contraceptives presents a clear public-private divide. Over time, access to all contraceptive methods by public sources declined while the private sector has failed to fill the gap. In conclusion, this study identified a need for revitalizing family planning programs to promote spacing methods in relatively lower-performing states and socio-economic groups to increase overall contraceptive access and use in India through the rise in core family planning expenditure.

scholarly journals Share of current unmet need for modern contraceptive methods attributed to past users of these methods in India

2020 ◽  
pp. 1-12
Author(s):  
Ankita Shukla ◽  
Anrudh K. Jain ◽  
Rajib Acharya ◽  
F. Ram ◽  
Arupendra Mozumdar ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Family Health ◽  
Modern Method ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
The Past ◽  
Modern Methods ◽  
Reversible Method

Abstract Despite persistent efforts, unmet need for contraceptives in India has declined only slightly from 14% to 13% between 2005–06 and 2015–16. Many women using a family planning method discontinue it without switching to another method and continue to have unmet need. This study quantified the share of current unmet need for modern contraceptive methods attributed to past users of these methods in India. Data were drawn from two rounds of the National Family Health Survey conducted in 2005–06 and 2015–16. Using information on women with current unmet need, and whether they used any modern method in the past, the share of past users with current unmet need for modern methods was calculated. Bivariate and multivariate analyses were performed. Among 46 million women with unmet need, 11 million were past users of modern methods in 2015–16. The share of current unmet need attributed to past users of modern contraceptive methods declined from 27% in 2005–06 to 24% in 2015–16. Share of current unmet need attributed to past users was associated with reversible method use. This share rose with increased use of modern reversible methods. With the Indian family planning programme’s focus on increasing modern reversible method use, the share of unmet need attributed to past users of modern methods is likely to increase in the future. The programme’s emphasis on continuation of contraceptive use, along with bringing in new users, could be one of the key strategies for India to achieve the FP2020 goals.

scholarly journals Family planning clients at a Tertiary hospital in Niger Delta, Nigeria: Where they on any contraceptive method prior to first visit?

2021 ◽  
Vol 1 (3) ◽  
pp. 022-029
Author(s):  
Nonye-Enyidah Esther ◽  
Enyidah Nonyenim ◽  
Jumbo A
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
University Teaching ◽  
Contraceptive Device ◽  
Modern Contraceptive ◽  
State University ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Age Range

Background: Maternal and child morbidity and mortality in developing countries have been shown to be reduced by effective use of contraceptive methods. Contraceptive use also improves the lives of women and children. Experience with previous use of contraceptives may affect the uptake rate of modern contraceptive methods. Aim and objective: To determine the pattern of previous contraceptive usage, uptake rates of the contraceptives, the continuation and discontinuation rates and the sources of prior contraceptives. The socio-demographic characteristics and sources of information on current contraceptive use at the Rivers State University Teaching Hospital during the study period. Methods: This was a retrospective study of clients’ records in family planning clinic at theRivers State University Teaching (RSUTH) over a period of five years. Their cards were retrieved, reviewed; data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version25.0 (Armonk, NY). Results: There were 874 contraceptive acceptors attending family planning clinic between 1st January, 2015 and 31st December, 2019 in the centre. Of this number, 566 (64.8%) were using one form of contraceptive method or the other while 308 (35.2%) were not on any form of contraception. Of this 566 women who used contraceptive method prior to their visit to the family planning clinic, intrauterine contraceptive device (IUCD) use accounted for 118 (20.8%), others were barrier method, 107 (18.9%), oral contraceptive pills (OCPs), 95 (16.8%), depot medroxyprogesterone acetate (DMPA), 72 (12.7%), implanon, 40 (7.1%), noristerat, 36 (6.4%), postinor, 28 (5.0%), withdrawal method, 26 (4.6%) and calendar method, 24 (4.2%). Most of the previous contraceptives used came from Government hospital accounting for 44.4%. Most women (72%) obtained their information concerning current contraception from clinical personnel. More than half of the clients (64.1%) were within the age range of 30-39 years and 2 (0.2%) were below 20 years. Age range for the study was 19-51years. Majority of the clients (70.7%) were multipara while 162 (18.5%) were grandmultipara. Modal parity was para 3. The women with formal education were 867 (99.2%). Married women and Christians accounted for843 (96.5%) and 867 (99.2%) respectively. Conclusion: Most clients were in their thirties, married, educated and multiparous. Thirty five percent of the women were not using any form of contraceptive method which is quite alarming and definitely would have led to unwanted pregnancies and possibly induced abortions with its sequalae.

scholarly journals Prevalence of Contraceptive Methods among Eligible Couples in an Urban Area of Chennai - A Cross Sectional Study

2021 ◽  
pp. 262-267
Author(s):  
K. R. Deepak Avinash ◽  
S. Suganthi ◽  
E. Venmathi
Keyword(s):  
Urban Area ◽  
Contraceptive Use ◽  
Mode Of Delivery ◽  
Unmet Need ◽  
Population Expansion ◽  
Married Couples ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Contraceptive Methods ◽  
Cross Sectional

Introduction: Rapid population expansion is putting a strain on many developing countries' resources, especially in India. Optimal fertility management enables women and men to avoid and achieve conception and parenthood when desired. India launched officially Family Planning Programme way back in 1952 to address these issues, yet its goals were far from achieving facing stern obstacles in many forms. Surveys and studies by individual authors to find out the prevalence of contraceptive use and their determinants have been conducted in various parts of India. However, the contraceptive prevalence is not uniform across India. The aim of the study is to estimating the prevalence of contraception usage among eligible couples and to assess the factors associated with contraception usage. Methods: This was a cross sectional study conducted among married eligible couples living in the urban area named Semencheri in Chennai. It was carried out for a period of 4 months from 2ndApril to 5th of July 2019. The study population consisted of eligible married couples with female partner of age between 15 to 49yrs of age married for at least 2 year, and having minimum one child, Based on the results of a pilot study the sample size was calculated and estimated to be 120, structured questionnaire was used to collect data. Results: The prevalence of contraception was only 63.3% though 92.5% of couples studied were aware of the contraceptive methods, the factors like education of either of the couple and mode of delivery of the previous child were significantly associated with contraception usage. Conclusion: Even though the use of contraception has increased among couples, still there is an unmet need for contraception, in spite of increased education qualification and knowledge about contraceptive methods.

scholarly journals Contraceptive Method Information and Method Switching in India

2021 ◽  
Vol 13 (17) ◽  
pp. 9831
Author(s):  
Md. Juel Rana ◽  
Srinivas Goli ◽  
Rakesh Mishra ◽  
Abhishek Gautam ◽  
Nitin Datta ◽  
...  
Keyword(s):  
Side Effects ◽  
Multinomial Logistic Regression ◽  
Unmet Need ◽  
Family Health ◽  
Informed Choice ◽  
Contraceptive Methods ◽  
The Sustainable Development ◽  
Comprehensive Method ◽  
Contraceptive Discontinuation ◽  
Long Acting

The stagnation in the unmet need for family planning and rise in contraceptive discontinuation rates are major concerns among researchers and policymakers in India. This study attempts to investigate the association between method information received by the users at the time of initiation and the switching of contraceptive methods in India. Using the fourth round of National Family Health Survey (NFHS) data (2015–2016), a multinomial logistic regression model has been applied to assess the net effects of method information received by the users on switching of contraceptive methods. The reuse of contraceptive methods is higher among those who were not provided any method information. The reuse is also higher among those who were informed only about the side effects. Overall, the users who received comprehensive method information are more likely to switch. Particularly, the users who were informed about how to manage side effects either alone or along with other method information have a higher likelihood of switching especially to long-acting reversible contraceptives (LARC). The findings call for program intervention to provide comprehensive method information to the users because it gives them the freedom to switch to more suitable methods. Thus, it would help in achieving the sustainable development goal (3.7) of informed choice of contraceptive methods.

Contraceptive Use: Patterns and Preferences among New Acceptors in Malaysia, 1990 to 2018

2021 ◽  
Vol 12 (3) ◽  
pp. 503-509
Author(s):  
Nor AzahSamat Et.al
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Well Being ◽  
Future Research ◽  
Contraceptive Device ◽  
Family Planning Clinic ◽  
Contraceptive Methods ◽  
Contraceptive Pills ◽  
Hormone Injection ◽  
Contraception Use

Family planning is one of the important aspects in the Sustainable Development Goals (SDG's) in Goal 3 on Health and Goal 5 on Gender Equality and Women’s Empowerment. Family planning is the basic need and women’s right to pregnancy, to get optimal health. The use of contraceptive enables women to attain their desired number of children and determine the gap of pregnancies towards the improvement of the families’ well-being of. The aim of this paperisto describe the patterns and preferences of contraceptive use among new acceptors attending a family planning clinic at National Population and Family Development Board (NPFDB) in sixteenstates in Malaysia. The data analysis includes the new acceptors of contraception use among married women aged 15 to 49 years old, who attended a family planning clinic at NPFDB for the year 1990 to 2018. There are various types of contraceptive methods considered: contraceptive pills, Intrauterine Contraceptive Device (IUD), condom, hormone injection, implant, sterilization, rhythm and others. Results of the analysis show that contraceptive pills and sterilization have continued to be the most preferred contraceptive methods among new acceptors at NPFDB clinic, with decreasing pattern from 1990 to 2018.While the use of implant, hormone injection and condom has increased steadily since 2004. The state of Perak has the highest number of new acceptors in most years, whilethe federal territory of Labuan has the lowest number of acceptors in most years within 29 years from 1990 to 2018. In addition, the most popular contraceptive method among women for all states in Malaysia in most years from 1990 to 2018 is contraceptive pills, which is preferred in ten states: Kelantan (83%), Kuala Lumpur (72%), Labuan (40%), Negeri Sembilan (86%), Pahang (66%), Perlis (45%), Pulau Pinang (35%), Sabah (60%), Selangor (69%), and Terengganu (76%). While sterilization is the most popular in four states: Johor (62%), Kedah (59%), Melaka (52%), and Perak (66%). Finally, hormone injection is the most popular method in Putrajaya (100%), and condom is the most popular in Sarawak (40%).As a conclusion, this study has found that although the use of contraceptive pillsisdecreasing, it still becomes the most popular among new acceptors in most of the states in Malaysia since 1990. However, the decreasing pattern of new acceptors for all types of contraceptive methods becomes our concern. Future research should therefore,concentrate on the investigation of the reduction number of new acceptors at NPFDB clinic. This is important to make sure the demands of contraceptive can be met and NPFDB clinics couldprovide better services towards better quality of life and better families’ well-being.

Sexual and Reproductive Health in India

2020 ◽  
Author(s):  
Shireen Jejeebhoy ◽  
K. G. Santhya ◽  
A. J. Francis Zavier
Keyword(s):  
Reproductive Health ◽  
Sexuality Education ◽  
Information Needs ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Informed Choice ◽  
Mortality And Morbidity ◽  
Advantageous Position ◽  
Socially Excluded

India has demonstrated its commitment to improving the sexual and reproductive health of its population. Its policy and program environment has shifted from a narrow focus on family planning to a broader orientation that stresses sexual and reproductive health and the exercise of rights. Significant strides have been made. The total fertility rate is 2.2 (2015–2016) and has reached replacement level in 18 of its 29 states. The age structure places the country in the advantageous position of being able to reap the demographic dividend. Maternal, neonatal, and perinatal mortality have declined, child marriage has declined steeply, contraceptive use and skilled attendance at delivery have increased, and HIV prevalence estimates suggest that the situation is not as dire as assumed earlier. Yet there is a long way to go. Notwithstanding impressive improvements, pregnancy-related outcomes, both in terms of maternal and neonatal mortality and morbidity, remain unacceptably high. Postpartum care eludes many women. Contraceptive practice patterns reflect a continued focus on female sterilization, limited use of male methods, limited use of non-terminal methods, and persisting unmet need. The overwhelming majority of abortions take place outside of legally sanctioned provider and facility structures. Over one-quarter of young women continues to marry in childhood. Comprehensive sexuality education reaches few adolescents, and in general, sexual and reproductive health promoting information needs are poorly met. Access to and quality of services, as well as the exercise of informed choice are far from optimal. Inequities are widespread, and certain geographies, as well as the poor, the rural, the young, and the socially excluded are notably disadvantaged. Moving forward and, in particular, achieving national goals and SDGs 3 and 5 require multi-pronged efforts to accelerate the pace of change in all of these dimensions of health and rights.

Sign in / Sign up

Export Citation Format

Share Document