scholarly journals The family planning “know–do” gap among married women of reproductive age in urban Pakistan

2021 ◽  
Vol 11 (3) ◽  
pp. 132-138
Author(s):  
S. Yameen ◽  
S. Nausheen ◽  
I. Hussain ◽  
K. Hackett ◽  
A. Rizvi ◽  
...  

OBJECTIVE: To examine the prevalence and predictors of family planning (FP) know-do gaps among married women of reproductive age (MWRA) in low socio-economic urban areas of Karachi, Pakistan.DESIGN: This was a cross-sectional survey of randomly selected 7288 MWRA (16–49 years) to identify predictors of the know-do gap in FP using a logistic regression model.RESULTS: More than one third (35.5%) of MWRA had FP know-do gap, i.e., despite having a knowledge of contraceptives and desire to limit or delay childbearing, they were not using contraceptives. Women were less likely to use FP if they were getting older (25–35 years: OR 1.45, 95% CI 1.09–1.94; >35 years: OR 3.02, 95% CI 1.90–4.80), from certain ethnicities (Sindhi: OR 1.64, 95% CI 1.11–2.42; Saraiki: OR 1.66, 95% CI 1.01–2.71; other minorities: OR 2.37, 95% CI 1.63–3.44); did not receive FP counselling: OR 1.43, 95% CI 1.13–1.80; and had not made a joint decision on FP: OR 1.44, 95% CI 1.06–1.98). Conversely, women were more likely to use contraceptives if they had >10 years of schooling (OR 0.66, 95% CI 0.46–0.94), with each increasing number of a living child (OR 0.68, 95% CI 0.62–0.75) and each increasing number of contraceptive method known (OR 0.93, 95% CI 0.88–0.98).CONCLUSION: The predictors associated with the FP know-do gap among MWRA should be considered when planning future strategies to improve the contraceptive prevalence rate in Pakistan.

2019 ◽  
Vol 1 (1) ◽  
pp. 15-20
Author(s):  
Umme Kulsoom Khattak ◽  
Saima Perwaiz Iqbal ◽  
Ahmed Abdullah ◽  
Ayesha Chowhan

Objective: To determine the prevalence of utilization of family planning methods among married women of reproductive age in a semi urban community of Islamabad. Methodology: A cross-sectional survey was done using two stage sampling, including cluster and consecutive sampling techniques. A proportionate sample from each mohallas of Nurpur Shahan was taken to achieve our sample size. All married women of the reproductive age group (15-45 years) living with their husbands, not diagnosed as a case of infertility and permanent residents of Nurpur Shahan were included. Results: Total of 550 women were included in the study with mean age of 31.64 years. Majority of women 497 (94.7%) were currently married while 322 (59.9 %) were literate. Of all the women, 72 (13.2%) women were currently pregnant and only 62 (11.3%) had a planned pregnancy. Induced abortion was practiced once by 9 (1.8%) women and 21 (4.1%) had done it twice. 394 (72.8%) had knowledge of family planning methods and only 102 (19.5%) women were using family Planning methods currently. Conclusion: Miscellaneous challenges are involved to increase involvement of the women and their families in the use of family planning services. Health education campaigns at community level to increase awareness regarding different family planning methods are highly needed. Government needs to improve the LHWs services to increase the use of family planning methods and combat induced abortions as a method of contraception. Controlling population through sterilization after attaining a large family size should not be the preferred method of family Planning.


2017 ◽  
Vol 3 (3) ◽  
pp. 88-99
Author(s):  
Tanuja Kumari Chaudhary ◽  
Bhwan Kumari Dangol ◽  
Lalita Rai ◽  
Mana Kumari Rai

Background: Universal access to family planning is a human right, central to gender equality and women’s empowerment, and a key factor in reducing poverty. Use of contraception can prevent pregnancies related complication, helps in improving the health of mother and children and improve quality of life.Objective: to find out the predictors of use of contraception among married women of reproductive age (15-49 years).Methods: A descriptive cross-sectional study was adopted to find out the predictors of use of contraception among married women in Morang District. Cluster Random Sampling technique was used and sample size was 281. Data was collected by face to face interview technique by pretested questionnaire. Chisquare, bivariate, multivariable logistic regression model was used, and statistical significance was determined with a 95 % confidence level.Results: Mean age of the respondents was 29.52±5.64 years. Current contraceptive prevalence rate was 39.9%. The significant predictors associated with use of contraception were education status of husband (Adjusted Odd Ratio [AOR]=0.331, 95% CI= 0.144-0.759), being desire of children (AOR=2.564, 95%CI=1.060-6.198), spousal communication on contraception (AOR=5.120, 95%CI=2.460-10.656), husband approval on contraception (AOR=8.048, 95%CI=4.047-16.006), and prior use of contraception (AOR= 0.122, 95% CI=0.055-0.272). The common barriers of utilization of contraception were husband disapproval (57.4%) followed by fear of side effects (29.6%).Conclusion: Contraceptive prevalence rates were low. So, continued joint efforts are required to increase use of contraception to improve maternal and child health. It is recommended to involve male in family planning.Journal of Advanced Academic Research, Vol. 3, No. 3, 2016, page: 89-99


1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki

Introduction: The unmet need for family planning is a very useful tool in measuring and predicting the contraceptive needs of a population. Seventeen percent of all married women would prefer to avoid pregnancy but are not using any form of family planning. In less developed countries, about one forth of pregnancies is unintended. Objective: To determine the level of unmet need for family planning and evaluate the factors that influences the unmet needs in Married Women of Reproductive Age (MRWA). Methods: A cross-sectional study of 410 women attending the immunization clinic of B.P.Koirala Institute of Health Sciences, a teaching hospital in Dharan was carried out over 3 months. Results: MRWA had 22%, 15% and 8% unmet needs for family planning, spacing and limiting births respectively. Health concerns and side effects (30.5%), husband and family opposition (14%), uncertainty about child bearing (12.2%) and inconvenience (10%) were among the major constraints to the use of contraception. Unmet need has significant association between parity & education. Age and family type had no significant effect on unmet needs. Conclusion: In spite of high level of awareness about family planning method, a significant level of unmet need exists among women of reproductive age. Keywords: unmet needs; family planning; married women of reproductive age; MRWA DOI: http://dx.doi.org/10.3126/hren.v9i3.5581   HR 2011; 9(3): 148-151


Author(s):  
Neeti Mahla ◽  
Mukesh Choudhary

Background: Aim of current study was to assess the knowledge, attitude & practices of contraceptives among married women of reproductive age group. Methods: A cross sectional study was conducted on females between 15-45 years was included while unmarried females were excluded. The participation was on voluntary basis. Questions regarding factors responsible for non use of contraception were also asked. All data were analyzed by Epi-info software. Results: Out of 1000 women, 634(63.40%) had knowledge about family planning. 62.00% knew about condom, followed by OCPs & other methods.  Only 8.00% Women were aware of emergency contraceptive. Conclusions: Our study highlights that knowledge and awareness doesn’t always lead to the use of contraceptives. One needs to understand the level of awareness and practices in the community before implementing the family planning program Keyword: Attitude, Practice, Contraception, Reproductive age group


BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017621 ◽  
Author(s):  
Wu Junqing ◽  
Yu Chuanning ◽  
Li Yuyan

ObjectivesAlthough family planning in China has changed gradually since 1994, there are few studies about family planning and women’s reproductive rights. The main objective of this study was to examine awareness of sexual and reproductive healthcare rights (SRHCRs), and learn how factors related to family planning influence awareness of SRHCRs among married women of reproductive age in China.Methods and participantsInner Mongolia, Chongqing, Guangdong and Henan were selected for the study, and a total of 2504 married women of reproductive age were recruited. A self-administered anonymous questionnaire was used to collect information on participants’ awareness of SRHCRs.ResultsThere were a total of 10 843 (≤6×2504) responses, with a response rate of 72.17% (10 843/15 024) on average among participants regarding SRHCRs (a multiple response set). The highest response rate was for choice (Right 3) (90.64%, 95% CI 89.47%, 91.81%), followed by privacy (Right 5) (86.11%, 95% CI 84.72%, 87.50%) and information (Right 1) (84.47%, 95% CI 83.02%, 85.93%). Only 43.39% (95% CI 41.40%, 45.38%) of participants gave responses to safety (Right 4). Participants without children showed more interest in Right 1, in access (Right 2) and in Right 4. Those who utilised tests for fetal sex determination paid more attention to Rights 2 and 4. Women who accepted informed choice were more likely to be aware of all six rights except for Right 3 and dignity (Right 6). Those individuals who were satisfied or very satisfied with comprehensive sexual and reproductive health counselling services were more likely to show interest in all six rights.ConclusionsAwareness of SRHCRs among reproductive aged women in China is still inadequate. Family planning service providers might strengthen the service awareness of sex and reproductive health rights according to the different needs of women.


2019 ◽  
Vol 10 (1) ◽  
pp. 23-27
Author(s):  
Abu Noman Mohammed Mosleh Uddin ◽  
Mehedi Hasan Jewel

Aims: Introduction: Bangladesh has impressive gains in indicators related to population and family planning. Therefore, the unmet need for family planning should be addressed with utmost importance. Materials and Methods: A descriptive type of cross sectional study was conducted at four villages of Saturia Upazilla of Manikganj district to find out unmet need of family planning among married women of reproductive age including the status of contraceptive use and obstacles toward using family planning methods. The duration of study was from November 2017 to March 2018. The sample size was 480 in number. Results: In the study, 87.5% respondents were Muslims. Regarding level of education 18.75% of the respondents was illiterate, 22.19% of the respondents completed their primary education and 31.35% passed the secondary school certificate Examination. Most of the respondents (92.92%) were housewives. Out of 480 families, 51% belongs to nuclear family. 23.13% of the respondents had income below 10,000 Tk. and about 27.50% had an income more than 20,000 Tk. Among 480 respondents, 42.06% had 2 living children and about 33.78% had a single child. 89.17% of the respondents knew about contraceptive method. OCP was the most preferred method among 57.62% respondents. 61% respondents were using contraceptive method. The reason for not using any contraceptive method were fear of side effects (28.03%), eager to conceive (13.63%), and non-co-operative attitude of the husband (7.58%). In this study 58.13% respondents had the knowledge about permanent method of contraception. Conclusion: Family planning is more of a health necessity than an option. Though family planning program has remarkable success over the past decade, but still there is unmet need. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 23-27


Author(s):  
Dasari Gayathry ◽  
Anil Moluguri ◽  
Sachin Gurnule ◽  
Chandra Sekhar ◽  
Visweswara Rao Guthi

Background: Family planning in which the major component is use of contraceptive methods is a key constituent of health services. The growing use of contraception around the world has given couples the ability to have child as they wish and has tremendous life-saving benefits. Therefore, the current study was conducted to assess the family planning practice among the couples of reproductive age group in the field practice areas.Methods: A cross - sectional study was conducted during February 2013-January 2014 among the couples residing in the field practice study areas. A semi-structured questionnaire regarding practices towards family planning was administered to 406 couples of the study area.Results: It has been observed that about, 250 (61.6%) couples were practicing contraception, while 156 (38.4%) were not practicing any method. There was no statistically significant difference observed between the family planning practices of couples in rural and urban area (p=0.54).Conclusions: The study revealed that most of the couples were practicing at least one family planning method with marginal difference in urban and rural area. Among those who were practicing, most common method was tubectomy followed by vasectomy, OCPs and IUDs and most of them were satisfied regarding the adopted method. Sustained efforts on dissemination of information, providing education and increasing communication with couple in reproductive ages and improved family welfare service along with regular availability of contraceptive level would also help in improving adoption and use of family planning measures.


2019 ◽  
Vol 6 (1) ◽  
pp. 49-54
Author(s):  
Reena Bhagat

Introductions: Unwanted pregnancies and maternal deaths can be avoided by use of family planning (FP) services. Use of modern methods of contraceptive among married women age 15-49 years in Nepal is 43%. Generally, fertility is higher among women in rural areas than in urban. This study aims to assess the awareness and practice of FP services among married women of reproductive age in a Rural Municipality of Saptari district, Nepal. Methods: Cross-sectional study with two stage sampling technique through face-to-face interview using structured questionnaire interview schedule in local language, Maithili, was done to find out awareness and practice regarding FP services in married women of 15-49 years in a Municipality of Saptari district, province 2, Nepal, from April 2018 to March 2019. Descriptive and inferential data analysis done using SPSS version16.0 software. Results: Out of 280 respondents, 257 (91.78%) had adequate awareness regarding FP services, 167 (59.64%) were current FP users, 125 (74.85%) practiced female sterilization and 39 (23.35%) used temporary methods. Common reason for not using temporary FP methods included side effects 103 (90%). Level of awareness regarding FP services was not significantly associated with their practices. Conclusions: Majority of respondents had adequate awareness regarding family planning services but FP practice was low.


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