scholarly journals Planning Methods in Ecuador’s Indigenous People

Author(s):  
Yaroslava Robles-Bykbaev ◽  
Nina Naula ◽  
Javier Cornejo-Reyes ◽  
Ana Parra ◽  
Vladimir Robles-Bykbaev ◽  
...  

Sexual and reproductive health (SRH) is a fundamental human right that implies knowledge and exercise of sexual and reproductive rights (SSR). Among the latter are access to knowledge and use of contraceptive methods; therefore, SSR should be experienced as a constant experience that allows women to achieve full satisfaction and security in their sexual and reproductive sphere through their subjectivity, their body, and their social and cultural life. Knowing about family planning allows having the desired number of children determining the interval between pregnancies and choosing the contraceptive method according to the social, cultural and psychological beliefs, needs and conditions of each woman. However, indigenous women from Canton Cañar (Ecuador) have less access and knowledge to contraceptive methods, mainly due to the influence of social, cultural, religious and economic factors, among others. The lack of information about family planning in indigenous populations of the South of Ecuador has motivated this study; through a medical-anthropological approach, it is intended to determine what is the preference regarding contraceptive methods in indigenous Cañari women in the context of the Cañari culture and what are their perceptions regarding such methods.


Author(s):  
Mahvish Qazi ◽  
Najmus Saqib ◽  
Sachin Gupta

Background: India with 1.35 billion people is the second most populated country in the world next to China. Total fertility rate of India is 2.2 and the current total fertility rate of Jammu and Kashmir is 1.7 which is still lagging behind various states. This study was conducted to investigate the knowledge, attitude and practices of contraception in women of reproductive age in this set up.Methods: The present cross-sectional study was carried out in patients attending OPD (outpatient department) of Obstetrics and Gynecology at ASCOMS, Jammu, Jammu and Kashmir, India from 1st September 2017 to 31st August 2018. 200 married women aged between 18-49 years were included in this study. Socio-demographic characteristics of the women, their knowledge, attitude and practices on contraception were evaluated with the help of predesigned questionnaire.Results: Out of 200 women, maximum respondents belong to age group of 21-25 years (75.6%). Most of the contraceptive non-users belongs to age below 20 years (62.5%). Majority of respondents were Hindu (70.37%), maximum studied up to secondary level education (84.61%), 70.30% were housewives and 56.58% belongs to middle class. In 45% of respondents, media was the main source of information. Preferred spacing method was condom in 85% of cases. 68% women had knowledge of female sterilization. According to most women, family planning methods are meant for limitations of birth (43%) and 36% meant for spacing of birth. 80% women had positive attitude towards contraceptive usage. 50% experienced side effects with the use of contraceptives. The most common side effect was menstrual irregularities in 25% of cases. Most common reason for not using contraceptive methods among non-respondents were lack of knowledge in 50% of cases.Conclusions: The study showed that inspite of having good knowledge, utilization of contraceptives were less because of large family norm, religious myth, cultural and political barriers. Ignorance regarding use and side effects of various contraceptive methods is another reason for inadequate practice of family planning methods.



Author(s):  
Merry C. Passah

Family planning refers to the practices that help individuals or couples avoid unwanted births, regulate the intervals between pregnancies, and determine the number of children in the family. The present study was undertaken to know the extent of knowledge, attitude, and adoption of family planning methods among the married women of Jowai town, West Jaintia Hills District, Meghalaya. An attempt has also been made to find out the sociodemographic factors influencing the use of contraceptive methods among the studied population. The information on awareness as well as the use of contraceptives was collected from 719 married women of the reproductive age group 15–49 years using a structured scheduled. Among the women in Jowai town, the knowledge of family planning methods is widespread. In addition, a majority of the women have a favorable attitude towards family planning. However, there exists a gap between the knowledge and the practice of contraceptive methods among the women of Jowai town. Ingesting an oral contraceptive pill is the most preferred contraceptive method among the women. Contraceptive use among women is seen to be positively correlated with educational level and income (significant at p < 0.01), and negatively correlated with current age, age at marriage, number of live births, and family type (significant at p < 0.01). Bivariate analysis substantiates the role of women’s education, household income, current age, age at marriage, number of live births, and family type in influencing the utilization of contraceptive methods.



2020 ◽  
Author(s):  
Mohammed Suleiman Obsa ◽  
Kassahun Tekle Takiso ◽  
Tamiru Tilahun Ayele ◽  
Hailu Chare Koyra ◽  
Kasahun Tafesse Hidota ◽  
...  

Abstract Background Long-acting contraceptive methods can play a pivotal role in reducing maternal mortality. In Etiopia, the total fertility rate per woman is 4.6. However, this rapid population growth is not in line with the weak economic growth of the country. Therefore, this study was done to explore the lived experiences of women who underwent early removal of long-acting contraceptive methods in Bedesa town, Southern Ethiopia. Methods A phenomenological study design was employed to include a total of 10 in-depth interviews of sampled women. Participants were recruited through criterion sampling method. Open code version 4.03 was used to code and facilitate analysis. Transcripts were read and re-read separately to identify emerging themes. Thematic analysis technique was used. Results This study revealed that the side effect of the long-acting family planning methods were the main reason for early removal. Furthermore, heavy and irregular menses were mentioned as the most frequently occurred side effects. Delayed fertility after removal of long-acting contraceptive was one of frequently stated fear by the clients. It was also stated that counseling provided by health professionals was not adequate. Conclusion The majority of study participants taught that the side effects of long-acting family planning methods outweigh the benefits. Besides, the counseling services provided by health care providers were not adequate. Therefore, proper counseling services should be given to mothers who are taking long-acting family planning methods.



2019 ◽  
Vol 6 (14) ◽  
pp. 497-504
Author(s):  
Ivone Ketura Silva Cabral ◽  
Wilsandrei Cella ◽  
Silvia Regina Sampaio Freitas

The objective of this descriptive and retrospective study was to delineate the reproductive profile of women living in a rural community of Tefé Municipality, Amazonas State, Brazil. The target audience included women (n = 10), aged 18 years and older, living in the Agrovila community, rural area, distant 13.2 km from the center of Tefé. All participants were interviewed, individually, based on a questionnaire designed exclusively for the present study. The results of the descriptive analyzes indicated that the interviewees reached the menarche between 13 and 17 years old, and the first pregnancy occurred during adolescence, between 14 and 16 years old. Half of the women interviewed reported regular use of contraceptive methods regularly. However, the average number of children per woman was 4.6 children. All women reported prenatal care in all pregnancies. However, 50% reported complications during pregnancy; while 20% had one or two miscarriages due to eclampsia. These data point to the need to improve prenatal consultations, raise awareness about the risks of eclampsia for maternal health, as well as the creation of reproductive health programs that recognize the social and cultural conditions of isolated Amazonian communities.



Author(s):  
Vidhya Rajan ◽  
Saraswathi Kandasamy

Background: According to WHO, the ideal interval between two pregnancies is 24 months. In India the contraceptive needs of young couples especially in the area of spacing pregnancies is largely unmet. Hence this study is undertaken to know the pre-existing knowledge of our antenatal population regarding contraceptive methods available for birth spacing. Aim of the study was to the knowledge and attitude regarding birth spacing family planning methods among antenatal mothers.Methods: It was a cross sectional study. Antenatal mothers attending the antenatal outpatient department of SBMCH, who are intending to have another child are invited to participate in this study. With informed consent, they are asked to fill a questionnaire, with questions regarding their knowledge and attitude towards the advantages and disadvantages of various contraceptive methods for birth spacing. The results of the study were analyzed by statistical analysis inrespect to various demographic factors of the population.Results: Total 92%of antenatal mothers were aware of health benefits associated with birth spacing. Yet only 45% were willing to adopt a method of contraception. Condoms is the most commonly preferred method for contraception (33.3%) and fear for side effects (43%) is the most common reason for not accepting a particular method of contraception.Conclusions: Though the awareness regarding the need and methods available for birth spacing methods of are widely prevalent in our urban based population, there is still a high percentage of mothers with misconceptions regarding the side effects associated with the birth spacing methods. Hence health education and counselling would improve the acceptance of contraceptive methods for birth spacing.



Author(s):  
Neelam Joharwal ◽  
Shital Kapadia

Background: Population explosion has been major challenge for India since Independence. The adoption of contraceptive methods remains the best solution to this problem. The objective of this study was to determine the factors for non-acceptance of different contraceptive methods among married women of postnatal ward in tertiary care hospital, Ahmedabad, Gujarat, India. The aim of the study was to analyse about the level of awareness and attitude towards different methods of contraception among married women of reproductive age groups.Methods: It was a prospective observational study carried out in the department of obstetrics and gynaecology, B. J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India, a tertiary care teaching hospital from June 2019 to November 2020. 200 patients meeting inclusion criteria were included. Case sheets were analysed to obtain data regarding reasons for non-acceptance of contraceptive methods.Results: In our study, we found that among study population 64% women use family planning methods, which was still low as compared to developed countries. 36% women were non-users in study population. The main reason of non-acceptance of contraceptive method were desire for male child, non-allowance by religion/custom, the myth regarding price of contraceptive method, desire of more children and worry about side effects.Conclusions: To increase the use of contraceptive among women, we can increase awareness about different family planning method with counselling about various available contraceptives. It is also important to increase participation of husbands as they often influence the decision regarding reproductive health of women.



2020 ◽  
Vol 9 (2) ◽  
pp. 130
Author(s):  
Surya Doni ◽  
Lutfi Agus Salim

The family planning program has a very appropriate role in addressing population growth. Most family planning participants chose injections and pills, while medical operative for women contraceptives (tubectomy) and medical operative for men (vasectomy) are the least preferrable. Based on National Board of Population and Family Planning data 2017, the majority of new family planning participants in Indonesia are dominated by family planning participants who use non-long-term contraception methods by 79.48% of all new family planning participants. The use of long-term contraceptive methods from year to year has increased compared to non-long-term contraceptive methods, but there is more interest in acceptors to use non-long-term contraceptive methods. The research objective is to examine the relationship between demographics, socio-economics, husband's support, and the use of medical operative for women contraceptives device (tubectomy). The research type is inferential research with cross-sectional design. The sample in this study was 40 EFAs, of which 20 EFAs used medical operative for women contraceptives (tubectomy), and 20 couples of childbearing age used non-medical operative for women contraceptives (tubectomy). The study results showed that the level of education, age, income, and husbands' motivation are not related to the use of medical operative for women contraceptives (tubectomy). However, the number of children is related to the use of medical operative for women contraceptives (tubectomy). The researcher's suggestion is to conduct education-related for pregnancy management so that the people can estimate the number of children, the distance of pregnancy, and the risk of pregnancy.



2018 ◽  
Vol 1 (1) ◽  
pp. 25-27
Author(s):  
Rajesh Adhikari ◽  
Gir Dhari Sharma ◽  
Padam Raj Dhungana ◽  
Kalpana Gautam Adhikari ◽  
Pushpa Laxmi Maharjan

Background: Safe abortion policy was started in 2002 to reduce the ma­ternal mortality and morbidity related to unsafe abortion. Promoting the use of contraceptive methods effectively reduces the abortion rate by pre­venting unintended pregnancy. In this study the acceptance and selection of contraceptive method following abortion was assessed. Methods: A descriptive retrospective study was conducted from 1st January 2016 till 31st December 2016 at Western Regional Hospital, Pokhara Nepal where 191 women were enrolled for the study. Results: Among 191 wom­en mostly were from the age group of 20-29 (46.1%) and were Hindu (73.3%). Most of them were pregnant for more than one time (86.9%) and do house work (57.6%). The main reason for abortion was due to complete family (67.5%) and the abortion was done by medical method (57.6%). Around 52.4% of women did not choose any form of family planning methods post abortion which is most alarming for the govern­ment of Nepal. Conclusion: The abortion service is free in Nepal; most women did not use family planning after abortion which indicates repeat­ed abortion. The good counselling pre and post abortion may be helpful to increase the rate of acceptance of family planning after abortion.



2021 ◽  
Author(s):  
◽  
Rodgers Isiko

Background Family planning refers to a conscious effort by a couple to space the number of children they have through the use of contraceptive methods. According to WHO, an estimated 225 million women in developing countries, 24.2% of women of reproductive age have an unmet need for contraception. However, contraceptive use in sub-Saharan Africa is low at only 21%. The total fertility rate remains high for many countries in the region (4.6 in Kenya and Rwanda, 5.4 in Tanzania, 6.2 in Uganda, and 6.4 for Burundi). Methodology This was a community-based project implementation on increasing awareness and utilization of family planning methods in Police Wing village, Jinja district. Consent was gotten from the VHT, LC1, and DHO before mobilizing people to gather at the VHT’s home and her neighbour’s compound where we carried out the different educational sessions. Different team members got different roles to play as regards the health education session. One week later, we evaluated the progress of our project implementation through the administration of questionnaires to the same people we health educated. The questionnaire assessed the level of utilization, awareness, myths, misconception, and demography of the participants. Results 28% had heard about at least three family planning methods and 24.1% had at one time used family planning while 75.9% of the participants admitted not to have used it. The post-session assessment showed an increase from 28% to 93% in knowledge regarding the available methods of FP and an increase in the utilization of FP from 28% to 42%.   Conclusion and recommendations Addressing the myths and misconceptions about FP by exposing them as a fallacy would help increase the uptake as evidenced by the will of the community to take up the different methods. Organize frequent health talks about FP in the community.



2020 ◽  
Vol 1 (4) ◽  
pp. 1-12
Author(s):  
N.V. Okoye ◽  
◽  
A. Gbemisola ◽  

Background: Family planning (FP) refers to use of birth control methods that allow a couple to control their family size. Research shows that peoples’ quality of life improves when they are able to decide the number and spacing of their children and there are various methods available to help people achieve this purpose. Objectives: The aim of this study was to determine respondents’ knowledge and practice about FP and their most utilized and best methods. Methods: Pretested, semi-structured questionnaires were administered to 100 residents each in two communities (Mushin and Ojo) in Lagos after informed consent was obtained. The locations were conveniently selected. Data were analysed by descriptive and inferential statistics using Microsoft-Excel and Statistical Package for the Social Sciences (SPSS). Results obtained were presented as tables and charts. Results: Demographic profiles show that majority were females (90.2%) and were 45 years and below (77.2%). About 72% of the respondents use contraceptive methods. The results show that the respondents have a good knowledge of FP and use is high. The most known methods are the male condom (100.0%) and calendar/rhythm (92.9%) while the most utilized methods are emergency contraception (45.9%) and male-condom (40.7%). The most preferred methods according to the respondents are the male condom (27.1%) and abstinence (26.9%). Conclusion: Awareness of FP and contraceptive use rate was high in the two communities. Routine use of emergency contraception was recorded. The study recommends public enlightenment campaigns to further improve the knowledge and correct those misconceptions that exist.



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