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

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.

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Male-Female Concordance in Reported Involvement of Women in Contraceptive Decision-Making and Its Association With Modern Contraceptive Use Among Couples in Rural Maharashtra, India.

10.21203/rs.3.rs-358822/v1 ◽

2021 ◽

Author(s):

Anvita Dixit ◽

Nicole E Johns ◽

Mohan Ghule ◽

Madhusudana Battala ◽

Shahina Begum ◽

...

Keyword(s):

Decision Making ◽

Partner Violence ◽

Contraceptive Use ◽

Unmet Need ◽

Married Couples ◽

Cross Sectional Study ◽

Modern Contraceptive ◽

Cross Sectional ◽

Lower Odds ◽

Modern Contraceptive Use

Abstract Objective: Women’s involvement in contraceptive decision-making increases contraceptive use and reduces unmet need, but study of this has been limited to women’s self-reports. Less research is available examining couple concordance and women’s involvement in contraceptive decision-making as reported by both men and women. Study Design: We carried out a cross-sectional study using data from rural India (N=961 young married couples). Using multivariable regression we examined the association between concordance or discordance in spousal reports of wife’s involvement in contraceptive decision-making and modern contraceptive use, adjusting for demographics, intimate partner violence, and contraceptive use discussion. Results: More than one third (38.3%) of women reported current modern contraceptive use. Report of women’s involvement in contraceptive decision-making showed 70.3% of couples agreed that women were involved, jointly or alone (categorized as Concordant 1), 4.2% agreed women were not involved (categorized at Concordant 2), 13.2% had women report involvement but men report women were uninvolved (categorized as Discordant 1), and 12.2% had women report uninvolvement but men report that women were involved (categorized as Discordant 2). Discordant 2 couples had lower odds of modern contraceptive use relative to Concordant 1 couples (adjusted RR=0.61, 95% CI 0.45-0.83). No other significant differences between Concordant 1 couples and other categories were observed. Conclusion: One in four couples indicated discordance on women’s involvement in contraceptive decision making, with Discordant 2 category having lower odds of contraceptive use. Couples’ concordance in women’s involvement in contraceptive decision-making offers a target for family planning research and interventions to better meet their needs.Trial registrationClinicalTrial.gov, NCT03514914. https://clinicaltrials.gov/ct2/show/NCT03514914

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Use of contraceptive methods by sexually active teenagers in Pelotas, Rio Grande do Sul State, Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2007001200007 ◽

2007 ◽

Vol 23 (12) ◽

pp. 2862-2868 ◽

Cited By ~ 12

Author(s):

Clarissa Lisbôa Arla da Rocha ◽

Bernardo L. Horta ◽

Ricardo Tavares Pinheiro ◽

Ana Laura Sica Cruzeiro ◽

Suelen Cruz

Keyword(s):

Urban Area ◽

Contraceptive Method ◽

Contraceptive Use ◽

Rio Grande ◽

Cross Sectional Study ◽

Rio Grande Do Sul ◽

Contraceptive Methods ◽

Chi Square ◽

Cross Sectional ◽

Increased Risk

This study aimed to assess the prevalence of contraceptive use by adolescents. A cross-sectional study was performed from March to September 2002 in a representative sample of adolescents 15 to 18 years of age in the urban area of Pelotas, Rio Grande do Sul State, Brazil. Multiple-stage sampling was used, and in the 448 census tracts located in the urban area, 90 were sampled and households were visited in each tract. Information was collected on sexual initiation and use of contraceptive methods. Chi-square test was used to compare proportions. The sample included 960 adolescents. 88% of subjects reported the use of any contraceptive method. Condoms were the most commonly used method (63.2%). Low adolescent schooling was the only variable associated with increased risk of non-use of contraceptives. Condom use was higher among males, adolescents whose mothers had 9 or more years of schooling, and those reporting several sexual partners in the previous year. Condoms were the most commonly used contraceptive method.

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TINGKAT PENGETAHUAN, SIKAP, DAN KEINGINAN SUAMI DARI PASANGAN USIA SUBUR TERHADAP METODE KONTRASEPSI VASEKTOMI DI KECAMATAN DENPASAR SELATAN TAHUN 2017

ARCHIVE OF COMMUNITY HEALTH ◽

10.24843/ach.2018.v05.i02.p04 ◽

2018 ◽

Vol 5 (2) ◽

pp. 26

Author(s):

Kadek Diah Wulandari ◽

Ketut Hari Mulyawan ◽

Desak Nyoman Widyanthini

Keyword(s):

Random Sampling ◽

Health Workers ◽

Married Couples ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Contraceptive Methods ◽

Cross Sectional ◽

Interview Method ◽

Positive Attitudes

ABSTRAK Kota Denpasar merupakan salah satu daerah yang memiliki akseptor Keluarga Berencana (KB) pria (vasektomi) terendah di Provinsi Bali dengan akseptor rate tahun 2015 sebesar 0,0013. Tujuan dari penelitian ini untuk mengetahui pengetahuan, sikap dan keinginan suami dari pasangan usia subur (PUS) terhadap metode kontrasepsi vasektomi di Kecamatan Denpasar Selatan Tahun 2017. Penelitian ini merupakan cross sectional deskriptif yang dilakukan pada suami dari pasangan usia subur (PUS) di wilayah Kecamatan Denpasar Selatan tahun 2017 sebanyak 62 sampel yang memenuhi kriteria menjadi akseptor vasektomi, yang dipilih secara multistage random sampling dari 326 pasangan usia subur (PUS) yang berdomisili di 10 desa/kelurahan di Kecamatan Denpasar Selatan. Data pengetahuan, sikap dan keinginan menggunakan metode wawancara dan dianalisis secara deskriptif. Hasil penelitian menunjukkan sebanyak 9,7% suami dari pasangan usia subur (PUS) berkeinginan menjadi akseptor vasektomi, sebanyak 66,1% memiliki pengetahuan kurang dan sebanyak 72,6% memiliki sikap positif terhadap kontrasepsi vasektomi. Dari penelitian ini dapat disimpulkan bahwa lebih dari setengah responden memiliki pengetahuan yang rendah dan tidak berkeinginan terhadap metode kontrasepsi vasektomi Diharapkan kepada petugas kesehatan khususnya BKKBN dapat memberikan sasaran penyuluhan yang lebih mengkhusus kepada masyarakat dengan kelompok umur 35-45 tahun dan diharapkan dapat memberikan informasi sedini mungkin tentang kontrasepsi vasektomi bagi pasangan suami istri. Kata Kunci: Pengetahuan, Sikap, Keinginan, Metode Kontrasepsi Vasektomi, Suami dari Pasangan Usia Subur (PUS) ABSTRACT Denpasar City is one of the regions that has the lowest male family planning (KB) acceptor (vasectomy) in Bali with an acceptor rate of 0.0013 in 2015. The purpose of this study was to determine the knowledge, attitudes and desires of husbands of fertile age couples (PUS) to vasectomy contraceptive methods in the South Denpasar District in 2017. This study use a descriptive cross sectional study conducted on husbands of fertile age couples (PUS) in the District area South Denpasar in 2017 as many as 62 samples that met the criteria of being a vasectomy acceptor, were selected by multistage random sampling from 326 fertile age couples (PUS) who are domiciled in 10 villages / sub-districts in South Denpasar District. Knowledge data, attitudes and desires using the interview method and analyzed descriptively. The results showed 9.7% of husbands of fertile age couples (PUS) wanted to be vasectomy acceptors, 66.1% had less knowledge and 72.6% had positive attitudes towards vasectomy contraception. From this study it can be concluded that more than half of respondents have low knowledge and do not wish to have vasectomy contraception methods. It is expected that health workers, especially BKKBN, can provide counseling targets that are more specific to people in the age group of 35-45 years and are expected to provide information as early as possible about vasectomy contraception for married couples. Keywords: Knowledge, Attitude, Desire, Vasectomy Contraception Method, Husband of a Fertile Age Partner (PUS)

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Male–female concordance in reported involvement of women in contraceptive decision-making and its association with modern contraceptive use among couples in rural Maharashtra, India

Reproductive Health ◽

10.1186/s12978-021-01187-8 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Anvita Dixit ◽

Nicole E. Johns ◽

Mohan Ghule ◽

Madhusudana Battala ◽

Shahina Begum ◽

...

Keyword(s):

Decision Making ◽

Partner Violence ◽

Contraceptive Use ◽

Unmet Need ◽

Married Couples ◽

Cross Sectional Study ◽

Modern Contraceptive ◽

Cross Sectional ◽

Lower Odds ◽

Modern Contraceptive Use

Abstract Objective Women’s involvement in contraceptive decision-making increases contraceptive use and reduces unmet need, but study of this has been limited to women’s self-reports. Less research is available examining couple concordance and women’s involvement in contraceptive decision-making as reported by both men and women. Study design We carried out a cross-sectional study using data from rural India (N = 961 young married couples). Using multivariable regression we examined the association between concordance or discordance in spousal reports of wife’s involvement in contraceptive decision-making and modern contraceptive use, adjusting for demographics, intimate partner violence, and contraceptive use discussion. Results More than one third (38.3%) of women reported current modern contraceptive use. Report of women’s involvement in contraceptive decision-making showed 70.3% of couples agreed that women were involved, jointly or alone (categorized as Concordant 1), 4.2% agreed women were not involved (categorized at Concordant 2), 13.2% had women report involvement but men report women were uninvolved (categorized as Discordant 1), and 12.2% had women report uninvolvement but men report that women were involved (categorized as Discordant 2). Discordant 2 couples had lower odds of modern contraceptive use relative to Concordant 1 couples (adjusted RR = 0.61, 95% CI 0.45–0.83). No other significant differences between Concordant 1 couples and other categories were observed. Conclusion One in four couples indicated discordance on women’s involvement in contraceptive decision making, with Discordant 2 category having lower odds of contraceptive use. Couples’ concordance in women’s involvement in contraceptive decision-making offers a target for family planning research and interventions to better meet their needs. Trial registration ClinicalTrial.gov, NCT03514914. https://clinicaltrials.gov/ct2/show/NCT03514914

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A cross sectional study of contraceptive use and reasons for unmet needs among mothers attending immunisation clinic at tertiary care centre of central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203925 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3575

Author(s):

Archana Dethe ◽

Pradeep Kaswan ◽

Umakant G. Shidam ◽

Bhagyashree S. Gawande ◽

Daljeet Kaur

Keyword(s):

Unmet Needs ◽

Contraceptive Use ◽

Tertiary Care ◽

Unmet Need ◽

Central India ◽

Cross Sectional Study ◽

Sectional Study ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Unmet Need For Contraception

Background: Unmet need of contraception remains a national problem. The study was conducted among the mothers attending immuno-prophylaxis clinic (IPC) at tertiary care centre of central India to determine the use of different types of contraception and assess the unmet need for contraception along with the reasons associated with the unmet needs of contraception. Aim and objective was to study the contraceptive use, reasons for unmet needs amongst the mothers attending IPC and some related factors.Methods: This was a cross-sectional study conducted during the period from February-April 2016 at IPC in tertiary care setting. In this study 280 mothers attending IPC for Measles and DPT 1st booster of their child were enrolled. The sample population was selected by simple random sampling method. A pre-tested structured questionnaire was used to collect data from the respondents with written informed consent.Results: This study shows that, 65% of mother told they were practicing any type of family planning method. Unmet need for contraception was 37.14 per cent. Among those having unmet need (n=104), fear of side effects (41.35%), infrequent sex (25%) were the common reasons for unmet need. Religion, age of marriage, age at 1st pregnancy, education, socioeconomic status, occupation of husband, counselling about contraceptives during ANC/PNC visits and resumption of menses were significantly associated with the use of contraceptives.Conclusions: The unmet need for contraception was quite high. Most of the study subjects were not using contraception due to fear of side effects and lack of knowledge.

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Women’s Joint Decision on Contraceptive Use in Gedeo Zone, Southern Ethiopia: A Community Based Comparative Cross-Sectional Study

International Journal of Family Medicine ◽

10.1155/2017/9389072 ◽

2017 ◽

Vol 2017 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Akine Eshete ◽

Yohannes Adissu

Keyword(s):

Family Planning ◽

Rural Women ◽

Contraceptive Use ◽

Cross Sectional Study ◽

Age Difference ◽

Sectional Study ◽

Contraceptive Methods ◽

Community Based ◽

Cross Sectional ◽

Joint Decision

A community based comparative cross-sectional study design was employed to assess the mutual consent of women about family planning use in urban and rural villages of Gedeo zone. Two-thirds (67.4%) of women made joint decision on contraceptive use, varying between urban (70.9%) and rural (63.4%) settings. This difference was statistically significant where women in urban setup had a 41% (AOR, 1.41; 95% CI (1.15, 2.01) added chance of making joint decision than the rural counterpart. In both settings, attitude towards contraceptive method was an independent predictor of joint contraceptive decision (AOR = 2.85) in urban and (AOR = 2.81) rural women. Contrarily, different factors were found to be associated with joint contraceptive decision in either setup. In urban, having better knowledge about contraceptive methods (AOR = 2.9) and having lower age difference (AOR = 2.2) were found to be strong predictors of joint decision on contraceptive use, while having too many children (AOR = 2.2) and paternal support (AOR = 7.1) in rural setups. Lower level of joint decision making on contraceptive use was reported in both setups. Factors associated with joint decision varied between the two setups, except for attitude towards contraceptive methods. Future family planning program should address sociocultural, knowledge and attitude factors.

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Violence Against Women During COVID-19 Pandemic

Journal of Interpersonal Violence ◽

10.1177/0886260521997953 ◽

2021 ◽

pp. 088626052199795

Author(s):

Marwan Akel ◽

Jana Berro ◽

Clara Rahme ◽

Chadia Haddad ◽

Sahar Obeid ◽

...

Keyword(s):

Violence Against Women ◽

Married Couples ◽

Self Esteem ◽

Cross Sectional Study ◽

Economic Factors ◽

Sectional Study ◽

Inclusion Criteria ◽

Cross Sectional ◽

Living Together ◽

Stress Score

The objectives of this study were to correlate several factors - including depression, anxiety, stress and self-esteem levels in both men and women - with the occurrence of domestic violence against women (VAW) during quarantine. This cross-sectional study was carried out in April 2020, in the midst of the COVID-19 pandemic when lockdown procedures were implemented; 86 married couples participated in this study amounting to 172 responses in total. A different questionnaire was set for women and men; the couple filled out their respective questionnaire simultaneously, but privately where one did not see the answers of the other. Inclusion criteria included married couples of all ages that are living together during the lockdown of COVID-19. The results of this study showed that a higher total abuse score was found in 39 females (45.3%; CI: 0.34 - 0.56). Being a Muslim female (Beta =24.80) and females having higher anxiety (Beta=0.97) were significantly associated with higher total abuse scores, whereas higher stress score in female (Beta=-0.61) was significantly associated with lower total abuse scores. In conclusion, this study focuses on VAW as a serious problem while demonstrating its further emergence during quarantine. This study also focused on the effects brought on by lockdown policies, including social and economic factors, and their implications in the increase of VAW during this pandemic.

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