Family planning in grand multiparous women in Diyarbakir, Turkey, 1998: the factors affecting contraceptive use and choice of method

2001 ◽  
Vol 6 (1) ◽  
pp. 1-8
Author(s):  
M. Ertem ◽  
P. Ergenekon ◽  
N. Elmaci ◽  
E. Ilcin
BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034675 ◽  
Author(s):  
Amrita Namasivayam ◽  
Sarah Lovell ◽  
Sarah Namutamba ◽  
Philip J Schluter

Objective(s)Despite substantial and rapid improvements in contraceptive uptake in Uganda, many women continue to have unmet need for contraception. As factors affecting contraceptive use are dynamic and complex, this study seeks to identify current predictors and provide effect size estimates of contraceptive use among women and men in Uganda.Study designA nationally representative cross-sectional population survey, using secondary data from Uganda’s 2016 Demographic and Health Survey. Stratified by sex, weighted bivariable and multivariable logistic regression models were derived from a suite of potential predictor variables. Predictive abilities were assessed via 10-fold cross-validated area under the receiver operating characteristic curves (AUCs).SettingUganda.ParticipantsAll women aged 15–49 years who were permanent residents of the selected households or stayed in the household the night before the survey were eligible to participate. In one-third of the sampled households, all men aged 15–54 years who met the same residence criteria were also eligible.Primary outcome measuresModern contraceptive use.ResultsOverall, 4914 (26.6%) women and 1897 (35.6%) men reported using a modern contraceptive method. For women and men, both demographic and proximate variables were significantly associated with contraceptive use, although notable differences in effect sizes existed between sexes—especially for age, level of education and parity. Predictively, the multivariable model was acceptable for women with AUC=0.714 (95% CI 0.704 to 0.720) but less so for men with AUC=0.654 (95% CI 0.636 to 0.666).Conclusion(s)Contemporary significant predictors of contraceptive use among women and men were reported, thereby enabling key Ugandan subpopulations who would benefit from more targeted family planning initiatives to be identified. However, the acceptable AUC for women and modest AUC for men suggest that other important unmeasured predictors may exist. Nonetheless, these evidence-based findings remain important for informing future programmatic and policy directions for family planning in Uganda.


1996 ◽  
Vol 28 (3) ◽  
pp. 265-279 ◽  
Author(s):  
Mehrab Ali Khan

SummaryThis study examines the relationship between family planning, perceived availability of contraceptives, and sociodemographic factors in rural Bangladesh. Data are from the 1990 KAP survey in the Matlab treatment and comparison areas, using a sample of about 8500 married women of reproductive age. The contraceptive prevalence rate was 57% in the treatment area but substantially lower in the comparison area where mainly traditional methods of family planning were used by women who did not know of a source of supply of contraceptives. Education has no effect on contraceptive use in the treatment area but in the comparison area, modest but consistent differentials in use by level of education were found. Number of living children is the best predictor for contraceptive use, followed by number of living sons, and the attitude of respondents and their husbands towards family planning.


2002 ◽  
Vol 34 (4) ◽  
pp. 497-510 ◽  
Author(s):  
KOLAWOLE A. OYEDIRAN ◽  
GBENGA P. ISHOLA ◽  
BAMIKALE J. FEYISETAN

African men play important roles in the decisions about family life, including fertility and family planning. However, fertility and family planning research and programmes have ignored their roles in the past, focusing only on women’s behaviours. Since the 1994 International Conference on Population and Development (ICPD), interest in men’s involvement in reproductive health has increased. Unfortunately, data on their knowledge and use of contraception are generally scanty. This paper examines knowledge and use of contraception among ever-married men in Nigeria. A total of 1451 ever-married men aged 18–55 were interviewed in Imo and Ondo States, Nigeria. The findings reveal that men’s level of contraceptive knowledge is high in the study areas. About 90% knew at least one method of family planning. Furthermore, the level of contraceptive use among married men is such that men could participate in family planning activities if there were adequate programmes to involve them. Men in the sample areas were found not only to support their spouses’ use of contraceptives, but were actually using condoms to delay or prevent pregnancy. Age, education, place of residence, number of living children and being counselled for family planning were identified as key factors determining contraceptive knowledge and use among married men in the study areas. To ensure increased participation of men in family planning, programmes must be designed to educate them on the need for family size limitation and involve them in service delivery, even if only to their male counterparts.


2019 ◽  
Vol 15 (1) ◽  
pp. 117-123
Author(s):  
Haerawati Idris

Rapid population growth has become a major concern and attention of many national governments and international community. Most developing countries have acknowledged the role of family planning as an effective way to improve maternal/child health and suppress population growth. This study aimed to investigate the socioeconomic and demographic factors that influence the use of contraceptives in Indonesia. This was a cross-sectional study using secondary data derived from National Socio-Economic Survey (SUSENAS) in 2014. A sample of 286,695 married women was selected for this study. Multiple logistic regression analyses were used to estimate the effects of socio-economic and demographic variables on contraceptive use. Only 42% of married women in Indonesia used contraceptive method. The most popular contraceptive method was injection (55%). Factors affecting contraceptive use were maternal age of 30-34 year, living in the urban area, family wealth status in the 4th quintile, secondary school, working women, residing in Java/Bali, and the number of living children > 2. Family planning policy information, education, and communication program should consider these determinants of contraceptive use.


1996 ◽  
Vol 35 (1) ◽  
pp. 1-22 ◽  
Author(s):  
Naushin Mahmood ◽  
Karin Ringheim

Using data from the Pakistan Demographic and Health Survey of 1990-91, this study examines the effect of selected socio-cultural and supply factors on contraceptive use as reported by married women of reproductive ages. In addition to the expected positive relationship of woman’s age, number of living children, education, and place of residence with contraceptive use, it is theorised that there are five factors potentially affecting fertility regulation in the socio-structural context of Pakistan. These include the extend of communication between husbands and wives, religious beliefs, female autonomy, son preference, and the family planning service and supply variables. Using logistic regression analysis, the results of the study indicate that the explanatory power of these five factors is significant in affecting the use of contraception in both urban and rural areas. While knowledge of a source for family planning is the strongest predictor of contraceptive use, husband-wife communication and religious attitudes are also significant. The fact that the inclusion of the theoretical variables dampens the predictive effect of the primary and secondary education for women leads to the speculation that while the extremely low levels of literacy among women must be addressed through government commitment to universal education, scarce family planning programme resources can be focused more effectively on promoting spousal communication, about family size and contraceptive use, and on soliciting the support of religious leaders to counteract the misperceptions about Islamic teachings on family planning and reliance on fate. With high quality and accessible services, these measures could go a long way towards providing couples with the means to meet their reproductive goals.


1992 ◽  
Vol 31 (2) ◽  
pp. 119-144 ◽  
Author(s):  
Naushin Mahmood

Using data from the Population, Labour Force and Migration (PLM) Survey of 1979-80, this paper examines the component of potential motivation for fertility limita- . tion among Pakistani married women and then determines what factors are important in explaining the contraceptive use differentials among the potentially motivated subgroup of women. The analysis is conducted using logit regression models. The findings show that, among women wanting no additional children, a substantial proportion is reluctant to adopt fertility control behaviour, confirming the existence of latent demand for contraception in all strata. A majority of those women report no exposure to the programme or no contact with a family planning worker, and a large majority of those who have had exposure or have been contacted do not report contraceptive use, indicating a considerable shortfall of the programme. Among the urban women wanting no more children, the important factors affecting contraceptive use positively are education (both primary and secondary), household income, living in nuclear family, exposure to the programme, and contact with a family planning worker. For rural women, only nuclear family living and the programme factors are significant in promoting contraceptive use. The suggestions likely to increase contraceptive prevalence are, first, to reach those women who have the potential motivation for contraception, and, second, to increase the quality and sources of the motivation efforts of the programme to crystallize the latent demand among those who need it.


1997 ◽  
Vol 29 (2) ◽  
pp. 141-149 ◽  
Author(s):  
E. O. TAWIAH

The relationships between selected demographic and socioeconomic variables and current use status of contraception were examined using logistic regression technique. Information on current contraceptive use was provided by 3156 out of 4488 currently married women aged 15–49 interviewed in the 1988 Ghana Demographic and Health Survey. Respondents' approval of family planning emerged as the most important predictor of current contraceptive use, followed by discussion of family planning with partner and level of education. As a policy measure, information, education and communication programmes on family planning should be intensified, particularly in rural areas. Female education, at least up to secondary level, should be given top priority.


Author(s):  
Erdiyan Astato ◽  
Djajadilaga Djajadilaga

Objective: To evaluate the factors related to the selection of contraceptive methods and length of use on acceptors in Raden Saleh Clinic and Fatmawati General Hospital. Method: The study was a prospective observational study designs. The factors that we observed include the family planning factor (wife age, number of desired children and infertility), subjective factors (side effect experience of contraception, support from the husband/ family, and religion), objective factors (medical disorders, person helping to select contraception, family planning service centre and availability of contraceptives) and the level of motivation (level of education). All the clients who will receive contraception and meet the criteria for the research were interviewed and given questionnaires until the desired sample size is achieved. The study was conducted at the Raden Saleh Clinic and Fatmawati General Hospital. We then conducted follow-up at 3 and 6 months after the use of the contraceptive methods to assess the length of use. Result: The total number of subjects was 151 people. The average age of respondents was 31 years old, with the contraception options being IUD (67.1%), implants (17.8%), sterilization (7.2%), injectable contraception (3.9%), and oral contraception (3.9%). From all the factors studied, only the number of desired children were found to affect the selection of contraceptive methods significantly (p=0.008) in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors did not affect the selection of contraceptive method (p>0.05). We also found that all of these factors do not have a significant relationship to the length of contraceptive use (p>0.05). There were 6.6% of subjects (n=10) who switched the type of contraception. From all of them, there was a trend of switching from oral contraceptive to injectable method (33.3%) and from IUD to injectable method (66.7%). Conclusion: Only the number of desired children has an effect on the selection of contraceptive methods in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors studied do not affect in selection of contraceptive methods. Family planning factors, subjective factors, objective factors and motivation levels have no effect on the length of contraceptive use by clients at Raden Saleh Clinic and Fatmawati General Hospital. Keywords: contraception methods, factors, length of use, selection


Author(s):  
Pinar Döner ◽  
Kadriye Şahin

Abstract Purpose: Reproductive health includes the capability to reproduce and the freedom to decide. In this context, both women and men have rights. In this study, it is aimed to reveal the obstacles in using these rights and to describe perceptions on marriage and family planning (FP) of Syrian women and men and to increase awareness for developing new policies on the Primary Health Care. Methods: The study was conducted using qualitative method, consisting of in-depth interviews with 54 participants; 43 women and 11 men who had to emigrate from varied regions of Syria at different times since 2011. Syrian women living in Hatay, in the south of Turkey were identified from Primary Health Care Center. Most of the Syrian women had given birth to the first two children before the age of 20 years. The interviewees were selected by purposive and snowball sampling. Results: The result was examined under seven headings: knowledge about FP and contraceptive methods, hesitation about contraceptive methods, emotional pressure of family and fear of maintaining marriage, embarrassing of talking about sexuality and contraception, the effects of belief and culture on contraception, psychological reflections of war, and changes in the perception of health during the process of immigration. The most significant factors affecting the approaches to FP and contraceptive methods of the women in this study were determined to be education, traditions, economic status, and religious beliefs. The most important factors affecting participants’ FP and contraceptive method approaches are education, cultural beliefs, economic status, and religious beliefs. Conclusions: The primary healthcare centers are at a very strategical point for offering FP services to help address patients’ unmet contraceptive needs and improve pregnancy outcomes. More attention should be paid to social determinants that influence the access to reproductive health. Moreover, efforts can be done to address gender inequality that intercept FP. The most important strategy for primary health systems to follow the gender barriers that hinder access to FP services and men are empowered to share responsibility for FP.


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