scholarly journals A cross sectional study to assess the knowledge, attitude about non-scalpel vasectomy and practices of any contraceptive method among females of reproductive age group in a urban slum, Chennai, Tamil Nadu, 2014

Author(s):  
Kokila K. ◽  
Chellavel Ganapathi K.

Background: In India, non-scalpel vasectomy (NSV) technique was introduced in 1992 to improve the male participation in family planning, though it has failed to achieve its goal. Hence this study was planned to know the real concern about this condition. This study was carried out to assess the knowledge and attitude about non- scalpel vasectomy (NSV) and practices of any contraceptive methods among married females in reproductive age in an urban slum.Methods: This was a cross-sectional study done in urban field practice area of Institute of Community Medicine, Madras Medical College, Chennai-03, Tamil Nadu in the period July 2014 to August 2014 among Married females of reproductive age group (15-49 years).Specific questions on knowledge, attitude regarding NSV were asked. Data were entered in Microsoft Excel sheet and analysed in SPSS version 20. Results: This is a questionnaire based study. All (106 participants) were aware of vasectomy. Among them 50% knew that vasectomy is an option for permanent sterilization. About 36% of them knew that cash incentive is given for vasectomy & 30% knew that insurance given for pregnancy and other complications followed by vasectomy. Around 31% of the respondents knew that vasectomy does not affect sexual performance. About 29% knew that vasectomy does not need prolonged bed rest. Only 19% of the participants knew that vasectomy is done free of cost and as an OP procedure and 11.3% knew that vasectomy is done without any incision. Among the participants 81% agreed that limiting family size stabilizes the financial condition of the family. About 48% of the participants agreed that family planning is also a responsibility of males and 56% were willing to recommend vasectomy for others. Only 35% of the females agreed to adopt vasectomy for their spouse. Among the respondents 73.6% were practicing some form of contraception currently. Conclusions: We conclude that there is a need to design and develop a need based behavioural change communication strategy to bridge the existing information gap among the eligible couples about NSV & to improve the male participation in family planning. Involvement of media, community participation and successful stories of males who have adopted NSV would enhance the effectiveness of all the interventions. 

Author(s):  
Praveena Daya A. ◽  
Prema Priya G. ◽  
Karthikeyan G.

Background: Unmet need for contraception is still high in developing countries because of various reasons and poses a great challenge to the success of family welfare programme Assessing the knowledge and filling the gap is essential for successful functioning of the programme and for reducing the unmet need.Methods: A cross-sectional study was conducted to assess the knowledge and practices on contraception among 100 married women in reproductive age group (15-49 years) residing in a Rural Health centre area of Tirunelveli district, Tamil Nadu, South India.Results: Among the 100 participants, common known methods of contraception were IUD (56%), permanent sterilization (38%), Pills (21%) and Condoms (14%). Out of 100 participants, only 38 were using contraception. Among the 62 who are not using any method of contraception, 30 are willing to practice contraception after motivation and among them 27 prefer to use temporary methods. Fear of side effects was most common reason stated for not using contraception.Conclusions: Knowledge and practice related to contraception among the participants were observed to be less. Health education campaigns emphasizing the need of family planning and about the services available in the government health facilities has to be organized regularly.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tania Dehesh ◽  
Elaheh Salarpour ◽  
Neda Malekmohammadi ◽  
Sepideh Arjomand Kermani

Abstract Background Optimal pregnancy spacing is an important incidence in reproductive women’s health. Short or long pregnancy spacing leads to the greatest health, social and economic problems such as increase in maternal and infant mortality and morbidity, and adverse pregnancy outcomes. The aim of this study is to assess the mean of pregnancy spacing and associated factors of pregnancy spacing among women of reproductive age group with recurrent event analysis. Methods The fertility history of 1350 women aged 15–49 years was collected in this cross-sectional study. The women were selected through multistage random sampling method from a list of clinics in 2018. Some predictors were collected from their records and others were collected by face-to-face interview. The recurrent event survival analysis was used to explore the effect of predictors on pregnancy spacing. The R software program was used for analysis. Results There were nine predictors that had significant effect on pregnancy spacing. These predictors included the age of mother at marriage, mother’s BMI, contraception use, breast feeding duration of the previous child, the education level of husband, the sex preference of the mother, presence of abortion or stillbirth in the preceding pregnancies, income sufficiency, and mother’s awareness of optimum pregnancy interval. The most influential predictors; contraception use (HR = 2.34, 95%CI = 1.23 to 2.76, P < 0.001) and income sufficiency (HR = 2.046, 95%CI = 1.61 to 3.02, P = 0.018) lead to longer and son preference of mother (HR = 2.231, 95%CI = 1.24 to 2.81, P = 0.023) lead to shorter pregnancy spacing. Conclusion The up to date contraception tool should be at hand for couples to manage their pregnancy intervals. The unfavorable economic situation of a family leads to long pregnancy spacing. Despite the relative equality of the status of girls and boys in today’s societies, the desire to have a son child is still an important factor in shorter pregnancy spacing. The benefit of optimal pregnancy spacing should be more announced.


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