scholarly journals Self-injected Depot–Medroxyprogesterone Acetate Subcutaneous (DMPA-SC) Uptake in Nigeria: A Paradigm Shift

2021 ◽  
Vol 8 (3) ◽  
pp. 80-101
Author(s):  
Kehinde Osinowo
Keyword(s):  
Family Planning ◽  
Health Management ◽  
Unmet Need ◽  
Secondary Data ◽  
Planning Method ◽  
Family Planning Method ◽  
Health Management Information System ◽  
Modern Contraceptive ◽  
National Family Planning ◽  
The Government

Self-injection of DMPA-SC method is one of the Government of Nigeria’s (GON) national family planning goals to address the unmet need for contraception. Some studies on DMPA-SC/SI have demonstrated its feasibility to improve modern contraceptive uptake. However, there is a gap in the predictors of method uptake and continuation across self-injecting and provider-administered in Nigeria. This study explored the uptake of self-injection DMPA-SC contraceptives among women in two geopolitical zones of Nigeria. The study employed 20 focused group discussions (FGDs) and 40 In-depth interviews (IDIs). Self-structured pretested questionnaire to elicit information from 844 women registered for Family Planning in selected health facilities. Descriptive statistics were calculated and multivariate logistic regression was used to model determinants of DMPA-SC/SI family planning uptake. Six months of Secondary Data from the Health Management Information system (HMIS) was used to triangulate the trends in uptake. About 97.6% reported ever heard DMPA-SC/SI family planning method; 78.4% reported its uptake; while 88.5% reported ever heard of self-injection as an option of family planning method. Data for each State showed a remarkable increase in uptake of DMPA-SC/SI. The motivations to use DMPA-SC/Self Injection were ease of accessibility, convenience, and self-administer/care. Factors that encourage the uptake of DMPA-SC/SI were; health benefits, the prevailing economic situation and its effectiveness. Findings from the study showed that interventions that deploy health education, awareness, social mobilization, advocacy, policy implementation, and public sensitization, making contraceptive services available for free, will increase the uptake of Keywords: Determinants, DMPA-SC/SI, Practice, Self-injection, Uptake. DMPA-SC/SI in the study areas.

scholarly journals Predictors of modern contraceptive use among women and men in Uganda: a population-level analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034675 ◽  
Author(s):  
Amrita Namasivayam ◽  
Sarah Lovell ◽  
Sarah Namutamba ◽  
Philip J Schluter
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Secondary Data ◽  
Population Level ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Logistic Regression Models ◽  
Modern Contraceptive Use

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.

Addressing unmet need and religious barrier towards the use of family planning method among Muslim women in India

2015 ◽  
Vol 8 (1) ◽  
pp. 22-35 ◽  
Author(s):  
Shraboni Patra ◽  
Rakesh Kumar Singh
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Muslim Women ◽  
Planning Method ◽  
Family Planning Method ◽  
Cultural Barriers ◽  
Intention To Use ◽  
Content Type ◽  
Future Intention ◽  
Women In India

Purpose – The purpose of this paper is to find out the prevalence and determinants of unmet need with a special focus on religious barrier towards the use of contraception among Muslim women in India. The study also addresses their future intention to use family planning method. Design/methodology/approach – Data from the latest round of District Level Household and Facility Survey (DLHS-3) in India is used. A multi-stage stratified probability proportion to size sampling design was adopted. The present analysis is based on 70,016 currently married Muslim women across the country. Findings – The prevalence of total unmet need is the highest in Bihar (48.5 per cent), which is two times higher than the national level (27.6 per cent). About 9 per cent Muslim women in India do not use contraception due to religious opposition. There is considerable gap in the future intention to use family planning method between Muslim (9.2 per cent) and non-Muslim (19.6 per cent) women particularly for limiting birth. The logistic regression analysis shows non-Muslim women are significantly more likely (OR=1.540, p<0.001) to have the intention to use family planning method in the future than Muslim women. Research limitations/implications – Men are not included to explore the differences in the perception of men and women towards family planning. Interventions targeting men and aiming at overcoming cultural barriers to using family planning method are equally imperative. Couple's knowledge, attitude and perception towards acceptance of family planning methods need to be addressed simultaneously by interviewing the couples separately. Practical implications – Public-private collaboration to promote family planning programme and providing services in the high prevalence (unmet need) states is required. Support from the religious leaders to overcome the cultural barriers towards the use of family planning is also needed. Originality/value – This is the first ever effort to address the existing unmet need for family planning among Muslim women in India, which is an important determinant of high fertility among Muslim women.

scholarly journals Appropriateness and affordability of prescriptions to diabetic patients attending a tertiary hospital in Eastern Uganda: A retrospective cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245036
Author(s):  
Samuel Baker Obakiro ◽  
Kenedy Kiyimba ◽  
Agnes Napyo ◽  
Andrew Marvin Kanyike ◽  
Wilberforce John Mayoka ◽  
...  
Keyword(s):  
Health Management ◽  
Drug Prescription ◽  
Essential Medicine ◽  
Secondary Data ◽  
Essential Medicines ◽  
Health Management Information System ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
The Government ◽  
Eastern Uganda

Background Irrational prescription of drugs can lead to high cost of treatment thus limiting access to essential medicines. We assessed the affordability and appropriateness of prescriptions written for diabetic patients in Eastern Uganda. Methods We collected secondary data from the health management information system registers of patients who attended the outpatient medical clinic at Mbale regional referral hospital from January 2019 to December 2019. The average cost of the prescriptions was calculated and adjusted odds ratios for predictors for unaffordability estimated using logistic regression. Computed scores for indicators of rational drug prescription were used to assess the extent of rational prescribing. Results The median cost per prescription was USD 11.34 (IQR 8.1, 20.2). Majority of the diabetic patients (n = 2462; 94.3%, 95% CI: 93.3–95.1%) could not afford the prescribed drugs. Predictors for unaffordability were if a prescription contained: ≥ 4 medicines (AOR = 12.45; 95% CI: 3.9–39.7); an injectable (AOR = 5.47; 95%CI: 1.47–20.32) and a diagnosis of diabetes mellitus with other comorbidities (AOR = 3.36; 95%CI: 1.95–5.78). Having no antidiabetic drug prescribed was protective for non-affordability (AOR = 0.38; 95%CI: 0.24–0.61). The average number of drugs per prescription was 2.8. The percentage prescription of drugs by generic name and from the essential medicine and health supplies list of Uganda were (6160/7461; 82.6%, 96% CI: 81.7%-83.4%) and (6092/7461; 81.7%, 95% CI: 80.8%-82.5%) respectively against WHO standard of 100%. Conclusion The majority of diabetic patients (94.3%) in Eastern Uganda cannot afford to buy prescribed medicines. The government should therefore ensure that essential medicines are readily accessible in public health facilities.

scholarly journals ANALYSIS OF THE EFFECT OF UNMET NEED FOR FAMILY PLANNING ON UNINTENDED PREGNANCY AT PANTI WILASA CITARUM HOSPITAL SEMARANG

2018 ◽  
Vol 7 (2) ◽  
pp. 80
Author(s):  
Ester Ratnaningsih
Keyword(s):  
Family Planning ◽  
Pregnant Women ◽  
Unintended Pregnancy ◽  
Unmet Need ◽  
Planning Method ◽  
Family Planning Method ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Central Java

Unmet need for family planning is defined as the percentage of women of reproductive age ,either married  or in a union, who want to stop or delay childbearing until 24 months but are not using any method of contraception to prevent pregnancy.Unmet need for family planning is a multidimentional  problem because it is influenced  on various  factors. Unmet need for family planning rate at Central Java in 2015 was 10,48%.This study aims to determine relationship between the incidence of unmet need for family planning and unintended  pregnancy.This study was ananalytic  survey with cross-sectional design. This study was  conducted among pregnant women who did not use any contraception method at Panti Wilasa Citarum Hospital Semarang in September-December 2017. The study samples were pregnant women as many as 92. Study instrument used here was aquestionnaire about unmet need for family planning, pregnancy and women knowledge on the types of contraception /family planning method which contained 20 questions.The results showed that 25 women (27,2%) were pregnant because they did not use any contraception method. The results indicated that unmet need for family planning had an effect on unintended pregnancy (p=0.001). There were effects of age, number of children and knowledge about the types of contraception /family planning method on unintended pregnancy. There was no significant correlation between education  with unintended pregnancy (p-value>0.05).It can be concluded that unmet need for family planning had a correlation with unintended pregnancy.

Male Perception and Participation in Family Planning Among Tribal Communities of Maharashtra, India: A Mixed-Method Study

2019 ◽  
Vol 40 (3) ◽  
pp. 163-169
Author(s):  
Suresh Jungari ◽  
Balram Paswan
Keyword(s):  
Family Planning ◽  
Quantitative Methods ◽  
Contraceptive Use ◽  
Male Involvement ◽  
Planning Method ◽  
Family Planning Method ◽  
Modern Contraceptive ◽  
Qualitative And Quantitative Methods ◽  
Modern Family ◽  
Modern Family Planning

This study examined male perceptions and awareness about family planning. The study also investigated male involvement in family planning and contraceptive use decision-making. Furthermore, in this study, we assessed men’s awareness, attitude, and practice of modern contraceptive methods and determined the level of spousal communication. In this study, a field survey was conducted among the tribal population of Maharashtra. Both qualitative and quantitative methods were used for data collection. A sample of 385 men whose wives had given birth in the last 2 years were interviewed. Almost two thirds of the surveyed men (64%) had heard about modern family planning. The main source of information for family planning was the multipurpose worker in the village for 48% of men, followed by friends 16% and the auxiliary nurse midwife and accredited social health activist for 11% and 10%, respectively. Results show that the current use of any modern family planning method, including male and female methods, was 18.4%. Among the currently used modern methods, the major modern family planning method was male sterilization (67%), followed by oral pills (11%) and male condom use (10%). This study indicated that the acceptance of male modern family planning methods is very high.

Who are the women wishing to opt for contraception?

2020 ◽  
pp. 1-11
Author(s):  
Khudija Mushtaq ◽  
Mariam Ashraf ◽  
Inayat Hussain Thaver
Keyword(s):  
Family Planning ◽  
Research Study ◽  
Planning Method ◽  
Family Planning Method ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Face To Face ◽  
Modern Family ◽  
Modern Family Planning

Abstract This descriptive cross-sectional research study was conducted to determine the characteristics of the women who intend to use a modern family planning method. For this 154 women were selected in a small village and face-to-face interviews were conducted. The findings indicate that 86 (56%) women intended to use a contraceptive method. The regression model indicates that women who had the knowledge about different methods, those who had previously ever used family planning method and those who had never used any traditional method are more likely to adopt modern contraceptive methods. Keywords: contraception, practices, family planning...

scholarly journals Family Planning Unmet Need; Determinant Factors and Strategy Design through Health Management Approach and Fishbone Analysis in Riau Province, Indonesia

2021 ◽  
Vol 26 ◽  
pp. 749-760
Author(s):  
Hetty Ismainar ◽  
Mishbahuddin Mishbahuddin
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Planning Process ◽  
Health Management ◽  
Unmet Need ◽  
Secondary Data ◽  
Service Planning ◽  
Management Approach ◽  
Program Performance ◽  
Determinant Factors

The high number of unmet needs for Family Planning (FP) in Indonesia has an effect on birth spacing and the number of parities so that there is a high risk of maternal and infant mortality. Based on data from the Family-Program Performance and Accountability Survey (PPAS) from the National Population and Family Planning Board (NPFPB) in 2019, 51% of Fertile Age Women (FAW) were not willing to use FP. This study aims to describe the determinant factors and strategies to reduce the incidence of unmet needs for FP.  The method used was a quantitative descriptive study conducted in July-September 2021. The data collection technique analyzed the program performance and accountability survey report data from NPFPB in 2019 (secondary data). The result was that the determinant factors of the unmet need for FP include: age 30-49 years (60.1%), parity having 6 or more children (73.6%), reasons for fertility (32.89%), being against using (7.9%), lack of knowledge about 8 modern FP tools/methods (15.5%), reasons for FP tools/methods (34.65%). Meanwhile, the majority of information on FP was obtained through television (91.9%), direct information through midwives/nurses (77.5%). The strategy to reduce the number of unmet need for FP was through a health management approach with five stages, namely: 1. Assessment to identify the number of Fertile Age Couple (FAC) unmet need for FP, demographic characteristics, and reasons for not using contraceptive tools/methods: 2. Mapping step, case mapping per region, 3. Planning, service planning process, 4. action, service delivery based on planning, 5. Evaluation monitoring stage, monitoring process, and activity evaluation. Six management elements are used for fishbone analysis, namely: man, money, method, material, machine, and market. It requires a high commitment to all stakeholders so that the implementation of the strategy can be realized.

scholarly journals 701To estimate contraceptive prevalence rate and unmet need for family planning in rural Shimla

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Anmol Gupta
Keyword(s):  
Family Planning ◽  
Prevalence Rate ◽  
Universal Access ◽  
Unmet Need ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Contraceptive Prevalence Rate ◽  
Contraceptive Prevalence ◽  
The Government

Abstract Background The utilization of family planning services has improved over the decade, but still the SDG’s health target to ensure universal access to sexual and reproductive health care services is yet to be achieved. Methods A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to June 2019. Total sample size calculated was 410. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymous interview schedule was administered after taking consent. Results The mean age of the participants was 28.9 ± 5.9 years. The modern contraceptive prevalence rate (mCPR) was found to be 67.7% among women of reproductive age group (15-49 years). Male condom (36%), followed by female sterilisation (30%) were the most common methods preferred. Conclusions Besides male condoms and female sterilisation, other methods of contraception were adopted by meagre number of women. Though, the unmet need for family planning was lesser in this study, still, efforts are needed to plunge it, for ameliorating the contraceptive prevalence rate. Also, the availability of basket of contraceptive choices in government sector need sheer assiduity. Key messages The continuing IEC activity related to family planning methods need to be upsurged, so that the available contraceptives reach the community by and large. The government system of provision of contraceptives may be made accessible and convenient, so that the beneficiaries are inclined to utilise these services.

Family-Planning Knowledge and Attitude Surveys in Pakistan (Review Article)

1964 ◽  
Vol 4 (2) ◽  
pp. 332-355 ◽  
Author(s):  
Khurshid Haroon ◽  
Yasmin Azra Jan
Keyword(s):  
Family Planning ◽  
Preliminary Data ◽  
Review Article ◽  
Research Projects ◽  
Family Planning Programme ◽  
The Family ◽  
National Family ◽  
National Family Planning ◽  
Knowledge And Attitude ◽  
The Government

Very little of the intense interest and activity in the field of family planning in Pakistan has come up in the form of publications. Since the formation of the Family Planning Association of Pakistan in 1953 and the initiative of the government in promoting a national family-planning programme in its Second Five-Year Plan, relatively few reports have been printed. Most of what has been written in Pakistan about family planning has either been reported at conferences abroad or published in foreign journals, or submitted as graduate dissertations at universities within the country and abroad1. While numerous papers presented at conferences in Pakistan have been given limited circulation in mimeographed form2, much of the preliminary data, emanating from most of the action-research projects in progress, are held up till substantive demographic changes are measured and approaches evaluated accordingly.

scholarly journals Association between media exposure and family planning in Myanmar and Philippines: evidence from nationally representative survey data

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Pranta Das ◽  
Nandeeta Samad ◽  
Hasan Al Banna ◽  
Temitayo Eniola Sodunke ◽  
John Elvis Hagan ◽  
...  
Keyword(s):  
Family Planning ◽  
Mass Media ◽  
Health Survey ◽  
Unmet Need ◽  
Media Exposure ◽  
The Philippines ◽  
Education Level ◽  
Demographic And Health Survey ◽  
Modern Contraceptive ◽  
Mass Media Exposure

Abstract Background Although women in South Asia and South-east Asia have developed their knowledge regarding modern contraceptive and other family planning techniques, limited information exists on the influence of mass media exposure on the utilization of contraceptives and family planning. The current study examined the association between media exposure and family planning in Myanmar and Philippines. Methods The study analyzed data from the 2017 Philippines National Demographic and Health Survey (NDHS) and 2015–16 Myanmar Demographic and Health Survey (MDHS). Three family planning indicators were considered in this study (i.e., contraceptive use, demand satisfied regarding family planning and unmet need for family planning). A binary logistic regression model was fitted to see the effect of media exposure on each family planning indicator in the presence of covariates such as age group, residence, education level, partner education level, socio-economic status, number of living children, age at first marriage, and working status. Results The prevalence of contraception use was 57.2% in the Philippines and 55.7% in Myanmar. The prevalence of demand satisfied regarding family planning was 70.5 and 67.1% in the Philippines and Myanmar respectively. Unmet need regarding family planning was 16.6% and 19.9% in the Philippines and Myanmar respectively. After adjusting for the covariates, the results showed that women who were exposed to media were more likely to use contraception in Philippines (aOR = 2.24, 95% CI = 1.42–3.54) and Myanmar (aOR 1.39, 95% CI = 1.15–1.67). Media exposure also had a significant positive effect on demand satisfaction regarding family planning in the Philippines (aOR = 2.19, 95% CI = 1.42–3.37) and Myanmar (aOR = 1.34, 95% CI = 1.09–1.64). However, there was no significant association between media exposure and unmet need in both countries. Conclusions The study established a strong association between mass media exposure and the use and demand satisfaction for family planning among married and cohabiting women in Philippines and Myanmar. Using mass media exposure (e.g., local radio, television- electronic; newspapers) to increase both access and usage of contraceptives as well as other family planning methods in these countries could be pivotal towards the attainment of United Nations Sustainable Development Goal 3 (SDG 3) of improving maternal health.

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