scholarly journals Acceptance and Positive Attitude Increased Utilization of Long Acting and Permanent Family Planning Methods Among Reproductive Age Group Women from Debre Berhan District, Ethiopia: Quantitative and Qualitative Analysis

Author(s):  
Asegidew W ◽  
Tariku B ◽  
Kaba M ◽  
Getachew S ◽  
Ketsela K
Author(s):  
Deepika Dewan ◽  
Heena Nazir ◽  
Tania Kakkar

Background: Despite more than fifty years of implementation of National Family Planning and Welfare programme, unmet need for family Planning is still high which poses a big challenge for family planning programme. The aim is to reach all women whose reproductive behaviour requires one or the other forms of contraception but for various factors are not practicing them.Methods: A cross-sectional descriptive study was carried out amongst women of reproductive age group in the field practice area of Rural Health Training Centre of Dept. of Community Medicine of a Government Medical College, Jammu during the period of January to June 2018. Ethical clearance was obtained from the Institutional Ethics committee prior to the start of the study. Total of 541 eligible couples attending the family welfare section were interviewed by the trained staff using the pre-tested questionnaire. The information about various family planning methods adopted by couple was elicited. Data was analysed by using appropriate test whenever necessary.Results: A total of 541 eligible couples were interviewed. Maximum couples were in the age group of 30-34 years. 300 (55.4%) couples were using one or the other method of family planning. Condoms were most commonly used method by 148 (49.3%) couples followed by oral contraceptive pills (30.6%). Among permanent methods of family planning, tubectomy was adopted by 10 (3.3%) and vasectomy only by 4 (1.3%) couples. No one was practising any miscellaneous method of contraception. The percentage of family planning methods used by Hindus was maximum (65%). Difference was also observed in the context of socio-economic status.Conclusions: Nearly half of eligible couples were not practising any method of contraception. There is need to increase motivation among eligible couples to increase adoption of permanent methods of contraception especially vasectomy.


Author(s):  
Mansi Shukla ◽  
Mallika Fonseca ◽  
Prasad Deshmukh

Background: India, with one of the world’s fastest growing populations, is a nation very much in need of contraceptive counselling. To assess the knowledge and attitude regarding family planning methods and contraceptive practices among women of reproductive age group.Methods: A cross-sectional study was performed in which 547 women in the reproductive age group i.e., 15-45 years, attending a tertiary care hospital in Mumbai were interviewed with predesigned validated questionnaire. A total of 547 women were interviewed using a semi-structured questionnaire from January 2016 to December 2016. The proforma included details such as socio-demographic features, questions related to knowledge, attitude and practices (KAP) regarding contraceptive use.Results: Out of 547 women interviewed, 498 (i.e. 91%) had displayed an awareness of family planning methods (permanent/temporary). Out   of these 498 women, about 78% had procured the information from family and friends. 13% got their information through mass media. Only 9% of women had been counselled in detail by health personnel about the various contraceptive options available. Out of 547 women interviewed, 342 (62.5%) were using contraception. More than a third of these women (26.8%), resort to barrier contraception as a contraceptive method of choice for spacing and to prevent an unwanted pregnancy. Only 17% women used OC Pills as a contraceptive method though 66% women knew about them. Though 59.4% of the women knew about IUCDs only 3.5% were actually using IUCD. Most of the women were in the younger age group of 21-30years (62%) and already had one or two children.Conclusions: Ignorance regarding use and side effects various contraceptive methods is the reason for inadequate practice of family planning methods. There should be emphasis on focused awareness programs, based on bridging the knowledge gaps among the women in reproductive age group.


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):  
Vinod V. Bagilkar ◽  
Dheeraj Lamba ◽  
Rebecca Moren ◽  
Markos Mehertab ◽  
Rinu J. George

Background: The high fertility rate leading to the rapid growth of country’s population is a major hindrance towards the development of a nation. Sub-Saharan Africa has the highest fertility rate in the world, which is further promoted by the low utilization of contraceptive methods. Yet, many communities claim to have natural methods of family planning that pre-date the introduction of modern contraceptives, implying that contraception is a culturally acceptable norm. Objective: To Evaluate the Knowledge, Attitude and Practice towards Natural family planning among reproductive age women of Jimma town, Oromia, Ethiopia. Methods: Across sectional community based quantitative study was done in Jimma town, among reproductive age group women from February to March; 2020. A total of3 99 sample size is calculated using single population proportion formula with a proportion (P) of 50 %.Systematic random sampling technique issued to draw the study participants among the target population. The data was collected using structured questionnaire adapted from similar and the tools modified to fit the local context. The collected data was tallied and analyzed by using scientific calculator. Results: From the total of 399 respondents who responded the questionnaire Majority, 90% of women in Jimma town had a good level of knowledge of natural family planning methods. A positive attitude towards natural family planning methods was seen in (68%) of the respondents. Conclusion: A fair level of knowledge of natural family planning methods is seen among reproductive women in Jimma town, yet differences in knowledge of specific natural family planning methods exist. Therefore, physicians and other health care providers‟ limited knowledge of and experience with Natural family planning methods inhibits broader use as reproductive age women reported getting information about NFFP methods from health providers and friends, therefore, their level of knowledge will depend largely on the   information received.


2021 ◽  
Vol 3 (4) ◽  
pp. 25-41
Author(s):  
Andrew Drici ◽  
Isaac Eremugo ◽  
Sarah Akello ◽  
Maureen Andinda

Purpose: The purpose of this study was to examine family planning Knowledge, Attitude and Practice (KAP) among women of reproductive age in Nimule Payam, South Sudan. Method: The study used a descriptive cross-sectional design and quantitative approach to explore family planning knowledge, attitude and practice among women of reproductive age in Nimule Payam. The study population consisted of 6,621 women of reproductive age in the Bomas of Anzara (1,930), Jalei(,1521), Olikwi (1,536) and Nimule Central (1,634). A sample size of 342 was determined from the population using the formulae of Leslie. Stratified simple random sampling was employed through a researcher administered structured questionnaire to collect data from the respondents. The data was cleaned, coded and analyzed using EPI-INFO version 7 to generate descriptive statistics and the results were presented in tables. Results: The study revealed that women of reproductive age in Nimule Payam had high 273 (79.82%) level of family planning knowledge, good 233 (68%) family planning practices and positive attitude towards family planning. The positive attitude towards family planning was because majority 270 (78.97%) believed family planning was safe to use, could not cause infertility 252 (73.82%), cancer 264 (76.93%) and future abortion 251 (73.36%). The respondents also generally agreed that 319 (93.07%) family planning could prevent unwanted pregnancy. However, the majority of the respondents acknowledged that the practice of family planning was against their God/Allah 268 (78.31%) and culture 229 (67.03%). Unique contribution to theory, practice and policy: The study found that women of reproductive age in Nimule Payam had a high level of family planning knowledge, a fairly positive attitude with a moderate number practicing family planning methods. Increased sensitization of the respondents and their partners on family planning is required to improve their attitude and practice. Future studies should focus on the factors influencing the Knowledge, Attitude and Practice of family planning methods among women of reproductive age in Nimule Payam.


2020 ◽  
Vol 1 (1) ◽  
pp. 181-191
Author(s):  
Sarita Bista

This study examines the information of family planning methods among currently married women of reproductive age group at Kavre District of Nepal. The main objective of the study is to find out the actual situation of family planning methods and the specific objective of the study are to identify the demographic determinants of currently use of family planning methods and to assess the reason for usage and non-usage of family planning methods in the study area. Moreover, this study also attempts to find out the actual sources of information of contraceptive devices in the study area. The study usages 200 respondents from the three words of Ugratara VDC of the Kavre District of Nepal The main occupation of the respondents are agriculture and services. Among currently married women, 91 percent of the respondents are found to be familiaPr with at least one family planning method. Likewise, the major source of contraceptive devices of the respondents is found family planning clinics in the study area. The central purpose for using family planning methods is found for limiting the births. There are positive relationships between use of family planning methods and demographic variables.


2019 ◽  
Author(s):  
Dawit Regassa Soboka ◽  
Fasil Tessema ◽  
Mamo Nigatu

Abstract Background: Long-acting reversible contraceptive methods are the most effective, safe, convenient and cost-effective compared to other modern contraceptive methods. The prevalence of long-acting reversible contraceptive methods utilization among married women in the study area was only 5% out of users of all methods and eligible group, which is comparatively low compared to the regional and national targets. Objective: To identify determinants of long-acting reversible contraceptive methods utilization among married women of the reproductive age group in Ambo town, 2016 Methods: Community based unmatched case-control study was conducted in Ambo town among married women of reproductive age group. 140 users and 280 non-users were randomly included. Bivariable and multivariable logistic regression was used to identify candidate variables and independent predictor variables respectively. Adjusted odds ratios together with their corresponding 95% CI were calculated to assess the strength of association and statistical significance. Result: 139 users and 279 non-users were interviewed giving a response rate of 99%. Moderate level of knowledge on long-acting reversible contraceptive methods (AOR= 8.73, 95%CI: 3.08 - 24.77), Good level of knowledge (AOR=13.99, 95%CI: 4.93-39.71), spousal discussion on long-acting reversible contraceptive methods (AOR=2.88, 95%CI: 1.3-6.36), positive attitude toward long-acting reversible contraceptive methods (AOR=7.07, 95% CI: 3.77-13.24), Women from households in the poorest wealth quintile (AOR= 6.83, 95%CI: 2.68-17.38), Women from households in the medium wealth quintile (AOR=5.83, 95%CI: (2.23- 15.23) were positive determinants ,whereas intention to give birth in the future (AOR=0.09, 95%CI: 0.02- 0.36) and woman’s expectation of restriction to methods use (AOR=0.2, 95%CI: 0.08- 0.48) were negative determinants of long-acting reversible contraceptive methods utilization. Conclusion: Good knowledge, moderate knowledge, positive attitude, wealth index and spousal discussion were positive determinants, while intention to give birth in the future and woman’s expectation of restriction to method use were negative determinants of long-acting reversible contraceptive methods utilization. Stakeholders should emphasize behavioral change communication to increase knowledge on long-acting reversible contraceptive methods, strengthen inter-spousal discussion and bring a positive attitude toward long-acting reversible contraceptive methods. Keywords: long-acting reversible contraceptive methods, married women of reproductive age, Ambo town


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