Role of community resource persons in improving use of modern family planning methods among women of reproductive age in a rural area in Ebonyi State, Nigeria

2019 ◽  
Vol 34 (2) ◽  
pp. 862-871 ◽  
Author(s):  
Ifeyinwa C. Akamike ◽  
Chinyere Mbachu ◽  
Chika Onwasigwe ◽  
Ijeoma Okedo‐Alex ◽  
Irene Eze ◽  
...  
2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Teshale Mulatu ◽  
Yitagesu Sintayehu ◽  
Yadeta Dessie ◽  
Merga Deressa

Background. The use of modern family planning methods among women of reproductive age (15-49 years) is of public health importance in Ethiopia. Nationally, modern family planning method use remains as low as 35%. Understanding factors associated with the use of modern family planning methods may help to improve maternal and child health. Hence, this study is aimed at assessing modern family planning method use and its determinants among women of reproductive age in the rural districts of Eastern Hararghe zone, Eastern Ethiopia. Methodology. A community-based, cross-sectional survey was conducted among 577 randomly selected, currently married, reproductive-aged women in selected rural districts of Eastern Hararghe, Eastern Ethiopia. Data were collected using a pretested, interviewer-administered questionnaire about women’s sociodemographic information, knowledge about contraception, reproductive history, contraceptive use and fertility desire, couple’s communication, and decision-making on family planning. Binary and multivariable logistic regression was used to analyze the association between the dependent and independent variables. Result. A total of 555 study participants participated, yielding a 96.2% response rate. The overall modern family planning utilization among the study participants was 18.4%. Knowledge of modern family planning methods ( AOR = 16.958 , CI: 4.768, 60.316), husband approval ( AOR = 3.590 , CI: 2.170, 5.936), couple’s discussion ( AOR = 2.852 , CI: 1.759, 4.623), male involvement in decisions about family planning ( AOR = 2.340 , CI: 1.531, 3.576), desire for additional child ( AOR = 2.295 , CI: 1.528, 3.447), and previous use of contraception ( AOR = 0.018 , CI: 0.005, 0.063) were significantly associated with modern contraceptive utilization. Conclusion. Even though knowledge of modern family planning methods was very high, the overall modern family planning method use in the study area was low. The government should focus on increasing modern family planning method availability. It must also ensure family planning method security and create awareness on modern family planning methods through community-based education and proper counselling to empower women to make an appropriate choice.


2021 ◽  
Vol 9 (2) ◽  
pp. 129-142
Author(s):  
Stella Akinso

Modern Contraceptive Use Among Couples Has Been Documented To Be A Highly Effective Means Of Improving Maternal Health By Preventing Unintended Pregnancies And Maternal Morbidity. Nigeria Has A High Fertility Rate And Poor Contraceptive Usage, Marred By Social And Economic Dimensions With Other Cultural Norms, Including Gender Disparity. This Paper Presents The Findings Of A Cross-Sectional Quantitative Study Exploring The Adoption And Utilization Of Family Planning Services Among Couples In Rural-Urban Communities In Oyo State, Nigeria. Systematic Sampling Technique Was Used To Select 570 Women And Men Of Reproductive Age In Rural-Urban Communities Of The Oyo State, Using A 54 Semi-Structured Questionnaire Which Included Questions On Socio-Demographic Characteristics, Perception, Socio-Cultural Factors, Adoption, And Utilization Of Modern Contraceptive Services. Of The 570 Respondents, The Mean Age Of The Respondents Was 30.3 ±7.8 Years. Most (63.3%) Of Respondents Were Females, While 36.7% Were Males. The Most Common Family Planning Methods Respondents And Their Spouses Had Heard Injectable (21.2%), The Male Condom (18.6%), And Implants (15.1%), IUD (13.4%), And Pills (13.2%). Spousal Support Is 0.438 Times More Likely To Influence Utilization Of Modern Family Planning Method And Was Statistically Significant (Β=-0.826, Odd Ratio [OR]=0.438, P<0.05). Similarly, Stigmatization Is 1.298 Times More Likely To Influence The Level Of Utilization Of Modern Family Planning Methods (Β=0.261, Odd Ratio [OR]=1.298, P<0.05). It Is Important For Government And Family Planning Programmers To Focus On Programs That Address Stigmatization And Effective Spousal Communication For Improved Modern Contraceptive Uptake.


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.


2019 ◽  
Vol 1 (1) ◽  
pp. 15-20
Author(s):  
Umme Kulsoom Khattak ◽  
Saima Perwaiz Iqbal ◽  
Ahmed Abdullah ◽  
Ayesha Chowhan

Objective: To determine the prevalence of utilization of family planning methods among married women of reproductive age in a semi urban community of Islamabad. Methodology: A cross-sectional survey was done using two stage sampling, including cluster and consecutive sampling techniques. A proportionate sample from each mohallas of Nurpur Shahan was taken to achieve our sample size. All married women of the reproductive age group (15-45 years) living with their husbands, not diagnosed as a case of infertility and permanent residents of Nurpur Shahan were included. Results: Total of 550 women were included in the study with mean age of 31.64 years. Majority of women 497 (94.7%) were currently married while 322 (59.9 %) were literate. Of all the women, 72 (13.2%) women were currently pregnant and only 62 (11.3%) had a planned pregnancy. Induced abortion was practiced once by 9 (1.8%) women and 21 (4.1%) had done it twice. 394 (72.8%) had knowledge of family planning methods and only 102 (19.5%) women were using family Planning methods currently. Conclusion: Miscellaneous challenges are involved to increase involvement of the women and their families in the use of family planning services. Health education campaigns at community level to increase awareness regarding different family planning methods are highly needed. Government needs to improve the LHWs services to increase the use of family planning methods and combat induced abortions as a method of contraception. Controlling population through sterilization after attaining a large family size should not be the preferred method of family Planning.


2014 ◽  
Vol 11 (1) ◽  
Author(s):  
Sebastian Eliason ◽  
John K Awoonor-Williams ◽  
Cecilia Eliason ◽  
Jacob Novignon ◽  
Justice Nonvignon ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Suresh Mehata ◽  
Yuba Raj Paudel ◽  
Bhogendra Raj Dotel ◽  
Dipendra Raman Singh ◽  
Pradeep Poudel ◽  
...  

This paper explores inequalities in the use of modern family planning methods among married women of reproductive age (MWRA) in rural Nepal. Data from the 2012 Nepal Household Survey (HHS) were utilized, which employed a stratified, three-stage cluster design to obtain a representative sample of 9,016 households from rural Nepal. Within the sampled households, one woman of reproductive age was randomly selected to answer the survey questions related to reproductive health. Only four out of every ten rural MWRA were using a modern family planning method. Short-acting and permanent methods were most commonly used, and long-acting reversible contraceptives were the least likely to be used. Muslims were less likely to use family planning compared to other caste/ethnic groups. Usage was also lower among younger women (likely to be trying to delay or space births) than older women (likely to be trying to limit their family size). Less educated women were more likely to use permanent methods and less likely to use short-term methods. To increase the CPR, which has currently stalled, and continue to reduce the TFR, Nepal needs more focused efforts to increase family planning uptake in rural areas. The significant inequalities suggest that at-risk groups need additional targeting by demand and supply side interventions.


Author(s):  
Aalok Ranjan Chaurasia

AbstractThis paper develops a composite family planning performance index that takes into account the met demand for modern family planning methods and the structure of the met demand or the method mix. Application of the index to India suggests that, although, there has been an improvement in India’s family planning performance, yet it has remained poor throughout the period 1992 through 2016 and there are significant variation in the performance across states/Union Territories and across districts. The classification modelling exercise reveals that districts in India can be grouped into eight clusters in terms of family planning performance and both met demand for modern family planning methods and the structure of the met demand are essentially different in different clusters. The paper emphasises that family planning in the country must be promoted as a development strategy rather than an intervention to limit births.


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