scholarly journals Inequalities in the Use of Family Planning in Rural Nepal

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Suresh Mehata ◽  
Yuba Raj Paudel ◽  
Bhogendra Raj Dotel ◽  
Dipendra Raman Singh ◽  
Pradeep Poudel ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Household Survey ◽  
Risk Groups ◽  
Reproductive Age ◽  
Younger Women ◽  
Modern Family ◽  
Planning Methods ◽  
Rural Nepal ◽  
Modern Family Planning

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.

scholarly journals Factors Associated with Non-Use of modern Contraceptives among sexually active women in Ethiopia: A multi-level mixed effect analysis

2021 ◽  
Author(s):  
Solomon Sisay Mulugeta ◽  
Setegn Muche Fenta ◽  
Kenaw Derebe Fentaw ◽  
Hailegebrael Birhan Biresaw
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Muslim Women ◽  
Well Being ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Sexually Active ◽  
Mixed Effect ◽  
Modern Family ◽  
Modern Family Planning

Abstract Background: Appropriate contraceptive use prevents unintended pregnancy, protects the health of mother and child, and promotes women's well-being. Use of modern Family planning in Ethiopia was still very low. The purpose of this study was to assess the factors that are associated with non-use of modern family planning services among women of reproductive age. Method: A nationally representative 2016 EDHS women data were used for analysis. Descriptive and multilevel multivariable binary logistic regression models were used to summarize descriptive data and measure statistical association between the dependent and the individual and community level variable, respectively. Adjusted odds ratio and confidence interval were respectively used to measure association and its statistical significance. Result: Among women in the reproductive age group 79.49% did not use a modern contraceptive method. Of this, 65.9 %, were from rural areas. Women age between 25-34 years (AOR=0.54, 95% CI: 0.5-0.61) and age between 34-49 year (AOR=0.62, 95% CI: 0.55-0.71), Women with a primary level of education (AOR=0.8, 95% CI: 0.68-0.87), husband’s education level was secondary and above were 0.83(AOR = 0.83, 95% CI: 0.72-0.96), middle income women (AOR=0.66, 95% CI: 0.58-0.76) , rich women (AOR=0.74,95%CI:0.65-0.85), women delivered at the health facility were lower by 0.84 (AOR = 0.84, 95%CI: 0.73-0.0.98), watched family planning related information from TV (AOR=0.74, 95% CI: 0.65-0.85) had 1-2 and 3 or more children in the previous five years (AOR = 0.21, 95% CI: 0.19-0.23) and (AOR = 0.4, 95% CI: 0.28-0.56), respectively, are individual-level factors that are less likely to not use contraception were identified. Furthermore, Muslim women (AOR=1.4, 95% CI: 1.23-1.62), women living in rural area (AOR=3.43; 95% CI: 2.72-4.32), and ANC visit 1.3(1.07-1.5) were more likely to not use contraception. Further, Women in Afar, Somali, Gambela, Harari, and Dire Dawa were less likely to use modern contraception methods than women in Tigray, but Amhara region had a lower rate of non-use. Conclusion: Family planning interventions should target younger women, women living in rural areas, the poor, and Muslim women. Moreover, initiatives to empower women associated to family planning programs would be beneficial in increasing contraceptive uptake among sexually active women in Ethiopia.

MODELLING GEOGRAPHICAL VARIATIONS AND DETERMINANTS OF USE OF MODERN FAMILY PLANNING METHODS AMONG WOMEN OF REPRODUCTIVE AGE IN NIGERIA

2012 ◽  
Vol 45 (1) ◽  
pp. 57-77 ◽  
Author(s):  
SAMSON B. ADEBAYO ◽  
EZRA GAYAWAN ◽  
CHINAZO UJUJU ◽  
AUGUSTINE ANKOMAH
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Household Survey ◽  
Population Based ◽  
Reproductive Age ◽  
Spatial Effects ◽  
Geographical Variations ◽  
Non Linear ◽  
Modern Family ◽  
Modern Family Planning

SummaryUnderstanding the level, trend, geographical variations and determinants of use of modern family planning (FP) plays a major role in designing effective interventions leading to increased usage. This study assessed these characteristics of FP use in Nigeria using data from the 2003, 2005 and 2007 National HIV/AIDS and Reproductive Health Survey, a national population-based household survey. A Bayesian geo-additive procedure was used, which provides flexible modelling of non-linear and spatial effects at a highly disaggregated level of states. The findings reveal considerable geographical variation in the use of modern FP in Nigeria, with a distinct north–south divide. Furthermore, a significant trend in the use of modern FP was evident, with an increase between 2003 and 2005 followed by a decline between 2005 and 2007. The effect of respondent's age was non-linear, and use of modern FP was found to differ significantly between never-married and currently/formerly married respondents. Awareness of FP methods and knowledge of where to get/buy FP services/methods were found to be significantly associated with usage. The findings provide policymakers with tools to prioritize the use of scarce resources for implementing FP and reproductive health interventions.

scholarly journals Modern Family Planning Utilization and Its Associated Factors among Currently Married Women in Rural Eastern Ethiopia: A Community-Based Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Teshale Mulatu ◽  
Yitagesu Sintayehu ◽  
Yadeta Dessie ◽  
Merga Deressa
Keyword(s):  
Family Planning ◽  
Planning Method ◽  
Family Planning Method ◽  
Reproductive Age ◽  
Community Based ◽  
Eastern Ethiopia ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

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.

scholarly journals Adoption and Utilization of Family Planning Services among Couples in Rural-Urban Communities in Oyo State, Nigeria

2021 ◽  
Vol 9 (2) ◽  
pp. 129-142
Author(s):  
Stella Akinso
Keyword(s):  
Family Planning ◽  
Urban Communities ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Family Planning Services ◽  
Contraceptive Usage ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

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.

Reproductive mortality and its relation to different methods of birth control

1990 ◽  
Vol 22 (3) ◽  
pp. 323-331 ◽  
Author(s):  
Ulf Högberg ◽  
Stig Wall
Keyword(s):  
Family Planning ◽  
Modern Contraceptive ◽  
Younger Women ◽  
The Us ◽  
Modern Family ◽  
Planning Methods ◽  
1960S And 1970S ◽  
The 1960S ◽  
High Level ◽  
Family Planning Methods

SummaryThis report evaluates the decrease in maternal mortality and its relation to family planning methods in Sweden during the years 1911–80. In the 1930s fertility was low but illegal abortions were at a high level and the associated maternal death rate was 18·5 per 1000 women. With the legalization of abortion and the introduction of modern contraceptive methods, the crude reproductive mortality rate in 1965–70 was 1·7 per 100,000 women and this was reduced still further, especially for younger women, by the late 1970s. Standardized reproductive mortality was then 80% higher than the crude rate, indicating the importance of modern family planning methods. Mortality associated with oral contraceptive or IUD use in Sweden during the 1960s and 1970s was lower than in England and the US. Mortality associated with sterilization was 6·2 per 100,000 procedures.

scholarly journals Determinants of modern family planning use among women of reproductive age in the Nkwanta district of Ghana: a case–control study

2014 ◽  
Vol 11 (1) ◽  
Author(s):  
Sebastian Eliason ◽  
John K Awoonor-Williams ◽  
Cecilia Eliason ◽  
Jacob Novignon ◽  
Justice Nonvignon ◽  
...  
Keyword(s):  
Family Planning ◽  
Case Control Study ◽  
Case Control ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Modern Family ◽  
Modern Family Planning ◽  
Control Study
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