scholarly journals Integration of Family Planning Counselling to Mass Screening Campaign for Cervical Cancer: Experience from Guinea

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
D. W. A. Leno ◽  
F. D. Diallo ◽  
A. Delamou ◽  
F. D. Komano ◽  
M. Magassouba ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Family Planning ◽  
Mass Screening ◽  
Local Treatment ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Capital Cities ◽  
Long Acting ◽  
Cancer Experience

Aim. To assess feasibility of integrating family planning counselling into mass screening for cervical cancer in Guinea. Methodology. This was a descriptive cross-sectional study conducted over a month in Guinea regional capital cities. The targeted population comprised women aged 15 to 49 years. Nearly 4000 women were expected for the screening campaigns that utilized VIA and VIL methods with confirmation of positive tests through biopsy. A local treatment was immediately performed when the patient was eligible. Results. Overall 5673 women aged 15 to 60 years were received, a surplus of 42% of the expected population. 92.3% of women were aged 15–49 years and 90.1% were 25–49 years. Long-acting methods were the most utilized (89.2% of family planning users). 154 precancerous and cancerous lesions were screened, a global positivity rate of 2.7%. Conclusion. Integration of counselling and family planning services provision during cervical cancer mass screening is a feasible strategy. A cost-effective analysis of this approach would help a better planning of future campaigns and its replication in other contexts.

scholarly journals Trends and factors influencing long-acting contraceptive utilisation among contraceptive users in Ethiopia: repeated cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e037103
Author(s):  
Afework Tadele ◽  
Mahilet Berhanu
Keyword(s):  
Family Planning ◽  
Intrauterine Device ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Contraceptive Device ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Long Acting

ObjectivesAlthough nationally representative data are helpful in designing strategies and policies of programmes in a country, there is paucity of evidence with regard to trends and factors influencing utilisation of long-acting contraceptives (LACs). Thus, this study aimed to assess the trends and factors influencing LAC utilisation among contraceptive users in Ethiopia.DesignA repeated cross-sectional study.Setting and participantsThe Performance Monitoring and Accountability (PMA2020) national community-based survey data were used, and 2035 contraceptive users participated. To identify trends, proportions of LAC users were analysed using PMA data from round 1 in January 2014 to round 6 in July 2018.Main outcome measuresUsers using LAC methods or otherwise.ResultsThere was a difference in trends in LAC utilisation in the last 4.5 years. There was a 7% increase in the proportion of implant users, while there were no significant changes in utilisation of intrauterine device and female sterilisation. Women in the middle wealth quintile were 1.7 times more likely than those in the lowest quintile to use LAC, while contraceptive users who received recommendations from healthcare providers as well as those who made decisions jointly with healthcare providers were more likely to use LAC compared with those who decided on their own. Women with access to their desired method of contraception were less likely to use LAC, while those informed about intrauterine contraceptive device were more likely to use LAC compared with their counterparts. Women served at health posts, private hospitals and others (family planning clinics, pharmacies and non-governmental organisations) were less likely to use LAC compared with women served at public hospitals.ConclusionOverall the utilisation of LAC in Ethiopia is low. Therefore, much has to be done in terms of raising awareness about intrauterine device, how healthcare providers can help users in choosing contraceptive methods, and sharing of experiences between public hospitals and other family planning service delivery points.

scholarly journals Perceptions and practices of rural Indian women in contraception, abortion, and sexual health: a cross sectional study

2019 ◽  
Vol 8 (3) ◽  
pp. 1022 ◽  
Author(s):  
Amenda Ann Davis
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health Care Policy ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Indian Women ◽  
Attitudes And Practices ◽  
Contraceptive Devices ◽  
Long Acting

Background: Maternal mortality is an important target of health care policies, especially in India. While numerical indicators of maternal health improve, this can only be sustained with change in the knowledge, attitudes, and practices of women. Gender empowerment is a neglected aspect of health care policy, and there is a need to assess the perceptions of Indian women, the true torch-bearers of change.Methods: This was a hospital based cross sectional quasi-quantitative study in a sub-district hospital in the town of Ballabgarh, Haryana, India. Married women attending the outpatient clinic, antenatal clinic, labor ward, and primary health centres in the age group of 20 to 40 years were interviewed using a semi-structured questionnaire with both closed and open-ended questions. Health concerns were concurrently addressed.Results: Author interviewed 956 women. No form of modern contraception had ever been used by 58.36% of the women. Intra-uterine contraceptive devices were discontinued by 76.12% of the women who had used them. Emergency contraception was a concept known to 49.89% of the women, but fraught with misconceptions. Induced abortions was being used as a form of family planning, with nearly 90% of the women having taken over-the-counter abortifacients. Women were receptive to contraception, and many expressed an interest in long acting contraceptives other than IUCDs.Conclusions: This study provides insight into the thinking of Indian women regarding family planning. This may help guide family planning policies.

scholarly journals Factors affecting demand for modern contraceptives among currently married reproductive age women in rural Kebeles of Nunu Kumba district, Oromia, Ethiopia

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Alemu Kebede ◽  
Sileshi G. Abaya ◽  
Elias Merdassa ◽  
Tariku Tesfaye Bekuma
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Age Group ◽  
Cross Sectional ◽  
Modern Methods ◽  
Long Acting

Abstract Background Family planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregnancy. So, women’s demand for contraceptive utilization to limit, space, or delay the number of family size can be increased by integrating family planning service at each service delivery points. Objective The main aim of this study was to assess the demand for modern contraceptive and associated factors among currently married women of the reproductive age group in rural kebeles of Nunu Kumba District, 2015. Methods A community-based cross-sectional study design was conducted from January 15–30, 2015 among 584 systematically selected currently married women of reproductive age in six rural kebeles of Nunu Kumba District. A pre-tested and interviewer-administered questionnaire was used to collect the data. Data were analyzed using SPSS version 20. Descriptive statistics were done to summarize the data. A multivariate logistic regressions analysis method was employed and odds ratio with 95% confidence interval was used to control for possible confounders. P-value < 0.05 was used to declare a significant association. Results The total demand for modern methods of contraceptive was 450 (77.1%) of which 325 (55.7%) of them were current user and 125 (21.4%) of them were had unmet need for modern contraceptive methods. Being in the younger age group (15–24 and 25–34 years [AOR = 0.196; 95% CI: 0.055, 0.692] and [AOR = 0.179, 95% CI: 0.043, 0.745] respectively, husband having no intention for more children [AOR = 4.124, 95% CI: 1.891, 8.996], number of children alive [AOR = 2.617, 95% CI: 1.056, 6.486], and couples ever not discussed on family planning [AOR = 0.340, 95% CI: 0.187, 0.619] were factors associated with demand for modern methods of contraception. Conclusion The total demand for modern methods of contraceptive was high in the study area except for long-acting and permanent methods with high unmet need for spacing than for limiting. Therefore, any program aimed at promoting family planning at the district level should look for ways and means of increasing demand for long-acting and permanent family planning methods and encouraging husband involvement to increase its utilization.

scholarly journals Magnitude of Long-acting and Permanent Family Planning Practice and Its Factors Among Contraceptive Users: A Cross-sectional Study

2021 ◽  
Author(s):  
Alemu Abebe Wondyfraw ◽  
Nigussie Assefa Kassaw
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Unintended Pregnancies ◽  
Planning Methods ◽  
Long Acting ◽  
Family Planning Methods

Abstract Background: Poor contraceptive utilization increases the risk of unintended pregnancies that could results in complications and mortalities among women and children. To circumvent these adverse health outcomes, long-acting and permanent contraceptive methods are the most effective methods. This study explored the magnitude and associated factors of long-acting and permanent family planning methods utilization among current family planning users largely on the rural women of Ethiopia. Methods: The study was a facility-based cross-sectional study design. The respondents were randomly selected in Amhara region, Ethiopia. The data were entered into EPI-INFO version 7.0, cleaned, and analyzed in SPSS version 24. Descriptive statistics were done. Bivariate and multivariable logistic regression models were used to identify the factors associated with the utilization of long-acting and permanent family planning methods. Results: The total numbers of respondents were 356. The prevalence of long-acting and permanent family planning methods among current family planning users was 32.3%. The mean age of participants was 30.1±7.67 (SD) years. Almost all (94.4%) were Orthodox Christian followers and most of the respondents (91.0%) married. Nearly half of the respondents (45.2%) were illiterate and above half of the respondents (55.3%) were housewives. The odds of long-acting and permanent family planning methods utilization were statistically significant among women aged 25-34 years [AOR=5.10; 95% CI: (1.48, 17.59)], women who completed secondary education [AOR=4.16; 95% CI: (1.32, 13.10)], women who had a positive attitude [AOR=3.05; 95% CI: (1.45, 6.43)], and women satisfied with facility care [AOR=2.08; 95% CI: (1.01, 4.31)]. Common reasons for low use of long-acting and permanent family planning methods were preference for short-acting contraceptives, fear of side effects, and method misconception. Conclusion: The utilization of long-acting and permanent family planning method was low. Factors and common reasons for low utilization of long-acting and permanent family planning methods among women who were current family planning users were identified. Therefore, we suggest the need to provide continuous education and awareness creation towards long-acting and permanent family planning methods. Unequivocally, enabling work environments, staff service deliveries and client service satisfaction are paramount important improve the coverage.

scholarly journals A cross sectional study on knowledge, attitude and practice of family planning method usage among urban women of Dr. B. R. Ambedkar Medical College field practice area

2020 ◽  
Vol 7 (3) ◽  
pp. 981
Author(s):  
Jagadish S. Devaru ◽  
Bushra Jabeen ◽  
Puttaswamy Mayanna
Keyword(s):  
Family Planning ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Face To Face ◽  
Medical College ◽  
Effective Strategies

Background: India is currently facing “population explosion” which is directly perpetuating development of country. Family planning is the only safest and cost-effective strategies to have impact on health of women.Methods: Community based cross sectional study, conducted by face to face interview with women included for study after systematic random sampling. The collected information was analysed using appropriate statistical tools.Results: Total of 88.7% of women were aware that family planning is for limitation of births but, 292 (70.2%) women had ever used contraceptive, and 30 (24.2%) of them have faced minor complications, which has either self-resolved or on medication. The most common reason for not using contraceptive was being uncomfortable (76.6%) to use them.Conclusions: Women had good knowledge regarding contraceptives, but most of the women followed methods suggested by their elders. Advertisement regarding newer methods has to be strengthened.

scholarly journals Cervical cancer screening and prevention: how aware is the Indian woman?

2018 ◽  
Vol 8 (1) ◽  
pp. 59
Author(s):  
Trapti M. Saxena ◽  
Aditi J. Upadhye ◽  
Jayshree J. Upadhye
Keyword(s):  
Cervical Cancer ◽  
Hpv Vaccine ◽  
Pap Smear ◽  
Early Stage ◽  
Hpv Vaccination ◽  
Pap Test ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Indian Women

Background: Carcinoma of the cervix is the second most common cancer in women worldwide. It is the commonest cancer among Indian women. Awareness regarding cervical cancer and its prevention is quite low amongst Indian women. The Pap test is a simple and cost-effective technique for early diagnosis of cervical cancer.Methods: It was a cross sectional study conducted in the months of September and October 2018. We included 200 women between 30 and 60 years of age.Results: In present study, out of 200 respondents, 160 (80%) respondents got married after 21 years of age while 40 (20%) respondents got married below 21 years of age. 148 (74%) respondents had 2 children, 30 (15%) respondents had one child while 22 (11%) respondents had 3 children. 166 (83%) had heard about cervical cancer, 24 (12%) knew that cervical cancer can be cured if detected in early stage while only 10 (5%) knew that it can be prevented. 54 (27%) respondents knew that pap smear test should be done as screening test to detect cervical cancer in early stage while 22 (11%) respondents knew about HPV vaccine as preventive measure.Conclusions: In present study, though women have heard about cervical cancer, proper knowledge was very less. Also, awareness about HPV vaccine and Pap smear was less. There is need for proper information and facilities for pap smear and HPV vaccination.

scholarly journals Maternal depression and loss of children under the one-child family planning policy in China: a cross-sectional study of 300 000 women

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048554
Author(s):  
Hanyu Wang ◽  
Eric Frasco ◽  
Jie Shang ◽  
Minne Chen ◽  
Tong Xin ◽  
...  
Keyword(s):  
Family Planning ◽  
Maternal Depression ◽  
Urban Areas ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Only Child ◽  
Cross Sectional ◽  
Live Births ◽  
Child Group

ObjectivesThis study aims to explore the association between maternal depression and the loss of the only child under the family-planning (FP) policy.DesignCross-sectional data from a Chinese population-based study were analysed.SettingPopulation from 10 (5 rural and 5 urban) areas in China.ParticipantsAround 300 000 females were included in the study. The FP group was defined as women with one or two live births. Those with no surviving child were classified into the loss-of-only-child group. The non-FP group included women who had more than two live births. Logistic regression was used to assess the relationship between major depressive disorder (MDD) and family types, after stratification and adjustment.OutcomeMDD was assessed using the Composite International Diagnostic Inventory.ResultsThe odds of MDD are 1.42 times higher in the FP group in general (OR=1.42, 95% CI: 1.28 to 1.57), as opposed to the non-FP group. In particular, the odds of MDD are 1.36 times greater in the non-loss-of-only-child group (OR=1.36, 95% CI: 1.21 to 1.51) and 2.80 (OR=2.80, 95% CI: 0.88 to 8.94) times greater in the loss-of-only-child group, compared with the non-FP group. The associations between FP groups and MDD appeared to be stronger in the elderly population, in those who were married, less educated and those with a higher household income. The association was found progressively stronger in those who lost their only child.ConclusionsPeople in the FP group, especially those who lost their only child, are more susceptible to MDD than their counterparts in the non-FP group. Mental health programmes should give special care to those who lost their only child and take existing social policies and norms, such as FP policies, into consideration.

scholarly journals Nurses’ and midwives’ knowledge, attitudes, and acceptance regarding human papillomavirus vaccination in Ghana: a cross-sectional study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nancy Innocentia Ebu ◽  
Gifty Esinam Abotsi-Foli ◽  
Doreen Faakonam Gakpo
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Human Papillomavirus ◽  
Hpv Vaccination ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cancer Risk Factors ◽  
Cervical Cancer Risk ◽  
Nurses And Midwives

Abstract Background Nurses and midwives play important roles in educating the public on cervical cancer prevention strategies. Aim This study sought to assess nurses’ and midwives’ knowledge of, attitudes towards, and acceptance of human papillomavirus (HPV) vaccination in relation to their background characteristics. Methods A descriptive cross-sectional study using questionnaires was conducted with a convenience sample of 318 female nurses and midwives, ages 20 to 59, at the Korle-Bu Teaching Hospital in Ghana. The data were summarised using frequencies, percentages, chi-square tests, and Fisher’s exact tests. Results The results indicated that 41.5% (n = 132) of the participants had high levels of knowledge about cervical cancer risk factors, and 17.6% (n = 56) of the respondents had received at least one dose of the HPV vaccine. Reasons for receiving the HPV vaccination included advice from a colleague (12.9%, n = 41) and perceived threat of cervical cancer (11.7%, n = 37). Of the 262 respondents who had not been vaccinated, 24.45% (n = 78) strongly agreed and 28.0% (n = 89) agreed with the statement that there was limited information on HPV vaccination. Also, there were statistically significant associations between age (X2 = 23.746, p = 0.001), marital status (X2 = 14.758, p = 0.005), completed level of education (X2 = 21.692, p = 0.001), and duration of working at the hospital (X2 = 8.424, p = 0.038) and acceptance of HPV vaccination. Conclusions This study demonstrated gaps in knowledge about cervical cancer risk factors and attitudes towards HPV vaccination, indicating the need for targeted measures to improve knowledge and attitudes. Also, measures to increase acceptance of HPV vaccination among nurses and midwives should consider their sociodemographic characteristics.

scholarly journals Knowledge, attitude and practices on cervical cancer screening among undergraduate female students in University of Gondar, Northwest Ethiopia: an institution based cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alem Getaneh ◽  
Birhanemeskel Tegene ◽  
Teshome Belachew
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Cross Sectional Study ◽  
Female Students ◽  
Favorable Attitude ◽  
Sectional Study ◽  
Cross Sectional ◽  
Undergraduate Female ◽  
The University

Abstract Background Cervical cancer is a major public health problem. In the world, cervical cancer is the fourth most common cancer among women and it is one of the leading causes of cancer mortality in females. It is the second most common women cancer in Ethiopia with almost 6300 new cases and 4884 deaths annually. Despite the high burden of new cases and deaths, there is a scarcity of data on knowledge, attitude and practices (KAP) towards cervical cancer screening among female university students in Ethiopia particularly in the study area. Therefore, the present study was aimed to assess the KAP of undergraduate female students towards cervical cancer screening. Methods An institution based cross-sectional study was conducted in April 2018 at the University of Gondar, College of Medicine and Health Sciences undergraduate female students. Pretested, self-administered questionnaire was used for data collection. Four hundred and three female students were recruited by a simple random sampling method and the data were entered and analyzed using SPSS version 20 statistical packages. Descriptive data analysis was used to report the results. Results More than half of the respondents (59.3.3%) had good knowledge, whereas nearly 67.7% of the respondents had favorable attitude towards cervical cancer. However, less than 1% of the respondents had been screened for cervical cancer. Conclusion Although undergraduate female students had apparently good knowledge and favorable attitude, their practices on cervical cancer screening were quite low. Therefore, the health sectors and the gender streaming office of the university mobilize students to strengthen the uptake the cervical cancer screening practice.

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