scholarly journals Trend and correlates of contraceptive use in rural and urban Ethiopia: is there a link to the health extension programme?

2013 ◽  
Vol 27 (2) ◽  
pp. 140 ◽  
Author(s):  
Eshetu Gurmu ◽  
Akim J Mturi
2016 ◽  
Vol 29 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Savannah Geske ◽  
Randal Quevillon ◽  
Cindy Struckman-Johnson ◽  
Keith Hansen

2021 ◽  
Vol 8 (3) ◽  
pp. 31-47
Author(s):  
Stella Akinso

Modern contraceptive use can enhance the living standard and reduce mortality among people living in rural and urban areas. However, contraceptive use tends to be low in the rural than the urban populace. A descriptive, cross-sectional study of systematic sampling technique was used to select 570 persons of reproductive age in the rural and urban communities of Oyo State. A semi-structured questionnaire on socio-demographic characteristics, knowledge, attitude and factors influencing uptake of modern contraceptives was administered to respondents. of the 570 respondents, the mean age was 34.3 ±8.4 years. The majority (63.3%) were female compared to 36.7% male respondents. Most (97.0%) of respondents had heard of family planning in the past. The result shows significant differences in location, gender, marital status, occupation, ethnicity, and a number of children (P<0.001). The majority (33.3%) of the respondents sourced family planning information from health care providers, while 31.3% sourced theirs from mass media – Radio, TV, or newspapers. Respondents in urban areas were currently using family planning methods than respondents in rural areas (61.8% vs. 38.2%). People in the urban area are 2.344 times the odds of utilizing any family planning compared to people in rural area (95% CI 1.495, 3.676). Urban and rural disposition to modern contraception services is influenced by economic, socio-cultural, environmental factors, location, age, educational, traditional beliefs, religion, family type, and level of knowledge. Although some signs of progress have been made in family planning at the communities, more work needs to be done. Men need to be actively involved, and other fears about family planning addressed. Keywords: Acceptance, Disparity, Family Planning, Rural, Urban.


2020 ◽  
Vol 15 (1) ◽  
pp. 71
Author(s):  
Syamsul Syamsul ◽  
Bala Bakri ◽  
Hizry Stevany Limonu

The Indonesia and Demographic Health Survey (IDHS) in 2017 reported a gap between urban and rural contraceptive use in Gorontalo Province, Indonesia. This urban-rural inequality calls for an exploration of its drivers. Hence, this study aims at reviewing the literature to analyze the level of use of contraception for married women in rural and urban areas by examining several factors, such as education, knowledge, age, occupation, information provision, and source of service. The main data source used for this study is 2017 IDHS Report, Gorontalo Province section. The results shows that despite a higher knowledge of contraception in urban married women than their rural counterpart, modern contraceptive use is higher in rural areas than in urban areas. Moreover, provision of information plays a larger role in contraceptive use compared to other aspects. Furthermore, the low contraceptive use among urban women is due to the limited services, where there is a mismatch between the needs and the availability of contraception.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e049260
Author(s):  
Kelsey Holt ◽  
Bella Vasant Uttekar ◽  
Reiley Reed ◽  
Madeline Adams ◽  
Lakhwani Kanchan ◽  
...  

ObjectivesUnderstanding quality of contraceptive care from clients’ perspectives is critical to ensuring acceptable and non-harmful services, yet little qualitative research has been dedicated to this topic. India’s history of using incentives to promote contraceptive use, combined with reports of unsafe conditions in sterilisation camps, make a focus on quality important. The study objective was to understand women’s experiences with and preferences for contraceptive counselling and care in the public sector in India.DesignQualitative study using eight focus group discussions (FGDs). FGDs were thematically analysed using a framework approach.SettingRural and urban areas in one district in Gujarat.Participants31 sterilisation and 42 reversible contraceptive users who were married and represented different backgrounds. Inclusion criteria were: (1) female, (2) at least 18 years and (3) receipt of contraception services in the last 6 months from public health services.ResultsProviders motivate married women to use contraception and guide women to specific methods based on how many children they have. Participants found this common practice acceptable. Participants also discussed the lack of counselling about reversible and permanent options and expressed a need for more information on side effects of reversible methods. There were mixed opinions about whether compensation received for accepting long-term methods affects contraceptive decision making. While many women were satisfied with their experiences, we identified minor themes related to provider coercion towards provider-controlled methods and disrespectful and abusive treatment during sterilisation care, both of which require concerted efforts to address systemic factors enabling such experiences.ConclusionsFindings illuminate opportunities for quality improvement as we identified several gaps between how women experience contraceptive care and their preferences, and with ideals of quality and rights frameworks. Findings informed adaptation of the Quality of Contraceptive Counselling Scale for India, and have implications for centring quality and rights in global efforts.


2021 ◽  
Author(s):  
Quraish Sserwanja ◽  
Milton W. Musaba ◽  
Linet M. Mutisya ◽  
David Mukunya

Abstract Background: Modern contraceptive use among adolescents is low despite the adverse effects of adolescent pregnancies and births. Understanding the predictors of modern contraceptive use in different settings is key to design effective context-specific interventions. We aimed to determine factors associated with modern contraceptives use among adolescents in rural and urban settings of Zambia. Methods: We analyzed data from 2018 Zambia demographic and health survey (ZDHS) focusing on adolescent girls aged 15–19 years. We conducted multilevel logistic regression using SPSS version 25 to examine rural-urban variations in factors associated with modern contraceptive utilization.Results: Overall, 12.0% (360/3000, 95% CI: 10.9-13.2) of adolescents in Zambia were using modern contraceptives. Use of modern contraceptives was higher in rural areas at 13.7% (230/1677, 95% CI: 12.1-15.3) compared to 9.8% (130/1323, 95% CI: 8.3-11.6) in urban areas. In the rural areas, having a child (aOR = 13.46; 95% CI 8.28 to 21.90), marriage (aOR = 1.97; 95% CI 1.25 to 3.08), older age (being 19 years) (aOR = 3.97; 95% CI 1.51 to 10.1) and belonging to the richest wealth quintile (aOR = 3.01; 95% CI 1.06 to 8.58) were positively associated with contraceptive utilization. In the urban areas, older age (being 19 years) (aOR = 4.80; 95% CI 1.55 to 14.84) and having a child (aOR = 18.52; 95% CI 9.50 to 36.14) were the only factors positively associated with modern contraceptive utilization.Conclusions: Having shown that some factors (age and having a child) were associated with modern contraceptive use in both rural and urban areas while some were only significant in rural areas (province, marital status and wealth index), indicates that the urban-rural differences in modern contraceptives use are both due to differences in the levels and nature or type of determinants. Therefore, interventions aiming to increase contraceptive utilization should be context specific.


2020 ◽  
Vol 4 ◽  
pp. 130
Author(s):  
Barbara Singer ◽  
Caitlin M. Walsh ◽  
Lucky Gondwe ◽  
Katie Reynolds ◽  
Emily Lawrence ◽  
...  

In the field of adolescent sexual and reproductive health (ASRH), candid youth perspectives are necessary for understanding the nuances surrounding contraceptive access and use. Methods of data collection leveraging technological solutions may provide avenues for increased privacy for adolescents. With the use of WhatsApp and other smartphone-based messaging applications as platforms for qualitative methodologies, public health researchers may find increased access to adolescents through utilizing mediums that adolescents already engage with in their daily lives. This article describes the use of WhatsApp as a data collection methodology with adolescents in Malawi. In June 2018, VillageReach used WhatsApp to conduct focus group discussions (FGD) to collect qualitative data on contraceptive use from Malawian youth. WhatsApp FGD participants were male and female adolescents, aged 15-19 representing rural and urban populations across three geographic regions of Malawi (northern, central and southern). Youth researchers (YR), aged 22-25, were trained and facilitated fifteen WhatsApp FGDs, as in-person (12) and remote (3) sessions. WhatsApp FGDs consisted of a YR sharing fictitious but contextually realistic ASRH scenarios, and managing the virtual discussion with questions and probing. Youth indicated comfort using WhatsApp to express their opinions and experiences related to contraceptive use and preferences. Based on the data collected, the researchers felt that use of the technology may increase willingness to provide additional levels of information during anonymized WhatsApp FGDs vis à vis traditional, in-person FGDs. Using WhatsApp as a methodological tool to facilitate FGDs has practical implications for data collection, data quality and data analysis. This paper reports lessons learned as well as the advantages and disadvantages of using WhatsApp to conduct FGDs in a low-resource setting. It also calls for developing guidelines and an ethical code of conduct for the future use of mobile applications for conducting qualitative research with vulnerable populations.


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