scholarly journals Family Planning Knowledge and Practices among Women in a District Hospital of Nepal

2012 ◽  
Vol 52 (188) ◽  
Author(s):  
S Gupta ◽  
A Singh ◽  
N Gupta ◽  
V L Shrestha

Introduction: Family planning services have the potential to improve the quality of the lives of people. The study was done to assess the family planning practice and methods among the married women of reproductive age attending female clinic of district hospital of Nepal.  Methods: This is a cross sectional descriptive study carried out from October 2011 till December 2011 at Lamjung district hospital. One hundred randomly selected married women of 15-49 years, who had at least one child were the subjects of the study. A structured questionnaire on knowledge, practice and methods of use of contraception was composed and fi lled up.  Results: The results were encouraging with 94 (94%) of participants having knowledge about contraception. The study showed that 32 (32%) of the married women belonged to 20-24 years of age group. Among them 64 (68%) were using modern contraception methods. Injectables hormonal contraceptives were most commonly practiced by 34 (54%) women. Among not using any contraceptives, 18 (60%) of them said their husband being abroad. Conclusions: Family planning knowledge and practice among the rural women utilizing the service was appreciable. Temporary method of contraception was most commonly practiced. Keywords: district hospital; knowledge; practice, family planning.

1970 ◽  
Vol 19 (1) ◽  
pp. 11-15 ◽  
Author(s):  
SK Ferdousi ◽  
MA Jabbar ◽  
SR Hoque ◽  
SR Karim ◽  
AR Mahmood ◽  
...  

Objective: This study aims to find out the unmet need of family planning among the rural women. To explore the obstacles to use family planning methods and to estimate the prevalence of contraceptive use. Study design: Cross-sectional type of descriptive study. Settings: The study was conducted at Sreepur upazila under Gazipur district. Subjects: All the married women of reproductive age, residing in a selected village of Sreepur upazila, were selected as the study subject. Results: The study revealed that unmet need was (22.4%). Most of the respondents (72.1%) were using contraceptive methods. Among those who used contraceptives, OCP was the most commonly used method (61.7%). About 28% were not using any method. The main reason was fear of side effects (46.1%). Conclusion: The study concluded that a nationwide contraceptive prevalence study may be carried out to explore the problem in detail. Key words: Unmet need; family planning; contraceptive prevalence rate. DOI: 10.3329/jdmc.v19i1.6244 J Dhaka Med Coll. 2010; 19(1) : 11-15.


2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables 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.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.


1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki

Introduction: The unmet need for family planning is a very useful tool in measuring and predicting the contraceptive needs of a population. Seventeen percent of all married women would prefer to avoid pregnancy but are not using any form of family planning. In less developed countries, about one forth of pregnancies is unintended. Objective: To determine the level of unmet need for family planning and evaluate the factors that influences the unmet needs in Married Women of Reproductive Age (MRWA). Methods: A cross-sectional study of 410 women attending the immunization clinic of B.P.Koirala Institute of Health Sciences, a teaching hospital in Dharan was carried out over 3 months. Results: MRWA had 22%, 15% and 8% unmet needs for family planning, spacing and limiting births respectively. Health concerns and side effects (30.5%), husband and family opposition (14%), uncertainty about child bearing (12.2%) and inconvenience (10%) were among the major constraints to the use of contraception. Unmet need has significant association between parity & education. Age and family type had no significant effect on unmet needs. Conclusion: In spite of high level of awareness about family planning method, a significant level of unmet need exists among women of reproductive age. Keywords: unmet needs; family planning; married women of reproductive age; MRWA DOI: http://dx.doi.org/10.3126/hren.v9i3.5581   HR 2011; 9(3): 148-151


2021 ◽  
Vol 2 ◽  
Author(s):  
Zubair Lukyamuzi ◽  
Moses Tetui ◽  
Osvaldo Fonseca-Rodríguez ◽  
Lynn Atuyambe ◽  
Fredrick Edward Makumbi ◽  
...  

Background: Quality of care (QoC) of family planning (FP) affects contraceptive use, and it varies across types of urban settlement. This study assesses the difference in service delivery point (SDP) structural and process factors between formal and informal urban settlements, and the opinion of the client on the QoC in informal settlements. This is useful in creating an evidence base to advocate for better quality services for the most vulnerable in society.Methods: This was a cross-sectional survey that included SDPs of Kira municipality in Wakiso district, Uganda. Data were collected from all the service points in Kira municipality with the caretakers consented. In addition, using multi-stage sampling, 626 women of reproductive age (15–49 years) who lived in the informal settlements of Kira municipality were interviewed. Data were collected using structured questionnaires, descriptive analysis was carried out in Stata version 14.0, and Chi-square and t-tests were used to compare the informal with the formal settlements.Results: Formal settlements generally had more higher-level SDPs compared to informal settlements (value of p < 0.001). SDPs in the formal settlements provided more FP methods and had more community health workers (CHW) to support their work. Also, SDPs in the formal settlements were more likely to have long-term FP methods available and more likely to have trained personnel to insert and remove implants and IUDs compared to those in informal settlements. Additionally, more SDPs in the formal settlements provided counseling for permanent, long-term, and short-term FP methods. Of the 626 interviewed women, most of the women (68.6%) reported that they would not return to the previous FP provider or refer a friend to the same provider (72.7%).Conclusions: There is a lower quality FP services in the informal settlements with a commensurable effect on the client satisfaction with the services. Therefore, improving the quality of FP services in informal settlements should be a top priority. Improved quality of services could act as a motivation to increase the uptake of modern contraceptives in such settings.


2019 ◽  
Vol 7 (1) ◽  
pp. 47
Author(s):  
Desak Nyoman Suryaningrat ◽  
Ni Wayan Suniyadewi ◽  
Ni Luh Putu Dewi Puspawati

<em>Mothers are family members who play an important role in family life. Maternal deaths that occur in every minute at every day are mostly caused by complications related to pregnancy, childbirth, and puerperal. Contraceptive use in reproductive age couples is one of the strategies of the family planning to reduce maternal mortality. This study aimed to investigate the factors associated with contraceptive use in reproductive age couples. This study used a correlational design with a cross-sectional approach. The samples were 56 people selected using a non-probability sampling technique, i.e., purposive sampling.  Data were analyzed using Rank Spearman test and contingency coefficient test. The results showed that there was a correlation between contraceptive use and factors of age, education, employment, customs / culture and quality of family planning services with a p-value of &lt;0.05. This study recommends that Mengwi Public Health Center I provide a counseling room for family planning acceptors and increase the schedule of family planning services as well as improve the quality of health workers especially in giving counseling about contraceptive use.</em>


Author(s):  
Deepak Anil ◽  
Sunil Kumar D. ◽  
Vijaylakshmi Rao Vadaga ◽  
Arun Gopi ◽  
M. R. Narayana Murthy

Background: According to national family health survey-5 (NFHS-5), in urban Karnataka, the total unmet need was 7.3. An important concept to describe effectiveness of family planning program is unmet need for family planning. Most married women want to limit childbirth and space deliveries but are unable to use contraceptives for varying reasons leading to unmet need. To assess unmet need of family planning and its associated factors among married women in reproductive age group in Mysuru.Methods: A community based cross-sectional study was done from November 2020-January 2021 among married women in reproductive age group (18-49 years) in urban Mysuru. Sample size calculated was 162. The samples were selected by systematic random sampling and interviewed using a pre-tested semi- structured questionnaire. Data was analysed using SPSS version 23 (licensed to JSS AHER).Results: The overall unmet need was 29.01%, among this 17.3% was for spacing and 11.71% for limiting. Out of 162 females studied, around 131 had knowledge about at least one contraceptive method. Unmet need was higher in unemployed women belonging to the lower socio-economic group. Important reasons cited for not using contraceptives were family opposition, fear of side effects, negligent attitude of the women and lack of knowledge about family planning.Conclusions: Unmet need of family planning in the study area was comparatively high, therefore, routine family planning counselling, health education, and health awareness programs need to be strengthened.


2021 ◽  
Vol 9 (3) ◽  
pp. 65-80
Author(s):  
Kehinde Osinowo

Depot-Medroxyl-Progesterone-Acetate-Subcutaneous/Self Injection (DMPA-SC/SI) is an intentional approach used by the Nigerian government to improve the coverage rate of contraceptives method-mix. In this study, the knowledge, practice, and determinants of use of DMPA-SC/SI among women in North-Central and South-West, Nigeria, was assessed. A cross-sectional health facility study was conducted across four Nigerian states. Structured pretested questionnaires were used to elicit information from 844 women within reproductive age. Twenty focused group discussions and 40 In-depth interviews (IDIs). Descriptive statistics were used to analyze the characteristics of the women. Multivariate logistic regression was used to examine the determinants of the current use of DMPA-SC /SI. Statistical analyses were set at 5%. Recorded voices were transcribed in full and analyzed using literary methods. About 89.5% of respondents reported ever heard family planning; 97.6% reported heard DMPA-SC; 83.2% reported ever use family planning; 95.7% reported current use of family planning; 94.3% reported ever use DMPA-SC, and 46.5% reported ever use DMPA-SC/SI. The reason for the use of DMPA-SC/SI was because it was easy to use, effective and self-administered. The factors that discourage women from using DMPA-SC/SI were mainly fears associated with side effects, for and fear of SI-self-injury. The logistic regression results showed that those residing in a rural part of the country were less likely to use DMPA-SC/SI. The government should scale up this model nationally, including rural and hard-to-reach communities with public awareness programmes, public sensitization, and refresher training to improve on Provider’s counselling skills. Keywords: Knowledge, Practice, Self-injectable contraceptive.


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