Abstract

Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is important to promote uptake of family planning services because it is one of the four pillars of the Safe Motherhood Initiative to reduce maternal death in developing countries. It is also enshrined in health related Sustainable Development Goals. Post Partum Intra Uterine Contraceptive Device (PPIUCD) is the oldest methods of family planning. During the ancient times, foreign bodies like stones were introduced into the woman’s uterus for prevention of pregnancy. Post partum method of contraception is highly recommended because it is long acting, convenient, safe and highly effective with minimal side effects compared to the hormonal methods. Despite these advantages, the method is the lowest in use globally, regionally and locally. According to the Meru Hospital records for the year 2017, the immediate PPIUCD uptake was very low at 3.4%. The broad objective of this study was to assess the factors that facilitate uptake of PPIUCD at Meru Hospital. The study site was post natal ward maternity department of Meru Hospital for a period of two months that is September and October in the year 2018. A descriptive research design was used and the study population was the mothers who were admitted in the ward during the study period. A sample size of 74 respondents was used as the representative to the target population of 289 mothers. Simple random sampling was used to get the sample for the facilitators. Data were collected using structured questionnaires and interview schedules. The data collection instruments were pretested at Embu Level five Hospital and split half reliability test technique used. Validity was ensured through review of literature from similar studies and by consulting supervisors in the department. Permission to conduct the study was sought from National Commission for Science, Technology and Innovation through Chuka University Ethics and Research Committee. Descriptive analysis was done to get percentages using Statistical Package for Social Science (SPSS) for windows version 23.0. Qualitative data were analyzed by grouping data into themes according to the study objectives. The analyzed data were presented in tables, charts and narratives. The findings of the study revealed that; the main client related facilitators to PPIUCD uptake were older age above 30 years, employment, tertiary level of education and knowledge on the method as a result of the providers’ effort to share information. That is 70% of older aged mothers, 60% of the employed and 40% with tertiary education had the insertion. The main provider facilitator to PPIUCD uptake was timely counseling and insertion services. 20% of those who had the insertion said that timely counseling was done during antenatal period. The main method related facilitator to PPIUCD uptake was past experience and preference to alternative methods of contraception. 50% of those who accepted the insertion had previous bad experience and side effects of other alternative methods. Some 30% of users perceived that the method was effective and convenient because once inserted no need for frequent visits to the clinic. The study concluded that clients, providers and method factors facilitated uptake of immediate PPIUCD. The study recommends putting in place strategies to improve the uptake of the method by considering the client, provider and method related facilitators.

Highlights

  • Global stabilization of population depends on successful promotion of facilitators to uptake of contraception services [1]

  • The main provider facilitator to Post Partum Intra Uterine Contraceptive Device (PPIUCD) uptake was timely counseling and insertion services. 20% of those who had the insertion said that timely counseling was done during antenatal period

  • The study was done to determine the uptake and factors influencing the uptake of PPIUCD among the women delivering in a tertiary care hospital of Odisha, India

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Summary

Introduction

Global stabilization of population depends on successful promotion of facilitators to uptake of contraception services [1]. Planning (FP) services are educational, comprehensive medical or social activities which enable individuals, including minors to determine freely the number and spacing of their children and to select the means by which this may be achieved [2]. Women of reproductive age who want to avoid pregnancy in developing countries are not using contraceptive methods [2]. This study sought to identify the factors that facilitate the use of contraceptives among these women of reproductive health in developing countries. Use of contraceptives is key to slowing unsustainable population growth and the resulting negative impact on the economy by having the desired number of children for every parent. The facilitators to family planning services include strong policies that strongly support family planning programs in facilitating population control [3]

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