Family Planning Methods Research Articles

Association between socio-demographic factors and acceptance of family planning methods among scheduled caste women of Jorhat district, Assam

Background: In spite of the high knowledge, the rate of contraceptive methods use is not so satisfactory in India. The main objective of the health and family welfare programme is to reduce the knowledge, attitude and practice gap among the people of different societies, castes, religions and regions. The objective of the study is to find the association between socio-demographic factors and acceptance of family planning methods among the women belong to scheduled caste community which is one of the backward communities of India. Methods: A community based cross sectional study was conducted among scheduled caste community of Jorhat district, Assam. 612 married women of reproductive age group were selected using multistage sampling technique. Data were collected by personal interview using pretested, predesigned proforma. Chi-square test was used to see the association and all the analysis were done using SPSS- version 23. Results: 98.2% knew the family planning methods and 87.5% had positive attitude but only 65.3% practiced the methods. 58.3% women did not use the family planning methods because they want more children. The major source of information was mass media (76.8%) and majority of women (47.1%) used oral contraceptive pill (OCP) following by condom (21.6%). Most of the socio-demographic factors had significant association with the practice of family planning methods. Conclusions: There is a need to understand the various factors which influence the practice of family planning methods so that the it would help in designing effective family planning programme.

MOROCCAN WOMENS EMPOWERMENT THROUGH THE USE OFAN MHEALTH SOLUTION FOR FERTILITY MANAGEMENT AND CONTRACEPTION:

In developing countries, limited access to family planning services, results in high rates of unintendedpregnancies and unsafe abortions leading to many avoidable maternal deaths.Unmet need for family planning «UMN»is one of the United NationsMillennium Development Goals Indicators? it evaluates women who are fecund and sexually active but are not using any methods of contraception, while reporting not desiring any more children or wanting to delay the next child. According to the Moroccan national survey for family planning published in 2018,the unmet need for family planningwas 29.2% which is high.The advent of new technological solutions created for family planning has the potential to address unmet needs in low- and middle-income countries.In Morocco, research studies are scarce in the field of Family planning and sexual health.To improve the access to family planning methods and to lower the perceived barriers to contraception use in Morocco, our team in Maternity les Orangers collaborated with the software research team of the national school for computer science ENSIAS in a research project to create a new mHealth solution tailored to Moroccan women, to help empower them to achieve their reproductive goals and contraceptive needs.

АБОРТ КАК МЕДИКО-СОЦИАЛЬНАЯ ПРОБЛЕМА В ПРЕДСТАВЛЕНИЯХ СТУДЕНТОВ-МЕДИКОВ

Problem of abortions in today socio-demographic situation in Russia remains very urgent. Despite the tendency of decreasing rate of abortions in the last years, social acceptance of abortion as the method of birth control remains actual in public consciousness. The purpose of research was to evaluate the attitudes of medical students to abortion, awareness about health risks associated with abortion, its acceptable reasons and potential consequences, to detect the differences in perception of rights for abortion by respondents of different gender groups. The survey conducted in 150 medical students showed that more than half of respondents (51,3%) had acquaintances who had made at least one abortion. 45,3% of respondents consider possible to make an abortion in case of unwanted pregnancy, there were no any differences detected in male and female respondents. 49,3% of students can make an abortion at the certain circumstances. Only 5,4% of respondents would not accept abortion under any circumstances. For all respondents regardless of age and gender the most important factors taken into account while making a decision about abortion include the period of gestation (70,7%), method of abortion (64%), financial problems (57,3%). For young respondents under age 20 the most important factor is the opinion of a spouse or partner, while for respondents above age 20 the most significant reason is the necessity to finish education. The most frequent negative consequences of abortions according to opinion of medical students are psychological distress, risk of infertility and complications of future pregnancies. Results of the study demonstrate quite high acceptance of abortions by future physicians despite their awareness about the problem of abortions and knowledge of associated health risks.

IUD-Related knowledge and practice among women in Afghanistan: A cross-sectional survey study

Background: Intrauterine Devices (IUDs) are T-shaped devices that can be inserted into the uterus to provide contraception. IUDs are a form of long-term contraception that are effective birth control methods with few adverse effects. The purpose of this study is to reveal the current baseline for the knowledge and practice of Afghan women toward intrauterine devices and identify the related sociodemographic factors. Methods: This cross-sectional survey was conducted from October 2022 to December 2022 among married women aged at least 18 years old living in Herat province of Afghanistan. A total of 1000 females in Herat were asked, and 411 agreed to participate in this study (response rate=41.1%). Results: Only one-fourth of the participants responded that health care workers are their primary source of information on health issues (25.3%). More than nine-tenths of the participants had poor knowledge level of IUD (91.5%) while only one-twentieth of participants were using IUD (5.8%). Number of children, education level, occupation, and economic status were found to be significantly associated with participants’ knowledge on IUD. Conclusion: Government and health organizations should provide trainings focused on increase of knowledge on IUD and its related issues. The programs should also persuade women to use IUD and its safety. Training should be targeted not only to women, but to family practice physicians, nurse and midwifery practitioners and other providers who offer family planning counseling and services.

SALPINGECTOMY AT THE TIME OF CESAREAN DELIVERY: A SYSTEMATIC REVIEW

Candidates for tubal sterilisation include women who have finished having children and who are looking for a method of birth control that is both highly effective and permanent. It is possible for it to be carried out at any point during a woman's menstrual cycle, as well as right after a child is born or an abortion is performed. Hysteroscopy, laparoscopy, or even a mini-laparotomy might be performed instead. It is important to have a conversation about the danger of regret as well as the characteristics that increase the likelihood of regret, such as a young age at the time of sterilization (less than 30 years), a lower parity, sterilization administered in the immediate postpartum period, divorce or remarriage following sterilization, and being poor or of Hispanic origin. It would appear that being a young adult at the time of the sterilization is the most significant indicator of regret. It is extremely important to keep in mind that this does not provide full protection. According to the findings of the CREST study, the failure rate across all procedures was 18.5 out of every 1000 procedures over the course of a 10-year period. Even in the event that a cesarean birth is performed unexpectedly, a mother request for postpartum permanent contraception in the form of bilateral total salpingectomy during cesarean delivery may be a procedure that is both safe and practicable.

Primary and reproductive healthcare access and use among reproductive aged women and female family planning patients in 3 states.

Public funding plays a key role in reducing cost barriers to sexual and reproductive health (SRH) care in the United States. In this analysis, we examine sociodemographic and healthcare seeking profiles of individuals in three states where public funding for health services has recently changed: Arizona, Iowa, and Wisconsin. In addition, we examine associations between individuals' health insurance status and whether they experienced delays or had trouble in obtaining their preferred contraception. This descriptive study draws on data collected between 2018 to 2021 in two distinct cross-sectional surveys in each state, one among a representative sample of female residents aged 18-44 and the other among a representative sample of female patients ages eighteen and older seeking family planning services at healthcare sites that receive public funding to deliver this care. The majority of reproductive-aged women and female family planning patients across states reported having a personal healthcare provider, had received at least one SRH service in the preceding 12 months, and were using a method of birth control. Between 49-81% across groups reported receiving recent person-centered contraceptive care. At least one-fifth of each group reported wanting healthcare in the past year but not getting it, and between 10-19% reported a delay or trouble getting birth control in the past 12 months. Common reasons for these outcomes involved cost and insurance-related issues, as well as logistical ones. Among all populations except Wisconsin family planning clinic patients, those with no health insurance had greater odds of being delayed or having trouble getting desired birth control in the past 12 months than those with health insurance. These data serve as a baseline to monitor access and use of SRH services in Arizona, Wisconsin, Iowa in the wake of drastic family planning funding shifts that changed the availability and capacity of the family planning service infrastructure across the country. Continuing to monitor these SRH metrics is critical to understand the potential effect of current political shifts.

(363) A Google Trends Analysis on Internet Search Queries for Permanent Contraception Following the Leaked Decision of Roe V. Wade

Abstract Introduction The American public was taken by surprise by a draft leak on May 2nd indicating the US Supreme Court was in favor of overturning Roe v. Wade. As a result, both males and females are concerned about their reproductive health and alternative contraception methods due to the anticipated repeal of the law that has protected abortion rights since 1973. Evidence has shown that countries with strict abortion laws and illegal abortions have significantly higher rates of sterilization as their preferred method of birth control. In our hypothesis, we predicted a large increase in google searches for permanent birth control alternatives, particularly tubal ligation and vasectomy, 7 days after the draft leak. The objective of this study is to use Google Trends to track online interest in tubal ligation and vasectomy 7 days before and 7 days after the Supreme court draft. Objective To identify an increase in Internet search queries for contraception methods – specifically vasectomy and tubal ligations - one week following the leaked decision of Roe v. Wade Methods Google Trends measures the popularity of a search term in a given period compared to the popularity of all search terms in that period. A key measure of interest in a keyword is the Search Volume Index (SVI), which is a ratio of searches made in each location and time divided by all searches for the keyword. We compiled data on the popularity of ‘tubal ligation’ and ‘vasectomy’ google searches between April 25th, 2022 – May 8th, 2022. Statistical analysis was performed with Microsoft Excel v.16.60. Results A Google Trends analysis revealed a statistically significant increase in the popularity of both keywords. The mean SVI for ‘vasectomy’ prior to the leaked decision was 28.9, but this number increased to 64 (+121%) one week following the leak (p=.0064). Similarly, ‘tubal ligation’ increased from a mean SVI of 38.1 to 65 (+70%) (p=.029) (Figure 1). On a national scale, most states had an increase in search volume for both terms. Vasectomies had the greatest surge in the North and Southwestern regions while tubal ligations had the greatest surge in the Midwest (Figure 2A, C). Two trigger states, South Dakota and Idaho, had among the highest increase in mean SVI for tubal ligation and vasectomy respectively (Figure 2 (A, C). Conclusions Using Google Trends, we identified a statistically significant increase in internet search queries for vasectomies and tubal ligations one week following the leaked decision of Roe v. Wade on May 2, 2022. Further analysis revealed a relative surge in two trigger states – potentially highlighting the concerns of these individuals given the immediate legal implications should Roe v. Wade overturn. These findings provide valuable information to physicians and public health organizations regarding the interests and attitudes of people in these regions. Doctors may soon need to prepare to adequately counsel patients on this complex and sensitive topic. Future studies should investigate the specific questions patients may have when it comes to contraception and preventing unwanted pregnancies. Disclosure No

"The phone number tells us good things we didn't know before." Use of interactive voice response calling for improving knowledge and uptake of family planning methods among Maasai in Tanzania.

Maasai living in the Arusha region, Tanzania, face challenges in feeding their children because of decreasing grazing grounds for their cattle. Therefore, they requested birth control methods. Previous studies have shown that lack of knowledge about, and poor access to, family planning (FP) may worsen the situation. We developed an interactive voice response calling (IVRC) platform for Maasai and health care workers (HCW) to create a venue for communication about FP to increase knowledge and access to FP. The objective of this study was to explore the effect of the platform on knowledge, access and use of family planning methods. We applied a participatory action research approach using mixed methods for data collection to develop and pilot-test an mHealth-platform with IVRC using Maa language. We enrolled Maasai-couples and HCW in Monduli District (Esilalei ward), Arusha Region, and followed them for 20 months. A baseline assessment was done to explore knowledge about FP. Furthermore, we abstracted information on FP clinic visits. Based on that, we developed a system called Embiotishu. A toll-free number was provided to interact with the system by calling with their phone. The system offers pre-recorded voice messages with information about FP and reproductive health to educate Maasai. The system recorded the number of calls and the type of information accessed. We measured the outcome by (1) a survey investigating the knowledge of contraceptive methods before and after Embiotishu and (2) counting the number of clinic visits (2018-2020) from medical records and feedback from qualitative data for FP used among Maasai. The acceptability and feasibility were explored through focus group discussions (FGDs) with Maasai and in-depth interviews (IDIs) with HCW. We recruited 76 Maasai couples whom we interviewed during the baseline assessment. The overall knowledge of contraceptives increased significantly (p<0.005) in both men and women. The number of clinic visits rose from 137 in 2018 to 344 in 2019 and 228 in the first six months of 2020. Implants were the most prescribed family planning method, followed by injections and pills, as found in medical records. The number of incoming calls, missed calls, and questions were 24,033 over 20 months. Out of these calls, 14,547 topics were selected. The most selected topics were modern contraceptives (mainly implants, condoms, tubal ligation, and vasectomy). Natural methods of contraception (vaginal fluid observations, calendar, and temperature). Our study has shown that the IVRC system led to an improvement in knowledge about and access to contraceptives. Furthermore, it has potential to increase access to health information as well as improve dialogue between Health workers and Maasai.

KNOWLEDGE AND PRACTICE OF VARIOUS CONTRACEPTIVE METHODS AMONG WOMEN IN AN URBAN AREA OF SHIMLA, NORTH INDIA

Uncontrolled population growth is a global concern. Adoption of family planning is crucial to limiting the unsustainable growth of the population. This exponential growth of the population puts a large stress on the finite resources worldwide. The magnitude of the burden is further increased in developing and underdeveloped countries where there is a paucity of resources. With majority of population in India in reproductive age group, adoption of family planning methods will not only play an important role in stabilizing the population but will also significantly contribute to the reduction of maternal and neonatal mortality and morbidity. We did the study to determine the prevalence and pattern of contraceptive usage in women attending our OPD in an urban hospital in Shimla, Himachal Pradesh.

Awareness and Acceptance of Post-Partum Intrauterine Contraceptive Device Insertion (PPIUCD) among Patients Attending a Tertiary Care Hospital Karachi

Background: The knowledge, awareness and acceptance regarding contraceptives are variable in different parts of world. Family planning is still considered a stigma in most parts of the world. Contraceptive use for family planning is a key to understand the profound changes in fertility and to improve reproductive health worldwide. Objective: To evaluate the awareness and acceptance of the post-partum intrauterine contraceptive Device Insertion (PPIUCD) among the pregnant women visiting the Outdoor Department of Obstetrics and Gynecology in a tertiary care Hospital Malir Cantt Karachi. Study design and setting: A cross sectional study was conducted during the period January 2022- June 2022. Material and Methods: This cross sectional study was conducted at the Tertiary care Hospital, Malir cantt, Karachi, for six months from (January 2022-June 2022) Data were collected using interviewer administered structured questionnaire was filled after the informed consent. The inclusion criteria: were the women agreed to participate the study and agreed to fill the questionnaires Urdu version, who visited outdoor department. The exclusion criteria were the women who refuse to ill the questionnaire. Results: This study shows the acceptance rate of PPIUCD is 12% of 200 women who participated this study. The commonest reasons for their denial were the inadequate information or knowledge of PPIUCD. The acceptance rate of PPIUCD was associated with their awareness and the long term effectiveness. Women who have completed their secondary or higher education were more informed and accepted than uneducated women. (AOR = 3, CI = 11.81, 53.91). The age group ranging from 25-30 years showed positive acceptance for PPIUCD. Conclusion: The rate of acceptance for postpartum intrauterine contraceptive device turns out to be low in this study, though this is an effective and safe method of postpartum family planning. The perceived concerns and fears about the PPIUCD are due to lack of awareness regarding its use among women attending the antenatal clinics. Keywords: PPIUCD, Contraception, Postpartum FP, awareness.

Modern women choose contraceptive vaginal ring

This survey introduces up-to-date statistic data on women’s reproductive health considering current control methods. It includes literature analysis on the contraceptive vaginal ring (CVR) use. Evidential medicine proves that CVR is a long-standing, safe and effective birth control method. CVR usage definitely wins the battle against oral contraception and prolonged contraception methods. The survey includes current patients’ survey results concerning CVR usability particularly during sex. VR’s effect on vagina microbiota and cervix epithelium is also covered, considering the discussions on cervix cancer increase caused by long-term use of combined hormonal contraceptives. Recently, there has been some positive trend towards the protection of reproductive health. However, we have to admit that there are still many unresolved issues, in particular, unavailability of adequate family planning counselling services and advanced effective birth control methods. The pharmaceutical market is saturated with various birth control methods. A careful analysis of medical history details and test results makes it easy to choose the best possible and safe birth control method with due regard of the patients’ wishes. Bearing in mind the less pronounced systemic effect, ease of use, and a favourable safety profile, the choice of CVR as a birth control method seems to be the best solution for women

The Emergency Contraceptive Pills: Knowledge, Attitudes and Practice among Students at Gorkha Campus

Unplanned and unwanted pregnancy is one of the leading causes of maternal mortality and morbidity in South Asia. Despite the availability of a range of modern and effective contraceptives, unwanted and unplanned pregnancies continue to occur. Emergency contraception is a method to prevent pregnancy in women who have had unprotected sex or when birth control methods have failed. A cross-sectional study was carried out to determine the knowledge, attitude and practice (KAP) of students of Gorkha Campus regarding Emergency Contraception Pills (ECP). Total 98 respondents were selected using the census sampling technique, with self-administered questionnaires for data collection. Out of the total sample, most of the respondents were female (88%) , nearly three-quarters (72%) were from age18 to 21 years, and more than half were Janajati. Only 35% of the respondents knew that I-Pill is ECP, while half of them did not know the best time to use it. It was a pity that only more than a fifth (22.4%) of the respondents had adequate knowledge on ECP. The mean score of knowledge was 1.31, and St.deviation was 1.30. The student’s streams of education were significantly associated with adequate knowledge, P&lt;0.5 and the rest of the variables were insignificant. Thought the knowledge of ECP was low, had a positive attitude towards ECP, and only few (7%) of the respondent had used the ECP till the date of data collection. Based on the study finding, educational intervention related to ECP is recommended for the students of Gorkha campus.

To assess the prevalence of knowledge level and practice of Lactational Amenorrhea Method (LAM) as a method of contraception among women admitted in postnatal ward of a tertiary care teaching hospital

Background: Lactation is a natural defence against pregnancy. As long as a mother is nursing, she is delaying the return of fertility. This study aimed at evaluating the state of knowledge, among mothers of infants aged 0-6 months, on lactational amenorrhea as a contraceptive method, as well as these women's breastfeeding habitsMethods: In this study, a total of n=300 mothers were included. A questionnaire was used to interview one-on-one the mothers of infants aged 0-6 months, who had consented to such an interview. Results: Out of 300 total respondents, only 121(24%) of them had prior knowledge about LAM and 201 of them had prior knowledge about contraceptive methods. About 276(92.0%) were housewives by occupation and 24(8.0%) were working mothers. Primigravidas used contraception in the past and also had prior knowledge about LAM as compared to Multigravidas. Anganwadi workers provided knowledge to 17 of the totals, 40 of them got knowledge from relatives, Medical and paramedical workers educated 49 of them, 3 got it from the internet and 7 of them were self-acquired. Conclusion: This study although small in size localized in a particular geographical area and covering almost similar socioeconomic profile, has a strong message that if proper and sustained counselling is done the dual purpose of exclusive breastfeeding and a method of natural family planning can be achieved.

To assess the prevalence of knowledge level and practice of Lactational Amenorrhea Method (LAM) as a method of contraception among women admitted in postnatal ward of a tertiary care teaching hospital

Background: Lactation is a natural defence against pregnancy. As long as a mother is nursing, she is delaying the return of fertility. This study aimed at evaluating the state of knowledge, among mothers of infants aged 0-6 months, on lactational amenorrhea as a contraceptive method, as well as these women's breastfeeding habitsMethods: In this study, a total of n=300 mothers were included. A questionnaire was used to interview one-on-one the mothers of infants aged 0-6 months, who had consented to such an interview. Results: Out of 300 total respondents, only 121(24%) of them had prior knowledge about LAM and 201 of them had prior knowledge about contraceptive methods. About 276(92.0%) were housewives by occupation and 24(8.0%) were working mothers. Primigravidas used contraception in the past and also had prior knowledge about LAM as compared to Multigravidas. Anganwadi workers provided knowledge to 17 of the totals, 40 of them got knowledge from relatives, Medical and paramedical workers educated 49 of them, 3 got it from the internet and 7 of them were self-acquired. Conclusion: This study although small in size localized in a particular geographical area and covering almost similar socioeconomic profile, has a strong message that if proper and sustained counselling is done the dual purpose of exclusive breastfeeding and a method of natural family planning can be achieved.

FAMILY PLANNING ATTITUDE IN TURKISH CULTURE: RELATIONSHIP BETWEEN EXPERIENCING UNINTENDED PREGNANCY, RECEIVING COUNSELING, AND ACCESSING METHODS

Objective: In this study, it was aimed to determine the frequency of married women using methods related to family planning and the factors associated with method use.&#x0D; Method: 400 women between the ages of 15 and 49 were a part of the research, which was carried out as a descriptive and relationship-seeking study. The family planning attitude scale and a personal information form were utilized in the data collection phase of the study, and data were analyzed using the IBM SPSS 25 program. Ethics committee permission and written consent from the participants were obtained for the habituation to take place. T-test, one-way variance, and multiple regression analyzes were used in the analysis of the data.&#x0D; Results: It was determined that the total mean score of the family planning attitude scale of the women was 133.49 ± 18.78, 67% of them used a modern family planning method, and 32.5% of them received counseling for family planning. It has been found that women's family planning attitudes are affected by age, income level, availability of family planning products and method selection reasons. It has been determined that the family planning attitude scale sub-dimensions of women who have experienced abortion/abortion have lower attitudes towards family planning and family planning method attitudes than women who have not experienced abortion/abortion.&#x0D; Conclusion: According to the research, women have positive attitudes regarding family planning, but not at the level that is ideal. More effectively delivering training and consulting services is crucial to fostering a good attitude toward family planning.

Awareness and Practice of Family Planning Methods among Women in Jumla - A Cross-Sectional Study

Background: The family planning methods are used to help individual and couples to avoid unwanted pregnancies, regulate interval between pregnancies, and determine the number of children to be given birth. Family planning is an effective intervention for promoting maternal health, but its acceptability and utilization are obstructed by many factors.&#x0D; Objective: This study is carried out to assess the awareness and practice of family planning methods among women in Chandannath Municipality Jumla.&#x0D; Methodology: A cross-sectional study was conducted through face-to-face interview using structured and semi structured questionnaire among 64 women. This study was conducted after getting ethical approval from the Institutional Review Committee of Karnali Academy of Health Sciences. Data was analysed by using Statistical Package of Social Sciences version 16. Descriptive analysis (Frequency, percentage, mean, standard deviation) and inferential statistics (chi-square) was used.&#x0D; Results: Out of 64 respondents, (51.60%) respondents had adequate awareness; (46.90%) were current family planning methods users. Level of awareness was not significantly associated with their practice of family planning methods. P=0.216.&#x0D; Conclusion: This study demonstrates that more than half of the respondents had adequate awareness and nearly half of the respondents were current users of family planning methods. There is no association between awareness and practice of family planning methods.&#x0D; Keyword: Awareness; family planning methods; practice; women.

Time to postpartum family planning initiation and its predictors among mothers coming for first measles vaccination at Family Guidance Association of Ethiopia, Dessie Model Clinic, Northeast Ethiopia: cox-regression model

BackgroundTiming of initiation of family planning is an important determinant for the health status of the mother and her child. One-fourths of mothers in developing countries who wanted to space or limit their children were not using family planning methods at right time after delivery. Despite, the existence of many literatures about postpartum family planning, the timing of it is not yet studied. Thus, this study aimed to assess time to postpartum family planning and its predictors among mothers coming for first measles vaccination in Dessie city, Northeast Ethiopia.MethodsAn institutional-based retrospective follow-up study was conducted among mothers coming for infant vaccination at Family Guidance Association of Ethiopia, Dessie Model Clinic in Dessie City. A systematic sampling technique was used. The data were entered and analyzed using Epi Data version 3.1 and STATA version 14.0, respectively. Kaplan–Meier and Cox regression model were used to test the time and predictors of postpartum family planning initiation. Adjusted hazard ratio with 95% CI was used to test the strength of association at a p-value of 0.05.ResultsThe rate of postpartum FP initiation was 0.6% with 95% CI (0.0056, 0.0069). Keeping the effect of confounder constant, age of the women 20–24 [AHR = 2.63, 95% CI (1.65,4.19)], 25–29 [AHR = 3.66, 95% CI (2.35,5.73)], 30–34 [AHR = 2.79, 95% CI (1.75,4.46)], getting family planning counseling [AHR = 1.78, 95% CI (1.26, 2.52)], want more child [AHR = 0.47, 95% CI (0.34, 0.66)], having history of abortion [AHR = 0.54, 95% CI (0.36,0.81)] and wanted last pregnancy [AHR = 0.69, 95% CI (0.49, 0.97) were significantly associated with postpartum family planning initiation.ConclusionsAge, history of abortion, counseling about family planning, the status of last pregnancy and want more child were significantly associated with postpartum family planning use. Continuous emphasis should be given for health care providers to encourage their counseling services for their customers at different age groups with special attention given for elders.

Perceptions of adolescent mothers towards adolescent repeat childbirth in Soroti district, Teso sub-region, Uganda: A phenomenological study.

The percentage of adolescent mothers aged 15 to 19 years with a repeat childbirth in Uganda (26.1%) is higher than the global estimate (18.5%). Soroti district tops Teso (a region with highest adolescent childbearing rate nationally) in adolescent childbearing. Adolescent repeat childbearing (ARC) is associated with poor health outcomes, increased risk of stillbirth, maternal and child mortality, thus a public health concern. The explanations to the high prevalence of repeat childbirth in Soroti district remain unknown. We conducted a phenomenological study where theoretical saturation was achieved with 3 focus group discussions; each comprised of 8 respondents. The questions posed focused on modified socio-ecological model regarding the factors associated with repeat childbirth. These included; perceived individual factors of repeat childbirth, factors related to the sexual partner of the adolescent mother, adolescent mother's family related factors and factors related to the peers and community of the adolescent mothers. Transcripts were organized and analyzed by QSR Nvivo following deductive approach. Results: Adolescent marriage was viewed as a privilege, family planning methods were viewed as non-functional, man's demand for sex was unchallengeable and non-supportive families including mistreatment of the participants by their families were perceived as risk factors for ARC. This therefore suggests that in order to prevent repeat adolescent childbearing in Soroti district, and contribute towards the achievement of the SDG numbered three (ensure healthy lives and promote well-being for all at all ages) there is need to awaken and strengthen the implementation of the anti-teen marriage programs and policies; strengthen sexual/reproductive education including family planning programs, and addressing identified myths regarding ARC.

Prevalence and determinants of Contraceptive practice in Women Attending Tikrit Teaching Hospital

Background: Family planning assist in achieving the optimal growth and development of each member in the family and protect the women from the side effects of multiple pregnancies. The aim of this study is to determine the prevalence, awareness and practice of contraceptives, and the determinants of contraceptive use among women attending Tikrit teaching hospital.Subjects and Methods: a cross sectional hospital based study was conducted in Tikrit teaching hospital from February to May 2011. A total of 280 married women aged between 15-50years were participated in this study.Results: The prevalence of family planning practice among them was 77.1%. Despite that all of women (100%) knew about contraception but only (80%) were in favor it. Favor and practice of contraception inversely related to educational level. Among users, the modern methods were the most common methods used by women (64.3%) while only (35.7%) used the natural traditional methods. Conclusion: this study revealed high awareness about family planning methods, in the same time the prevalence of practicing it was high. Favor and practice of contraception were more pronounced in low educated and unemployed women.

Pemberdayaan Masyarakat Dalam Keikutsertaan Pasangan Usia Subur Menjadi Aseptor KB di Kelurahan Ladang Bambu Kecamatan Medan Tuntungan

The use of family planning (KB) methods by couples of childbearing age is an important step in regulating pregnancy and maintaining reproductive health. However, the successful use of family planning relies heavily on the knowledge of PUS about contraceptive methods as well as their participation in using contraceptives consistently. Lack of knowledge and proper participation can lead to unwanted pregnancies and even trigger abortions.To improve the understanding of PUS about family planning, a health education program was implemented in Kelurahan Ladang Bambu, Medan Tuntungan sub-district in 2023. This education provided information on various contraceptive methods and how to use them correctly, so that PUS can make the right decision in family planning.The results of the education activities showed an increase in PUS knowledge about contraceptives. Comparison of test results before and after the intervention showed a significant increase in knowledge by 0.37 (p&lt;0.05). That is, there was a difference in the average pretest and posttest scores after the health education was conducted, indicating the effectiveness of the program in improving the understanding of PUS related to contraceptive methods. In conclusion, this health education program succeeded in increasing the knowledge of PUS about contraceptive methods. With better understanding, PUS can use family planning more effectively and consistently, reducing the risk of unwanted pregnancy and its implications such as abortion. This program contributes positively to family welfare and reproductive health in the community.