Practice Of Family Planning Methods Research Articles

Socio-Cultural Factors Affecting the Use of Modern Family Planning Methods by Married Men in Omala Local Government Area, Kogi State, Nigeria

The use of contraceptives is one of the modern family planning methods across the globe, but not free of the influence of socio-cultural factors. Hence, this study examined the socio-cultural factors influencing the practice of family planning among married men in the Omala Local Government Area. The specific objectives of the study included ascertaining if married men in Omala LGA were aware of modern family planning methods, an investigation into the assessment and utilization of family planning methods, determining the perceived benefits of the practice of family planning methods, identifying the perceived hindrances to its usage and examined the strategies to improve on the practice of family planning among marked men in Omala LGA. Analysis of Variance (ANOVA) was used to test the research hypothesis. The theory of the Health Believe Model was used to buttress the study and by utilizing survey research design, a total of 306 copies of the questionnaire were distributed among the respondents of which 235 copies were completed and returned. The results showed that 51% of the married men in Omala LGA were not aware of modern family planning methods while 34% of the respondents had no access to the utilization of modern family planning methods. The results also revealed that the socio-cultural factors affecting modern family planning methods among married men in the study area were cross-cultural differences, religious beliefs and practices, gender roles, fertility desire and number of living children, childbearing practice, partner discussion and approval. It was found also that reduction in the economic and emotional burden of parenthood, improvements in maternal health and child survival etc were the perceived benefits of modern methods of Family Planning. It was also discovered that the perceived hindrances to the practice of family planning methods included lack of knowledge, limited supplies, high cost of contraceptives, cultural and personal objectives etc. The study further found that adequate sensitization programmes by both health workers and religious organisations should be carried out among their followers on the importance of family planning practice and thereby enhancing their reproductive health. The study concluded that there were significant socio-cultural factors influencing the practice of modern family planning methods in the study area and therefore recommended that the local government through healthcare centres should create awareness programmes as also suggested by the respondents on the use of modern family planning methods in the area.

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.

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.
 Objective: This study is carried out to assess the awareness and practice of family planning methods among women in Chandannath Municipality Jumla.
 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.
 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.
 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.
 Keyword: Awareness; family planning methods; practice; women.

Knowledge and practice of family planning methods among the married women of reproductive age group attending SOS hospital in Mogadishu Somalia

Objectives: To assess the knowledge, and practice on family planning among the married women of reproductive age group attending At SOS Hospital Mogadishu Somalia. Methodology: It was descriptive, cross-sectional and facility -based study in SOS hospital in Mogadishu-Somalia State during six months (November 2017 – April 2018). A total of 150 women of child bearing age were interviewed regarding their awareness and practices of contraception. Results: The mean ± SD of age was 30.7 ± 7.2 years. The minority of women (40.0%) heard and had knowledge about family planning, while (60.0%) said did not know anything about family planning. Sixty five women (43.3%) practiced family planning, while eight five women (56.7%) did not. Conclusion: The present study concludes that a significant proportion of respondents have poor knowledge about family planning. And practice of contraception and compliance is low.

Study on Determinants of Contraceptive Use: A Community Based Study in Eligible Couples


 
 Background: family planning methods are influenced by a variety of interrelated factors such as age at marriage, education, economic status, religion, number of living children, knowledge about contraceptives, availability, accessibilityand quality of services In spite of many programmes, couples are not aware of contraceptive methods even though they are wish to follow small family norm and still there is a gap between knowledge, attitude and practice. In a developing country like India, despite widely available contraception methods, still there is poor acceptance due to ignorance or fearof complications using them.
 Methodology: The present cross sectional study was conducted at PHC, field practice area of Department of community medicine, Jawahar Lal Nehru medical college and Hospital Bhagalpur. Study duration of two years. According to DLHS-3 prevalence of contraceptive acceptance in Bihar state was 63.2%. Sample size is calculated by taking prevalence rate of contraceptive use (63.2%) at 5% significance level and 10% allowable error. There are 28 anganawadi centers in ourstudy area. A list of eligible couples was obtained from each anganawadi and 10 eligible couples was selected randomly by Stratified Random Sampling.
 Results; The total prevalence of contraceptive use in the study area was 58.6%. It was found that practice of family planning methods was high among Hindu (87.2%) compared to Muslims (12.8%). It has been found that 40% of study population was from nuclear family. Forty six percent of the acceptors of contraceptives were held from nuclear family ascompared to 32% from joint family. 
 Conclusion: The Female literacy rate is exceptionally higher than national average. Early marriage is a prominent featurein the study area. Different factors namely age at marriage, type of family, number of living children, literacy status of female partner, and socioeconomic status significantly affect contraceptive behaviour of the studypopulation. 
 
 
 Keywords: Eligible couple, contraception, sterilization.

Knowledge, Attitude and Practice of Family Planning Among the Currently Married Women of Reproductive Age of Shivasatakshi Municipality Jhapa District, Nepal

This study examines the Knowledge, Attitude and Practice of Family Planning among the Currently Married Women of Reproductive Age (15-49 Years); a case study of Shivasatakshi Municipaity Jhapa district is based on primary data successfully collected from sample survey, covering 100 sample respondents` from 100 sample households. The main objective of the study is to fine out the knowledge, attitude and practice of family planning methods among currently married women of reproductive age group (15-49 years) and the specific objective of the study are to study the socio-economic and demographic determinants of currently use of family planning method and to identify the reason the reason for use and non-use of family planning. Out of 100 sample respondents 83 percent women are literate and 17 percent are illiterate. The major occupations of the respondents are agriculture and services. Among currently married women, 99 percent of respondents are found to be familiar with at least one family planning method. Out of total respondents, 91 percents are ever uses and 92 percent are currently using family planning methods. There is strongly positive relationship existed between use of family planning method and socio-economic and demographic variables like educational status of women and number pf living children. Easily accessible and no side effect are main reasons for using family planning method. Desire for and husband and family’s disagreement are most important reason for not using family planning method.

A Cross Sectional Study on Awareness Level of Family Planning Methods in Primigravida in Rural India

Background: Family planning suggests the capacity of population to envision and accomplish their ideal number of children by spacing and timing their births which can be accomplished using distinctive contraceptive techniques. The accessibility of family planning limits the family size as well as protects individual well being and rights. Family planning is the most significant determinant of fertility. This study aimed to study the level of awareness of family planning methods among Primigravida in central rural India.
 Methodology: The study investigator will collect all the required details on a structured pretested questionnaire - demographic details (hospital number, age, education level, occupation, place of residence (urban or rural), socio economic status (Modified Kuppuswamy scale)etc. As per modified Kuppuswamy scale, the socio economic status will be defined as Upper Class (26-29), Upper middle (16-25), Lower Middle (11-15), Upper lower (5-10), Lower(Below 5) for present study. The study investigator will also collect data regarding knowledge of primigravida towards population problems, their attitude towards population problems and practice of family planning methods by them.
 Results: We expect lack of awareness about family planning methods in Primigravida in central rural India.
 Conclusion: This study is likely to highlight the awareness levels of family planning methods amongst primigravida presenting to our tertiary care teaching hospital in central rural India.

Knowledge and practice of family planning methods in women of childbearing age

Background: Increase in the human population entails implementing family planning and contraceptive methods. Globally, modern contraception had risen from 54% in 1990 to 57.4% in 2015. Overpopulation has an adverse affects both on the society and on the environment which may lead to several hurdles, including shortage of food, diseases, and contamination of the environment.Methods: A cross-sectional study was conducted on the females who were visiting the gynecology-OPD or admitted in gynaecology wards of Ayub Teaching Hospital. A total of 200 women pateints were interviewed and data was collected by using a structured questionnaire. The data was analyzed using SPSS 16.0.Results: Among 200 females, 64% were from rural areas and 65% were educated. The husband unemployment was as low as 4% and most of the females i.e 97% were housewives. Approximately, 71.5% of females were aware of family planning and thier major source of information was lady health workers 32%. A 63.5% agreed that family planning is good for mother's health while only 37% knew about family planning methods and 35.5% knew about various techniques of contraception. The 17% female were using male condoms as a method of contraception due to its convenience while only 10.5% knew about least adverse effects. About 22% of females knew that contraception methods can stop unwanted pregnancy while 40.5% of females were aware of the negative effects of OCPs. Conclusion: We concluded that most females were aware of family planning methods, its effects on health, its risk of failure, convenient way, permanent techniques and adverse effects of contraceptive pills.

FAMILY PLANNING KNOWLEDGE, ATTITUDE AND PRACTICE AMONG WOMEN OF REPRODUCTIVE AGE IN NIMULE PAYAM, SOUTH SUDAN

Purpose: The purpose of this study was to examine family planning Knowledge, Attitude and Practice (KAP) among women of reproductive age in Nimule Payam, South Sudan.
 Method: The study used a descriptive cross-sectional design and quantitative approach to explore family planning knowledge, attitude and practice among women of reproductive age in Nimule Payam. The study population consisted of 6,621 women of reproductive age in the Bomas of Anzara (1,930), Jalei(,1521), Olikwi (1,536) and Nimule Central (1,634). A sample size of 342 was determined from the population using the formulae of Leslie. Stratified simple random sampling was employed through a researcher administered structured questionnaire to collect data from the respondents. The data was cleaned, coded and analyzed using EPI-INFO version 7 to generate descriptive statistics and the results were presented in tables.
 Results: The study revealed that women of reproductive age in Nimule Payam had high 273 (79.82%) level of family planning knowledge, good 233 (68%) family planning practices and positive attitude towards family planning. The positive attitude towards family planning was because majority 270 (78.97%) believed family planning was safe to use, could not cause infertility 252 (73.82%), cancer 264 (76.93%) and future abortion 251 (73.36%). The respondents also generally agreed that 319 (93.07%) family planning could prevent unwanted pregnancy. However, the majority of the respondents acknowledged that the practice of family planning was against their God/Allah 268 (78.31%) and culture 229 (67.03%).
 Unique contribution to theory, practice and policy: The study found that women of reproductive age in Nimule Payam had a high level of family planning knowledge, a fairly positive attitude with a moderate number practicing family planning methods. Increased sensitization of the respondents and their partners on family planning is required to improve their attitude and practice. Future studies should focus on the factors influencing the Knowledge, Attitude and Practice of family planning methods among women of reproductive age in Nimule Payam.

ASCRIBING CAUSES OF MATERNAL MORTALITY IN HOMA BAY COUNTY KENYA

Purpose: The study sought to ascribe cause of maternal mortality in Homa Bay County Kenya.
 Materials and Method: Data was collected by 40 trained community health workers who were residents of each sub county. Data for the retrospective study was collected using a standardized WHO verbal autopsy questionnaire. All maternal deaths which occurred between 2015 and 2019 in the county were identified. Data was analyzed using SPSS software version 20. Descriptive statistics, bivariate and multiple logistic regression were used in data analysis. Odds ratios with 95% confidence interval were calculated. P value of less than 0.05 was used to establish statistical significance.
 Results: The results show that 73.6% of the deaths occurred in a health facility with 20.7% occurring at home. Majority (70.7%) of the mothers visited health facilities during the last illness preceding death. 13.6% received treatment at home while 9.3% were seen by traditional healers. Expert review of the 140 reported deaths reported the leading causes of maternal deaths as obstetric haemorrhage (31.4%), HIV/AIDS (10.7% and abortion (10%). Although the results were not statistically significant, a higher proportion of community deaths attributed to obstetric hemorrhage (31.8%) and abortion-related causes (35.7%). A higher proportion of housewives in Homa Bay died at home, though all the socio-demographic and health-related variables analyzed were not significantly correlated with community deaths.
 Unique Contribution to Theory, Practice and Policy: The need for improving the quality of care offered in different health care facilities, the department should also create an enabling environment and ensure a fully functional referral pathway between health facilities in the county. There is therefore need of increasing age of marriage through the practice of family planning methods and avoidance of home treatment and traditional healers. Further research can be done on causes of maternal deaths with a larger sample size.

ASSESSING THE KNOWLEDGE, ATTITUDE AND PRACTICE OF FAMILY PLANNING AMONG MALE POPULATION IN INARUWA MUNICIPALITY OF EASTERN NEPAL

Background: Family planning allows individuals and couples to anticipate and attain their desired number of children, spacing and timing of their births. It is achieved through use of contraceptive methods. A man’s perspective on the family planning methods and services is essential on his family health. The study aimed to know about knowledge, attitude and practice of family planning methods in male (Rickshaw puller) of Eastern Nepal and to know their reasons for not using the family planning. Methods: A descriptive cross-sectional study was done in Inaruwa municipality. Total of 400 male rickshaw puller samples were taken. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5software to obtain frequencies and percentages. Results: Out of 400 interviewed, 366 were interviewed with 92% response rate, the mean age was 36.54 years, and 92.7% said they heard about Family planning method. Health worker was the main Source of family planning information. Regarding the attitude of the Male respondents, 83.1% supported the concept of family planning; only 33.9% said they had used a male contra­ceptive, 46.7% of the respondents said the males didn’t practice the family planning methods on themselves because of the work load. Conclusions: Majority of the respondents knew about family planning methods but only a few agreed to have used them. The main reason for men lagging behind could be that the burden of work due to which contraception in a family is taken up by females.

A study to assess the socio-demographic factor and knowledge, attitude, and practice of family planning methods in Lohpeeta migrants tribe located in Shivpuri central India.

Background:Even though India was the first country in the whole world to introduce the national family planning policy, the acceptance rate of contraceptive methods has been unsatisfactory to date. Many women in their fertility period, who were ready to control their fertility and limit the number of unwanted children, were not aware of different methods of contraceptives available and their proper use and other benefits.Aim and Objective:1. To assess the socio-demographic status of the study participants. 2. To assess the knowledge, attitude, and practice of contraceptive methods in Lohpeeta mobile tribe located in Shivpuri, central India.Methods:The present study was an observational cross-sectional survey conducted from 1st December 2019 to 28th February 2020 in Lohpeeta mobile tribe located in Shivpuri local; nonrandom convenience sampling method was used after applying the inclusion and exclusion criteria, so the total sample size was 209. Data were collected by a principal investigator with a predesigned, pretested, questionnaire by conducting face-to-face interview with the participants. Firstly, the data was administered in an excel sheet then it was analyzed and presented in the form of percentage, and a Chi-square test was applied to assess the level of significance.Result:The most common age group of participants was 18–30 year (37.3%) and most were married (97.6%); we found that the knowledge and attitude toward contraceptives of participants was very poor, most 185 (88.5%) of the participants had never used any contraceptive method and only a few participants were using it occasionally, and none of the participants were using any contraceptive methods regularly.Conclusion:The knowledge, attitude, and compliance towards contraceptives were poor in this group, we need to focus on this type of migrant population to increase their awareness and change their attitude towards contraceptives, so that they can use it without any fear.

Awareness and use of family planning methods among iTaukei women in Fiji and New Zealand

ObjectiveiTaukei women's awareness and practice of family planning methods was investigated in New Zealand and Fiji to ascertain differences in behaviour within the context of changing developmental settings. MethodsThe study was cross‐sectional in nature and recruited women aged 18 years and over from three suburbs in Suva, Fiji, and five cities in New Zealand. ResultsOverall, 352 women participated in the study, 212 in Fiji and 140 in New Zealand. The study found that living in New Zealand was significantly associated with lower odds of being aware of family planning (OR 0.4, 95%CI 0.2–0.9, p=0.029) and using family planning methods (OR 0.5, 95%CI 0.2–0.9, p=0.027). Tertiary education was found to increase the odds of being aware (OR 2.8, 95%CI 1.3–6.2, p=0.009) and of using (OR 3.9, 95%CI 1.9–7.8, p=0.000) family planning. ConclusionsDespite the greater availability of services and higher standards of living experienced in New Zealand compared with Fiji, there was no improvement in awareness and use of family planning among New Zealand participants. Implications for public healthReduced awareness and use of family planning in New Zealand indicates a need for better targeting of services among minority Pacific ethnic groups.

Attitude and practice of family planning methods among Roma women living in northern Turkey

ObjectiveThis study aims to investigate the attitude and practice of family planning (FP) methods among Roma women living in northern Turkey. MethodsA total of 120 Roma women living in northern Turkey participated in this descriptive study. Data were collected using a questionnaire. The scale of FP attitude was used. ResultsThe mean age of participants was 28.9 ± 1.8. Among the participants, 37.5% (45/120) were primary school graduates, 70.8% (85/120) were unemployed, 73.4% (88/120) were in a consensual marriage and 94.2% (113/120) had children. The majority or 85.8% (103/120) of the participants stated that they used FP methods. Intrauterine device (57.4%, 69/120) and withdrawal method (22.3%, 27/120) were the most frequently used FP methods. ConclusionsThe rates at which Roma women use FP were high. Their attitudes towards FP tended to be negative and the methods used were primarily related to females.

Knowledge, Attitude, and Practice of Family Planning Methods among Married Men and Women

Abstract Objective: The objective of this study was to assess the knowledge, attitude, and practice of family planning methods among the married men and women in Pakistan. Methodology: A quantitative study using a descriptive crosssectional design was conducted in a community located in one of the urban areas of Karachi, Pakistan from October 2014 to December 2014. Two hundred participants were recruited, including 72 men and 128 women who were interviewed regarding their knowledge, attitude, and practices of family planning methods through a predesigned questionnaire. A two-stage sampling technique was used including systematic and convenient sampling to collect the data. Women with infertility, non-reproductive age (49 and above), widows, and widowers, separated and divorced individuals were excluded from this study. Results: Mean age of the participants was 30 ± 3 years. Results of the study showed that majority of the participants had knowledge of few contraceptive methods, but they lack awareness about all the family planning methods. Among men (100%) and women (97.7%), the most common method known was a male condom. Private hospitals and internet appear to be the key sources of information related to family planning. Regarding the practice of family planning methods, 54% of men and women were using few contraceptive methods. 74% men and 71.3% women had positive attitudes regarding family planning methods. The most common reasons for not using family planning methods among men and women were fear of side effects and desire of a male child. Conclusion: The study concludes that most of the men and women have the comprehensive knowledge and assertive attitudes regarding the use of contraceptive methods, however, the practice of family planning methods is still low.

Postpartum Family Planning: Missed Opportunities across the Continuum of Care

Postpartum family planning is defined as the prevention of unintended pregnancies and closely spaced pregnancies during the first 12 months following childbirth. To assess the practice of family planning (FP) by postpartum mothers in the Regional Director of Health Services (RDHS) division, Kalutara, Sri Lanka. A community-based, descriptive, cross sectional study was carried out among mothers, 8 to 12 weeks postpartum, in the RDHS division, Kalutara in 2014. Calculated sample size was 1200 and the participants were recruited using cluster sampling method. They were interviewed at their residence about their practice of FP methods using an interviewer administered questionnaire. The response rate was 93.7% (n=1112) of which 730 (65.6%) were practicing a FP method at 8-12 weeks after delivery. Condoms were the most popular modern FP method (30.4%, n=222) followed by intrauterine device (26.7%, n=195) and depot medroxyprogesterone acetate (DMPA) injections (22.9%, n=167). Approximately 80% had utilized government sector FP services. Women with higher level of education (p< 0.05), lower family income (p< 0.01), parity more than 3 (p< 0.001) and more than three living children (p<0.01) were significantly more likely to use a FP method. Prevalence of postpartum FP is not satisfactory. Therefore, FP services should consider reaching postpartum mothers with unmet needs as a priority and ensure that a wide range of contraceptive options are available to them. Postpartum FP should be considered as a continuum of maternal care.

Comparative study on knowledge and practice of family planning methods among married Chepang and Brahmin/Chhetri men in Korak VDC of Chitwan district

The purpose of this study was to compare knowledge and practice of family planning methods among Chepang and Brahmin/ Chhetri men. Chepang are more disadvantage ethnicity of Nepal therefore by examine the knowledge and practice of family planning in these two groups it will be helpful to find out whether or not family planning program has been reach to un-reach group. Data were collected from the 1st Jestha 2070 to 31 Jestha 2070 (15.5.2013 to 14.6.2013) through interview methods. The average age group of both the respondents was between 26-35yrs. Majority of respondents had knowledge about both temporary and permanent (56.8 percent Chepang and 50.9 percent Brahmin/Chhetri). While most of the family planning information was obtained through a health worker (88.2 percent Chepang and 79.4 percent Brahmin/Chhetri). Family planning using was 42.1 percent in Chepang and 40.2 percent in Brahmin/Chhetri. Temporary family planning method was found to be commonly used (74.4 percent Chepang and 73.1 percent Brahmin/Chhetri). Spousal communication seemed to exist by two third portions in both the groups and the most common topic for discussion was about family and family size.

Awareness, practice, and predictors of family planning by pregnant women attending a tertiary hospital in a semi-rural community of North-West Nigeria

Background : Nigeria’s maternal and perinatal health status is still among the poorest in the world, with a poor contraceptive prevalence rate and a high fertility rate. Aim : The aim of this study was to assess the level of awareness of family planning methods among women attending antenatal care, its uptake, and predictors of use. Subjects and Methods : This was a descriptive cross-sectional study, carried out at the antenatal clinic of Federal Medical Centre, Birnin Kudu, Jigawa state, Nigeria, using an interviewer administered questionnaire to assess the awareness and practice of family planning methods among 350 pregnant women, whom were selected through a systematic sampling technique from June 19, 2012, to August 26, 2012. Logistic regression analysis was used to assess the relative effect of determinants, adjusting for other predictor variables. Results : Of the 350 respondents, 319 (92%) had heard of family planning, of which 29% had ever used a method and the injectables were the most common method used. The use of family planning methods was significantly associated with respondents’ ethnicity, occupation, and level of education (P ≤ 0.05). The odds ratio of not using family planning methods was 2 times higher in women with informal education (adjusted odds ratio = 2.12; 95% confidence interval = 1.1–3.8). Conclusion : Awareness of family planning methods was high among the respondents surveyed, but the utilization was poor. Female education and empowerment would help to promote uptake in this setting. KEY WORDS: Awareness, family planning, Nigeria, North-West, practice, predictor

Uso del anillo de nylon de Zipper en una comunidad de la sierra peruana

Se presenta una evaluación de parte de un programa de planificación familiar en un medio social caracterizado por altas tasas de fecundidad, mínimo uso y conocimiento de métodos anticonceptivos y gran interés por información y práctica de planificación familiar. Las tasas de embarazo accidental y de expulsiones posteriores son similares a las obtenidas en medios urbanos y a nivel del mar. Por el contrario, las tasas de primeras expulsiones son más altas que las establecidas para poblaciones metropolitanos suburbanos y de nivel del mar, por lo que se podría considerar un efecto de orden biológico, posiblemente relacionado con las condiciones de altitud. La aplicación de dispositivos intrauterinos parece enfrentar una serie de problemas derivados del status socio-cultural de la población. Aun cuando constituiría teóricamente el anticonceptivo más útil en el medio de Cerro de Pasco, su uso es afectado por el escaso conocimiento de las pacientes sobre las características del método, que lo hace sensible a las actitudes de desconfianza generadas por rumores negativos. No conociéndose con precisión los resultados de estudios con otros métodos, en el mismo tipo de sociedad, no es posible comparar nuestras tasas de retención. Sin embargo, el programa paralelo de anovulatorios orales tiene, en nuestra experiencia, similares tendencias. Podría adelantarse que, si bien ambos métodos poseen tasas de retención parecidas, la aceptación inicial del IUD es mayor, teniendo en este sentido, cierta ventaja. Lo limitado de nuestros datos en el uso de inyectables impide una comparación adecuada. Aun cuando la aceptabilidad de un programa de esta naturaleza es muy alta, pues se da una demanda considerable, es necesario mantener a un alto nivel las actividades de información, educación y motivación, que deben ser permanentes y mayormente de tipo individual.

Knowledge, Attitude and Practice of Family Planning Methods Among Laboring Mothers in Adama Hospital, Oromia Region, Ethiopia

Knowledge, Attitude and Practice of Family Planning Methods Among Laboring Mothers in Adama Hospital, Oromia Region, Ethiopia Introduction: In Ethiopia unintended pregnancy is still a big problem. More than 60% of the pregnancies in adolescents are unintended; which result from contraception non-use, contraception method failure and rape. Family planning can prevent at least 25 % of all maternal death by allowing women to delay motherhood, prevent unintended pregnancies and unsafe abortions. Methods: Facility based cross sectional quantitative study was conducted to assess knowledge, attitude and practice of family planning methods among laboring mothers in Adama Hospital, Ethiopia. 161 women participated in the study. Systematic random sampling method was used for data collection. Binary logistic regression also used to assess factors associated with practice of family planning methods.