首页 > 最新文献

Open access journal of contraception最新文献

英文 中文
Characteristics of Patients Requiring Surgical Removal of Subdermal Contraceptive Implants: A Case-Control Study. 需要手术切除皮下避孕植入物的患者特征:一项病例对照研究。
Pub Date : 2022-01-01 DOI: 10.2147/OAJC.S368250
Leila Katabi, Erica Stevens, Mona Ascha, Kavita Arora

Purpose: Etonogestrel subdermal implants are a commonly used contraceptive device placed in the medial upper arm. Plastic and orthopedic surgeons may be consulted for difficult implant removals. We performed a case-control study comparing patients undergoing surgical and uncomplicated in-office removal at our institution.

Patients and methods: We identified patients who underwent operative removal of implantable contraceptive devices by plastic or orthopedic surgeons at our institution from January 2014 to October 2019. Patients who underwent uncomplicated office removal during the same time were compared. Demographic and surgical variables were collected, and descriptive statistics were calculated. Univariate and multivariate logistic regression was performed with surgical versus outpatient removal as the outcome of interest.

Results: A total of 669 patients undergoing etonogestrel subdermal implant removals were identified during the five-year study period, of which thirteen patients required surgical removal (1.9%) and 326 were selected as uncomplicated removal comparisons. There were no significant differences in median (IQR) body mass index (BMI) (31.1 [28.2, 35.2] versus 29.3 [24.0, 35.1], p = 0.19), median (IQR) weight gain since device placement (5 [-0.6, 14.7] kilograms versus 1.6 [-1.2, 5.8] kilograms, p = 0.15), or length of time since device insertion (2.3 [0.8, 2.8] years versus 1.0 [0.4, 2.2] years, p = 0.17). Of those who needed surgical removal, the most common indication for implant removal was device expiration (n = 5, 38.5%). Devices placed by OBGYN attendings were less likely to require surgical removal (p = 0.02). Family medicine attendings were more likely to refer patients for surgical removal (p = 0.02). No significant findings were detected on univariate or multivariate regression. Among surgical removals, radiography was the most frequently used imaging modality. Implants were most frequently subdermal (n = 11, 84.6%) though intramuscular placement was also identified (n = 2, 15.4%). Only one patient had residual paresthesia along the length of the incision. No other complications were identified.

Conclusion: We did not identify risk factors associated with the difficult removal of etonogestrel subdermal implants. Practitioners should consult upper extremity surgeons if they encounter difficult removals.

目的:依替诺孕酮皮下植入物是一种常用的放置在上臂内侧的避孕装置。对于难以移除的植入物,可以咨询整形外科医生。我们进行了一项病例对照研究,比较了在我们机构接受手术切除和不复杂的办公室内切除的患者。患者和方法:我们确定了2014年1月至2019年10月在我们机构由整形或骨科医生手术取出植入式避孕装置的患者。在同一时间内进行无并发症切除手术的患者进行比较。收集人口学和外科变量,并进行描述性统计。单因素和多因素logistic回归以外科手术和门诊手术作为关注的结果。结果:在5年的研究期间,共有669例患者接受了依替诺孕酮皮下植入物移除术,其中13例患者需要手术移除(1.9%),326例患者作为无并发症的移除对照。中位(IQR)体重指数(BMI)(31.1[28.2, 35.2]对29.3 [24.0,35.1],p = 0.19)、植入器械后中位(IQR)体重增加(5 [-0.6,14.7]kg对1.6 [-1.2,5.8]kg, p = 0.15)、植入器械后时间长度(2.3[0.8,2.8]年对1.0[0.4,2.2]年,p = 0.17)均无显著差异。在需要手术移除的患者中,最常见的指征是器械过期(n = 5, 38.5%)。OBGYN主治医师放置的器械不太可能需要手术移除(p = 0.02)。家庭医学主治医师更倾向于推荐患者进行手术切除(p = 0.02)。单因素或多因素回归均未发现显著结果。在手术切除中,x线摄影是最常用的成像方式。植入物最常见的是皮下植入(n = 11,84.6%),尽管也发现了肌肉内植入(n = 2,15.4%)。只有1例患者沿切口长度有残余感觉异常。未发现其他并发症。结论:我们没有发现与依替诺孕酮皮下植入物难以取出相关的危险因素。如果遇到困难,从业者应咨询上肢外科医生。
{"title":"Characteristics of Patients Requiring Surgical Removal of Subdermal Contraceptive Implants: A Case-Control Study.","authors":"Leila Katabi,&nbsp;Erica Stevens,&nbsp;Mona Ascha,&nbsp;Kavita Arora","doi":"10.2147/OAJC.S368250","DOIUrl":"https://doi.org/10.2147/OAJC.S368250","url":null,"abstract":"<p><strong>Purpose: </strong>Etonogestrel subdermal implants are a commonly used contraceptive device placed in the medial upper arm. Plastic and orthopedic surgeons may be consulted for difficult implant removals. We performed a case-control study comparing patients undergoing surgical and uncomplicated in-office removal at our institution.</p><p><strong>Patients and methods: </strong>We identified patients who underwent operative removal of implantable contraceptive devices by plastic or orthopedic surgeons at our institution from January 2014 to October 2019. Patients who underwent uncomplicated office removal during the same time were compared. Demographic and surgical variables were collected, and descriptive statistics were calculated. Univariate and multivariate logistic regression was performed with surgical versus outpatient removal as the outcome of interest.</p><p><strong>Results: </strong>A total of 669 patients undergoing etonogestrel subdermal implant removals were identified during the five-year study period, of which thirteen patients required surgical removal (1.9%) and 326 were selected as uncomplicated removal comparisons. There were no significant differences in median (IQR) body mass index (BMI) (31.1 [28.2, 35.2] versus 29.3 [24.0, 35.1], p = 0.19), median (IQR) weight gain since device placement (5 [-0.6, 14.7] kilograms versus 1.6 [-1.2, 5.8] kilograms, p = 0.15), or length of time since device insertion (2.3 [0.8, 2.8] years versus 1.0 [0.4, 2.2] years, p = 0.17). Of those who needed surgical removal, the most common indication for implant removal was device expiration (n = 5, 38.5%). Devices placed by OBGYN attendings were less likely to require surgical removal (p = 0.02). Family medicine attendings were more likely to refer patients for surgical removal (p = 0.02). No significant findings were detected on univariate or multivariate regression. Among surgical removals, radiography was the most frequently used imaging modality. Implants were most frequently subdermal (n = 11, 84.6%) though intramuscular placement was also identified (n = 2, 15.4%). Only one patient had residual paresthesia along the length of the incision. No other complications were identified.</p><p><strong>Conclusion: </strong>We did not identify risk factors associated with the difficult removal of etonogestrel subdermal implants. Practitioners should consult upper extremity surgeons if they encounter difficult removals.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/39/oajc-13-111.PMC9373992.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9553088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling. 共同决策:产后避孕咨询的前进之路。
Pub Date : 2022-01-01 DOI: 10.2147/OAJC.S360833
Brooke W Bullington, Asha Sata, Kavita Shah Arora

There are multi-level barriers that impact uptake of postpartum contraception and result in disparities, including clinical barriers such as provider bias. Fortunately, clinicians have direct control over their contraceptive counseling practices, and thus reducing structural barriers is actionable through high quality contraceptive counseling that equips patients with the knowledge and guidance they need to fulfill their reproductive desires. Yet, many commonly employed contraceptive counseling strategies, like One Key Question and WHO tiered contraceptive counseling, are not patient-driven, do not account for the important nuances of contraceptive choices, and are not focused specifically on the postpartum period. Given the history of eugenics and reproductive coercion in the US, supporting patient through their contraceptive decision-making process is especially vital. Additionally, contraceptive preferences vary based on patient-level factors and fluctuate over time and counseling should account for such differences. Shared contraceptive decision-making occurs when patients provide input on their values, desires, and preferences and clinicians share medical knowledge and evidence-based information without judgement. This approach is considered the most ethically sound form of counseling, as it maximizes patient autonomy. Shared decision-making also has clinical benefits, including increased patient satisfaction. In sum, shared contraceptive decision-making should be universally adopted to promote ethical, high-quality care and reproductive autonomy.

有多层障碍影响产后避孕的接受并导致差异,包括临床障碍,如提供者偏见。幸运的是,临床医生可以直接控制他们的避孕咨询实践,因此通过高质量的避孕咨询,为患者提供满足生殖欲望所需的知识和指导,减少结构性障碍是可行的。然而,许多常用的避孕咨询策略,如“一个关键问题”和世卫组织分层避孕咨询,不是以患者为导向的,没有考虑到避孕选择的重要细微差别,也没有专门关注产后时期。鉴于优生学和生殖强迫在美国的历史,支持患者通过他们的避孕决策过程是特别重要的。此外,避孕偏好因患者水平因素而异,随时间而波动,咨询应考虑到这种差异。当患者就其价值观、愿望和偏好提供意见,而临床医生在不加评判的情况下分享医学知识和循证信息时,就会发生共同的避孕决策。这种方法被认为是最合乎道德的咨询形式,因为它最大限度地提高了患者的自主权。共同决策也有临床益处,包括提高患者满意度。总之,应普遍采用共同的避孕决策,以促进伦理、高质量的护理和生殖自主。
{"title":"Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling.","authors":"Brooke W Bullington,&nbsp;Asha Sata,&nbsp;Kavita Shah Arora","doi":"10.2147/OAJC.S360833","DOIUrl":"https://doi.org/10.2147/OAJC.S360833","url":null,"abstract":"<p><p>There are multi-level barriers that impact uptake of postpartum contraception and result in disparities, including clinical barriers such as provider bias. Fortunately, clinicians have direct control over their contraceptive counseling practices, and thus reducing structural barriers is actionable through high quality contraceptive counseling that equips patients with the knowledge and guidance they need to fulfill their reproductive desires. Yet, many commonly employed contraceptive counseling strategies, like One Key Question and WHO tiered contraceptive counseling, are not patient-driven, do not account for the important nuances of contraceptive choices, and are not focused specifically on the postpartum period. Given the history of eugenics and reproductive coercion in the US, supporting patient through their contraceptive decision-making process is especially vital. Additionally, contraceptive preferences vary based on patient-level factors and fluctuate over time and counseling should account for such differences. Shared contraceptive decision-making occurs when patients provide input on their values, desires, and preferences and clinicians share medical knowledge and evidence-based information without judgement. This approach is considered the most ethically sound form of counseling, as it maximizes patient autonomy. Shared decision-making also has clinical benefits, including increased patient satisfaction. In sum, shared contraceptive decision-making should be universally adopted to promote ethical, high-quality care and reproductive autonomy.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/22/oajc-13-121.PMC9423116.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9854844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Resilient and Accelerated Scale-Up of Subcutaneously Administered Depot-Medroxyprogesterone Acetate in Nigeria (RASuDiN): A Mid-Line Study in COVID-19 Era. 尼日利亚皮下注射醋酸甲羟孕酮(RASuDiN)的弹性和加速扩大:2019冠状病毒病时代的中期研究
Pub Date : 2021-12-02 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S326106
Kehinde Osinowo, Fintirimam Sambo-Donga, Oluwaseun Ojomo, Segun Emmanuel Ibitoye, Philip Oluwayemi, Morounfola Okunfulure, Oladapo Alabi Ladipo, Michael Ekholuenetale

Background: Injectable contraceptives are fast becoming the method of choice among women in sub-Saharan Africa (SSA). Specifically, the subcutaneously administered depot-medroxyprogesterone acetate (DMPA-SC) is gaining traction as a convenient, private and effective method to address unmet need for family planning (FP). The objective of this study was to determine the trend in DMPA-SC use in Nigeria.

Methods: Data was extracted from the National Health Management Information System (NHMIS) FP register on DMPA-SC uptake in public health facilities and through community-oriented resource providers (CORPS) in 10 Nigerian states. The linear trend model was adopted in data analysis based on lowest measure of dispersion and/or highest adjusted coefficient of determination (R2). The statistical significance was determined at 5%.

Results: There was an upward trend in the use of DMPA-SC among clients who received the service through health providers, CORPS and self-injection in the 10 project states over a period of 12 months (August 2019-July 2020). In addition, the linear trend model showed that for every unit increase in months, the average number of women expected to use DMPA-SC through health providers, CORPS and self-injection will increase by 1308.3 (Yt = 3799.7 +1308.3*t), 756.73 (Yt = -1030.8 +756.73*t) and 77.864 (Yt = -159.7 +77.864*t) respectively. In all models, the adjusted coefficient of determination was 99.9% which showed good model fitness. The results also showed that the number of DMPA-SC clients varied across the project states with Niger (32,988) and Oyo (31,511) states reporting the highest number of clients over the period of 12 months.

Conclusion: There was an increasing use of DMPA-SC and self-injection among clients over time. Health facility and community-based FP programs should be strengthened to ensure improved access to FP services.

背景:注射避孕药正迅速成为撒哈拉以南非洲(SSA)妇女的首选方法。具体来说,皮下注射醋酸甲羟孕酮(DMPA-SC)作为一种方便、私密和有效的方法来解决计划生育(FP)的未满足需求,正受到越来越多的关注。本研究的目的是确定尼日利亚使用DMPA-SC的趋势。方法:从尼日利亚10个州的国家卫生管理信息系统(NHMIS) FP登记册中提取有关公共卫生设施和社区导向资源提供者(CORPS)采用DMPA-SC的数据。数据分析采用线性趋势模型,采用最低离散度和/或最高调整决定系数(R2)。统计学显著性为5%。结果:在12个月(2019年8月- 2020年7月)期间,10个项目州通过卫生服务提供者、CORPS和自我注射接受DMPA-SC服务的客户中,DMPA-SC的使用率呈上升趋势。此外,线性趋势模型显示,每月每增加一个单位,预计通过保健提供者、CORPS和自我注射使用DMPA-SC的妇女平均人数将分别增加1308.3 (Yt = 3799.7 +1308.3*t)、756.73 (Yt = -1030.8 +756.73*t)和77.864 (Yt = -159.7 +77.864*t)。在所有模型中,调整后的决定系数为99.9%,具有良好的模型适应度。结果还显示,DMPA-SC客户的数量因项目州而异,尼日尔(32,988)和Oyo(31,511)州报告的客户数量在12个月内最多。结论:随着时间的推移,患者越来越多地使用DMPA-SC和自我注射。应加强卫生设施和以社区为基础的计划生育方案,以确保改善获得计划生育服务的机会。
{"title":"Resilient and Accelerated Scale-Up of Subcutaneously Administered Depot-Medroxyprogesterone Acetate in Nigeria (RASuDiN): A Mid-Line Study in COVID-19 Era.","authors":"Kehinde Osinowo,&nbsp;Fintirimam Sambo-Donga,&nbsp;Oluwaseun Ojomo,&nbsp;Segun Emmanuel Ibitoye,&nbsp;Philip Oluwayemi,&nbsp;Morounfola Okunfulure,&nbsp;Oladapo Alabi Ladipo,&nbsp;Michael Ekholuenetale","doi":"10.2147/OAJC.S326106","DOIUrl":"https://doi.org/10.2147/OAJC.S326106","url":null,"abstract":"<p><strong>Background: </strong>Injectable contraceptives are fast becoming the method of choice among women in sub-Saharan Africa (SSA). Specifically, the subcutaneously administered depot-medroxyprogesterone acetate (DMPA-SC) is gaining traction as a convenient, private and effective method to address unmet need for family planning (FP). The objective of this study was to determine the trend in DMPA-SC use in Nigeria.</p><p><strong>Methods: </strong>Data was extracted from the National Health Management Information System (NHMIS) FP register on DMPA-SC uptake in public health facilities and through community-oriented resource providers (CORPS) in 10 Nigerian states. The linear trend model was adopted in data analysis based on lowest measure of dispersion and/or highest adjusted coefficient of determination (R<sup>2</sup>). The statistical significance was determined at 5%.</p><p><strong>Results: </strong>There was an upward trend in the use of DMPA-SC among clients who received the service through health providers, CORPS and self-injection in the 10 project states over a period of 12 months (August 2019-July 2020). In addition, the linear trend model showed that for every unit increase in months, the average number of women expected to use DMPA-SC through health providers, CORPS and self-injection will increase by 1308.3 (Yt = 3799.7 +1308.3*t), 756.73 (Yt = -1030.8 +756.73*t) and 77.864 (Yt = -159.7 +77.864*t) respectively. In all models, the adjusted coefficient of determination was 99.9% which showed good model fitness. The results also showed that the number of DMPA-SC clients varied across the project states with Niger (32,988) and Oyo (31,511) states reporting the highest number of clients over the period of 12 months.</p><p><strong>Conclusion: </strong>There was an increasing use of DMPA-SC and self-injection among clients over time. Health facility and community-based FP programs should be strengthened to ensure improved access to FP services.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/d3/oajc-12-187.PMC8648267.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39704285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
A Qualitative Exploration of Factors Explaining Non-Uptake of Hormonal Contraceptives Among Adolescent Girls in Rural Ghana: The Adolescent Girls' Perspective. 对加纳农村少女不使用荷尔蒙避孕药具原因的定性探索:少女的视角。
Pub Date : 2021-11-05 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S320038
Ellen Abrafi Boamah-Kaali, Fraukje E F Mevissen, Seth Owusu-Agyei, Yeetey Enuameh, Kwaku Poku Asante, Robbert A C Ruiter

Background: Adolescent pregnancy remains a public health concern globally. The use of hormonal contraceptive methods are proven ways of preventing pregnancies and in turn unsafe abortions. However, research shows that use of hormonal contraceptive methods is rather low among African adolescent girls, of which Ghana is no exception.

Objective: This manuscript uses the socio-ecological model to guide our understanding of the factors associated with non-use of hormonal contraceptives among adolescent girls in Ghana.

Methods: An explorative study was done using qualitative data collection methods. Two focus group discussions and sixteen in-depth interviews were conducted among adolescent girls aged 15-19 years (N = 38) in the Kintampo area of Ghana to determine factors affecting uptake of hormonal contraceptives.

Results: Adolescents showed a lack of in-depth knowledge related to the different hormonal contraceptive types. Negative attitudes towards adolescent hormonal contraceptive use, fear of real and perceived side effects of hormonal contraceptives, lack of self-efficacy to use contraceptives, fear of disclosure of use and fear of societal stigma related to sexual intercourse and its related issues among adolescents may explain why adolescent girls in this context do not use hormonal contraceptive methods.

Conclusion: To promote hormonal contraceptives among adolescent girls, a combination of multifaceted social-psychological, personal and community level interventions are needed.

背景:少女怀孕仍然是全球关注的公共卫生问题。使用荷尔蒙避孕方法是行之有效的预防怀孕和不安全堕胎的方法。然而,研究表明,非洲少女使用荷尔蒙避孕方法的比例相当低,加纳也不例外:本手稿采用社会生态模型来指导我们理解与加纳少女不使用激素避孕药具相关的因素:采用定性数据收集方法进行了一项探索性研究。在加纳金坦波地区,对 15-19 岁的少女(38 人)进行了两次焦点小组讨论和 16 次深入访谈,以确定影响使用激素避孕药具的因素:结果:青少年对不同类型的荷尔蒙避孕药具缺乏深入了解。对青少年使用荷尔蒙避孕药具的消极态度、对荷尔蒙避孕药具的实际副作用和感觉到的副作用的恐惧、缺乏使用避孕药具的自我效能感、害怕透露使用情况以及害怕与性交及其相关问题有关的社会污名,这些都可能解释为什么在这种情况下少女不使用荷尔蒙避孕方法:要在少女中推广荷尔蒙避孕法,需要结合社会心理、个人和社区层面的多方面干预措施。
{"title":"A Qualitative Exploration of Factors Explaining Non-Uptake of Hormonal Contraceptives Among Adolescent Girls in Rural Ghana: The Adolescent Girls' Perspective.","authors":"Ellen Abrafi Boamah-Kaali, Fraukje E F Mevissen, Seth Owusu-Agyei, Yeetey Enuameh, Kwaku Poku Asante, Robbert A C Ruiter","doi":"10.2147/OAJC.S320038","DOIUrl":"10.2147/OAJC.S320038","url":null,"abstract":"<p><strong>Background: </strong>Adolescent pregnancy remains a public health concern globally. The use of hormonal contraceptive methods are proven ways of preventing pregnancies and in turn unsafe abortions. However, research shows that use of hormonal contraceptive methods is rather low among African adolescent girls, of which Ghana is no exception.</p><p><strong>Objective: </strong>This manuscript uses the socio-ecological model to guide our understanding of the factors associated with non-use of hormonal contraceptives among adolescent girls in Ghana.</p><p><strong>Methods: </strong>An explorative study was done using qualitative data collection methods. Two focus group discussions and sixteen in-depth interviews were conducted among adolescent girls aged 15-19 years (N = 38) in the Kintampo area of Ghana to determine factors affecting uptake of hormonal contraceptives.</p><p><strong>Results: </strong>Adolescents showed a lack of in-depth knowledge related to the different hormonal contraceptive types. Negative attitudes towards adolescent hormonal contraceptive use, fear of real and perceived side effects of hormonal contraceptives, lack of self-efficacy to use contraceptives, fear of disclosure of use and fear of societal stigma related to sexual intercourse and its related issues among adolescents may explain why adolescent girls in this context do not use hormonal contraceptive methods.</p><p><strong>Conclusion: </strong>To promote hormonal contraceptives among adolescent girls, a combination of multifaceted social-psychological, personal and community level interventions are needed.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/88/oajc-12-173.PMC8577562.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39701229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing Rights-Based Family Planning from 2020 to 2030. 2020 - 2030年推进以权利为基础的计划生育。
Pub Date : 2021-09-09 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S324678
Karen Hardee, Sandra Jordan
Introduction An assessment in 2019 by Family Planning 2020 of progress on rights-based family planning since 2012 highlighted the development of tools and guidelines that identify and explain rights in relation to family planning, promotion of rights-based approaches to programing, strengthened accountability, and measurement of rights-focused outcomes. The assessment was also forward-looking, asking what aspects of rights-based family planning still need attention moving from 2020 to 2030. Methods This paper draws on interviews with 23 key informants from governments, civil society, and youth focused organizations, implementing partners, and bi-lateral and multilateral organizations from Africa, Asia and the Pacific, Europe and North America, all working on family planning and engaged in various roles with the FP2020 partnership at global and national levels, along with documentation of FP2030 partnership plans. The interviews were conducted as part of the assessment and included questions to respondents for their recommendations on rights-based family planning moving towards 2030. Results Respondents agreed that rights should be at the center of the vision for family planning, with attention to rights literacy, accountability and equity, including adolescent and youth leadership. They noted the need for consistent political and financial support, and incorporating rights into result-based financing programming. While respondents noted the need for development and dissemination of practical tools and training materials, along with rights metrics and implementation research, they stressed the importance of focusing work on rights at the country level. Respondents also acknowledged that institutionalizing rights-based family planning will require enhanced commitment and funding from both donors and countries to ensure programming – and success – over the long term. Amplifying civil society and particularly adolescent and youth voices will be key to engaging governments to support both rights-based programming and provide funding. Review of initial planning under FP2030 related to each of the recommendations suggests that the new partnership is seeking to addressing each of them. Discussion As the family planning field looks beyond 2020 to 2030, this paper provides a roadmap for building on the gains made over the past decade to effectively tackle the challenges remaining to ensure that programming to achieve the vision of the FP2030 Partnership is rights-based.
2019年,《计划生育2020》对2012年以来基于权利的计划生育进展进行了评估,重点强调了制定工具和准则,以确定和解释与计划生育有关的权利,促进基于权利的规划方法,加强问责制,以及衡量以权利为重点的成果。该评估也具有前瞻性,询问了从2020年到2030年,基于权利的计划生育哪些方面仍需要关注。方法:本文采访了来自非洲、亚洲和太平洋、欧洲和北美的政府、民间社会、以青年为重点的组织、实施伙伴以及双边和多边组织的23名关键线人,他们都从事计划生育工作,并在全球和国家层面参与了FP2020伙伴关系的各种角色,同时还提供了FP2030伙伴关系计划的文件。访谈是评估的一部分,包括向受访者提问,询问他们对迈向2030年基于权利的计划生育的建议。结果:受访者一致认为,应将权利置于计划生育愿景的中心,并关注权利素养、问责制和公平,包括青少年和青年的领导能力。他们注意到需要持续的政治和财政支持,并将权利纳入基于结果的筹资方案。虽然答复者指出,有必要开发和传播实用工具和培训材料,以及权利指标和执行研究,但他们强调,必须将工作重点放在国家一级的权利上。答复者还承认,将以权利为基础的计划生育制度化将需要捐助者和各国加强承诺和供资,以确保长期规划和成功。扩大民间社会,特别是青少年和青年的声音,将是促使政府支持基于权利的规划和提供资金的关键。对《2030年可持续发展计划》下与每一项建议相关的初步规划的审查表明,新的伙伴关系正在寻求解决每一项建议。讨论:在计划生育领域展望2020年至2030年之后,本文提供了一个路线图,以过去十年取得的成果为基础,有效应对仍然存在的挑战,以确保实现2030年人口计划伙伴关系愿景的规划以权利为基础。
{"title":"Advancing Rights-Based Family Planning from 2020 to 2030.","authors":"Karen Hardee,&nbsp;Sandra Jordan","doi":"10.2147/OAJC.S324678","DOIUrl":"https://doi.org/10.2147/OAJC.S324678","url":null,"abstract":"Introduction An assessment in 2019 by Family Planning 2020 of progress on rights-based family planning since 2012 highlighted the development of tools and guidelines that identify and explain rights in relation to family planning, promotion of rights-based approaches to programing, strengthened accountability, and measurement of rights-focused outcomes. The assessment was also forward-looking, asking what aspects of rights-based family planning still need attention moving from 2020 to 2030. Methods This paper draws on interviews with 23 key informants from governments, civil society, and youth focused organizations, implementing partners, and bi-lateral and multilateral organizations from Africa, Asia and the Pacific, Europe and North America, all working on family planning and engaged in various roles with the FP2020 partnership at global and national levels, along with documentation of FP2030 partnership plans. The interviews were conducted as part of the assessment and included questions to respondents for their recommendations on rights-based family planning moving towards 2030. Results Respondents agreed that rights should be at the center of the vision for family planning, with attention to rights literacy, accountability and equity, including adolescent and youth leadership. They noted the need for consistent political and financial support, and incorporating rights into result-based financing programming. While respondents noted the need for development and dissemination of practical tools and training materials, along with rights metrics and implementation research, they stressed the importance of focusing work on rights at the country level. Respondents also acknowledged that institutionalizing rights-based family planning will require enhanced commitment and funding from both donors and countries to ensure programming – and success – over the long term. Amplifying civil society and particularly adolescent and youth voices will be key to engaging governments to support both rights-based programming and provide funding. Review of initial planning under FP2030 related to each of the recommendations suggests that the new partnership is seeking to addressing each of them. Discussion As the family planning field looks beyond 2020 to 2030, this paper provides a roadmap for building on the gains made over the past decade to effectively tackle the challenges remaining to ensure that programming to achieve the vision of the FP2030 Partnership is rights-based.","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/73/1f/oajc-12-157.PMC8438348.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39424149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Prevalence and Predictors of Contraceptive Use Among Women of Premenopausal Period in Ethiopia: A Retrospective Cross-Sectional Data Analysis. 埃塞俄比亚绝经前妇女避孕药具使用的患病率和预测因素:回顾性横断面数据分析。
Pub Date : 2021-07-27 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S318486
Daniel Geleta, Abebe Kebede, Gebeyehu Bulcha, Hyder Usman, Kunuz Hajibediru, Selass Kebede, Sileshi Dubale, Getu Degu

Background: Contraceptive use is internationally endorsed as a human right and an indicator of the highest standard of sexual and reproductive health life. But reports from countries including Ethiopia showed a lower and capricious rate due to wider factors. Thus, the current study aimed to determine the prevalence and the predictors of contraceptive use among women of the premenopausal period.

Methods: A retrospective cross-sectional data analysis was performed from Ethiopian Demographic and Health survey 2019 in January 2021. A total of 3260 premenopausal women were included by stratified sampling, and data were analyzed using SPSS version 25 software. Data were initially analyzed descriptively, and tests were done for variable multicollinearity, and model goodness of fit and predictive capacity. Subsequently, bivariate and multivariable logistic regression analyses were performed successively for the crude and adjusted odds ratio, and finally declared variables with a p-value of <0.05 as predictors of contraceptive use.

Results: The study included 3260 women with an average age of 41.66 (standard deviation ±3.9) years. The overall prevalence of contraceptive use was reported 17% and explained to vary by women's age, place of residence, education level, wealth index, and current working statuses. However, only the age, education, and wealth index of women have predicted a statistical significance with contraceptive use. Accordingly, an increase in women's age was found to increase contraceptive use more likely by 89% [AOR=0.89 (95% CI: 0.87, 0.92)]. Similarly, primary [AOR = 1.53, (95% CI: 1.20, 195)], secondary [AOR = 2.57, (95% CI: 1.70)] or higher [AOR = 2.64, (95% CI: 1.67, 4.20)] level educated women were about twice more likely to use contraceptive methods than uneducated women. Finally, women in poorer [AOR = 3.11 (95% CI: 2.17, 4.46)], middle [AOR = 3.03 (95% CI: 2.09, 4, 37)], rich [AOR = 3.70, (95% CI: 2.58, 5.31)] or richest [AOR = 3.42, (95% CI: 2.39, 4, 88)] wealth index were more than 3 times more likely use contraceptive methods when compared to women of the poorest wealth index.

Conclusion: The prevalence of contraceptive use among premenopausal women in Ethiopia is low and utmost related to age, education level, and wealth index of women.

背景:使用避孕药具在国际上被认可为一项人权,是性健康和生殖健康生活最高标准的指标。但来自埃塞俄比亚等国的报告显示,由于更广泛的因素,死亡率较低且反复无常。因此,本研究旨在确定绝经前妇女使用避孕药具的流行程度和预测因素。方法:对2021年1月的2019年埃塞俄比亚人口与健康调查进行回顾性横断面数据分析。采用分层抽样方法共纳入绝经前妇女3260例,采用SPSS 25版软件进行数据分析。初步对数据进行描述性分析,并对变量多重共线性、模型拟合优度和预测能力进行检验。随后,分别对粗优势比和校正优势比进行双变量和多变量logistic回归分析,最终公布变量p值为:结果:纳入女性3260例,平均年龄41.66(标准差±3.9)岁。据报道,避孕药具的总体使用率为17%,并因妇女的年龄、居住地、教育水平、财富指数和目前的工作状况而异。然而,只有女性的年龄、教育程度和财富指数与避孕药具的使用有统计学意义。因此,研究发现,女性年龄的增加更有可能增加89%的避孕措施的使用[AOR=0.89 (95% CI: 0.87, 0.92)]。同样,小学[AOR = 1.53, (95% CI: 1.20, 195)]、中学[AOR = 2.57, (95% CI: 1.70)]或更高水平[AOR = 2.64, (95% CI: 1.67, 4.20)]教育程度的妇女使用避孕方法的可能性约为未受教育妇女的两倍。最后,较贫穷[AOR = 3.11 (95% CI: 2.17, 4.46)]、中等[AOR = 3.03 (95% CI: 2.09, 4,37)]、富有[AOR = 3.70, (95% CI: 2.58, 5.31)]或最富有[AOR = 3.42, (95% CI: 2.39, 4,88)]财富指数的妇女使用避孕方法的可能性是最贫穷财富指数妇女的3倍多。结论:埃塞俄比亚绝经前妇女避孕药具使用率较低,与妇女的年龄、教育水平和财富指数密切相关。
{"title":"Prevalence and Predictors of Contraceptive Use Among Women of Premenopausal Period in Ethiopia: A Retrospective Cross-Sectional Data Analysis.","authors":"Daniel Geleta,&nbsp;Abebe Kebede,&nbsp;Gebeyehu Bulcha,&nbsp;Hyder Usman,&nbsp;Kunuz Hajibediru,&nbsp;Selass Kebede,&nbsp;Sileshi Dubale,&nbsp;Getu Degu","doi":"10.2147/OAJC.S318486","DOIUrl":"https://doi.org/10.2147/OAJC.S318486","url":null,"abstract":"<p><strong>Background: </strong>Contraceptive use is internationally endorsed as a human right and an indicator of the highest standard of sexual and reproductive health life. But reports from countries including Ethiopia showed a lower and capricious rate due to wider factors. Thus, the current study aimed to determine the prevalence and the predictors of contraceptive use among women of the premenopausal period.</p><p><strong>Methods: </strong>A retrospective cross-sectional data analysis was performed from Ethiopian Demographic and Health survey 2019 in January 2021. A total of 3260 premenopausal women were included by stratified sampling, and data were analyzed using SPSS version 25 software. Data were initially analyzed descriptively, and tests were done for variable multicollinearity, and model goodness of fit and predictive capacity. Subsequently, bivariate and multivariable logistic regression analyses were performed successively for the crude and adjusted odds ratio, and finally declared variables with a p-value of <0.05 as predictors of contraceptive use.</p><p><strong>Results: </strong>The study included 3260 women with an average age of 41.66 (standard deviation ±3.9) years. The overall prevalence of contraceptive use was reported 17% and explained to vary by women's age, place of residence, education level, wealth index, and current working statuses. However, only the age, education, and wealth index of women have predicted a statistical significance with contraceptive use. Accordingly, an increase in women's age was found to increase contraceptive use more likely by 89% [AOR=0.89 (95% CI: 0.87, 0.92)]. Similarly, primary [AOR = 1.53, (95% CI: 1.20, 195)], secondary [AOR = 2.57, (95% CI: 1.70)] or higher [AOR = 2.64, (95% CI: 1.67, 4.20)] level educated women were about twice more likely to use contraceptive methods than uneducated women. Finally, women in poorer [AOR = 3.11 (95% CI: 2.17, 4.46)], middle [AOR = 3.03 (95% CI: 2.09, 4, 37)], rich [AOR = 3.70, (95% CI: 2.58, 5.31)] or richest [AOR = 3.42, (95% CI: 2.39, 4, 88)] wealth index were more than 3 times more likely use contraceptive methods when compared to women of the poorest wealth index.</p><p><strong>Conclusion: </strong>The prevalence of contraceptive use among premenopausal women in Ethiopia is low and utmost related to age, education level, and wealth index of women.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ad/c5/oajc-12-149.PMC8326935.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39278065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
When Do Nigerian Women of Reproductive Age Initiate and What Factors Influence Their Contraceptive Use? A Contextual Analysis. 尼日利亚育龄妇女何时开始避孕?哪些因素影响她们使用避孕药具?上下文分析。
Pub Date : 2021-07-13 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S316009
Michael Ekholuenetale, Samson Olorunju, Kayode R Fowobaje, Adeyinka Onikan, Godson Tudeme, Amadou Barrow

Background: Contraceptive use initiation and continuation is one of the major interventions for reducing maternal deaths worldwide. Nigeria aimed to achieve a 27% prevalence rate of modern contraceptive uptake by 2020, however, this seems to have remained unachieved. The objective of this study was to investigate when Nigerian women initiate contraceptive use and its associated factors, using nationally representative data.

Methods: Data on 11,382 Nigerian women (aged 15-49 years) from the 2017 Performance Monitoring and Accountability 2020 (PMA2020) survey were used to determine the prevalence of lifetime contraceptive use. The Kaplan-Meier test was used to determine median time (years) to contraceptive uptake. In addition, the factors associated with contraceptive use were determined using multivariable logistic regression model. Statistical significance was determined at 5%.

Results: The prevalence of modern contraceptive use was 14.2%. There were disparities in the timing (years) of contraceptive use initiation across several women's characteristics. Women from urban residence, highest household wealth index, nulliparous, unmarried, and highly educated women had the minimum median time (years) to contraceptive use initiation. The multivariable logistic model showed that rural women were 26% less likely to initiate contraceptive use, when compared with the urban dwellers (OR= 0.74; 95% CI: 0.65, 0.84). Furthermore, married women were 24% less likely to initiate contraceptive use, when compared with the unmarried (OR= 0.76; 95% CI: 0.63, 0.93). In addition, geographical region, wealth, television source, ever given birth, education, age, and religion were significantly associated with contraceptive use.

Conclusion: The prevalence of contraceptive use is low in Nigeria. There were differences in contraceptive use initiation among women of reproductive age in Nigeria. There is a need to adopt sustainable strategies to improve contraceptive uptake and to re-iterate the benefits of contraception, including providing enlightenment programs among key populations such as the rural dwellers and low income earners.

背景:开始和继续使用避孕药具是全世界减少孕产妇死亡的主要干预措施之一。尼日利亚的目标是到2020年实现27%的现代避孕普及率,然而,这一目标似乎仍未实现。本研究的目的是调查尼日利亚妇女何时开始使用避孕药具及其相关因素,使用具有全国代表性的数据。方法:使用2017年绩效监测和问责2020 (PMA2020)调查中11,382名尼日利亚妇女(15-49岁)的数据来确定终身避孕药事的使用情况。Kaplan-Meier检验用于确定服用避孕药的中位时间(年)。此外,使用多变量logistic回归模型确定与避孕药使用相关的因素。统计学显著性为5%。结果:现代避孕药具使用率为14.2%。在开始使用避孕药的时间(年)在几个妇女的特征上存在差异。来自城市居住、家庭财富指数最高、未生育、未婚和受过高等教育的妇女开始使用避孕药具的中位数时间(年)最短。多变量logistic模型显示,与城市居民相比,农村妇女开始使用避孕药具的可能性低26% (OR= 0.74;95% ci: 0.65, 0.84)。此外,与未婚妇女相比,已婚妇女开始使用避孕药具的可能性低24% (OR= 0.76;95% ci: 0.63, 0.93)。此外,地理区域、财富、电视来源、是否生育、教育程度、年龄和宗教与避孕措施的使用有显著关系。结论:尼日利亚避孕药具使用率较低。尼日利亚育龄妇女在开始使用避孕药具方面存在差异。有必要采取可持续的战略来提高避孕措施的使用率,并重申避孕的好处,包括在农村居民和低收入者等关键人群中提供启蒙项目。
{"title":"When Do Nigerian Women of Reproductive Age Initiate and What Factors Influence Their Contraceptive Use? A Contextual Analysis.","authors":"Michael Ekholuenetale,&nbsp;Samson Olorunju,&nbsp;Kayode R Fowobaje,&nbsp;Adeyinka Onikan,&nbsp;Godson Tudeme,&nbsp;Amadou Barrow","doi":"10.2147/OAJC.S316009","DOIUrl":"https://doi.org/10.2147/OAJC.S316009","url":null,"abstract":"<p><strong>Background: </strong>Contraceptive use initiation and continuation is one of the major interventions for reducing maternal deaths worldwide. Nigeria aimed to achieve a 27% prevalence rate of modern contraceptive uptake by 2020, however, this seems to have remained unachieved. The objective of this study was to investigate when Nigerian women initiate contraceptive use and its associated factors, using nationally representative data.</p><p><strong>Methods: </strong>Data on 11,382 Nigerian women (aged 15-49 years) from the 2017 Performance Monitoring and Accountability 2020 (PMA2020) survey were used to determine the prevalence of lifetime contraceptive use. The Kaplan-Meier test was used to determine median time (years) to contraceptive uptake. In addition, the factors associated with contraceptive use were determined using multivariable logistic regression model. Statistical significance was determined at 5%.</p><p><strong>Results: </strong>The prevalence of modern contraceptive use was 14.2%. There were disparities in the timing (years) of contraceptive use initiation across several women's characteristics. Women from urban residence, highest household wealth index, nulliparous, unmarried, and highly educated women had the minimum median time (years) to contraceptive use initiation. The multivariable logistic model showed that rural women were 26% less likely to initiate contraceptive use, when compared with the urban dwellers (OR= 0.74; 95% CI: 0.65, 0.84). Furthermore, married women were 24% less likely to initiate contraceptive use, when compared with the unmarried (OR= 0.76; 95% CI: 0.63, 0.93). In addition, geographical region, wealth, television source, ever given birth, education, age, and religion were significantly associated with contraceptive use.</p><p><strong>Conclusion: </strong>The prevalence of contraceptive use is low in Nigeria. There were differences in contraceptive use initiation among women of reproductive age in Nigeria. There is a need to adopt sustainable strategies to improve contraceptive uptake and to re-iterate the benefits of contraception, including providing enlightenment programs among key populations such as the rural dwellers and low income earners.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/e0/oajc-12-133.PMC8286125.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39206713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Religious Leaders' Knowledge of Family Planning and Modern Contraceptive Use and Their Involvement in Family Planning Programmes in Burkina Faso: A Qualitative Study in Dori in the Sahel Region. 布基纳法索宗教领袖对计划生育和现代避孕药具使用的知识及其对计划生育方案的参与:萨赫勒地区多里的一项定性研究。
Pub Date : 2021-06-28 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S315395
Abibata Barro, Aristide Romaric Bado

Introduction: It is necessary to understand religious leaders' perceptions of modern contraceptive use and their role in influencing fertility behaviour for the successful adoption of family planning, especially in societies where the religious leaders' opinions can have a significant influence on individuals' reproductive decisions. This study, therefore, aimed to assess religious leaders' knowledge of family planning and their involvement in family planning programmes in the Sahel region of Burkina Faso.

Methods: This is a qualitative study comprising in-depth individual interviews with twenty-one religious' leaders in the town of Dori in the Sahel region of Burkina Faso. An interview guide was used for data collection. This interview guide was developed based on the central themes and sub-themes determined for the research, namely, the religious leaders' knowledge of modern contraception, the inclusion of information on modern contraception during religious activities and the relationship between religious leaders and reproductive health services. All interviews were recorded and transcribed in French using Microsoft Word. The verbatims were then coded for content analysis. The analysis method chosen was that of thematic analysis.

Results: The results of the study showed that religious leaders had good knowledge about family planning including modern contraceptive methods and fertility regulation through birth spacing. Regarding their involvement in family planning programme, religious leaders said they were not involved enough. However, the results of the study showed that leaders are reluctant to promote the use of FP methods.

Conclusion: Although religious leaders are knowledgeable about family planning, they are still reluctant to promote the use of modern contraceptive methods in their communities. To do so, efforts are needed to sensitise and mobilise them in family planning programmes. The cooperation of local religious leaders will help promote family planning and improve Burkina Faso's performance on the Sustainable Development Goals through the achievement of the demographic dividend in the country.

导言:有必要了解宗教领袖对现代避孕药具使用的看法及其在影响生育行为方面的作用,以便成功采用计划生育,特别是在宗教领袖的意见可以对个人生育决定产生重大影响的社会中。因此,这项研究的目的是评估宗教领袖对计划生育的知识以及他们在布基纳法索萨赫勒地区参与计划生育方案的情况。方法:这是一项定性研究,包括对布基纳法索萨赫勒地区多里镇21位宗教领袖的深入个人访谈。数据收集采用访谈指南。该访谈指南是根据为研究确定的中心主题和分主题编写的,即宗教领袖对现代避孕的了解、在宗教活动中纳入有关现代避孕的信息以及宗教领袖与生殖健康服务之间的关系。所有的采访都是用微软Word用法语记录和转录的。然后逐字编码以进行内容分析。选择的分析方法是专题分析。结果:研究结果表明,宗教领袖对计划生育有较好的了解,包括现代避孕方法和通过生育间隔调节生育。关于他们对计划生育方案的参与,宗教领袖说他们参与得不够。然而,研究结果表明,领导者不愿意推广FP方法的使用。结论:虽然宗教领袖对计划生育有一定的了解,但他们仍然不愿意在他们的社区推广使用现代避孕方法。要做到这一点,就需要努力使她们在计划生育方案中敏感地认识和动员她们。当地宗教领袖的合作将有助于促进计划生育,并通过在该国实现人口红利,改善布基纳法索在可持续发展目标方面的表现。
{"title":"Religious Leaders' Knowledge of Family Planning and Modern Contraceptive Use and Their Involvement in Family Planning Programmes in Burkina Faso: A Qualitative Study in Dori in the Sahel Region.","authors":"Abibata Barro,&nbsp;Aristide Romaric Bado","doi":"10.2147/OAJC.S315395","DOIUrl":"https://doi.org/10.2147/OAJC.S315395","url":null,"abstract":"<p><strong>Introduction: </strong>It is necessary to understand religious leaders' perceptions of modern contraceptive use and their role in influencing fertility behaviour for the successful adoption of family planning, especially in societies where the religious leaders' opinions can have a significant influence on individuals' reproductive decisions. This study, therefore, aimed to assess religious leaders' knowledge of family planning and their involvement in family planning programmes in the Sahel region of Burkina Faso.</p><p><strong>Methods: </strong>This is a qualitative study comprising in-depth individual interviews with twenty-one religious' leaders in the town of Dori in the Sahel region of Burkina Faso. An interview guide was used for data collection. This interview guide was developed based on the central themes and sub-themes determined for the research, namely, the religious leaders' knowledge of modern contraception, the inclusion of information on modern contraception during religious activities and the relationship between religious leaders and reproductive health services. All interviews were recorded and transcribed in French using Microsoft Word. The verbatims were then coded for content analysis. The analysis method chosen was that of thematic analysis.</p><p><strong>Results: </strong>The results of the study showed that religious leaders had good knowledge about family planning including modern contraceptive methods and fertility regulation through birth spacing. Regarding their involvement in family planning programme, religious leaders said they were not involved enough. However, the results of the study showed that leaders are reluctant to promote the use of FP methods.</p><p><strong>Conclusion: </strong>Although religious leaders are knowledgeable about family planning, they are still reluctant to promote the use of modern contraceptive methods in their communities. To do so, efforts are needed to sensitise and mobilise them in family planning programmes. The cooperation of local religious leaders will help promote family planning and improve Burkina Faso's performance on the Sustainable Development Goals through the achievement of the demographic dividend in the country.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/2f/oajc-12-123.PMC8253895.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39162227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Reproductive Rights Knowledge, Health Care Utilization, and Contraceptive Use in Pakistan: A Reproductive Rights Perspective. 巴基斯坦的生殖权利知识、医疗保健利用率和避孕药具使用率:生殖权利视角》。
Pub Date : 2021-06-15 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S301551
Sadia Saeed, Vijayan Pillai, Azka Gouher

Introduction: This study investigates the effects of utilization of health care and the level of reproductive rights knowledge on contraceptive use. Current family planning programs in developing countries utilize a two-pronged strategy involving improvement of level of reproductive rights and, right to access health care systems. The effectiveness of this strategy in developing countries such as Pakistan remains poorly investigated. This study aimed at examining the effect of reproductive rights knowledge on contraceptive use.

Methods: The target population is educated, 18- to 45-year-old married Pakistani women. The sample is composed of 160 nonrandomly selected purposive group of women. We gathered data using a structured questionnaire and analyzed the data using several multivariate methods such as latent class analysis and multiple classification analysis.

Results: Our results suggest that reproductive rights knowledge has no direct effect on contraceptive use. Furthermore, the level of utilization of the health care system plays a significant intervening role between reproductive rights knowledge and contraceptive use.

Discussion: Our results call for improving access and availability of health care while strengthening the awareness and knowledge of reproductive rights among women to improve their capacity to utilize family planning methods. Public awareness and educational programs are indeed necessary to promote knowledge of reproductive rights among women in developing countries. As public health campaigns propagandize the crucial role reproductive rights play in improving women's reproductive health, it is important to maintain a structurally harmonious relationship between health care systems and family planning programs promoting contraceptive use. This approach is more likely to result in significant returns for public awareness campaigns promoting reproductive rights in developing countries.

简介本研究调查了医疗保健的使用和生殖权利知识水平对避孕药具使用的影响。目前,发展中国家的计划生育计划采用双管齐下的策略,包括提高生殖权利水平和改善医疗保健系统的使用权。但这一战略在巴基斯坦等发展中国家的有效性仍未得到充分研究。本研究旨在探讨生殖权利知识对避孕药具使用的影响:目标人群是受过教育、18 至 45 岁的巴基斯坦已婚妇女。样本由 160 名非随机抽取的特定女性组成。我们使用结构化问卷收集数据,并使用潜类分析和多重分类分析等多种多元方法分析数据:结果:我们的研究结果表明,生殖权利知识对避孕药具的使用没有直接影响。此外,医疗保健系统的利用水平在生殖权利知识和避孕药具使用之间起着重要的干预作用:讨论:我们的研究结果表明,在加强妇女对生殖权利的认识和了解的同时,应改善医疗保健的可及性和可获得性,以提高她们使用计划生育方法的能力。要提高发展中国家妇女对生殖权利的认识,确实有必要开展公共宣传和教育计划。在公共卫生运动宣传生殖权利在改善妇女生殖健康方面的重要作用时,必须在医疗保健系统和推广使用避孕药具的计划生育计划之间保持结构上的和谐关系。这种方法更有可能为发展中国家促进生殖权利的公共宣传运动带来可观的回报。
{"title":"Reproductive Rights Knowledge, Health Care Utilization, and Contraceptive Use in Pakistan: A Reproductive Rights Perspective.","authors":"Sadia Saeed, Vijayan Pillai, Azka Gouher","doi":"10.2147/OAJC.S301551","DOIUrl":"10.2147/OAJC.S301551","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigates the effects of utilization of health care and the level of reproductive rights knowledge on contraceptive use. Current family planning programs in developing countries utilize a two-pronged strategy involving improvement of level of reproductive rights and, right to access health care systems. The effectiveness of this strategy in developing countries such as Pakistan remains poorly investigated. This study aimed at examining the effect of reproductive rights knowledge on contraceptive use.</p><p><strong>Methods: </strong>The target population is educated, 18- to 45-year-old married Pakistani women. The sample is composed of 160 nonrandomly selected purposive group of women. We gathered data using a structured questionnaire and analyzed the data using several multivariate methods such as latent class analysis and multiple classification analysis.</p><p><strong>Results: </strong>Our results suggest that reproductive rights knowledge has no direct effect on contraceptive use. Furthermore, the level of utilization of the health care system plays a significant intervening role between reproductive rights knowledge and contraceptive use.</p><p><strong>Discussion: </strong>Our results call for improving access and availability of health care while strengthening the awareness and knowledge of reproductive rights among women to improve their capacity to utilize family planning methods. Public awareness and educational programs are indeed necessary to promote knowledge of reproductive rights among women in developing countries. As public health campaigns propagandize the crucial role reproductive rights play in improving women's reproductive health, it is important to maintain a structurally harmonious relationship between health care systems and family planning programs promoting contraceptive use. This approach is more likely to result in significant returns for public awareness campaigns promoting reproductive rights in developing countries.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/61/09/oajc-12-113.PMC8214570.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39020533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of the Lockdown Due to COVID-19 Pandemic in the Use of Combined Hormonal Oral Contraception in Spain - Results of a National Survey: Encovid. COVID-19大流行导致的封锁对西班牙使用联合激素口服避孕药的影响——一项全国调查的结果:Encovid。
Pub Date : 2021-05-20 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S306580
Iñaki Lete, Jesus Novalbos, Esther de la Viuda, Felix Lugo, Mercedes Herrero, Marian Obiol, Josep Perelló, Rafael Sanchez-Borrego

Objective: To know the contraceptive behaviour of Spanish women who use combined oral contraception (COC) during the period of lockdown due to COVID-19.

Methods: Cross-sectional, descriptive study of a sample of Spanish women who use COC based on a survey conducted through social networks using the online platform Survey Monkey. The survey was conducted during the period of home confinement.

Results: A total of 1407 women answered the survey and 937 were valid for the analysis. A total of 675 women (71.8%) were confined all day at home. During confinement 96,6% of women continued to use the COC, 53.5% responded that their sexual activity decreased during this time and 54% that their physical activity had decreased. A significant percentage of women (10.3%) recognized a worsening of premenstrual symptoms.

Conclusion: Despite the lockdown and the decrease in the frequency of sexual intercourse, the Spanish women who use COC did not abandon its use during the period of time analysed.

目的:了解西班牙新冠肺炎疫情封锁期间口服联合避孕药(COC)妇女的避孕行为。方法:基于使用在线平台survey Monkey的社交网络进行的一项调查,对使用COC的西班牙女性样本进行横断面描述性研究。该调查是在居家隔离期间进行的。结果:共有1407名女性接受调查,其中937名有效分析。共有675名妇女(71.8%)整天被限制在家中。在坐月子期间,96.6%的妇女继续使用COC, 53.5%的妇女表示在此期间她们的性活动减少,54%的妇女表示她们的体力活动减少。相当大比例的妇女(10.3%)认为经前症状恶化。结论:尽管封锁和性交频率下降,使用COC的西班牙妇女在分析期间没有放弃使用COC。
{"title":"Impact of the Lockdown Due to COVID-19 Pandemic in the Use of Combined Hormonal Oral Contraception in Spain - Results of a National Survey: Encovid.","authors":"Iñaki Lete,&nbsp;Jesus Novalbos,&nbsp;Esther de la Viuda,&nbsp;Felix Lugo,&nbsp;Mercedes Herrero,&nbsp;Marian Obiol,&nbsp;Josep Perelló,&nbsp;Rafael Sanchez-Borrego","doi":"10.2147/OAJC.S306580","DOIUrl":"https://doi.org/10.2147/OAJC.S306580","url":null,"abstract":"<p><strong>Objective: </strong>To know the contraceptive behaviour of Spanish women who use combined oral contraception (COC) during the period of lockdown due to COVID-19.</p><p><strong>Methods: </strong>Cross-sectional, descriptive study of a sample of Spanish women who use COC based on a survey conducted through social networks using the online platform Survey Monkey. The survey was conducted during the period of home confinement.</p><p><strong>Results: </strong>A total of 1407 women answered the survey and 937 were valid for the analysis. A total of 675 women (71.8%) were confined all day at home. During confinement 96,6% of women continued to use the COC, 53.5% responded that their sexual activity decreased during this time and 54% that their physical activity had decreased. A significant percentage of women (10.3%) recognized a worsening of premenstrual symptoms.</p><p><strong>Conclusion: </strong>Despite the lockdown and the decrease in the frequency of sexual intercourse, the Spanish women who use COC did not abandon its use during the period of time analysed.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/49/oajc-12-103.PMC8144172.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39026473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
期刊
Open access journal of contraception
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1