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Acceptability and Factors Associated with Immediate Postpartum Intrauterine Contraceptive Device Use Among Women Who Gave Birth at Government Hospitals of Gamo Zone, Southern Ethiopia, 2019. 2019年埃塞俄比亚南部加莫区政府医院分娩妇女产后立即使用宫内节育器的可接受性及相关因素
Pub Date : 2021-03-25 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S291749
Mesfin Gebremedhin, Addisu Alemayehu, Manaye Yihune, Samuel Dessu, Tamirat Melis, Negash Nurahmed

Background: An intrauterine contraceptive device is suitable for women of all reproductive age groups for preventing unwanted pregnancies. Immediate postpartum family planning (PPFP) services need to be emphasized when the woman leaves the hospital. Despite the accepted demand for PPFP, many women do not access the services. Therefore, this study aimed to assess acceptability and factors associated with immediate postpartum intrauterine contraceptive device use among women who gave birth at government hospitals of Gamo Zone, Southern Ethiopia.

Methods: A cross-sectional study was conducted from March 1 to 30, 2019 with 452 participants studied using systematic random sampling technique. Data was collected using a pretested interviewer-administered questionnaire from March 1 to 30, 2019. The data were coded, cleaned and entered into Epi-data manager version 4.2.2.1 and exported to SPSS version 23 for advanced analysis. Binary logistic regression was performed to identify associated factors of immediate PPIUCD acceptability.

Results: This study revealed that about 161 (35.6%) in 95% CI (31.0, 39.6) of the study participants accepted immediate PPIUCD. Multiparty (AOR = 2.33, 95% CI, (1.29, 4.20)), completed antenatal follow up (AOR = 3.65, 95% CI, (2.22, 5.99)), counselling (AOR= 8.38, 95% CI, (4.85, 14.48)) and prior discussion (AOR=2.57, 95% CI, (1.51, 4.36)) were statistically significant.

Conclusion and recommendation: Even though 58% of the mothers were counselled about PPIUCD during the important cascade of pregnancy and 53% of the mothers completed antenatal service, efforts need to improve antenatal care services and integrate counselling services through the whole cascade of pregnancy.

背景:宫内节育器适用于所有育龄妇女预防意外怀孕。在妇女离开医院时,需要强调立即产后计划生育服务。尽管PPFP的需求被接受,但许多妇女没有获得这些服务。因此,本研究旨在评估在埃塞俄比亚南部加莫区政府医院分娩的妇女产后立即使用宫内节育器的可接受性及其相关因素。方法:采用系统随机抽样技术,于2019年3月1日至30日对452名参与者进行横断面研究。2019年3月1日至30日,使用预测试的访谈者问卷收集数据。对数据进行编码、清洗,输入Epi-data manager版本4.2.2.1,导出到SPSS版本23进行高级分析。采用二元逻辑回归来确定影响PPIUCD可接受性的相关因素。结果:本研究显示,在95% CI(31.0, 39.6)的研究参与者中,约161人(35.6%)接受了立即PPIUCD。多方(AOR= 2.33, 95% CI,(1.29, 4.20))、完成产前随访(AOR= 3.65, 95% CI,(2.22, 5.99))、咨询(AOR= 8.38, 95% CI,(4.85, 14.48))和事前讨论(AOR=2.57, 95% CI,(1.51, 4.36))具有统计学意义。结论与建议:尽管58%的母亲在妊娠重要梯级期间接受了PPIUCD咨询,53%的母亲完成了产前服务,但仍需努力改善产前保健服务,并将咨询服务纳入整个妊娠梯级。
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引用次数: 6
Informed Choice of Contraceptive Methods among Women in Ethiopia: Further Analysis of the 2016 Ethiopian Demographic Health Survey. 埃塞俄比亚妇女避孕方法的知情选择:2016年埃塞俄比亚人口健康调查的进一步分析
Pub Date : 2021-03-16 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S292923
Simegnew Handebo

Background: Delivering modern contraceptive methods only may not provide much insight into the quality of family-planning services. Informed choice emphasizes that clients select the method that best satisfies their needs by informing them about all available contraceptive methods, side effects of the methods, and how to deal with the side effects if experienced. This study investigated informed choice regarding contraceptives and associated factors among women in Ethiopia.

Methods: Data were extracted from the 2016 Ethiopian Demographic and Health Survey. Information on informed choice was extracted from the individual women's data. Subjects comprised 3,511 (weighted) reproductive-age women aged 15-49 years using selected contraceptive methods. Bivariate and multivariate logistic regression models were used to assess factors associated with informed of contraceptive choice among women in Ethiopia. P<0.05 was considered statistically significant.

Results: Only 36.2% of the participants were informed on contraceptive methods. Increased age, watching television less than once per week, and visiting health facilities in the last 12 months were associated with higher odds of being informed on contraceptive methods. Being affiliated with other religious groups, primary education only, having a husband employed in agriculture, being unskilled, with an unknown job, living in Amhara and Oromia regions, watching television at least once a week, and receiving the service from private clinics and pharmacies were associated with lower odds of being informed on contraceptive methods.

Conclusion: A substantial proportion of reproductive-age women in Ethiopia were inadequately informed about side effects or other methods. This varied by socio-demographic factors, sources of contraception, method, and frequency of visiting health institutions. This study suggests that interventions that increase family-planning counseling to the level that clients understand the methods are needed. Private health facilities also need to focus on delivering essential messages about methods they provide and assure women's rights and choices.

背景:仅提供现代避孕方法可能无法深入了解计划生育服务的质量。知情选择强调客户选择最能满足他们需求的方法,告知他们所有可用的避孕方法,方法的副作用,以及如果有经验如何处理副作用。本研究调查了埃塞俄比亚妇女关于避孕药具和相关因素的知情选择。方法:数据提取自2016年埃塞俄比亚人口与健康调查。关于知情选择的信息是从女性个人数据中提取的。受试者包括3,511名(加权)年龄在15-49岁的育龄妇女,使用选定的避孕方法。双变量和多变量logistic回归模型用于评估与埃塞俄比亚妇女避孕选择知情相关的因素。结果:只有36.2%的参与者被告知避孕方法。年龄增加、每周看电视少于一次以及在过去12个月内去过卫生机构与了解避孕方法的几率较高有关。与其他宗教团体有联系、只受过小学教育、丈夫从事农业、不熟练、工作不确定、居住在阿姆哈拉和奥罗米亚地区、每周至少看一次电视、从私人诊所和药房接受服务,这些都与了解避孕方法的几率较低有关。结论:埃塞俄比亚相当大比例的育龄妇女没有充分了解副作用或其他方法。这因社会人口因素、避孕来源、方法和到卫生机构就诊的频率而异。这项研究表明,需要采取干预措施,将计划生育咨询提高到客户理解方法的水平。私人保健设施还需要重点传达关于其提供的方法的基本信息,并确保妇女的权利和选择。
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引用次数: 10
Time to Long-Acting Reversible Contraceptive Uptake Over Twelve Months Postpartum: Findings of the Yam Daabo Cluster Randomized-Controlled Trial in Burkina Faso and the Democratic Republic of the Congo. 产后12个月服用长效可逆避孕药的时间:在布基纳法索和刚果民主共和国进行的Yam Daabo随机对照试验的结果
Pub Date : 2021-03-09 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S287770
Abou Coulibaly, Tieba Millogo, Adama Baguiya, Nguyen Toan Tran, Blandine Thieba, Armando Seuc, Asa Cuzin-Kihl, Sihem Landoulsi, James Kiarie, Rachel Yodi, Désiré Mashinda, Séni Kouanda

Purpose: An earlier adoption of contraceptive methods during the postpartum period could help women to extend the inter-pregnancy interval. This article aimed to determine and compare the timing of long-acting reversible contraceptives (LARC) use (ie, intrauterine device and implant) in Burkina Faso (BF) and DR Congo (DRC) between the intervention and control groups.

Patients and methods: A total of 1120 postpartum women were enrolled and followed up to 12 months postpartum. We used Yam-Daabo trial data which was a multi-intervention, single-blinded, cluster-randomised controlled trial done in primary health-care centres (clusters) in both countries. Centres were randomly allocated to receive the six-component intervention or standard antenatal and postnatal care in matched pairs (1:1). We did a secondary analysis using Royston-Parmar's semi-parametric model to estimate the effect of the interventions on the median time of LARC uptake.

Results: Our analysis included 567 postpartum women in BF (284 in the intervention group and 283 in the control group) and 553 in the DRC (274 in the intervention group and 279 in the control group). After showing an increase in family planning use in these two African countries, Yam Daabo's interventions showed a reduction of the median time of LARCs adoption in the intervention group compared to the control group in both countries (difference of 39 days in Burkina Faso; difference of 86 days in the DR Congo).

Conclusion: The Yam Daabo intervention package resulted in increased and earlier adoption of LARC in rural settings in Burkina Faso and urban settings in DR Congo. Such an intervention could be relevant in similar contexts in Sub-Saharan Africa with very high fertility rates and high unmet needs for contraception.

目的:在产后早期采取避孕措施可以帮助妇女延长妊娠间隔。本文旨在确定和比较布基纳法索(BF)和刚果民主共和国(DRC)干预组和对照组之间使用长效可逆避孕药具(即宫内节育器和植入物)的时间。患者和方法:共纳入1120名产后妇女,随访至产后12个月。我们使用了yamo - daabo试验数据,这是一项在两国初级卫生保健中心进行的多干预、单盲、集群随机对照试验。中心被随机分配接受六组分干预或标准产前和产后护理配对(1:1)。我们使用Royston-Parmar的半参数模型进行了二次分析,以估计干预措施对LARC吸收中位数时间的影响。结果:我们的分析包括567名BF产后妇女(干预组284人,对照组283人)和553名DRC产后妇女(干预组274人,对照组279人)。在显示了这两个非洲国家计划生育使用的增加之后,Yam Daabo的干预措施显示,与两国的对照组相比,干预组采用LARCs的中位数时间缩短了(布基纳法索的差异为39天;刚果民主共和国的差异为86天)。结论:Yam Daabo一揽子干预措施导致布基纳法索农村地区和刚果民主共和国城市地区更多和更早地采用LARC。这种干预措施可能适用于生育率非常高、避孕需求未得到满足的撒哈拉以南非洲的类似情况。
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引用次数: 3
Prevalence of Early Removal of Long-Acting Contraceptive Methods and Its Associated Factors in Sidama Regional State, Ethiopia. 埃塞俄比亚西达马州早期停用长效避孕方法的流行情况及其相关因素。
Pub Date : 2021-02-12 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S280405
Ephrem Geja, Fanuel Belayneh, Deresse Legesse, Desalegn Tsegaw, Teshome Abuka, Addis Gebremariam, Henok Gebreyohaness, Dawit Jember, Zewdie Oltaye, Alelign Tadele

Background: Long-acting reversible contraceptive methods, IUD and sub-dermal implant, offer women the most effective method to control fertility. Yet, reports on high early removal rates were emerged, prompting concern among service providers and highlighting the need to review removal rates and its reasons. Therefore, this study was conducted to assess the prevalence of early removal rates of LARCs and its associated factors in Sidama Regional State, Southern Ethiopia.

Methods:  Community-based cross-sectional study was conducted in Sidama Regional State, Ethiopia from June 1 to June 30, 2019. A multistage sampling technique was used to select 21 administrative units in the first stage. Then, systematic sampling was used to select 475 women who have ever used implants or IUD 3 years preceding the data collection period. Data were entered into Epi Info version 3.4.3 and exported to SPSS version 20 for analysis. Descriptive statistics, bivariate, and multivariate logistic regression were computed. P-value <0.05 was used to declare a significant association.

Results: The mean (±SD) of the participant's age was 29.81 (±5.69) years. The prevalence of early removal rate of LARCs was 10.3%, ie, 43 (10.8%) among Implanon/jadelle users and 6 (7.8%) among IUD users. Eleven (22.4%) discontinued within the first six months and 38 (77.6%) utilized for more than six months and discontinued before the 12th month. Women who were not advised about advantage [OR= 2.81 (95% CI: 1.23-6.40)] and effectiveness of contraceptive [OR= 2.70 (95% CI: 1.30-5.60)] and those who were satisfied with the family planning service [OR= 2.24 (95% CI: 1.10-4.57)] were identified as factors.

Conclusions: The prevalence of early removal rate was considerably high among the study subjects. Providing appropriate counseling about the advantage and effectiveness of family planning and improving client satisfaction need to be considered to reduce the early removal rate.

背景:长效可逆避孕方法宫内节育器和皮下植入是女性控制生育最有效的方法。然而,出现了关于高早期递解率的报告,引起了服务提供者的关注,并强调需要审查递解率及其原因。因此,本研究旨在评估埃塞俄比亚南部Sidama州LARCs的早期移除率及其相关因素。方法:于2019年6月1日至6月30日在埃塞俄比亚西达马地区州进行基于社区的横断面研究。第一阶段采用多阶段抽样技术,选取21个行政单位。然后,系统抽样选择475名在数据收集期前3年使用过植入物或宫内节育器的妇女。数据输入Epi Info 3.4.3版本,导出到SPSS 20版本进行分析。计算描述性统计、双变量和多变量逻辑回归。p值结果:参与者年龄的平均值(±SD)为29.81(±5.69)岁。LARCs的早期取出率为10.3%,其中Implanon/jadelle使用者为43例(10.8%),IUD使用者为6例(7.8%)。11人(22.4%)在前6个月内停用,38人(77.6%)使用超过6个月并在第12个月之前停用。未被告知避孕优势[OR= 2.81 (95% CI: 1.23-6.40)]和避孕有效性[OR= 2.70 (95% CI: 1.30-5.60)]和对计划生育服务满意[OR= 2.24 (95% CI: 1.10-4.57)]的妇女被确定为影响因素。结论:早期拔除率在研究对象中相当高。对计划生育的优势和效果进行适当的咨询,提高患者满意度,降低早期拔除率。
{"title":"Prevalence of Early Removal of Long-Acting Contraceptive Methods and Its Associated Factors in Sidama Regional State, Ethiopia.","authors":"Ephrem Geja,&nbsp;Fanuel Belayneh,&nbsp;Deresse Legesse,&nbsp;Desalegn Tsegaw,&nbsp;Teshome Abuka,&nbsp;Addis Gebremariam,&nbsp;Henok Gebreyohaness,&nbsp;Dawit Jember,&nbsp;Zewdie Oltaye,&nbsp;Alelign Tadele","doi":"10.2147/OAJC.S280405","DOIUrl":"https://doi.org/10.2147/OAJC.S280405","url":null,"abstract":"<p><strong>Background: </strong>Long-acting reversible contraceptive methods, IUD and sub-dermal implant, offer women the most effective method to control fertility. Yet, reports on high early removal rates were emerged, prompting concern among service providers and highlighting the need to review removal rates and its reasons. Therefore, this study was conducted to assess the prevalence of early removal rates of LARCs and its associated factors in Sidama Regional State, Southern Ethiopia.</p><p><strong>Methods: </strong> Community-based cross-sectional study was conducted in Sidama Regional State, Ethiopia from June 1 to June 30, 2019. A multistage sampling technique was used to select 21 administrative units in the first stage. Then, systematic sampling was used to select 475 women who have ever used implants or IUD 3 years preceding the data collection period. Data were entered into Epi Info version 3.4.3 and exported to SPSS version 20 for analysis. Descriptive statistics, bivariate, and multivariate logistic regression were computed. P-value <0.05 was used to declare a significant association.</p><p><strong>Results: </strong>The mean (±SD) of the participant's age was 29.81 (±5.69) years. The prevalence of early removal rate of LARCs was 10.3%, ie, 43 (10.8%) among Implanon/jadelle users and 6 (7.8%) among IUD users. Eleven (22.4%) discontinued within the first six months and 38 (77.6%) utilized for more than six months and discontinued before the 12th month. Women who were not advised about advantage [OR= 2.81 (95% CI: 1.23-6.40)] and effectiveness of contraceptive [OR= 2.70 (95% CI: 1.30-5.60)] and those who were satisfied with the family planning service [OR= 2.24 (95% CI: 1.10-4.57)] were identified as factors.</p><p><strong>Conclusions: </strong>The prevalence of early removal rate was considerably high among the study subjects. Providing appropriate counseling about the advantage and effectiveness of family planning and improving client satisfaction need to be considered to reduce the early removal rate.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/3d/oajc-12-35.PMC7886250.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25387189","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
Men's Knowledge of Vasectomy and Its Associated Factors in Debre Tabor Town, Northwest Ethiopia: A Community-Based Cross-Sectional Study. 埃塞俄比亚西北部Debre Tabor镇男性输精管结扎知识及其相关因素:一项基于社区的横断面研究。
Pub Date : 2021-02-11 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S296798
Alemu Degu Ayele, Fentahun Yenealem Beyene, Bekalu Getnet Kassa, Gedefaye Nibret Mihretie

Purpose: Even though vasectomy is one of the safest, simplest, and most effective family planning methods available for men, it is one of the least used contraceptive methods in the developing world, including Ethiopia. The goal of this study was to assess the level of knowledge towards vasectomy and its associated factors among married men in Debre Tabor Town.

Methods: A community-based cross-sectional study was conducted from December 5-25, 2019. A total of 413 married men participated and selected by simple random sampling. Data was entered using EpiData version 4.2 and analyzed by SPSS version 23. A bivariable and multivariable logistic regression model was carried out. Finally, variables having a P-value of <0.05 at 95% CI were considered as statistically significant.

Results: In this study, 38.5% of men had an adequate level of knowledge about vasectomy. Multivariable logistic regression showed that an educational status of secondary education and college and above (AOR=4.70, 95% CI=1.26-17.55; and AOR=8.36, 95% CI=2.41-28.97, respectively), having four or more alive children (AOR=0.51, 95% CI=0.29-0.89), and positive attitude (AOR=2.47, 95% CI=1.58-3.86) were significantly associated with knowledge of vasectomy.

Conclusion: Knowledge of married men towards vasectomy was relatively low. Educational status, number of children, and attitude were statistically significant with the men's knowledge about vasectomy. Emphasis should therefore be put on improving the educational status of men and positively changing the male upbringing culture right from their childhood which will also improve their attitude towards vasectomy in the future.

目的:尽管输精管结扎术是男性最安全、最简单、最有效的计划生育方法之一,但在包括埃塞俄比亚在内的发展中国家,它却是使用最少的避孕方法之一。本研究的目的是评估Debre Tabor镇已婚男性对输精管结扎术的知识水平及其相关因素。方法:于2019年12月5日至25日进行基于社区的横断面研究。采用简单随机抽样的方法,选取了413名已婚男性参与调查。数据录入采用EpiData 4.2版本,分析采用SPSS 23版本。采用双变量和多变量logistic回归模型。最后,p值为结果的变量:在本研究中,38.5%的男性对输精管结扎术有足够的了解。多变量logistic回归分析显示,中专及以上学历(AOR=4.70, 95% CI=1.26-17.55;AOR=8.36, 95% CI=2.41 ~ 28.97)、有4个及以上活儿(AOR=0.51, 95% CI=0.29 ~ 0.89)和积极态度(AOR=2.47, 95% CI=1.58 ~ 3.86)与输精管结扎知识相关。结论:已婚男性对输精管结扎术的知晓率较低。受教育程度、子女数量和态度对男性输精管结扎知识的影响有统计学意义。因此,应重视提高男性的受教育程度,积极改变男性从小的教养文化,这也将改善他们今后对输精管结扎的态度。
{"title":"Men's Knowledge of Vasectomy and Its Associated Factors in Debre Tabor Town, Northwest Ethiopia: A Community-Based Cross-Sectional Study.","authors":"Alemu Degu Ayele,&nbsp;Fentahun Yenealem Beyene,&nbsp;Bekalu Getnet Kassa,&nbsp;Gedefaye Nibret Mihretie","doi":"10.2147/OAJC.S296798","DOIUrl":"https://doi.org/10.2147/OAJC.S296798","url":null,"abstract":"<p><strong>Purpose: </strong>Even though vasectomy is one of the safest, simplest, and most effective family planning methods available for men, it is one of the least used contraceptive methods in the developing world, including Ethiopia. The goal of this study was to assess the level of knowledge towards vasectomy and its associated factors among married men in Debre Tabor Town.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from December 5-25, 2019. A total of 413 married men participated and selected by simple random sampling. Data was entered using EpiData version 4.2 and analyzed by SPSS version 23. A bivariable and multivariable logistic regression model was carried out. Finally, variables having a <i>P</i>-value of <0.05 at 95% CI were considered as statistically significant.</p><p><strong>Results: </strong>In this study, 38.5% of men had an adequate level of knowledge about vasectomy. Multivariable logistic regression showed that an educational status of secondary education and college and above (AOR=4.70, 95% CI=1.26-17.55; and AOR=8.36, 95% CI=2.41-28.97, respectively), having four or more alive children (AOR=0.51, 95% CI=0.29-0.89), and positive attitude (AOR=2.47, 95% CI=1.58-3.86) were significantly associated with knowledge of vasectomy.</p><p><strong>Conclusion: </strong>Knowledge of married men towards vasectomy was relatively low. Educational status, number of children, and attitude were statistically significant with the men's knowledge about vasectomy. Emphasis should therefore be put on improving the educational status of men and positively changing the male upbringing culture right from their childhood which will also improve their attitude towards vasectomy in the future.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/d6/oajc-12-27.PMC7886249.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25387188","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
Safer Conception and Family Planning Knowledge, Attitudes, and Practices Among Postpartum Women with HIV in Rural South Africa. 南非农村地区感染艾滋病毒的产后妇女的安全受孕和计划生育知识、态度和做法。
Pub Date : 2021-02-10 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S288569
Lissa N Mandell, Violeta J Rodriguez, Deborah L Jones

Introduction: With the help of safer conception strategies (SCS), women with HIV (WHIV) can achieve their reproductive goals while minimizing the risk of transmission to their partners or infants. However, interpregnancy intervals of at least 24 months are recommended to optimize maternal and infant health outcomes, so postpartum WHIV need to use contraception to delay subsequent pregnancies. Understanding safer conception and family planning knowledge, attitudes, and practices among WHIV is key to tailoring family planning policy and intervention development in regions with high HIV prevalence.

Methods: This study described the safer conception and family planning knowledge, attitudes, and practices of postpartum WHIV (N = 956) in rural Mpumalanga province, South Africa, 12 months after delivery.

Results: Almost all women understood the importance of condom use, but most overestimated the risk of sexual transmission. A majority of women reported that their partner's desires (53%) and the risk of perinatal transmission (58%) were very important factors when making childbearing decisions. Most women (81%) used condoms for HIV prevention and most (83%) used contraception for pregnancy prevention. Many women (33% of contraceptive users) used condoms for both HIV prevention and contraception without using another contraceptive method as well. Only 43% of contraceptive users endorsed dual method use of condoms with hormones, intrauterine devices, or sterilization.

Discussion: Results highlight the prominence of condom-based pregnancy and HIV transmission prevention, the influence of male partners in fertility decision-making, and the opportunity for further education and promotion of long acting methods in this setting.

在安全受孕策略(SCS)的帮助下,感染艾滋病毒(WHIV)的妇女可以实现其生殖目标,同时最大限度地减少传播给伴侣或婴儿的风险。然而,建议至少24个月的妊娠间隔以优化孕产妇和婴儿的健康结果,因此产后艾滋病毒感染需要使用避孕措施来延迟后续妊娠。了解艾滋病毒感染者中更安全的概念和计划生育知识、态度和做法,是在艾滋病毒高流行地区制定计划生育政策和干预措施的关键。方法:对南非普马兰加省956例分娩后12个月的孕妇进行安全受孕和计划生育知识、态度和行为调查。结果:几乎所有的妇女都知道使用避孕套的重要性,但大多数人高估了性传播的风险。大多数妇女报告说,她们伴侣的欲望(53%)和围产期传播的风险(58%)是作出生育决定时非常重要的因素。大多数妇女(81%)使用避孕套预防艾滋病毒,大多数妇女(83%)使用避孕措施预防怀孕。许多妇女(占避孕药具使用者的33%)使用避孕套既预防艾滋病毒又避孕,而不使用其他避孕方法。只有43%的避孕药具使用者支持使用避孕套和激素、宫内节育器或绝育的双重方法。讨论:结果强调了避孕套怀孕和预防艾滋病毒传播的重要性,男性伴侣在生育决策中的影响,以及在这种情况下进一步教育和推广长效方法的机会。
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引用次数: 1
Knowledge and Associated Factors of Postpartum Contraceptive Use Among Women in the Extended Postpartum Period in Gondar City, Northwest Ethiopia. 埃塞俄比亚西北部贡达尔市产后延长期妇女使用产后避孕药具的知识及相关因素
Pub Date : 2021-01-25 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S290337
Birye Dessalegn Mekonnen, Abebaw Addis Gelagay, Ayenew Molla Lakew

Background: The choice of a postpartum contraceptive method and the timing of its initiation depend on the woman's knowledge regarding postpartum contraceptives use. Also, women's perception towards family planning is reliant on good knowledge and has a great influence on their attitudes and practices. There is limited information on the knowledge and associated factors of postpartum contraceptive use among women. Therefore, the aim of this study was to assess the knowledge and associated factors of postpartum contraceptive use among women in the extended postpartum period.

Methods: An institutional-based cross-sectional study was conducted from November 5, 2018 to December 5, 2018 among postpartum women in six health institutions in Gondar city, northwest Ethiopia. A systematic random sampling technique was used to select the study participants. Data were analyzed using SPSS version 20. Bivariable and multivariable logistic regression models were fitted to identify the determinants of knowledge of postpartum contraceptive use. Adjusted odds ratio (AOR) with their 95% confidence intervals (CI) were calculated. P-values less than 0.05 were considered to indicate statistical significance.

Results: Out of 403 participants, 299 (74.2%) had good knowledge on postpartum contraceptive use. Being urban residents (AOR=2.95, 95% CI=1.34-6.48), previous modern contraceptives use (AOR=5.15, 95% CI=1.16-22.88), health facility delivery (AOR=4.10, 95% CI=1.20-13.98), and counseling about family planning during PNC (AOR=3.80; 95% CI=1.52-9.51) were significantly associated with good knowledge.

Conclusion: This study showed that the knowledge of women regarding postpartum contraceptives was relatively low. Therefore, increasing institutional delivery service and counseling about family planning during the postpartum period should get more focus to address the knowledge gap of postpartum mothers.

背景:产后避孕方法的选择及其开始的时间取决于妇女对产后避孕药使用的知识。此外,妇女对计划生育的看法依赖于良好的知识,对她们的态度和做法有很大的影响。关于妇女产后使用避孕药具的知识和相关因素的信息有限。因此,本研究的目的是评估产后延长期妇女的产后避孕知识及其相关因素。方法:2018年11月5日至12月5日,对埃塞俄比亚西北部贡达尔市6家卫生机构的产后妇女进行了基于机构的横断面研究。采用系统随机抽样技术选择研究对象。数据分析采用SPSS version 20。双变量和多变量logistic回归模型拟合,以确定产后避孕药使用知识的决定因素。计算校正优势比(AOR)及其95%置信区间(CI)。p值小于0.05认为具有统计学意义。结果:403名参与者中,299名(74.2%)对产后避孕药的使用有良好的了解。城市居民(AOR=2.95, 95% CI=1.34-6.48)、以前使用过现代避孕药具(AOR=5.15, 95% CI=1.16-22.88)、在卫生机构分娩(AOR=4.10, 95% CI=1.20-13.98)、PNC期间接受计划生育咨询(AOR=3.80;95% CI=1.52-9.51)与良好的知识显著相关。结论:本研究显示,妇女对产后避孕药具的知晓率较低。因此,增加机构分娩服务和产后计划生育咨询应得到更多的关注,以解决产后母亲的知识差距。
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引用次数: 6
Assessment of Knowledge, Attitudes, and Practices Regarding Emergency-Contraception Methods among Female Dangila Hidase High School Students, Northwest Ethiopia, 2019. 2019年埃塞俄比亚西北部Dangila Hidase高中女生关于紧急避孕方法的知识、态度和行为评估
Pub Date : 2021-01-07 eCollection Date: 2021-01-01 DOI: 10.2147/OAJC.S288029
Shiferaw Abeway Mamuye, Kihinetu Gelaye Wudineh, Almaz Nibret Belay, Kefyalew Dagne Gizachew

Background: Emergency contraception is used after intercourse and before potential implantation, offering women a last chance to prevent pregnancy after unprotected sexual intercourse.

Objective: This study aimed to assess knowledge, attitudes, and practices regarding emergency contraception among female students at Dangila Hidase high school in northwest Ethiopia.

Methods: An institution-based cross-sectional study was conducted among female students at Dangila Hidase high school from from May 1 to 30, 2019. Systematic random sampling was used to select study participants. There were 1,219 students in Dangila Hidase high school. Of these, 625 of them were female students. There were 346 female students in grade 9 and 279 students from grade 10. Samples were allocated proportionally to each grade. A pretested self-administered structured questionnaire was used. Data were entered into Epi Info 3.5 and exported to SPSS 24 for analysis.

Results: A total of 262 female students aged 16-19 years were approached, and the response rate was 100%. Among respondents who had heard about emergency contraceptive, pills were the most commonly known method 98, 51.4%) followed by intrauterine contraceptive devices 42, 22.1%). A total of 75 (58.6%) participants had knowledge of the recommended number of pills to be taken. Of the 190 (72.5%) respondents who knew about emergency contraception, 147, 77.4%) had favorable attitudes toward its use. Of those who had had sexual intercourse 70, 26.7%), only 20 (28.6%) had used emergency contraception.

Conclusion: Even though there is information available about emergency contraception, there is a gap with regard to the correct time of use. The positive attitudes of the respondents could be an indication of a fertile environment for possible interventions and reduction in maternal morbidity and mortality resulting from unwanted pregnancies and related complications.

背景:紧急避孕是在性交后和潜在着床前使用,为妇女在无保护的性交后预防怀孕提供了最后的机会。目的:本研究旨在评估埃塞俄比亚西北部Dangila Hidase高中女学生关于紧急避孕的知识、态度和做法。方法:对2019年5月1日至30日在丹吉拉希达斯高中就读的女学生进行了基于机构的横断面研究。采用系统随机抽样的方法选择研究对象。Dangila Hidase高中有1219名学生。其中625人是女学生。九年级女生346人,十年级女生279人。样本按比例分配到每个等级。采用预先测试的自我管理结构化问卷。数据输入Epi Info 3.5,导出到SPSS 24进行分析。结果:共接触了262名16 ~ 19岁的女大学生,回复率为100%。在听说过紧急避孕的受访者中,最常见的避孕方法是口服避孕药(98.51.4%),其次是宫内节育器(42.22.1%)。共有75名(58.6%)参与者知道建议服用的药片数量。190名(72.5%)受访者了解紧急避孕措施,147名(77.4%)受访者对紧急避孕措施的使用持积极态度。在有过性行为的70人(26.7%)中,只有20人(28.6%)采取了紧急避孕措施。结论:尽管有关于紧急避孕的信息,但在正确使用时间方面存在差距。答复者的积极态度可能表明,环境肥沃,可以采取干预措施,减少意外怀孕和相关并发症造成的产妇发病率和死亡率。
{"title":"Assessment of Knowledge, Attitudes, and Practices Regarding Emergency-Contraception Methods among Female Dangila Hidase High School Students, Northwest Ethiopia, 2019.","authors":"Shiferaw Abeway Mamuye,&nbsp;Kihinetu Gelaye Wudineh,&nbsp;Almaz Nibret Belay,&nbsp;Kefyalew Dagne Gizachew","doi":"10.2147/OAJC.S288029","DOIUrl":"https://doi.org/10.2147/OAJC.S288029","url":null,"abstract":"<p><strong>Background: </strong>Emergency contraception is used after intercourse and before potential implantation, offering women a last chance to prevent pregnancy after unprotected sexual intercourse.</p><p><strong>Objective: </strong>This study aimed to assess knowledge, attitudes, and practices regarding emergency contraception among female students at Dangila Hidase high school in northwest Ethiopia.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted among female students at Dangila Hidase high school from from May 1 to 30, 2019. Systematic random sampling was used to select study participants. There were 1,219 students in Dangila Hidase high school. Of these, 625 of them were female students. There were 346 female students in grade 9 and 279 students from grade 10. Samples were allocated proportionally to each grade. A pretested self-administered structured questionnaire was used. Data were entered into Epi Info 3.5 and exported to SPSS 24 for analysis.</p><p><strong>Results: </strong>A total of 262 female students aged 16-19 years were approached, and the response rate was 100%. Among respondents who had heard about emergency contraceptive, pills were the most commonly known method 98, 51.4%) followed by intrauterine contraceptive devices 42, 22.1%). A total of 75 (58.6%) participants had knowledge of the recommended number of pills to be taken. Of the 190 (72.5%) respondents who knew about emergency contraception, 147, 77.4%) had favorable attitudes toward its use. Of those who had had sexual intercourse 70, 26.7%), only 20 (28.6%) had used emergency contraception.</p><p><strong>Conclusion: </strong>Even though there is information available about emergency contraception, there is a gap with regard to the correct time of use. The positive attitudes of the respondents could be an indication of a fertile environment for possible interventions and reduction in maternal morbidity and mortality resulting from unwanted pregnancies and related complications.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/0f/oajc-12-1.PMC7800711.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38816908","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
Association of Effective Spousal Family Planning Communication with Couples' Modern Contraceptive Use in Harar, Eastern Ethiopia. 埃塞俄比亚东部哈拉尔有效的配偶计划生育沟通与夫妇使用现代避孕药具的关系。
Pub Date : 2021-01-01 DOI: 10.2147/OAJC.S285358
Desalew Zelalem, Alemayehu Worku, Tadese Alemayehu, Yadeta Dessie

Background: Spousal family planning communication plays an important role in making better reproductive health decisions and in increasing the use of modern contraceptive methods. The objective of the current study is to examine the association of spousal family planning communication in its broader context with current modern contraceptive use among couples.

Methods: A community based cross-sectional survey was conducted in twelve kebeles of Harar Urban Health and Demographic Surveillance System. A total of 2700 currently married couples of whose wives were in the reproductive age participated in the study. The selection of the study participants was made using simple random sampling and data were collected using an interviewer administered structured questionnaire and analyzed using Stata version 12.

Results: The level of current modern contraceptive use was 57.1% (95% CI: 0.53, 3.39). Effective spousal family planning communication was significantly associated with current modern contraceptive use even after controlling for socio-economic and demographic variables. Socio-economic and demographic variables such as religion of couples, number of couples' living children, household monthly income, couples' family planning approval and women's counseling about family planning by health workers were significantly associated with current modern contraceptive use.

Conclusion: Policies and programs aimed at increasing contraceptive prevalence should properly address the importance of spousal communication about family planning and integrate men into family planning programs to facilitate and enhance couples communication skills.

背景:配偶计划生育沟通在作出更好的生殖健康决定和增加使用现代避孕方法方面发挥着重要作用。本研究的目的是在更广泛的背景下审查配偶计划生育交流与目前夫妇之间使用现代避孕药具的关系。方法:采用以社区为基础的横断面调查方法,对哈尔哈尔市城市健康与人口监测系统的12个市进行调查。共有2700对已婚夫妇参加了这项研究,他们的妻子处于生育年龄。研究参与者的选择采用简单随机抽样,数据收集采用采访者管理的结构化问卷,并使用Stata版本12进行分析。结果:目前现代避孕药具使用率为57.1% (95% CI: 0.53, 3.39)。即使在控制了社会经济和人口变量之后,有效的配偶计划生育沟通也与当前的现代避孕药具使用显著相关。社会经济和人口变量,如夫妇的宗教信仰、夫妇在世子女的数目、家庭月收入、夫妇对计划生育的批准以及保健工作者对计划生育的妇女咨询,与目前现代避孕药具的使用有很大关系。结论:旨在提高避孕普及率的政策和项目应适当重视计划生育配偶沟通的重要性,并将男性纳入计划生育项目,促进和提高夫妻沟通技能。
{"title":"Association of Effective Spousal Family Planning Communication with Couples' Modern Contraceptive Use in Harar, Eastern Ethiopia.","authors":"Desalew Zelalem,&nbsp;Alemayehu Worku,&nbsp;Tadese Alemayehu,&nbsp;Yadeta Dessie","doi":"10.2147/OAJC.S285358","DOIUrl":"https://doi.org/10.2147/OAJC.S285358","url":null,"abstract":"<p><strong>Background: </strong>Spousal family planning communication plays an important role in making better reproductive health decisions and in increasing the use of modern contraceptive methods. The objective of the current study is to examine the association of spousal family planning communication in its broader context with current modern contraceptive use among couples.</p><p><strong>Methods: </strong>A community based cross-sectional survey was conducted in twelve kebeles of Harar Urban Health and Demographic Surveillance System. A total of 2700 currently married couples of whose wives were in the reproductive age participated in the study. The selection of the study participants was made using simple random sampling and data were collected using an interviewer administered structured questionnaire and analyzed using Stata version 12.</p><p><strong>Results: </strong>The level of current modern contraceptive use was 57.1% (95% CI: 0.53, 3.39). Effective spousal family planning communication was significantly associated with current modern contraceptive use even after controlling for socio-economic and demographic variables. Socio-economic and demographic variables such as religion of couples, number of couples' living children, household monthly income, couples' family planning approval and women's counseling about family planning by health workers were significantly associated with current modern contraceptive use.</p><p><strong>Conclusion: </strong>Policies and programs aimed at increasing contraceptive prevalence should properly address the importance of spousal communication about family planning and integrate men into family planning programs to facilitate and enhance couples communication skills.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/e7/oajc-12-45.PMC7924133.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284895","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: 6
Assessment of Male Involvement in Long-Acting and Permanent Contraceptive Use of Their Partner in West Badewacho, Southern Ethiopia. 在埃塞俄比亚南部的West Badewacho,男性参与其伴侣使用长效和永久避孕药具的评估。
Pub Date : 2021-01-01 DOI: 10.2147/OAJC.S297267
Abera Abose, Girmay Adhena, Yadeta Dessie

Background: Male involvement in family planning use particularly in long-acting and permanent contraceptive methods (LAPCM) is a key strategy to reduce fertility, and promote maternal and child health. Despite this, little is known about male involvement in LAPCM use of their partners in Africa, particularly in Ethiopia. This study aimed to assess male involvement in long-acting and permanent contraceptive method use in west Badewacho district, Southern Ethiopia.

Methods: A community-based cross-sectional study was conducted among 564 participants from April 1 to 30/2019. A multi-stage sampling technique was used to select eligible participants. A pre-tested, structured, and interviewer-administered questionnaire was used. Binary and multivariable logistic regression analysis was done to identify associated factors. The adjusted odds ratio with 95% CI was estimated to show the direction and strength of the association. Variables with p<0.05 were considered statistically significant.

Results: About 108 (19.9%, 95% CI: (16.8, 23.2)) participants were involved in LAPCM use. Being urban dweller [AOR=3.13; 95% CI: (1.58, 6.19)], discussion with wives about LAPCM [AOR=2.81; 95% CI: (1.64, 4.8)], having good knowledge about LAPCM [AOR=2.55; 95% CI: (1.42, 4.57)], and positive attitude towards LAPCM [AOR=2.16; 95% CI: (1.16, 4.02)] were significantly associated factors.

Conclusion: Overall, the male involvement in LAPCM use was low. Enhancing male involvement in family planning use through creating community awareness, encouraging inter-spousal communication to enhance decision making, and increasing positive attitude towards LAPCM in the community is crucial to decrease the problem.

背景:男性参与计划生育,特别是长效和永久避孕方法(LAPCM)的使用是降低生育率和促进孕产妇和儿童健康的一项关键战略。尽管如此,在非洲,特别是在埃塞俄比亚,人们对男性参与利用其伙伴的LAPCM知之甚少。本研究旨在评估埃塞俄比亚南部西巴德瓦乔地区男性参与长效和永久性避孕方法的使用情况。方法:2019年4月1日至30日,以社区为基础对564名参与者进行横断面研究。采用多阶段抽样技术选择符合条件的参与者。使用了一份预先测试的、结构化的、由访谈者管理的问卷。采用二元和多变量logistic回归分析确定相关因素。校正后的比值比(95% CI)估计显示了相关性的方向和强度。结果变量:约108名(19.9%,95% CI:(16.8, 23.2))参与者参与了LAPCM的使用。是城市居民[AOR=3.13;95% CI:(1.58, 6.19)],与妻子讨论LAPCM [AOR=2.81;95% CI:(1.64, 4.8)],具有良好的LAPCM知识[AOR=2.55;95% CI:(1.42, 4.57)]和对LAPCM的积极态度[AOR=2.16;95% CI:(1.16, 4.02)]均为显著相关因素。结论:总体而言,男性在LAPCM使用中的参与率较低。通过提高社区意识、鼓励配偶间沟通以加强决策、以及提高社区对计划生育管理的积极态度,加强男性对计划生育使用的参与,是减少问题的关键。
{"title":"Assessment of Male Involvement in Long-Acting and Permanent Contraceptive Use of Their Partner in West Badewacho, Southern Ethiopia.","authors":"Abera Abose,&nbsp;Girmay Adhena,&nbsp;Yadeta Dessie","doi":"10.2147/OAJC.S297267","DOIUrl":"https://doi.org/10.2147/OAJC.S297267","url":null,"abstract":"<p><strong>Background: </strong>Male involvement in family planning use particularly in long-acting and permanent contraceptive methods (LAPCM) is a key strategy to reduce fertility, and promote maternal and child health. Despite this, little is known about male involvement in LAPCM use of their partners in Africa, particularly in Ethiopia. This study aimed to assess male involvement in long-acting and permanent contraceptive method use in west Badewacho district, Southern Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 564 participants from April 1 to 30/2019. A multi-stage sampling technique was used to select eligible participants. A pre-tested, structured, and interviewer-administered questionnaire was used. Binary and multivariable logistic regression analysis was done to identify associated factors. The adjusted odds ratio with 95% CI was estimated to show the direction and strength of the association. Variables with p<0.05 were considered statistically significant.</p><p><strong>Results: </strong>About 108 (19.9%, 95% CI: (16.8, 23.2)) participants were involved in LAPCM use. Being urban dweller [AOR=3.13; 95% CI: (1.58, 6.19)], discussion with wives about LAPCM [AOR=2.81; 95% CI: (1.64, 4.8)], having good knowledge about LAPCM [AOR=2.55; 95% CI: (1.42, 4.57)], and positive attitude towards LAPCM [AOR=2.16; 95% CI: (1.16, 4.02)] were significantly associated factors.</p><p><strong>Conclusion: </strong>Overall, the male involvement in LAPCM use was low. Enhancing male involvement in family planning use through creating community awareness, encouraging inter-spousal communication to enhance decision making, and increasing positive attitude towards LAPCM in the community is crucial to decrease the problem.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/b2/oajc-12-63.PMC7924250.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10640285","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
期刊
Open access journal of contraception
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