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Male Involvement in Family Planning Utilization and Associated Factors in Womberma District, Northern Ethiopia: Community-Based Cross-Sectional Study. 埃塞俄比亚北部沃姆伯马地区男性参与计划生育利用及其相关因素:基于社区的横断面研究。
Pub Date : 2020-12-31 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S287159
Getinet Wondim, Genet Degu, Yohannes Teka, Gedefaw Diress

Background: Reproductive health issues are an inclusive concern for both men and women. In order to improve maternal health, strengthening male participation in family planning is an important public health initiative. Yet, men are still the main decision-makers in the family in Ethiopia, especially in the rural community. There is little concrete evidence of the extent of male participation in family planning and its barriers in rural settings.

Purpose: To assess the magnitude of male involvement in family planning utilization and its associated factors in the rural community of northern Ethiopia.

Materials and methods: A community-based cross-sectional study design was carried out on 620 currently married men. A multi-stage sampling technique was used to select the participants of the study. Data were collected using interviewer-administered structured questionnaires. Multivariable logistic regression analysis was performed to identify variables associated with male participation in family planning.

Results: In this study, only 12.5% of males were directly involved in the use of family planning using a male contraceptive method, and about 60.0% of males were involved in family planning through spousal communication and approval. Being educated [AOR=1.64; 95% CI: (1.12-2.62)], having an educated partner [AOR= 1.77; 95% CI: (1.17-2.94)], having a positive attitude towards family planning [AOR=2.27; 95% CI: (1.53-3.36)], discussing with wife [AOR= 2.51; 95% CI: (1.69-3.72)] and having adequate knowledge about family planning [AOR=1.92; 95% CI: (1.28-2.87)] were positively associated with male involvement in family planning utilization whereas having more than three children [AOR=0.32; 95% CI: (0.15-0.70)] was negatively associated with male involvement in family planning utilization.

Conclusion: In general, as compared to the national recommendation, the level of male participation in family planning utilisation was low. In order to improve male participation in family planning, improving male knowledge and attitudes towards family planning is essential.

背景:生殖健康问题是男女共同关心的问题。为了改善孕产妇健康,加强男性参与计划生育是一项重要的公共卫生举措。然而,在埃塞俄比亚,男性仍然是家庭的主要决策者,尤其是在农村社区。很少有具体证据表明男性参与计划生育的程度及其在农村环境中的障碍。目的:评估埃塞俄比亚北部农村社区男性参与计划生育利用的程度及其相关因素。材料和方法:对620名已婚男性进行了基于社区的横断面研究设计。采用多阶段抽样技术来选择研究的参与者。使用访谈者管理的结构化问卷收集数据。进行多变量逻辑回归分析,以确定与男性参与计划生育相关的变量。结果:在这项研究中,只有12.5%的男性直接参与了使用男性避孕方法的计划生育,约60.0%的男性通过配偶沟通和批准参与了计划生育。受过教育[AOR=1.64;95%可信区间:(1.12-2.62)],有受过教育的伴侣[AOR=1.77;95%置信区间:(1.17-2.94)],对计划生育持积极态度[AOR=2.27;95%可信范围:(1.53-3.36)],与妻子讨论[AOR=2.51;95%可信区间:(1.69-3.72)]和对计划生育有足够的了解[AOR=1.92;95%置信区间:(1.28-2.87)]与男性参与计划生育利用呈正相关,而有三个以上孩子[AOR=0.32;95%置信度:(0.15-0.70)]与男性参与计划生育使用呈负相关。结论:总体而言,与国家建议相比,男性参与计划生育利用的水平较低。为了提高男性参与计划生育的程度,提高男性对计划生育的认识和态度至关重要。
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引用次数: 21
Determinants of Postpartum Contraception Use Among Teenage Mothers in Eastern Uganda: A Cross-Sectional Study. 乌干达东部少女母亲产后避孕使用的决定因素:一项横断面研究。
Pub Date : 2020-12-11 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S281504
Doreen L Muyama, Milton W Musaba, Ronald Opito, David J Soita, Julius N Wandabwa, Dinah Amongin

Introduction: In Uganda, the proportion of women having another live birth before age 20 years (repeat adolescent birth) has not declined in 30 years. More women want to delay the next birth. We determined the prevalence and factors associated with postpartum contraceptive use among teenage mothers in Mbale City.

Patients and methods: We conducted a cross-sectional study in all the six government-supported health facilities within Mbale City. Over a period of 3 months, 511 teenage mothers in the postpartum period were consecutively enrolled by midwives/nurses. Data were collected using a pretested interviewer-administered questionnaire. We used logistic regression in STATA version 14, to determine the association between various sociodemographic characteristics and utilization of contraception. We set the level of significance at 5% and report odds ratios and the corresponding 95% confidence intervals.

Results: Most of the respondents - 314/511 [61.5%, 95% CI= 57.1-65.6%] - were using contraceptives. More than three-fourth (238/314) of the respondents opted for short-term methods of contraception. In the adjusted analyses, intention to resume school [AOR 1.79 (1.16-2.74)], and utilization of maternal Child Heath services such as postnatal care services [AOR 0.40 (0.25-0.63)] were significantly associated with utilisation of postpartum contraception.

Conclusion: We found a high prevalence of postpartum contraceptives use - over 6 in 10 women - although they were using mainly short-term methods. Those with intentions of resuming schooling and utilised postnatal care services were most likely to use contraceptives. This is encouraging and calls for inquiry into why their use is higher than the national averages. Further, the results call for renewed efforts to maintain adolescent mothers in school.

在乌干达,20岁前再次活产的妇女比例(少女重复生育)在30年内没有下降。越来越多的女性希望推迟下一次生育。我们确定了Mbale市少女母亲产后使用避孕药具的患病率和相关因素。患者和方法:我们在Mbale市所有六个政府支持的卫生设施中进行了横断面研究。在3个月的时间里,助产士/护士连续登记了511名产后少女母亲。数据收集使用预先测试的访谈者管理的问卷。我们在STATA版本14中使用逻辑回归来确定各种社会人口统计学特征与避孕措施利用之间的关系。我们设置显著性水平为5%,并报告优势比和相应的95%置信区间。结果:314/511 (61.5%,95% CI= 57.1 ~ 65.6%)的受访妇女使用了避孕措施。超过四分之三(238/314)的受访者选择短期避孕方法。在调整后的分析中,复学意向[AOR 1.79(1.16-2.74)]和使用母婴保健服务(如产后护理服务)[AOR 0.40(0.25-0.63)]与使用产后避孕措施显著相关。结论:我们发现产后避孕药的使用率很高,超过6 / 10的妇女,尽管她们主要使用短期方法。那些打算复学并利用产后护理服务的妇女最有可能使用避孕药具。这是令人鼓舞的,并呼吁调查为什么它们的使用高于全国平均水平。此外,研究结果呼吁继续努力,让青春期母亲留在学校。
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引用次数: 2
Unmet Need for Modern Contraceptive Methods and Associated Factors Among Currently Married Women in Damot Woyde District, SNNPR, Ethiopia, 2019. 2019年埃塞俄比亚国家公共广播公司Damot Woyde区已婚妇女现代避孕方法未满足需求及其相关因素
Pub Date : 2020-11-23 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S284129
Anbessaw Wolde, Dereje Haile, Ufaysa Anjulo, Jegnaw Wolde

Background: The ability of individuals and couples to anticipate and achieve their desired number of children as well as the spacing and timing of their birth is family planning. Access to family planning and ensuring that needs are met is based on human rights. Nonetheless, for most women, this need has not been met. In addition, in this study field, there was minimal evidence regarding this. Thus, the aim of this study was to assess the prevalence and associated factors of unmet need of modern contraceptive methods among currently married women in Damot Woyde district, southern Ethiopia.

Methods: This community based cross-sectional study was conducted from February 20 to 28, 2019. A multi-stage sampling procedure was employed to select 658 currently married women of child-bearing age in the study areas. A pretested interviewer administered questionnaire was used for data collection. Bivariate and multivariate logistic regression analyses were used to identify the predictors of dependent variables and the adjusted odds ratios with its 95% confidence interval was used to report the level of association. Variables with a P-value<0.05 were considered as statistically significant.

Results: The total unmet need for modern contraceptive methods was 169 (26.3%; 95% CI= 22.9-29.7%) among currently married women for the study participants. In multiple logistic regression analysis, educational status (AOR=4.3; 95% CI=1.1-14.7), women with five or more, and three-to-four children(AOR=4.3; 95% CI=1.4-13.1 and AOR=2.8; 95% CI=1.1-7.8, respectively), little perceived risk of pregnancy due to infrequent sexual intercourse (AOR=2.2; 95% CI=1.3-3.8), and little perceived risk of pregnancy due to breast feeding (AOR=2.3; 95% CI=1.3-4.10) were factors associated with the unmet need of modern contraceptive methods.

Conclusion and recommendation: This study revealed that unmet need for modern contraceptive methods was found to be high compared to the national and regional figures. Therefore, community health workers and health professionals should be strengthening communication and discussion at grass root level in order to promote the right time for using family planning. District health office and other concerned bodies should collaborate with the education office to expand formal and non-formal education for women in order to decrease the unmet need for modern contraceptive methods.

背景:个人和夫妇预测和达到他们期望的孩子数量以及他们出生的间隔和时间的能力是计划生育。获得计划生育和确保需求得到满足是基于人权的。然而,对大多数妇女来说,这种需要没有得到满足。此外,在本研究领域中,关于这一点的证据很少。因此,本研究的目的是评估埃塞俄比亚南部Damot Woyde地区已婚妇女中未满足现代避孕方法需求的流行情况及其相关因素。方法:于2019年2月20日至28日进行基于社区的横断面研究。采用多阶段抽样方法,在研究区域内选取658名已婚育龄妇女。数据收集采用预测问卷。采用双变量和多变量logistic回归分析确定因变量的预测因子,采用校正后的比值比(95%置信区间)报告相关性水平。结果:未满足现代避孕方法需求的总人数为169人(26.3%;95% CI= 22.9-29.7%)。多元logistic回归分析中,学历状况(AOR=4.3;95% CI=1.1-14.7),有5个或更多孩子的妇女和3 - 4个孩子(AOR=4.3;95% CI=1.4 ~ 13.1, AOR=2.8;95% CI=1.1-7.8),较少性交导致怀孕的感知风险(AOR=2.2;95% CI=1.3-3.8),母乳喂养导致怀孕的感知风险很小(AOR=2.3;95% CI=1.3-4.10)是与未满足现代避孕方法需求相关的因素。结论和建议:本研究表明,与国家和地区数字相比,未满足的现代避孕方法需求较高。因此,社区卫生工作者和卫生专业人员应加强基层的沟通和讨论,以促进正确的时间使用计划生育。区卫生局和其他有关机构应与教育局合作,扩大对妇女的正规和非正规教育,以减少对现代避孕方法的需求未得到满足。
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引用次数: 8
Knowledge, Utilization and Associated Factors of Postpartum Family Planning Among Women Who Had Delivered a Baby in the Past Year in Oromia Regional State, Ethiopia. 埃塞俄比亚奥罗米亚州去年分娩过婴儿的妇女对产后计划生育的了解、利用情况及相关因素。
Pub Date : 2020-10-22 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S268561
Benyam Seifu, Delelegn Yilma, Workinesh Daba

Background: Globally, 95% of women wants to avoid pregnancy for at least two years after giving birth, but 70% of them are not using contraception; majority of them were from developing countries. Postpartum family planning (PPFP) enables families to avoid unplanned pregnancies following 12 months after childbirth. Different studies in Ethiopia showed that the majority of postpartum women do not use PPFP. Moreover, the level of PPFP knowledge and utilization in West Shewa, Oromia region of Ethiopia is unclear.

Purpose: This study aimed to assess the knowledge, utilization and associated factors of postpartum family planning (PPFP) Oromia regional state, Ethiopia.

Methods: A community-based cross-sectional study was conducted in Ambo town, West Shewa Zone of Oromia regional state from April 01 to July 30, 2019. A sample of 367 postnatal women participated in the study. An interview administered questionnaire was used to collect the data and the collected data were entered into Epi Info version 7.1 and analyzed with SPSS version 23. Study participants' characteristics were described using frequency and percentage. Bivariate and multivariate logistic regression was carried out to identify the associated factors with the outcome variables.

Results: A total of 354 women were participated in the study making a response rate of 96.4%. About 249 (70.3%) of the respondents had good knowledge about PPFP and 144 (40.7%) had utilized PPFP services. Higher education level [AOR= 3.4, 95% CI: 1.3-6.9], history of family planning utilization [AOR= 2.8, 95% CI: 2.1-4.4] and having ANC follow-up [AOR=2.1, 95% CI: 1.1-4.0] had showed a positive association with knowledge of PPFP. Meanwhile, knowledge of PPFP [AOR=2.1, 95% CI: 1.6-3.1], a grand multi-para women [AOR=1.7, 95% CI (1.3-3.6)] and received routine PNC service [AOR=2.5, 95% CI: 1.3-5.9] were associated with the utilization of PPFP.

Conclusion and recommendation: Although the majority of the women knew about PPFP, more than half of them did not utilize PPFP. Due emphasis should be given to improve the utilization of PPFP.

背景:在全球范围内,95%的妇女希望在产后至少两年内避免怀孕,但其中 70% 的妇女没有采取避孕措施;她们中的大多数来自发展中国家。产后计划生育(PPFP)可帮助家庭避免产后 12 个月内的意外怀孕。在埃塞俄比亚进行的不同研究表明,大多数产后妇女不使用产后计划生育。目的:本研究旨在评估埃塞俄比亚奥罗米亚州产后计划生育(PPFP)的知晓率、利用率和相关因素:2019年4月1日至7月30日,在奥罗米亚州西谢瓦区安博镇开展了一项基于社区的横断面研究。367名产后妇女参与了研究。研究采用访谈式问卷收集数据,收集的数据输入 Epi Info 7.1 版,并使用 SPSS 23 版进行分析。研究参与者的特征使用频率和百分比进行描述。采用二元和多元逻辑回归法确定与结果变量相关的因素:共有 354 名妇女参与了研究,回复率为 96.4%。约 249 名受访者(70.3%)对 PPFP 有一定了解,144 名受访者(40.7%)使用过 PPFP 服务。较高的教育水平[AOR=3.4,95% CI:1.3-6.9]、使用过计划生育服务的历史[AOR=2.8,95% CI:2.1-4.4]和接受过产前检查随访[AOR=2.1,95% CI:1.1-4.0]与对 PPFP 的了解程度呈正相关。同时,PPFP 知识[AOR=2.1,95% CI:1.6-3.1]、大龄多产妇女[AOR=1.7,95% CI (1.3-3.6)]和接受常规 PNC 服务[AOR=2.5,95% CI:1.3-5.9]与使用 PPFP 相关:尽管大多数妇女知道 PPFP,但半数以上的妇女没有使用 PPFP。应适当重视提高 PPFP 的使用率。
{"title":"Knowledge, Utilization and Associated Factors of Postpartum Family Planning Among Women Who Had Delivered a Baby in the Past Year in Oromia Regional State, Ethiopia.","authors":"Benyam Seifu, Delelegn Yilma, Workinesh Daba","doi":"10.2147/OAJC.S268561","DOIUrl":"10.2147/OAJC.S268561","url":null,"abstract":"<p><strong>Background: </strong>Globally, 95% of women wants to avoid pregnancy for at least two years after giving birth, but 70% of them are not using contraception; majority of them were from developing countries. Postpartum family planning (PPFP) enables families to avoid unplanned pregnancies following 12 months after childbirth. Different studies in Ethiopia showed that the majority of postpartum women do not use PPFP. Moreover, the level of PPFP knowledge and utilization in West Shewa, Oromia region of Ethiopia is unclear.</p><p><strong>Purpose: </strong>This study aimed to assess the knowledge, utilization and associated factors of postpartum family planning (PPFP) Oromia regional state, Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted in Ambo town, West Shewa Zone of Oromia regional state from April 01 to July 30, 2019. A sample of 367 postnatal women participated in the study. An interview administered questionnaire was used to collect the data and the collected data were entered into Epi Info version 7.1 and analyzed with SPSS version 23. Study participants' characteristics were described using frequency and percentage. Bivariate and multivariate logistic regression was carried out to identify the associated factors with the outcome variables.</p><p><strong>Results: </strong>A total of 354 women were participated in the study making a response rate of 96.4%. About 249 (70.3%) of the respondents had good knowledge about PPFP and 144 (40.7%) had utilized PPFP services. Higher education level [AOR= 3.4, 95% CI: 1.3-6.9], history of family planning utilization [AOR= 2.8, 95% CI: 2.1-4.4] and having ANC follow-up [AOR=2.1, 95% CI: 1.1-4.0] had showed a positive association with knowledge of PPFP. Meanwhile, knowledge of PPFP [AOR=2.1, 95% CI: 1.6-3.1], a grand multi-para women [AOR=1.7, 95% CI (1.3-3.6)] and received routine PNC service [AOR=2.5, 95% CI: 1.3-5.9] were associated with the utilization of PPFP.</p><p><strong>Conclusion and recommendation: </strong>Although the majority of the women knew about PPFP, more than half of them did not utilize PPFP. Due emphasis should be given to improve the utilization of PPFP.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/1e/oajc-11-167.PMC7588273.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38539776","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
Contraceptive Demand, Utilization and Associated Factors Among University Female Students in Amhara Region, Ethiopia: Institution-Based Cross-Sectional Study. 埃塞俄比亚阿姆哈拉地区女大学生避孕需求、利用及相关因素:基于机构的横断面研究
Pub Date : 2020-10-09 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S267966
Amare Simegn, Dawit Tiruneh, Tigist Seid, Florence Ayalew

Background: Worldwide, university students fall in the youth group which is prone to unattended sexual risks, including unintended pregnancies and sexually transmitted diseases. One of the key strategies to prevent these problems is to use contraceptives. Therefore, the study was aimed at assessing contraceptive utilization and factors hindering their utilization.

Objective: The objective of the study was to assess contraceptive demand, utilization, and associated factors among university female students in Amhara region, Ethiopia.

Methods: An institution-based cross-sectional study was conducted. From seven universities, three of them were randomly selected. A multistage sampling method was used. Finally, a simple random sampling method was used to select the respondents. Data were entered via Epi-data version 3.1 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regression analyses were employed. Results are presented using text, tables, and graphs.

Results: A total of 1276 respondents participated in the study with a response rate of 98.8%. The median age of the participants is 21.37 years (SD=1.88 years). About 398 (31.2%) of the respondents had sexual intercourse within the last 12 months. However, only 207 (16.2%) of the respondents were currently using contraceptives. Marital status, year of study, history of having information and previous discussion on contraceptives were found to be significantly associated. Married participants had a 94.4% lower contraceptive utilization compared with unmarried participants [0.056 (0.03- 0.12)]. Third year students were 50% less likely to use contraceptives compared to 2nd year students [0.50 (0.30- 0.82)]. Those having previous information on contraceptives [7.7 (1.01- 59.8)] and discussions with someone else [2.3 (1.5-3.6)] were 7.7- and 2.3-times more likely to use contraceptives than their counterparts, respectively.

Conclusion: Contraceptive utilization among university female students is low. For students, new information, education and communication strategies for sexual and reproductive health issues should be launched.

背景:在世界范围内,大学生属于容易发生无人照料的性风险的青年群体,包括意外怀孕和性传播疾病。预防这些问题的关键策略之一是使用避孕药具。因此,本研究旨在评估避孕药具的使用情况及阻碍其使用的因素。目的:本研究旨在评估埃塞俄比亚阿姆哈拉地区女大学生避孕药具的需求、使用情况及相关因素。方法:采用基于机构的横断面研究。从7所大学中随机抽取了3所。采用多级抽样方法。最后,采用简单的随机抽样方法来选择受访者。通过Epi-data 3.1版本输入数据,导出到SPSS 20版本进行分析。采用双变量和多变量logistic回归分析。结果以文本、表格和图形的形式呈现。结果:共有1276名受访者参与研究,回复率为98.8%。参与者的年龄中位数为21.37岁(SD=1.88岁)。约398名(31.2%)受访者在过去12个月内有过性行为。然而,只有207人(16.2%)目前在使用避孕药具。研究发现,婚姻状况、学习年份、获得信息的历史和以前对避孕药具的讨论都有显著关联。已婚受试者的避孕药具使用率比未婚受试者低94.4%[0.056(0.03- 0.12)]。三年级学生使用避孕药的可能性比二年级学生低50%[0.50(0.30- 0.82)]。有避孕信息[7.7(1.01- 59.8)]和与他人讨论过[2.3(1.5-3.6)]的妇女使用避孕措施的可能性分别是同龄妇女的7.7倍和2.3倍。结论:高校女生避孕措施使用率较低。对学生而言,应开展关于性健康和生殖健康问题的新的信息、教育和宣传战略。
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引用次数: 2
Determinants of Postpartum IUCD Utilization Among Mothers Who Gave Birth in Gamo Zone Public Health Facilities, Southern Ethiopia: a Case-Control Study. 在埃塞俄比亚南部Gamo区公共卫生机构分娩的母亲产后使用IUCD的决定因素:一项病例对照研究。
Pub Date : 2020-09-30 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S257762
Seid Jemal Mohammed, Woiynshet Gebretsadik Kelbore, Gesila Endashaw Yesera, Mulugeta Shegaze Shimbre, Kenzudin Assfa Mossa, Keyredin Nuriye Metebo, Yibeltal Mesfin Yesgat

Background: The postpartum intrauterine contraceptive device (PPIUCD) is an effective, reliable, safe and recommended contraceptive method for the postpartum women. However, only a small proportion of women who gave birth at health facilities in the world have used it. There are limited studies about determinants of PPIUCD utilization. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia.

Methods: A facility based unmatched case-control study was done at Gamo zone public health facilities, southern Ethiopia. Data were collected using a pretested interviewer-administered questionnaire from March 1 to April 15, 2019. The data were coded, cleaned and entered into Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Binary logistic regression was performed to identify the determinants of PPIUCD utilization.

Results: A total of 510 (175 cases and 335 controls) participants were involved in the study yielding a response rate of 95.1%. Partner support for IUCD insertion (AOR [95% CI]: 10 [4.03, 24.3]), birth interval (AOR [95% CI]: 9.7 [1.7, 55.1]), fertility plan (AOR [95% CI]: 4 [1.44, 10.84]), and timing of counseling (AOR [95% CI]:1.25 [0.034, 0.46]) are the determinant factors for postpartum IUCD.

Conclusion and recommendation: Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were the determinant factors identified in this study. Therefore, counseling of both partners during antenatal follow-up, delivery and immediately after delivery by health professionals are recommended.

背景:产后宫内节育器(PPIUCD)是一种有效、可靠、安全、值得推荐的产后妇女避孕方法。然而,世界上只有一小部分在卫生机构分娩的妇女使用了它。关于PPIUCD使用的决定因素的研究有限。因此,本研究旨在评估在埃塞俄比亚南部加莫区卫生机构分娩的母亲产后使用宫内节育器的决定因素。方法:在埃塞俄比亚南部加莫区公共卫生机构进行了一项基于设施的非匹配病例对照研究。从2019年3月1日至4月15日,使用预测试的访谈者填写的问卷收集数据。对数据进行编码、清洗,输入Epi-Info 3.5.1版本,导出到SPSS 25版本进行高级分析。采用二元逻辑回归来确定PPIUCD使用的决定因素。结果:共有510名参与者(175例和335例对照)参与了研究,反应率为95.1%。伴侣对植入IUCD的支持(AOR [95% CI]: 10[4.03, 24.3])、生育间隔(AOR [95% CI]: 9.7[1.7, 55.1])、生育计划(AOR [95% CI]: 4[1.44, 10.84])和咨询时机(AOR [95% CI]:1.25[0.034, 0.46])是产后IUCD的决定因素。结论与建议:生育间隔、生育计划、咨询时间、妊娠计划和伴侣支持是本研究确定的决定因素。因此,建议在产前随访、分娩和分娩后立即由卫生专业人员对伴侣双方进行咨询。
{"title":"Determinants of Postpartum IUCD Utilization Among Mothers Who Gave Birth in Gamo Zone Public Health Facilities, Southern Ethiopia: a Case-Control Study.","authors":"Seid Jemal Mohammed,&nbsp;Woiynshet Gebretsadik Kelbore,&nbsp;Gesila Endashaw Yesera,&nbsp;Mulugeta Shegaze Shimbre,&nbsp;Kenzudin Assfa Mossa,&nbsp;Keyredin Nuriye Metebo,&nbsp;Yibeltal Mesfin Yesgat","doi":"10.2147/OAJC.S257762","DOIUrl":"https://doi.org/10.2147/OAJC.S257762","url":null,"abstract":"<p><strong>Background: </strong>The postpartum intrauterine contraceptive device (PPIUCD) is an effective, reliable, safe and recommended contraceptive method for the postpartum women. However, only a small proportion of women who gave birth at health facilities in the world have used it. There are limited studies about determinants of PPIUCD utilization. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia.</p><p><strong>Methods: </strong>A facility based unmatched case-control study was done at Gamo zone public health facilities, southern Ethiopia. Data were collected using a pretested interviewer-administered questionnaire from March 1 to April 15, 2019. The data were coded, cleaned and entered into Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Binary logistic regression was performed to identify the determinants of PPIUCD utilization.</p><p><strong>Results: </strong>A total of 510 (175 cases and 335 controls) participants were involved in the study yielding a response rate of 95.1%. Partner support for IUCD insertion (AOR [95% CI]: 10 [4.03, 24.3]), birth interval (AOR [95% CI]: 9.7 [1.7, 55.1]), fertility plan (AOR [95% CI]: 4 [1.44, 10.84]), and timing of counseling (AOR [95% CI]:1.25 [0.034, 0.46]) are the determinant factors for postpartum IUCD.</p><p><strong>Conclusion and recommendation: </strong>Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were the determinant factors identified in this study. Therefore, counseling of both partners during antenatal follow-up, delivery and immediately after delivery by health professionals are recommended.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAJC.S257762","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38498114","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: 14
Use of Modern Contraceptive Methods in Burkina Faso: What are the Obstacles to Male Involvement in Improving Indicators in the Centre-East and Centre-North Regions? 在布基纳法索使用现代避孕方法:在中东部和中北部地区,男性参与改善指标的障碍是什么?
Pub Date : 2020-09-28 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S274570
Aristide Romaric Bado, Hermann Badolo, Lamoussa Robert Zoma

Introduction: In Burkina Faso, despite several efforts to improve contraceptive uptake, contraceptive prevalence remains low. Studies suggest that the low levels of family planning (FP) practices can be partially attributed to the low participation of men in reproductive health programmes. Involving men in FP programmes in Burkina Faso is thus imperative, but the obstacles to this are poorly documented. This study has two objectives to explore the perspectives of men and women on barriers to contraceptive use and to identify the strategies to increase male involvement in family planning.

Methods: It is a qualitative study using 20 focus groups and 52 in-depth individual interviews in two regions (North Central Region and Central East Region) with a sample of 29 adult men and 23 women who were married and had children or not. Interviews were conducted in Moore (the national language commonly spoken in both regions). All interviews were recorded and transcribed into French using Microsoft Word. Then, content analysis was carried out using the constant comparison method to identify the major themes.

Results: The results show that men's attitudes are still a significant barrier to women's use of modern contraceptives. The reasons women do not use contraception and men do not adhere to FP programmes include lack of method knowledge, negative beliefs and perceptions about modern contraceptive methods, and the side effects of contraceptives. Cultural norms and preferences for large families are also common barriers to FP. However, the results showed that men's awareness of FP, communication between spouses, and access to FP services can promote men's adherence to FP programmes in the Centre-East and Centre-North regions of Burkina Faso.

Conclusion: Efforts should be made to improve educational standards, especially for men, and reorient FP services to make them more accessible to men.

导言:在布基纳法索,尽管为提高避孕药具使用率做出了若干努力,但避孕药具普及率仍然很低。研究表明,计划生育实践水平低的部分原因是男子对生殖健康方案的参与程度低。因此,让男性参与布基纳法索的计划生育项目势在必行,但这方面的障碍鲜有记录。这项研究有两个目的,一是探讨男子和妇女对使用避孕药具的障碍的看法,二是确定增加男子参与计划生育的战略。方法:采用20个焦点小组和52个深度个人访谈的定性研究方法,在中北部和中东部两个地区,抽样29名成年男性和23名已婚和无子女的女性。访谈用摩尔语(这两个地区通用的国家语言)进行。所有的采访都被记录下来,并用微软文字处理软件翻译成法语。然后,采用恒值比较法进行内容分析,确定主要主题。结果:结果表明,男性的态度仍然是妇女使用现代避孕药具的重大障碍。妇女不使用避孕措施和男子不遵守计划生育规划的原因包括缺乏方法知识、对现代避孕方法的消极信念和看法以及避孕措施的副作用。文化规范和对大家庭的偏好也是计划生育的常见障碍。然而,结果表明,在布基纳法索的中东部和中北部地区,男性对计划生育的认识、配偶之间的沟通以及获得计划生育服务可以促进男性对计划生育方案的遵守。结论:应努力提高教育水平,特别是男性的教育水平,并重新定位计划生育服务,使其更容易为男性所接受。
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引用次数: 5
Quality of Long-acting Reversible Contraception Provision in Lomé, Togo. 多哥洛莫雷市长效可逆避孕措施的质量分析。
Pub Date : 2020-09-23 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S257385
Karen Weidert, Koffi B Tekou, Ndola Prata

Context: Provision of high-quality contraceptive counseling and services is essential to ensure family planning (FP) programs are rights-based and voluntary. Togo's modern contraceptive use has steadily increased with almost a quarter of the method mix attributed to long-acting reversible contraceptives (LARC). The purpose of this study is to assess the quality of LARC provision in Togo.

Methods: Data for this study were collected in 2016 as part of a larger research study conducted in Lomé, Togo to assess the effectiveness of the ongoing FP service delivery model. Quality of FP service was assessed in terms of program capacity and program performance. Program capacity was measured with five individual variables and program performance was measured with the Method Information Index (MII). Descriptive statistics and mixed effects models were used to assess likelihood of LARC uptake.

Results: Of the 669 clients included in the study, 19.4% received a LARC method. Multivariable results show that LARC uptake is significantly associated with supervisory visit at the facility in the last three months (program capacity indicator) (OR 1.44; 95%CI 1.48-2.39) and is twice as likely for those with a positive MII score, even after controlling for provider and client characteristics (OR 2.1; 95%CI 1.61-2.51).

Conclusion: This study identified supervisory visits and comprehensive contraceptive counseling as the key quality factors positively associated with uptake of LARC. Continued focus on quality of care and provider-client information exchange is necessary to ensure women's FP needs are met.

背景:提供高质量的避孕咨询和服务对于确保计划生育项目是基于权利和自愿的至关重要。多哥的现代避孕药具的使用稳步增加,几乎四分之一的方法混合归功于长效可逆避孕药(LARC)。本研究的目的是评估多哥LARC提供的质量。方法:本研究的数据于2016年收集,作为在多哥lomoise进行的一项大型研究的一部分,以评估正在进行的计划生育服务提供模式的有效性。计划生育服务的质量是根据计划容量和计划绩效来评估的。程序容量用五个单独的变量来衡量,程序性能用方法信息指数(MII)来衡量。使用描述性统计和混合效应模型来评估LARC吸收的可能性。结果:在纳入研究的669名客户中,19.4%的人接受了LARC方法。多变量结果表明,LARC的吸收与最近三个月对设施的监督访问(项目能力指标)显著相关(OR 1.44;95%CI 1.48-2.39),即使在控制了提供者和客户特征之后,MII得分为正的人的可能性也是其两倍(OR 2.1;95%可信区间1.61 - -2.51)。结论:本研究确定了监督访问和全面避孕咨询是与LARC摄取呈正相关的关键质量因素。继续关注护理质量和提供者-客户信息交流是确保满足妇女计划生育需求的必要条件。
{"title":"Quality of Long-acting Reversible Contraception Provision in Lomé, Togo.","authors":"Karen Weidert,&nbsp;Koffi B Tekou,&nbsp;Ndola Prata","doi":"10.2147/OAJC.S257385","DOIUrl":"https://doi.org/10.2147/OAJC.S257385","url":null,"abstract":"<p><strong>Context: </strong>Provision of high-quality contraceptive counseling and services is essential to ensure family planning (FP) programs are rights-based and voluntary. Togo's modern contraceptive use has steadily increased with almost a quarter of the method mix attributed to long-acting reversible contraceptives (LARC). The purpose of this study is to assess the quality of LARC provision in Togo.</p><p><strong>Methods: </strong>Data for this study were collected in 2016 as part of a larger research study conducted in Lomé, Togo to assess the effectiveness of the ongoing FP service delivery model. Quality of FP service was assessed in terms of program capacity and program performance. Program capacity was measured with five individual variables and program performance was measured with the Method Information Index (MII). Descriptive statistics and mixed effects models were used to assess likelihood of LARC uptake.</p><p><strong>Results: </strong>Of the 669 clients included in the study, 19.4% received a LARC method. Multivariable results show that LARC uptake is significantly associated with supervisory visit at the facility in the last three months (program capacity indicator) (OR 1.44; 95%CI 1.48-2.39) and is twice as likely for those with a positive MII score, even after controlling for provider and client characteristics (OR 2.1; 95%CI 1.61-2.51).</p><p><strong>Conclusion: </strong>This study identified supervisory visits and comprehensive contraceptive counseling as the key quality factors positively associated with uptake of LARC. Continued focus on quality of care and provider-client information exchange is necessary to ensure women's FP needs are met.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAJC.S257385","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38498115","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
Discontinuation of Reversible Long-Acting Contraceptive and Associated Factors among Female Users in Health Facilities of Hawassa City, Southern Ethiopia: Cross-Sectional Study. 埃塞俄比亚南部阿瓦萨市卫生机构女性使用者停用可逆长效避孕药及其相关因素:横断面研究
Pub Date : 2020-08-26 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S259978
Belay Amare Abebe, Nega Assefa, Bezatu Mengistie

Background: Despite improvement in the availability and use of reversible long-acting contraception, discontinuation is becoming a public health concern. A significant proportion of women discontinuing the service before its due date, which is of concern in the health system with regard to its consequences, may lead to a program failure. In addition, there is a paucity of information on discontinuation of reversible long-acting contraceptives and associated factors in the study area. Therefore, this study aimed to assess discontinuation of reversible long-acting contraceptives and associated factors among female users in health facilities of Hawassa city, southern Ethiopia, 2019.

Methods: Institution-based cross-sectional design was used. Systematic sampling was used to select study participants. Women who were users of long-acting contraceptives and had come to selected health facilities for method-related reasons were included in the study. Data collectors approached and recruited participants before they contacted their care providers. Data were collected from study subjects using a pretested, structured questionnaire through face-to-face interviews after participants had contacted care providers. Results are presented using the crude and adjusted ORs with corresponding 95% CIs.

Results: The overall proportion of reversible long-acting contraceptive discontinuation was 56.6% (95% CI 52.30%, 61.10%). Maternal education at primary level (AOR 2.33, 95% CI 1.15-4.74), lack of counseling (AOR 2.50, 95% CI 1.01-6.18), side effects (AOR 2.10, 95% CI 1.31-3.34), and desire to be pregnant (AOR 2.22; 95CI 1.50-3.30) were the major factors in discontinuation.

Conclusion: In this study, the overall proportion of discontinuation of reversible long-acting contraceptives was high. Maternal education at primary level, lack of counseling, side effects, and desire to be pregnant were the key factors associated with discontinuation of the contraceptives. Health professionals should provide counseling on the side effects before insertion.

背景:尽管可逆长效避孕的可得性和使用有所改善,但停药正在成为一个公共卫生问题。相当大比例的妇女在预产期之前停止服务,这是卫生系统对其后果的关切,可能导致方案失败。此外,在研究地区,关于可逆长效避孕药具的停药和相关因素的资料也很缺乏。因此,本研究旨在评估2019年埃塞俄比亚南部阿瓦萨市卫生机构女性使用者中可逆长效避孕药的停药情况及其相关因素。方法:采用基于机构的横断面设计。采用系统抽样方法选择研究对象。使用长效避孕药具并因与避孕方法有关的原因到选定的保健机构就诊的妇女被纳入研究。数据收集人员在参与者联系他们的护理提供者之前接触并招募参与者。在参与者联系护理提供者后,通过面对面访谈,使用预先测试的结构化问卷从研究对象中收集数据。结果采用粗or和调整后的or,相应的ci为95%。结果:可逆长效避孕药停药的总比例为56.6% (95% CI为52.30%,61.10%)。母亲小学教育水平(AOR 2.33, 95% CI 1.15-4.74),缺乏咨询(AOR 2.50, 95% CI 1.01-6.18),副作用(AOR 2.10, 95% CI 1.31-3.34),以及渴望怀孕(AOR 2.22;95CI 1.50-3.30)是导致停药的主要因素。结论:在本研究中,停用可逆长效避孕药的总体比例较高。产妇接受初级教育、缺乏咨询、副作用和渴望怀孕是导致停止使用避孕药的关键因素。健康专业人员应在插入前就副作用提供咨询。
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引用次数: 8
Utilization Pattern of Long-Acting and Permanent Family Planning Methods and Associated Factors: A Community-Based Cross-Sectional Study in Ethiopia. 长效和永久性计划生育方法的使用模式及相关因素:埃塞俄比亚社区横断面研究。
Pub Date : 2020-08-25 eCollection Date: 2020-01-01 DOI: 10.2147/OAJC.S262146
Chilot Abiyu Demeke, Asmamaw Emagn Kasahun, Wudneh Simegn Belay, Abay Nega Chekol, Rahel Alemu Getaneh, Dawit Kumilachew Yimenu

Background: Long-acting and permanent family planning methods (LAPMs) are modern contraceptive methods that can prevent pregnancy for greater than one year and include long-acting reversible contraceptive methods (LARCs) (Intrauterine device and subdermal implants), and permanent contraceptive methods (Tubal ligation and Vasectomy). The current study aimed to assess the utilization pattern of long-acting and permanent contraceptive methods and factors associated with their utilization in Lay-Armachiho district, Amhara regional state, Ethiopia.

Methods: A community-based cross-sectional study was conducted. Data were collected by using an interview method and the collected data were entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Both binary logistics and multivariable logistic regression analyses were used to analyze predictive variables with the utilization of contraceptives. A 95% confidence interval (CI) and a P-value of <0.05 were used to declare statistical significance.

Results: A total of 460 women have participated in the study. The proportion of women that utilize long-acting and permanent contraceptives was found to be 65.4%. Educational statuses, residence, attitude towards long-acting contraceptives, discussion, and joint decision-making with their spouse were factors significantly associated with the utilization of long-acting contraceptive methods.

Conclusion: The current study showed that there is high utilization of LAPMs. Women's attitude, educational status, residency, frequent discussions, and a joint decision with their partners about LAPMs were significantly associated with the utilization of long-acting and permanent contraceptives. There is a significant impact of husbands (sexual partners) on the utilization and choice of contraceptive methods by women.

背景:长效和永久性计划生育方法(LAPMs)是预防怀孕超过一年的现代避孕方法,包括长效可逆避孕方法(LARCs)(宫内节育器和皮下植入物)和永久性避孕方法(输卵管结扎和输精管切除术)。本研究旨在评估埃塞俄比亚阿姆哈拉州Lay-Armachiho地区长效和永久性避孕方法的使用模式及其使用相关因素。方法:以社区为基础进行横断面研究。采用访谈法收集数据,使用SPSS (Statistical Package for Social Sciences)第20版对收集到的数据进行输入和分析。采用二元logistic和多变量logistic回归分析方法对避孕药使用的预测变量进行分析。结果的95%置信区间(CI)和p值:共有460名女性参与了该研究。使用长效和永久性避孕药具的妇女比例为65.4%。受教育程度、居住地、对长效避孕药的态度、与配偶讨论、共同决策是影响长效避孕药使用的重要因素。结论:目前的研究表明,lapm具有较高的利用率。妇女对lapm的态度、教育程度、居住地、频繁讨论以及与伴侣共同决定与长效和永久性避孕药具的使用显著相关。丈夫(性伴侣)对妇女使用和选择避孕方法有重大影响。
{"title":"Utilization Pattern of Long-Acting and Permanent Family Planning Methods and Associated Factors: A Community-Based Cross-Sectional Study in Ethiopia.","authors":"Chilot Abiyu Demeke,&nbsp;Asmamaw Emagn Kasahun,&nbsp;Wudneh Simegn Belay,&nbsp;Abay Nega Chekol,&nbsp;Rahel Alemu Getaneh,&nbsp;Dawit Kumilachew Yimenu","doi":"10.2147/OAJC.S262146","DOIUrl":"https://doi.org/10.2147/OAJC.S262146","url":null,"abstract":"<p><strong>Background: </strong>Long-acting and permanent family planning methods (LAPMs) are modern contraceptive methods that can prevent pregnancy for greater than one year and include long-acting reversible contraceptive methods (LARCs) (Intrauterine device and subdermal implants), and permanent contraceptive methods (Tubal ligation and Vasectomy). The current study aimed to assess the utilization pattern of long-acting and permanent contraceptive methods and factors associated with their utilization in Lay-Armachiho district, Amhara regional state, Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted. Data were collected by using an interview method and the collected data were entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Both binary logistics and multivariable logistic regression analyses were used to analyze predictive variables with the utilization of contraceptives. A 95% confidence interval (CI) and a P-value of <0.05 were used to declare statistical significance.</p><p><strong>Results: </strong>A total of 460 women have participated in the study. The proportion of women that utilize long-acting and permanent contraceptives was found to be 65.4%. Educational statuses, residence, attitude towards long-acting contraceptives, discussion, and joint decision-making with their spouse were factors significantly associated with the utilization of long-acting contraceptive methods.</p><p><strong>Conclusion: </strong>The current study showed that there is high utilization of LAPMs. Women's attitude, educational status, residency, frequent discussions, and a joint decision with their partners about LAPMs were significantly associated with the utilization of long-acting and permanent contraceptives. There is a significant impact of husbands (sexual partners) on the utilization and choice of contraceptive methods by women.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAJC.S262146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38498113","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: 11
期刊
Open access journal of contraception
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