在加尔各答一家选定医院妇科门诊部就诊的育龄妇女对 Chhaya(非激素类每周一次的 centchroman 避孕药)的看法、误解和满意度

Ishita Roy, Manika Mazumder, Rakhi Ghosh
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The Total enumerative sampling technique was employed to select as subjects and the Data was collected by using self-developed, validated demographic proforma, perception assessment scale, misconception rating scale, satisfaction assessment tool through interviewing technique.Results: The findings revealed that of all these women, 51.30% had positive perception, 60% had misconceptions and 55.65% respondents were satisfied with CHHAYA. Statistically a significant relationship was found between the perception and the satisfaction of the women regarding CHHAYA (‘ρ’=0.61, ‘t’ =8.18, p= 0.0008). Statistically significant association found between level of perception and partner’s approval (ꭓ2 = 5.94, p =0.01), duration of use (ꭓ2 = 7.65, p =0.005). It has also been outlined that there was statistically significant association between level of misconception and the religion (ꭓ2 = 6.94, p =0.008), education level of the women (ꭓ2 = 6.16, p =0.01). It also depicted that there was statistically significant association between level of satisfaction and the type of family (ꭓ2 = 8.33, p =0.003), partners approval (ꭓ2 = 4.64, p =0.03), duration of use (ꭓ2 = 8.93, p =0.002).Conclusion: In spite of the fact that CHHAYA is an effective, inexpensive, easily accessible, lack of stringent schedule, safe in terms of side-effects like other OCPs, non-interference with sexual drive, reversible contraceptive method for women who opt for family planning it is mostly underutilized among contraceptives as there is negative perception, strong misconceptions, lack of satisfaction. 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引用次数: 0

摘要

人口增长是对国际社会的严重威胁,也是国家社会和经济发展的主要障碍,更是像印度这样的发展中国家目前面临的最大问题之一。为了满足避孕需求,同时履行 2030 年议程的承诺,印度政府推出了 "Centchroman"(非激素或非类固醇每周避孕药),作为育龄妇女甚至哺乳期妇女的避孕选择,它相对来说更安全、更好,因为它不会像其他类固醇避孕药一样产生副作用。目的:本研究旨在评估在加尔各答一家选定医院妇科门诊部就诊的育龄妇女对 CHHAYA(非激素类百服宁)的看法、误解和满意度:在加尔各答一家选定医院的妇科门诊部对 115 名使用 CHHAYA 的育龄妇女进行了探索性调查研究。研究采用了全面计数抽样技术来选择研究对象,并通过访谈技术使用自行开发、经过验证的人口统计学问卷、感知评估量表、误解评级量表和满意度评估工具来收集数据:调查结果显示,在所有这些妇女中,51.30% 的受访者对 CHHAYA 有积极的看法,60% 的受访者有错误的看法,55.65% 的受访者对 CHHAYA 表示满意。从统计学角度看,妇女对 CHHAYA 的认知和满意度之间存在明显关系('ρ'=0.61,'t'=8.18,p= 0.0008)。经统计发现,感知水平与伴侣的认可度(ꭓ2 = 5.94,p =0.01)、使用时间(ꭓ2 = 7.65,p =0.005)之间存在明显关联。调查还显示,误解程度与宗教信仰(ꭓ2 = 6.94,p =0.008)、妇女受教育程度(ꭓ2 = 6.16,p =0.01)之间存在明显的统计学关联。调查还显示,满意度与家庭类型(ꭓ2 = 8.33,p =0.003)、伴侣认可度(ꭓ2 = 4.64,p =0.03)、使用时间(ꭓ2 = 8.93,p =0.002)之间存在明显的统计学关联:尽管 CHHAYA 是一种有效的、廉价的、容易获得的、没有严格时间表的、安全的、像其他 OCPs 一样没有副作用的、不干扰性欲的、可逆的避孕方法,但对于选择计划生育的妇女来说,由于对它的负面看法、强烈的误解和缺乏满意度,它在避孕药具中大多未得到充分利用。到目前为止,由于妇女对这种方法的了解不够,使用率还很低,因此,医疗保健提供者可以通力 合作,提供适当的咨询和跟踪服务,以减少误解、降低停用率并保持对 CHHAYA 的依从性。
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PERCEPTION, MISCONCEPTIONS AND SATISFACTION REGARDING CHHAYA (NON-HORMONAL WEEKLY CENTCHROMAN PILL) AMONG WOMEN WITHIN REPRODUCTIVE AGE GROUP ATTENDING GYNECOLOGICAL OUT PATIENT DEPARTMENT IN A SELECTED HOSPITAL, KOLKATA
Population growth is a serious threat to the international community and a major obstacle for nation’s social and economic development, moreover it is one of the biggest problems developing country like India is facing at the moment and to satisfy the need of contraceptive as well as to fulfill the undertaking of the 2030 Agenda GOI has introduced ‘Centchroman’, non-hormonal or non-steroid based weekly pill which is relatively safer and better choice as contraceptive for the reproductive age women even for breastfeeding women as it has no side-effects like other steroidal contraceptives.Aim: This study aims to assess the Perception, Misconceptions and Satisfaction regarding CHHAYA (Non-hormonal weekly Centchroman Pill) among women within the reproductive age group attending the Gynecological Out Patient Department in a selected hospital, Kolkata.Methods: An exploratory survey research was carried out with 115 reproductive age group women using CHHAYA attending the Gynecological Out Patient Department in a selected hospital, Kolkata. The Total enumerative sampling technique was employed to select as subjects and the Data was collected by using self-developed, validated demographic proforma, perception assessment scale, misconception rating scale, satisfaction assessment tool through interviewing technique.Results: The findings revealed that of all these women, 51.30% had positive perception, 60% had misconceptions and 55.65% respondents were satisfied with CHHAYA. Statistically a significant relationship was found between the perception and the satisfaction of the women regarding CHHAYA (‘ρ’=0.61, ‘t’ =8.18, p= 0.0008). Statistically significant association found between level of perception and partner’s approval (ꭓ2 = 5.94, p =0.01), duration of use (ꭓ2 = 7.65, p =0.005). It has also been outlined that there was statistically significant association between level of misconception and the religion (ꭓ2 = 6.94, p =0.008), education level of the women (ꭓ2 = 6.16, p =0.01). It also depicted that there was statistically significant association between level of satisfaction and the type of family (ꭓ2 = 8.33, p =0.003), partners approval (ꭓ2 = 4.64, p =0.03), duration of use (ꭓ2 = 8.93, p =0.002).Conclusion: In spite of the fact that CHHAYA is an effective, inexpensive, easily accessible, lack of stringent schedule, safe in terms of side-effects like other OCPs, non-interference with sexual drive, reversible contraceptive method for women who opt for family planning it is mostly underutilized among contraceptives as there is negative perception, strong misconceptions, lack of satisfaction. As it is till now underuse due to insufficient information about it among the women, so collaborative efforts of proper counselling and follow up can be made by the health care providers reducing the misconceptions, discontinuation rates and to sustain compliance to CHHAYA.
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