Barriers and missed opportunities towards immediate and early post-partum family planning methods in Pakistan.

Abbasi, Yasmeen; Shaikh, Shazia Rahman; Memon, Khalida Naz

doi:10.29309/tpmj/2020.27.07.4273

Cited by 3 publications

(4 citation statements)

References 13 publications

(17 reference statements)

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“…This study revealed that 21.3% (95% CI 17.8 to 25.1) of postpartum women used IPPFP, consistent with studies done in Ethiopia (19.1%–21.6%) 31–33. However, the current finding was lower than the studies conducted in Georgia (49%),34 Kenya (50.3%),35 Jimma (53.2%)5 and Addis Ababa (45.5%),36 and higher than the studies conducted in Pakistan (4%)37 and Ethiopia (12.7%–13.6%) 38 39. These variations might possibly be due to differences in sociocultural and demographic characteristics, study setting, data collection period and inclusion criteria.…”

Section: Discussionsupporting

confidence: 87%

Utilisation of immediate postpartum family planning among postpartum women at public hospitals of North Shoa Zone, Ethiopia: a cross-sectional study

et al. 2022

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ObjectiveThis study aimed to assess the prevalence of immediate postpartum family planning utilisation and the associated factors among postpartum women at public hospitals of North Shoa Zone, Ethiopia.Design and methodsA facility-based cross-sectional study was conducted in 1–30 May 2020. Systematic random sampling technique was used to select the participants. Data were collected through a face-to-face interview using a structured and pretested questionnaire. Univariate and multivariable logistic regression analyses were employed. In multivariable logistic regression analysis, p<0.05 and adjusted OR (AOR) with 95% CI were used to declare statistically significant factors.Setting and participantsThe study was conducted at public hospitals of North Shoa Zone, Ethiopia. A total of 394 postpartum women within 48 hours after giving birth before discharge from the selected hospitals were enrolled in the study.OutcomeImmediate postpartum family planning utilisation (used or not used).ResultsOf the total 394 participants, 84 (21.3%) used immediate postpartum family planning. The factors associated with immediate postpartum family planning utilisation were women’s age (30–34 years) (AOR: 0.118; 95% CI 0.023 to 0.616), planning status of pregnancy (AOR: 3.175; 95% CI 1.063 to 9.484), reproductive intention (AOR: 5.046; 95% CI 1.545 to 16.479), partner support (AOR: 4.293; 95% CI 1.181 to 15.61), attitude towards family planning (AOR: 2.908; 95% CI 1.081 to 7.824) and maternal satisfaction with intrapartum care (AOR: 6.243; 95% CI 2.166 to 17.994).ConclusionIn the study area, only less than a quarter of postpartum women used immediate postpartum family planning. Therefore, enhancing immediate postpartum family planning utilisation, strengthening community awareness to develop a favourable attitude towards family planning, promoting partner involvement in family planning and ensuring maternal satisfaction during intrapartum care are essential.

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Section: Discussionsupporting

confidence: 87%

Utilisation of immediate postpartum family planning among postpartum women at public hospitals of North Shoa Zone, Ethiopia: a cross-sectional study

et al. 2022

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“…Respondents who sought PNC were more likely to use modern contraceptive methods. Evidence in the literature has endorsed that postnatal counseling before discharge significantly improves motivation for and practice of contraceptive uptake [26, 31, 32, 33]. This study also observed that Lady Health Worker’s counselling delivered during a PNC visit increased the likelihood of family planning utilization.…”

Section: Discussionsupporting

confidence: 57%

Predictors of voluntary uptake of modern contraceptive methods in rural Sindh, Pakistan

Memon,

Ahmed,

Mian

et al. 2023

Preprint

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Introduction: The use of modern contraceptive methods (MCMs) in Pakistan has been stagnant for the last decade. In Sindh, current contraceptive use is at 28.9%, of which 25% is MCMs use. Such a low uptake translates into high unmet need 17% amongst married women. To bridge the gap between the health system and beneficiaries, there is a need to assess predictors that influence voluntary uptake of MCMs among women, at the health services and individual levels. Methods: A cross-sectional household survey was conducted in two districts of Sindh, Pakistan namely Matiari and Badin. In total, 1684 Married Women of Reproductive Age (MWRA) 15-49 years were interviewed. For the selection of eligible respondents, a two-stage stratified cluster sampling strategy was used. Univariate and multivariable logistic regression was used to determine the predictive factors for the increase in the use of MCM. Results: Mean age was 32.3 ±SD 7.1 years. Average number of children per woman was 4.0 ± 2.0. Use of modern methods of contraceptive was 26.1% [n=441).Statistically significant socio demographic predictors of MCM included: Number of children 4 or more (AOR 5.234 95%CI 2.78-9.84), Mother having primary education (AOR 1.730 95% CI 1.26-2.36), and Husband having middle education (AOR 1.69 95% CI 1.03 – 2.76).Maternal health services indicators included postnatal checkup of mother (AOR 1.46 95% CI 1.09 – 2.05); women who were visited by Lady Health Workers in their postnatal period and were counseled on family planning (AOR 1.83 95% CI 1.386 - 2.424). Conclusion: Voluntary uptake of modern contraceptive methods is higher in women having 2 or more children, having primary education and husband having middle education. Significantly, receiving post-natal checkup at facility, and Lady Health Worker visit after delivery have more likelihood to opt for contraception. Additionally, young couple counseling on family planning is imperative to bridge the gap between knowledge and its translation into practice. There is also a need to focus on the provision of integrated family planning and maternal, newborn, and child health services through facility-based and community engagement platforms.

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“…Besides these, there are common misconceptions among individuals regarding the use of IUDs, with concerns including the potential for abortion, ectopic pregnancy, and discomfort. Additionally, there are fears that the IUD may rust inside the body and become displaced during sexual intercourse, leading to sexual complications [4,29].…”

Section: Fear and Misconceptions Among Women Regarding Iudsmentioning

confidence: 99%

“…Rapid population growth can lead to the exacerbation of unemployment and a scarcity of health and education resources [4]. Also, low birth spacing, besides a characteristic of a drastic population rise, poses a greater risk for maternal and infant health issues [5].…”

Section: Introductionmentioning

confidence: 99%

Why Pakistani Women Do Not Use Intrauterine Contraceptive Devices: A Systematic Review of Barriers and Misconceptions

Sajjad,

Ishaq,

Asghar

2023

Cureus

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This review explores barriers limiting the adoption of Intrauterine Contraceptive Devices (IUCDs) in Pakistan, focusing exclusively on local articles. As Pakistan's high population calls for widespread contraception, we aim to pinpoint obstacles hindering IUCD utilization, irrespective of parity.We conducted a comprehensive search of PubMed, Google Scholar, PakMedinet, and Wiley Online Library for English-language primary studies published between 2000 and 2022, reporting on IUCD utilization in Pakistan.Our analysis reveals multiple barriers impeding IUCD use in Pakistan. These encompass patriarchal social norms, male dominance, low education, socioeconomic status, and unemployment. Post-insertion health concerns, inadequate counseling, government commitment, and awareness were also identified barriers. Provider confidence, client trust, women's autonomy, social constraints, and limited male partner involvement hindered IUCD adoption. A desire for larger families and male offspring, vague religious beliefs, fear, and misconceptions further restricted usage. Accessibility and high service costs also posed challenges.This review highlights prevailing impediments to IUCD adoption in Pakistan, encompassing knowledge gaps, motivation deficits, resistance from husbands and in-laws, cultural and religious beliefs, limited access, and communication barriers. To promote IUCDs as a modern contraceptive method, it is essential to raise awareness among both men and women. Active involvement of religious leaders and community stakeholders is crucial in addressing these social factors hindering IUCD utilization.

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Barriers and missed opportunities towards immediate and early post-partum family planning methods in Pakistan.

Cited by 3 publications

References 13 publications

Utilisation of immediate postpartum family planning among postpartum women at public hospitals of North Shoa Zone, Ethiopia: a cross-sectional study

Utilisation of immediate postpartum family planning among postpartum women at public hospitals of North Shoa Zone, Ethiopia: a cross-sectional study

Predictors of voluntary uptake of modern contraceptive methods in rural Sindh, Pakistan

Why Pakistani Women Do Not Use Intrauterine Contraceptive Devices: A Systematic Review of Barriers and Misconceptions

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