Counselling and knowledge about contraceptive mode of action among married women; a cross-sectional study

Abstract

BackgroundFamily planning counselling which covers knowledge transfer about contraceptive mode of action, by enabling informed choice, improves compliance to and efficiency of contraceptive methods.The objective of this study was to investigate associations between family planning counselling, counsellor and correct knowledge about mode of action of modern contraceptive methods among married women.MethodsFor this cross-sectional study, stratified (according to current modern contraceptive method in use) random sampling was performed from the registries of two primary health care centres. Main outcomes were; prevalence of family planning counselling, professional background of the counsellor and correct knowledge about mode of action. A semi-structured questionnaire developed by the researchers was applied via face-to-face interview. The answers about mode of action were categorized as correct vs. incorrect by consensus rating.ResultsPrevalence of counselling and correct knowledge about mode of action was 49.0% and 39.3%, respectively. Higher educated women were significantly more likely to know the mode of action (p < 0.001). Being counselled by a physician (54.1%, n = 120) was not associated with correct knowledge about mode of action (p = 0.79). Non-barrier method users were less educated (p = 0.001), more often counselled (60.8% vs. 8.0%) and less knowledgeable (p < 0.001) about mode of action of their contraceptive method, compared to condom users. Nevertheless, counselled non-barrier method users were significantly more likely to know the correct mode of action of their chosen method (p = 0.021) than counselled condom users.ConclusionThe beneficial effect of counselling on knowledge about mode of action of the more complicated, medical (non-barrier) contraceptive methods suggests that the use of family planning counselling services in primary health care should be promoted; furthermore, counselling strategies and content should be re-structured for better efficacy.

Knowledge and beliefs about mechanism of action of birth control methods among European women

“…In the Topsever et al study [24], having a high education level was shown to be significantly associated with knowing the mode of action of the contraceptive method used (OR=3.02, 95%CI=1.99-4.58). In addition, they found that knowledge about non-barrier methods such as hormonal methods, IUDs, or sterilization was lower than knowledge of barrier methods, even among highly educated women [24]. Heimberger et al [32] also revealed that more education was significantly associated with better knowledge of EC among clients of FP clinics in Mexico.…”

“…A study conducted among Turkish women from primary health centers found that only 33.6% of barrier methods users and 5.7% of non-barrier methods users had correct knowledge about how their current method worked. It was not specified in the article what "correct knowledge" was for each method [24]. Another study, exploring beliefs about EC among female patients at two academic family medicine clinics in the USA, found that 24% of women responded that EC pill worked before fertilization, 36% before implantation, 6%…”

Prospective study of contraceptive knowledge among the patients seeking medical termination of pregnancy in 1st and 2nd trimester in a tertiary health care

“…In study conducted by Topsever P et al, 41.9% of the women of reproductive age in Degirmendere were using a modern contraceptive method. 4 The condom method was favoured by most of participants of the present study (49.1%).…”

Model Pengambilan Keputusan Meningkatkan Akseptor Keluarga Berencana Metode Kontrasepsi Jangka Panjang

“…Wanita berpendidikan lebih tinggi secara bermakna lebih mungkin mengetahui metode kontrasepsi yang digunakan. 10 Penggunaan alat pengambilan keputusan oleh penyedia kesehatan, dan pemberian informasi tentang keluarga berencana, menunjukkan keterlibatan pasien dalam proses pengambilan keputusan. Komunikasi pasien menjadi meningkat serta kontribusi tenaga kesehatan mengalami pergeseran yang didominasi pada penerapan model shared decision making.…”

“…12,13 Seperti yang dinyatakan penelitian sebelumnya, banyak cara meningkatkan kualitas pelayanan keluarga berencana antara lain meningkatkan dan mempertahankan hubungan terapeutik antara pasien dan petugas kesehatan, meningkatkan komunikasi dan memperbaiki alat bantu pengambilan keputusan MKJP. 10 Semua unsur tersebut telah ada dalam shared decision making model yang menjalankan kegiatan konseling. Bentuk komunikasi interpersonal khusus membantu membuat keputusan atau memecahkan masalah melalui pemahaman klien meliputi faktafakta, harapan, kebutuhan, dan perasaan klien merupakan kegiatan konseling.…”