Determinants of Contraceptives Use amongst Youth: An Exploratory Study with Family Planning Service Providers in Karachi Pakistan

Nishtar, Noureen Aleem; Sami, Neelofar; Alim, S.; Pradhan, Nousheen Akber; Hasnain, Farid

doi:10.5539/gjhs.v5n3p1

Cited by 14 publications

(13 citation statements)

References 24 publications

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“…Nishtar et al, 17 found that with a good education, knowledge of contraception would also be good, so that 20 in Bangladesh which found that education is a significant factor to the contraseptives use, but all of these results were not in line with Walvekar, 21 study result which found no association between education of spouses with contraceptive use. Motivation is also one important factor in determining a choice in the use of contraceptives.…”

Section: Discussioncontrasting

confidence: 53%

Effects of Contraceptive Use on Productivity of Women Labor at PT. Bomar Makassar Industrial Area

Mappajanci

Misnawati

Darmawansyah

2017

Kesmas: National Public Health Journal

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Work productivity is potential on the survival of a company. The use of contraceptives may affect the physiology of every woman, so it can affect daily activities and resulted in labor productivity. The aim of this study was to determine the contraceptive use effect on labor woman productivity by controlling with age, education and work motivation. Study with cross sectional design involved 71 married women workers of PT. X Makassar who had got married. Data were found by interview using questionnaire on May to June 2015, then analyzed using univariate, bivariate and multivariate analysis. The results of the study indicate that, there was an effect of contraceptive use on woman labor productivity after controlling for variables as age (p value = 0.011), education (p value = 0.022) and work motivation (p value = 0.028).Withouth being controlled by those variables, a significant result showing an effect of contraceptive use on work productivity was also found (p value < 0.05). The results of multivariable analysis indicate that there were two variables which consistenly affected the productivity, namely work motivation (p value = 0.010) and contraceptive use (p value = 0.010). In conclusion, there is an effect of contraceptive use on woman labor productivity. Keywords: Contraceptive use, women laborers, work motivation, work productivity Abstrak Produktivitas kerja potensial pada kelangsungan hidup perusahaan. Penggunaan kontrasepsi dapat memengaruhi fisiologi setiap perempuan, sehingga dapat memengaruhi aktivitas sehari-hari dan akan berdampak terhadap produktivitas tenaga kerja. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan alat kontrasepsi terhadap produktivitas tenaga kerja perempuan dengan mengontrol usia, pendidikan dan motivasi kerja. Penelitian dengan rancangan potong lintang melibatkan 71 pekerja perempuan PT X Makassar yang telah menikah. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner pada bulan Mei sampai Juni 2015, kemudian dianalisis secara univariat, bivariat, dan multivariat. Hasil penelitian menunjukkan bahwa terdapat pengaruh penggunaan alat kontrasepsi terhadap produktivitas kerja setelah dikontrol dengan variabel usia (nilai p = 0,011), pendidikan (nilai p = 0,022) dan motivasi kerja (nilai p = 0,028). Tanpa dikontrol dengan variabel tersebut, juga terdapat hasil yang signifikan yang menunjukkan dampak penggunaan alat kontrasepsi terhadap produktivitas kerja (nilai p < 0,05). Hasil analisis multivariat menunjukkan bahwa terdapat dua variabel yang konsisten memberikan pengaruh terhadap produktivitas kerja yaitu motivasi kerja (nilai p = 0,010) dan penggunaan alat kontrasepsi (nilai p = 0,010). Dapat disimpulkan bahwa terdapat pengaruh penggunaan alat kontrasepsi terhadap produktivitas kerja. Kata kunci: Penggunaan kontrasepsi, tenaga kerja perempuan, motivasi kerja, produktivitas kerja

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Section: Discussioncontrasting

confidence: 53%

Effects of Contraceptive Use on Productivity of Women Labor at PT. Bomar Makassar Industrial Area

Mappajanci

Misnawati

Darmawansyah

2017

Kesmas: National Public Health Journal

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“…From programmatic view point, an encouraging aspect of increased knowledge and awareness of MWRA about contraceptive methods is the successful awareness raising efforts by MSS Field Health Educators who were the agents of information in this regard. This is encouraging programmatically since it shows that enhancing the capacity and efficacy of frontline workers can greatly impact perceptions about contraception that ultimately translate into increased and consistent usage of these methods [ 21 , 22 ]. Increased Awareness levels have also translated into the understanding and demand creation for contraception that is long term rather than shorter term methods indicated by enhanced IUD related Awareness and usage.…”

Section: Discussionmentioning

confidence: 99%

Engaging with community-based public and private mid-level providers for promoting the use of modern contraceptive methods in rural Pakistan: results from two innovative birth spacing interventions

et al. 2016

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BackgroundFamily planning (FP) interventions aimed at reducing population growth have negligible during the last two decades in Pakistan. Innovative FP interventions that help reduce the growing population burden are the need of the hour. Marie Stopes Society - Pakistan implemented an operational research project - ‘Evidence for Innovating to Save Lives’, to explore effective and viable intervention models that can promote healthy timing and spacing of pregnancy in rural and under-served communities of Sindh, Punjab and Khyber Pakhtunkhwa provinces of Pakistan.MethodsWe conducted a quasi-experimental (pre - and post-intervention with control arm) study to assess the effectiveness of each of the two intervention models, 1) Suraj model (meaning ‘Sun’ in English), which uses social franchises (SF) along with a demand-side financing (DSF) approach using free vouchers, and 2) Community Midwife (CMW) model, in promoting the use of modern contraceptive methods compared to respective controls.Baseline and endline cross-sectional household surveys were conducted, 24 months apart, by recruiting 5566 and 6316 married women of reproductive age (MWRA) respectively. We used Stata® version 8 to report the net effect of interventions on outcome indicators using difference-in-differences analysis. Multivariate Cox proportional hazard regression analysis was used to assess the net effect of the intervention on current contraceptive use, keeping time constant and adjusting for other variables in the model.ResultsThe Suraj model was effective in significantly increasing awareness about FP methods among MWRA by 14 % percentage points, current contraceptive use by 5 % percentage points and long term modern method - intrauterine device (IUD) use by 6 % percentage points. The CMW model significantly increased contraceptive awareness by 28 % percentage points, ever use of contraceptives by 7 % percentage points and, IUD use by 3 % percentage points. Additionally the Suraj intervention led to a 35 % greater prevalence (prevalence ratio: 1.35, 95 % CI: 1.22–1.50) of contraceptive use among MWRA.ConclusionSuraj intervention highlights the importance of embedding subsidized FP services within the communities of the beneficiaries. The outcomes of the CMW intervention also improved the use of long-term contraceptives. These findings indicate the necessity of designing and implementing FP initiatives involving local mid-level providers to expand contraceptive coverage in under-served areas.

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“…2 Being one of the poorest and sixth populous country in the world, Pakistan with other developing countries contributes 50% of the maternal deaths across the world. 3 It is expected that Pakistan's population will double by 2050. In spite of a long history of FP programs, the growth rate of population is high at 2.1%, with a contraceptive prevalence rate of 35%, unmet need at 20% and the total fertility rate at 3.8 4 With 35% CPR (according to Pakistan demographic health survey (PDHS) 2013), modern methods contributes only 26% and 20% of patients with an unmet need for family planning.…”

Section: Introductionmentioning

confidence: 99%

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

Abbasi¹,

Shaikh²,

Memon³

2020

TPMJ

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The postpartum family planning (PPFP) services are offered immediately after delivery (immediate PPFP), within 40 days after delivery (early PPFP) and within 12 month after delivery (extended PPFP). To promote PPFP the counselling during antenatal visit, before discharge from maternity ward, during postnatal visit and visit during immunization of their babies are the opportunities where health providers help them to decide about the post-partum contraception. Objectives: To compare the coverage of immediate and early postpartum family planning to extended postpartum family planning. To analyze the socio demographic barriers for adopting immediate and early postpartum family planning methods. To identify the missed opportunities for immediate and early postpartum family planning. Study Design: Community Based Comparative Cross Sectional study. Setting: Tando Jam and Hali Road Hyderabad, Sindh. Period: Three months from 01-07-2017 to 30-09-2017. Material & Methods: Three Hundred females of reproductive age (15 to 49 years) during immediate, early and extended postpartum period residing in study area were selected through Purposive Sampling Technique. A pre-designed questionnaire was used as a data collection tool. The data was analyzed using SPSS version 16. The participants were inquired about the usage and concerns towards immediate and early post-partum family planning methods. Barriers and opportunities were identified. The association between various socio-demographic variables and family planning method was determined by applying Chi-square test at ≤0.05 level of significance. Results: Highest number of the study participants were practicing extended method of post-partum family planning i.e. 223(74.33%), only 65(21.67%) had adopted early PPFP and 12 (4%) were practicing immediate post-partum family planning. Low socio-economic status, low literacy rate of both partner, young age of women, and permission from husband, fear of health problem due to contraception and previous bad experience with contraceptive methods were identified barriers towards family planning adoption. Deliveries in homes or in maternity home, facilitated by Dais, not going through ante-natal checkups and not bringing the last born for vaccination were reported with non-adoption of immediate post-partum family planning. Conclusion: The coverage of immediate and early postpartum family planning is very low in the community so the barriers and opportunities identified should be addressed to overcome the hindrances.

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Determinants of Contraceptives Use amongst Youth: An Exploratory Study with Family Planning Service Providers in Karachi Pakistan

Cited by 14 publications

References 24 publications

Effects of Contraceptive Use on Productivity of Women Labor at PT. Bomar Makassar Industrial Area

Effects of Contraceptive Use on Productivity of Women Labor at PT. Bomar Makassar Industrial Area

Engaging with community-based public and private mid-level providers for promoting the use of modern contraceptive methods in rural Pakistan: results from two innovative birth spacing interventions

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

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