Practices and Perceptions on Contraception Acceptance among Clients Availing Safe Abortion Services in Nepal

Khanal, Vishnu; Joshi, Chandni; Neupane, Dinesh; Karkee, Rajendra

doi:10.3126/kumj.v9i3.6301

Cited by 19 publications

(24 citation statements)

References 9 publications

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“…In a study conducted by H Tuladhar et al and Ferreira et al, 81% and 82% women respectively belonged to age group 20 -39 years, 12,13 \ comparable with to that of our study. But in a study done at Maternity Hospital Kathmandu 68 % belonged to age group of 20 -29 years 14 which is much higher than that of our study where only 46 % belonged to that age group. The high incidence in that age group in our study may be because they had completed their family and had poor knowledge on contraceptive methods as seen in the study.…”

Section: Demographic Datacontrasting

confidence: 78%

“…Among the clients who use contraceptive method choose IUCD (22%) followed by DMPA (18%) as family planning method. In contrast the acceptance of family planning method was 83% in a study done at maternity hospital 14 and 84-95% by a survey done by CREPHA. 3 In a study of Tanzania none of the clients choose IUCD as method of contraception post abortion, 15 in contrast which was the common method chosen in our study.…”

Section: Acceptance Of Family Planning Methodsmentioning

confidence: 85%

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Acceptance of Family Planning Methods by Clients Availing Safe Abortion Service

Adhikari

Sharma

Dhungana

et al. 2018

Med. J. Pokhara Acad. Health Sci.

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Background: Safe abortion policy was started in 2002 to reduce the maternal mortality and morbidity related to unsafe abortion. Promoting the use of contraceptive methods effectively reduces the abortion rate by preventing unintended pregnancy. In this study the acceptance and selection of contraceptive method following abortion was assessed. Methods: A descriptive retrospective study was conducted from 1st January 2016 till 31st December 2016 at Western Regional Hospital, Pokhara Nepal where 191 women were enrolled for the study. Results: Among 191 women mostly were from the age group of 20-29 (46.1%) and were Hindu (73.3%). Most of them were pregnant for more than one time (86.9%) and do house work (57.6%). The main reason for abortion was due to complete family (67.5%) and the abortion was done by medical method (57.6%). Around 52.4% of women did not choose any form of family planning methods post abortion which is most alarming for the government of Nepal. Conclusion: The abortion service is free in Nepal; most women did not use family planning after abortion which indicates repeated abortion. The good counselling pre and post abortion may be helpful to increase the rate of acceptance of family planning after abortion.

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Section: Demographic Datacontrasting

confidence: 78%

Section: Acceptance Of Family Planning Methodsmentioning

confidence: 85%

Acceptance of Family Planning Methods by Clients Availing Safe Abortion Service

Adhikari

Sharma

Dhungana

et al. 2018

Med. J. Pokhara Acad. Health Sci.

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“…The general knowledge of contraceptive methods was good, although not as good as has previously been described 5. Previous studies indicate that women seeking an abortion have a lower contraceptive knowledge than women intending to give birth 15.…”

Section: Discussionmentioning

confidence: 57%

“…According to a national health survey, almost all Nepalese women of fertile age (99%), including women seeking abortion, know about at least one modern contraceptive method 1,5. The most well-known methods include female and male sterilization, condoms, Depo-Provera® (intramuscular progestin injection) and combined oral contraceptives.…”

Section: Introductionmentioning

confidence: 99%

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Contraceptive knowledge and attitudes among women seeking induced abortion in Kathmandu, Nepal

Berin¹,

Sundell²,

Karki³

et al. 2014

IJWH

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ObjectiveTo map the knowledge about and attitudes toward birth control methods among women in Kathmandu, Nepal, and to compare the results between women seeking an induced abortion and a control group.MethodThis was a cross-sectional cohort study with matched controls. Women aged 15–49 years seeking medical care at the Department of Gynecology and Obstetrics at Kathmandu Medical College were included and interviewed. A case was defined as a woman who sought an elective medical or surgical abortion. A control was defined as a woman who sought medical care at the outpatient department or had already been admitted to the ward for reasons other than elective abortion. A questionnaire developed for the study – dealing with different demographic characteristics as well as knowledge about and attitudes toward contraceptives – was filled out based on the interview.ResultsA total of 153 women were included: 64 women seeking an abortion and 89 controls. Women seeking an abortion had been pregnant more times than the control group and were more likely to have been informed about contraceptives. Women with higher education were less likely to seek an abortion than women with lower education. There was no significant difference in knowledge about and attitudes toward contraceptives between cases and controls. The women considered highest possible effectiveness to be the most important feature when deciding on a birth control method.ConclusionWomen seeking abortion in Kathmandu had shorter education and a history of more pregnancies and deliveries than women in the control group. Education and counseling on sex and reproduction as well as on contraceptive methods probably need to be improved in Nepal to avoid unwanted pregnancies. Attitudes about contraceptives need to be further investigated to develop better and more effective methods to educate women about family planning in order to increase reproductive health.

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Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia

Belachew,

Negash,

Asmamaw

et al. 2023

Sci Rep

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The development of a post-abortion family plan is an integral part of comprehensive abortion care. In spite of this, it received insufficient attention as a means of breaking the cycle of repeated abortions, unintended pregnancies, and maternal deaths resulting from abortion. Therefore, this study examined post abortion modern contraceptive utilization among Ethiopian women as well as associated factors. The study was based on secondary data analysis of the Ethiopian Demographic and Health Survey 2016 data. A total weighted sample of 1236 reproductive age women was included. A multilevel mixed-effect binary logistic regression model was fitted to identify the significant associated factors of post abortion contraceptive use. Statistical significance was determined using Adjusted Odds Ratio (AOR) with 95% confidence interval. Overall prevalence of post abortion contraceptive use was observed to be 25.6% (95% CI: 23.24, 28.12). Women's age 15–24 (AOR = 2.34; 95% CI: 1.11, 4.93), and 25–34 (AOR = 1.94; 95% CI: 1.27, 2.98), married women (AOR = 2.6; 95% CI: 1.43, 4.96), women who had 1–4 (AOR = 4.13; 95% CI: 1.79, 9.57) and ≥ 5 number of children (AOR = 8.80; 95% CI: 3.30, 13.49), Being in metropolitan region (AOR = 9.14; 95% CI: 1.79, 12.48), women being in urban area (AOR = 1.85; 95% CI: 1.32, 2.24), and community media exposure (AOR = 1.75; 95% CI: 1.11, 3.56) were associated with post abortion modern contraceptive use. Post abortion modern contraceptive use in this study was low. Women age, current marital status, number of living children, residency, community media exposure, and region were significantly associated with post abortion modern contraceptive utilization. Therefore, it is better to provide ongoing health information about post-abortion family planning and its benefits, especially for people who live in rural and small peripheral regions, and public health policymakers should take both individual and community level factors into account when designing family planning programmes.

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Practices and Perceptions on Contraception Acceptance among Clients Availing Safe Abortion Services in Nepal

Abstract: Background

Cited by 19 publications

References 9 publications

Acceptance of Family Planning Methods by Clients Availing Safe Abortion Service

Acceptance of Family Planning Methods by Clients Availing Safe Abortion Service

Contraceptive knowledge and attitudes among women seeking induced abortion in Kathmandu, Nepal

Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia

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