Abstract:Background
Ethiopia is striving to reduce unmet need for family planning (FP) and implementation of the health extension program (HEP) is one of the major actions that the country took to address health issues of rural communities including FP. However, there is limited published evidence demonstrating the role of HEP in reducing the unmet need of married rural women for FP. The aim of this study is to estimate the role of HEP in reducing unmet need for FP in rural Ethiopia.
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“…Dominasi suami ditambah dengan rendahnya tingkat pengetahuan menyebabkan kurangnya diskusi terbuka tentang KB dalam pasangan suami istri. Apalagi, pengaruh budaya yang mengakar di mana budaya mendorong dominasi suami, menghalangi perempuan untuk mengontrol kesehatan reproduksinya sendiri (Amraeni, Kamso, Prasetyo, & Ahmad, 2020;Tadesse et al, 2022).…”
Section: Pendahuluanunclassified
“…Berdasarkan hasil penelitian terdapat beberapa upaya untuk meningkatkan penggunaan KB, termasuk penyediaan konseling KB oleh petugas kesehatan termasuk Kader (Tadesse et al, 2022). Kader KB berasala dari masyarakat tepilih dari berbagai latar belakang dan karakteristik.…”
Section: Pendahuluanunclassified
“…Pelatihan kader dapat meningkatkan pengetahuan dan kemapuan komunikasi kader yang lebih baik kepada wanita usia subur sehingga meningkatkan cakupan akseptor KB. Kader yang memiliki tingkat pengetahuan yang baik seputar kontrasepsi, dapat mempengaruhi dan mempromosikan KB pada wanita usia subur, hal ini dapat mengurangi unmet need dan meningkatkan penggunaan KB; memperluas cakupan akseptor KB, sementara kader yang kurang pengetahuan dapat menghambat penggunaan KB (Ormel et al, 2021;Tadesse et al, 2022).…”
The incidence of unmet need family planning in Indonesia is increasing from year to year. In West Sumatra in 2017 it was 18.54%, still far from the target of reducing unmet need, total 9.91%. The high incidence of unmeet need is caused by a lack of knowledge about contraception, as well as the side effects caused by contraception. The KB village in the city of Padang has only touched 0.12% of couples of childbearing age, which is not optimal in controlling population growth. For this reason, the role of KB Village still needs to be increased through community participation and cross-sectoral integration. The aim of this econduct training and mentoring of family planning cadres in KB Village, Padang City. The method used is the participatory planning method, namely cadre training conducted 2 times pre and post test to ensure the ability of family planning cadres in implementing the program. The practical method is assisting cadres in providing education to PUS. The evaluation is carried out in two stages, namely the evaluation being carried out before the training and after the training. The final evaluation is carried out by holding meetings and evaluations with family planning cadres to find out the obstacles and follow-up plans. The result of this activity was an increase in cadre knowledge of 48.7% after training. There is an increase in the coverage of family planning acceptors in KB villages seen from the reporting of new family planning acceptors.
“…Dominasi suami ditambah dengan rendahnya tingkat pengetahuan menyebabkan kurangnya diskusi terbuka tentang KB dalam pasangan suami istri. Apalagi, pengaruh budaya yang mengakar di mana budaya mendorong dominasi suami, menghalangi perempuan untuk mengontrol kesehatan reproduksinya sendiri (Amraeni, Kamso, Prasetyo, & Ahmad, 2020;Tadesse et al, 2022).…”
Section: Pendahuluanunclassified
“…Berdasarkan hasil penelitian terdapat beberapa upaya untuk meningkatkan penggunaan KB, termasuk penyediaan konseling KB oleh petugas kesehatan termasuk Kader (Tadesse et al, 2022). Kader KB berasala dari masyarakat tepilih dari berbagai latar belakang dan karakteristik.…”
Section: Pendahuluanunclassified
“…Pelatihan kader dapat meningkatkan pengetahuan dan kemapuan komunikasi kader yang lebih baik kepada wanita usia subur sehingga meningkatkan cakupan akseptor KB. Kader yang memiliki tingkat pengetahuan yang baik seputar kontrasepsi, dapat mempengaruhi dan mempromosikan KB pada wanita usia subur, hal ini dapat mengurangi unmet need dan meningkatkan penggunaan KB; memperluas cakupan akseptor KB, sementara kader yang kurang pengetahuan dapat menghambat penggunaan KB (Ormel et al, 2021;Tadesse et al, 2022).…”
The incidence of unmet need family planning in Indonesia is increasing from year to year. In West Sumatra in 2017 it was 18.54%, still far from the target of reducing unmet need, total 9.91%. The high incidence of unmeet need is caused by a lack of knowledge about contraception, as well as the side effects caused by contraception. The KB village in the city of Padang has only touched 0.12% of couples of childbearing age, which is not optimal in controlling population growth. For this reason, the role of KB Village still needs to be increased through community participation and cross-sectoral integration. The aim of this econduct training and mentoring of family planning cadres in KB Village, Padang City. The method used is the participatory planning method, namely cadre training conducted 2 times pre and post test to ensure the ability of family planning cadres in implementing the program. The practical method is assisting cadres in providing education to PUS. The evaluation is carried out in two stages, namely the evaluation being carried out before the training and after the training. The final evaluation is carried out by holding meetings and evaluations with family planning cadres to find out the obstacles and follow-up plans. The result of this activity was an increase in cadre knowledge of 48.7% after training. There is an increase in the coverage of family planning acceptors in KB villages seen from the reporting of new family planning acceptors.
Teenage is a time of transition from childhood to adulthood. This stage is a time of change and needs particular care and ongoing support. Adolescent pregnancy remains a common health care problem in low- and middle-income countries, and it is associated with higher maternal and neonatal complications. Thus, this study aimed to determine the trends and factors associated with them that either positively or negatively contributed to the change in teenage pregnancy in Ethiopia. Ethiopian Demographic and Health Survey data from 2005 to 2016 were used for this study. A total weighted sample of 10,655 (3265 in 2005, 4009 in 2011, and 3381 in 2016) teenagers was included. Trends and the proportion of teenage pregnancies for each factor over time were explored. Then, a logit-based multivariate decomposition analysis for a non-linear response model was fitted to identify the factors that contributed to the change in teenage pregnancy. Statistical significance was declared at p-value < 0.05 and the analysis was carried out on weighted data. Teenage pregnancy declined significantly from 16.6% (95% CI: 15.4, 17.9) to 12.5% (95% CI: 11.4, 13.6) in the study period, with an annual reduction rate of 2.5%. About 49.8% of the decrease in teenage pregnancy was attributed to the change in the effect of the characteristics. The compositional change in primary educational status (41.8%), secondary or above educational status (24.55%), being from households with a rich wealth index (1.41%) were factors positively contributed to the decline in teenage pregnancy, whereas being from a Muslim religion (−12.5%) was the factor that negatively contributed to the reduction in teenage pregnancy. This study has shown that teenage pregnancy declined significantly; however, it is still unacceptably high. The changes in compositional factors of teenagers were responsible for the observed reduction in the prevalence of teen pregnancy rates in Ethiopia. Educational status, religion, and wealth index were found to be significant factors that contributed to the reduction in teenage pregnancy. Therefore, intervention programs targeting adolescents should address the socio-economic inequalities of these influential factors to reduce teenage pregnancy and related complications.
Background
Mobile phones are potential digital technologies for accessing family planning self-care interventions. However, their utilization could be possible if women of reproductive age have positive attitudes towards the use of this technology for healthcare purposes. This study aimed to examine the relationship between attitudes towards the use of mobile phones and access to family planning self-care interventions among female market vendors of reproductive age in northern Uganda.
Methods
A cross-sectional survey design was used. Two hundred and five randomly selected female vendors from the Gulu city main market participated. A structured researcher-administered questionnaire was used to collect the data. Descriptive statistics and standard multiple regression were performed, and the data were analysed using SPSS software version 15.
Results
Of the 205 participants, 112 (54.6%) reported using smartphones, and 147 (71.7%) were aware of family planning self-care interventions. Participants had moderate attitudes towards access to family planning self-care interventions (mean = 3.18), positive attitudes towards ease of use (mean = 3.31) and usefulness of mobile phones (mean = 3.30), strong positive attitudes towards privacy (mean = 4.04), and skills associated with using mobile phones (mean = 4.04). Furthermore, significant positive relationships existed between ease of use (p value = 0.000), skills (p value = 0.001), privacy (p value = 0.002) and access to family planning self-care interventions. There was, however, an insignificant positive relationship between mobile phone usefulness and access to family planning self-care interventions (p value = 0.189).
Conclusions
Participants’ positive attitudes towards the use of mobile phones could lead to access to FP self-care interventions, although uncertainty about the usefulness of the use of mobile phones for accessing FP self-care interventions exists. It is therefore important for healthcare practitioners, health development partners and the government to encourage and integrate the use of mHealth into regular FP self-care services and promotional activities while targeting underserved communities in Uganda.
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