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العنوان
The Unmet Need for Contraception among Married Women in Nefesha Village in Ismailia /
المؤلف
Mohamed, Noha Adel Abd Elnaby.
هيئة الاعداد
باحث / نهى عادل
مشرف / فاطمه غبدالباقى
مشرف / لمياء فياله
مشرف / ايمن اكرام
الموضوع
In Public Health and Preventive Medicine. Contraceptive Alliance.
تاريخ النشر
2013.
عدد الصفحات
120 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الصحة العامة والصحة البيئية والمهنية
تاريخ الإجازة
1/1/2013
مكان الإجازة
جامعة قناة السويس - كلية الطب - طب الصناعات
الفهرس
Only 14 pages are availabe for public view

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from 120

Abstract

Unmet need for contraception is one of several frequently used indicators for monitoring family planning programs. Ability of the woman to space and limit her pregnancies has a direct impact on her health and well-being as well as on the outcome of each pregnancy. This survey aimed at determining the magnitude of the unmet need for contraception in terms of spacing or limiting birth. In addition aimed at identifying the underling factors for unmet need for contraception, determining the role of men in contraception and prevalence of contraception use.
A cross sectional study was conducted on 823 fecund married women at reproductive age (15–49 years) selected by systematic random sample from Nefesha Village in Ismailia, By using structured interview questionnaire containing questions about past, present, and intended contraceptive practice and factors affecting unmet need.
The contraceptive users represented 69.7 % of the total surveyed women. 30.3% of them were using contraception for spacing while 69.7 % using for limiting. On the other hand the unmet need for family planning represented 15.7 %, 31.8% of them for spacing while 68.2% for limiting.
Results showed that level of education of the women and their husbands, as well as the working status of the husbands were very important factors influencing the level of unmet need. Also the women age and duration of marriage were statistically significant higher in women with unmet need than contraceptive users, This might be because older women perceive that they are unlikely to gain pregnancy due to irregular menses or intercourse. This was due to lack of health education counseling , or incomplete education.
Male involvement in family planning was very important factor that influenced family planning use, as there was deficient decision sharing between husband and wife among women with unmet need. On the other hand, among contraceptive users 15.8 % were opposed to use contraception mostly by their husbands that may predispose them to have unmet need in the future, so we recommend to include men in counseling before contraceptive use .
Interestingly most of husbands in both groups had never used and refuse even to use male contraception mostly because it is uncomfortable method or unsafe or due to religious reasons, consequently, health education should also be directed to and includes males as well as women.
Women with met need had more sources for their knowledge for contraception as private doctors, television, their relatives, posters and reading as they mentioned. Known sources of contraception in unmet need women was statistically significant lower than met need women regarding PHC, hospitals and medical conveys while there was no difference regarding doctors and pharmacies. This may be also due to the effect of higher education level of women with met need and deficient health education in women with unmet need
There was no significant difference between women with the unmet need and women with met need concerning utilization, time to reach the service, availability and affordability of contraceptive methods in this village. This indicates that access to services didn’t affect level of unmet need.
There was deficient health education and counseling for family planning for women with unmet need. This factor may play an important role in misconceptions about these contraceptive methods
Most of women in both groups considered ideal age of conception between 20- 29 years and three children as the ideal number of children. women with unmet need considered the ideal spacing time between children to be more than 2 years was (33.6%) which was statistically significant less when compared to (47.2%) of women with met need. This indicates that correct informations and health education needed for women with unmet need about the importance of spacing time between pregnancies.
Among women with met need the most contraceptive method used was IUD followed by pills and injection. Relying on public sector to get and select contraception was well noticed in contraceptive users and women with unmet need that was previous users. This should attract the attention of policy makers to the importance of improvement of public sector to cover everywhere in the republic.
Most of contraceptive users 74.9% were using their method of contraception more than one year and 74.4% were satisfied with their method. The cause of the concern for satisfied and unsatisfied women was the side effect of the method. Well training of family planning doctor to deliver alternatives for contraception will prevent future unmet need.
Among women with unmet need who didn’t intend to use contraception 62.7% believed that they were unlikely to become pregnant while 19.8 % fear from the side effect. So proper health education to change this false perceptions will help to make them adopt contraception.
Among women with unmet need who intend to use there was intention for contraception use for spacing more than for limiting (53.7% & 23.9%) respectively, most of them intend to use IUD or pills or according to doctor prescription. 45.7% of previous users intend to use it after resuming menstruation, 28.6% after subside of side effects and 17.1% after completing breast feeding. On the other hand 75% of never users intend to use it after completing breast feeding while 25% intend to use after resuming menstruation.
About seventy five percent of women with unmet need were previous users while 24,8% of them never used contraception. Contraceptive side effects and failure that occurred on previous use were the main causes for discontinuation. Even among never users fear of side effects and husband disapproval was an important factor that affects women’s decision whether to use contraceptive method or not.
It could concluded that in spite of the benefits of family planning for the mothers, siblings and community, the rate of unmet need for family planning still high. So, family planning should have a public health focus, concentrating on creating a supportive and active family planning program at multilevel starting from the woman herself to the community as a whole. Health education program is needed for both women and their husbands. It will help in decreasing the rate of unmet need.