Download or read book Factors Associated with Choosing a Long Acting Reversible Contraceptive Method Amongst Postpartum Women in a Large Urban Teaching Hospital written by Melissa Kottke and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Utilization of Long Acting Reversible Contraceptive Methods Associated Factors among Women of Reproductive Age written by Barie Daba and published by GRIN Verlag. This book was released on 2020-11-18 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master's Thesis from the year 2020 in the subject Health - Health system, grade: Very good, Rift Valley Institute Of Science And Technology (Rift Valley University), course: General public health, language: English, abstract: This thesis assesses the utilization of long-acting reversible contraceptive methods and their associated factors among women of the reproductive age group in Bishoftu’s public health facilities. A health facility based cross-sectional study was conducted from March 16th to 30th 2020. A systematic random sampling technique was applied, in a total of 227 randomly selected women in the reproductive age group who attend Bishoftu’s public health facilities. A structured questionnaire was developed using questionnaires that were applied in different studies related to family planning previously. The data was entered in a computer by using EPI-Info 7 version and cleaned then exported to SPSS version 20. Bivariate and multivariate logistic regression was employed to determine independent predictors of long acting and reversible contraceptive utilization. WHO reports indicated that, in 2017 alone, over 295,000 maternal deaths that resulted from pregnancy and delivery related complication were reported worldwide indicating a decline of 45% from 1990. The sub-Saharan Africa region accounted for 62% of maternal death followed by South-Asian countries (24%). Provision of family planning is one of the most effective interventions that prevent unwanted and ill spaced pregnancies by reducing maternal mortality and morbidity. Given its effectiveness and associated fewer visits to health facilities, LARC are very important in tackling maternal mortality and morbidity. However, little is known regarding its prevalence in Bishoftu eastern Ethiopia.

Download or read book Determinants of Contraceptive Choice written by Aalap Bommaraju and published by . This book was released on 2013 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Disparities in unintended pregnancy are partially due to ineffective contraceptive method choice among vulnerable populations. Improved understanding of the ecological, individual, and health system related determinants of contraceptive choice can provide guidance for how to reduce ineffective contraceptive method choice among women at high risk for unintended pregnancy. Objectives: Secondary data analysis is performed on visit data from women utilizing Title X Family Planning services at the Cincinnati Health Department's Reproductive Health & Wellness Program (RHWP) to determine the significance of predisposing factors (age, African-American race, education), enabling factors (income, health insurance status, socio-behavioral risks), need factors (having had a recent birth, number of living children) on choosing an ineffective contraceptive method. Mediation analysis is performed to determine if health system factors mediated the effect of these explanatory variables. Methods: Using data from 1,119 RHWP clients who were not seeking pregnancy, multinomial logistic regression is used to compare pill, patch, and ring users, depot medroxyprogesterone acetate (DMPA) users, and long-acting reversible contraception (LARC) users with a reference group of ineffective method users. Multinomial logistic regression is first performed with all independent variables except health system mediation. Then, it is performed with inclusion of health system mediation. Multiple linear regression analysis is performed to determine significant relationships between independent factors and health system mediation. Mediation analysis is performed for any independent variable that is significantly correlated with both contraceptive method choice and health system mediation for the purpose of determining if any witnessed mediation effect is statistically significant. Results: The model including health system mediation is found to account for more variance in the data than the model excluding health system mediation (Nagelkerke R-squared = 0.195 and 0.158, respectively). Through both models, and in all three comparisons, higher age is found to reduce the odds of choosing a more effective method with only minor mediation effects. Having more children results in higher odds of both DMPA and LARC uptake in both models and is unmediated by the health system. Being of African-American race results in lower odds of LARC use in both models - a finding that is also not mediated by the health system. Health system mediation effects are found in the LARC and DMPA comparisons and not in the pills, patch, or ring comparison. In the DMPA comparison, inclusion of health system mediation eliminates income and insurance status as significant explanatory variables. In the LARC comparison, inclusion of health system mediation eliminates the explanatory significance of having a recent birth. Conclusions: Analysis of the role of health system mediation suggests that health system level factors play a large role in explaining contraceptive choice among contraceptive methods that require increased health care utilization. The impact of health system mediation on the significance of other predisposing, enabling, and need variables implies that health care access, utilization, and quality are important factors that should be included in future models for understanding contraceptive choice.

Download or read book Factors Associated with Type of Method at Contraceptive Debut and Unwanted Pregnancy Among Current Contraceptive Users In Northwest Ethiopia written by Lorenzo Tolentino and published by . This book was released on 2020 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Modern contraception prevented over 300 million unintended pregnancies worldwide in 2017. Long-acting, reversible contraception (LARC) is highly effective at pregnancy prevention than other modern reversible methods subject to user error and reduces their unintended pregnancy and adverse maternal and child health outcomes. Yet, there may be gaps in providing a LARC supportive environment in some contexts. Characterizing current contraceptive LARC users could provide insights on how to better support LARC as a contraceptive option among women initiating contraception. We examined correlates of LARC debut among a cohort of current LARC users, as well as risk factors for unwanted pregnancy among all modern, reversible contraceptive users. Methods: we conducted a secondary cross-sectional analysis among 1,124 current modern? contraceptive users seeking family planning services in Northwest Ethiopia. Women were classified as LARC users if they used implants or intrauterine devices or non-LARC users if they used other modern, reversible methods (condoms, injectables, or oral contraceptives), at contraceptive debut. Potential correlates of LARC use at contraceptive debut among current LARC users, and wantedness of prior pregnancy (defined as last pregnancy among women with multiple pregnancies) among other modern contraceptive users, included sociodemographic characteristics, reproductive history, and family planning decision making. Odds ratios adjusted for age, marital status, education, and wealth were reported. Results: Overall, 330 women in the study were currently using LARC; among these 74 (22%) reported LARC was used at contraceptive debut and 118 of 817 (14%) women with a prior pregnancy reported their prior pregnancy was unwanted. Factors associated with using LARC at contraceptive debut were older age (≥35 years) (aOR=3.71; 95% CI: 1.49-9.17), being married before age 18 (aOR=0.46; 95% CI:0.20-0.97), and richest wealth quartile (aOR=3.02; 95% CI: 1.24-8.24).Factors associated with a prior unwanted pregnancy were younger age (15-24 years) (aOR=2.25; 95% CI: 1.39-3.63), being single (aOR=12.74; 95% CI: 7.52-21.88), not using the preferred method of choice (aOR=3.17 95% CI: 1.17-8.21), healthcare provider selecting current method (aOR=4.33; 95% CI: 1.55-11.73) and reporting future fertility desires were "undecided" (aOR=2.61; 95% CI: 1.53-4.36). Conclusion: Factors associated with LARC at contraceptive debut imply an environment supportive of contraceptive choice. Women who debuted with LARC may have been exposed to national programs that focused on expanding LARC access, and sociodemographic characteristics such as age at marriage and wealth could point to a LARC supportive environment. Factors associated with a prior unwanted pregnancy suggest an environment with varying degrees of support for contraceptive choice. Demographic characteristics, provider selected method, and pregnancy ambivalence could point to a nonsupportive environment, whereas fertility intentions and recognizing limitations of prior method point to a supportive environment. Future research is needed to capture the setting and context more accurately at contraceptive debut, and implications of this environment on unwanted pregnancies.

Download or read book Contraceptive Research and Development written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-04 with total page 534 pages. Available in PDF, EPUB and Kindle. Book excerpt: The "contraceptive revolution" of the 1960s and 1970s introduced totally new contraceptive options and launched an era of research and product development. Yet by the late 1980s, conditions had changed and improvements in contraceptive products, while very important in relation to improved oral contraceptives, IUDs, implants, and injectables, had become primarily incremental. Is it time for a second contraceptive revolution and how might it happen? Contraceptive Research and Development explores the frontiers of science where the contraceptives of the future are likely to be found and lays out criteria for deciding where to make the next R&D investments. The book comprehensively examines today's contraceptive needs, identifies "niches" in those needs that seem most readily translatable into market terms, and scrutinizes issues that shape the market: method side effects and contraceptive failure, the challenge of HIV/AIDS and other sexually transmitted diseases, and the implications of the "women's agenda." Contraceptive Research and Development analyzes the response of the pharmaceutical industry to current dynamics in regulation, liability, public opinion, and the economics of the health sector and offers an integrated set of recommendations for public- and private-sector action to meet a whole new generation of demand.

Download or read book Family Planning and the 2030 Agenda for Sustainable Development Data Booklet written by United Nations Publications and published by . This book was released on 2019-10-31 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: This booklet is based on the Estimates and Projections of Family Planning Indicators 2019, which includes estimates at the global, regional and country level of contraceptive prevalence, unmet need for family planning and SDG indicator 3.7.1 "Proportion of women who have their need for family planning satisfied by modern methods".

Download or read book The Best Intentions written by Committee on Unintended Pregnancy and published by National Academies Press. This book was released on 1995-06-16 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May

Download or read book Contraceptive Use by Method 2019 written by United Nations and published by . This book was released on 2020-01-10 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: This data booklet highlights estimates of the prevalence of individual contraceptive methods based on the World Contraceptive Use 2019 (which draws from 1,247 surveys for 195 countries or areas of the world) and additional tabulations obtained from microdata sets and survey reports. The estimates are presented for female and male sterilisation, intrauterine device (IUD), implant, injectable, pill, male condom, withdrawal, rhythm and other methods combined.

Download or read book Medical Eligibility Criteria for Contraceptive Use written by and published by World Health Organization. This book was released on 2010 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical Eligibility Criteria for Contraceptive Use reviews the medical eligibility criteria for use of contraception, offering guidance on the safety and use of different methods for women and men with specific characteristics or known medical conditions. The recommendations are based on systematic reviews of available clinical and epidemiological research. It is a companion guideline to Selected Practice Recommendations for Contraceptive Use. Together, these documents are intended to be used by policy-makers, program managers, and the scientific community to support national programs in the preparation of service delivery guidelines. The fourth edition of this useful resource supersedes previous editions, and has been fully updated and expanded. It includes over 86 new recommendations and 165 updates to recommendations in the previous edition. Guidance for populations with special needs is now provided, and a new annex details evidence on drug interactions from concomitant use of antiretroviral therapies and hormonal contraceptives. To assist users familiar with the third edition, new and updated recommendations are highlighted. Everyone involved in providing family planning services and contraception should have the fourth edition of Medical Eligibility Criteria for Contraceptive Use at hand.

Download or read book Disease Control Priorities Third Edition Volume 2 written by Robert Black and published by World Bank Publications. This book was released on 2016-04-11 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Download or read book World Fertility Patterns 2015 Data Booklet written by United Nations and published by UN. This book was released on 2016-07-28 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: This data booklet summarises and presents key fertility indicators on world fertility patterns from the latest population estimates and projections, World Population Prospects 2015. The relevant data and evidence are made available in an easily accessible manner.

Download or read book Safe Abortion written by World Health Organization and published by World Health Organization. This book was released on 2003-05-13 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Download or read book Guidelines for Perinatal Care written by American Academy of Pediatrics and published by . This book was released on 1997 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.

Download or read book Disease Control Priorities Third Edition Volume 1 written by Haile T. Debas and published by World Bank Publications. This book was released on 2015-03-23 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

Download or read book Selected Practice Recommendations for Contraceptive Use written by World Health Organization. Reproductive Health and Research and published by World Health Organization. This book was released on 2005 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document is one of two evidence-based cornerstones of the World Health Organization's (WHO) new initiative to develop and implement evidence-based guidelines for family planning. The first cornerstone, the Medical eligibility criteria for contraceptive use (third edition) published in 2004, provides guidance for who can use contraceptive methods safely. This document, the Selected practice recommendations for contraceptive use (second edition), provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate. The recommendations contained in this document are the product of a process that culminated in an expert Working Group meeting held at the World Health Organization, Geneva, 13-16 April 2004.

Download or read book Handbook of Women s Sexual and Reproductive Health written by Gina M. Wingood and published by Springer Science & Business Media. This book was released on 2013-11-11 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is designed to motivate and engage scientists, policymakers, and practitioners to greater scientific discourse, reduce the stigma on and validate the importance of women's sexual and reproductive health. It brings together historians, anthropologists, psychologists, sociologists, epidemiologists, public health researchers, genetic counselors, attorneys, social workers, nurses and physicians, and presents comprehensive coverage that will benefit women's health advocates, students, and practitioners.