Influences sociales et acceptabilité de la pratique de la planification familiale chez les femmes Port-Bouët II à Yopougon en Côte d'Ivoire / Social influences and acceptability of the practice of family planning among Port-Bouët II women in Yopougon, Côte d'Ivo

Considérée comme une stratégie efficace pour l'amélioration des indicateurs du développement socio-économique et démographique, la pratique de la planification familiale reste encore faible en Côte d'Ivoire. L'objectif de cette recherche estde déterminer les facteurs pouvant contribuerà rehausser le taux d'adhésion des femmes en âge de procréer à la pratique de la planification familiale.L'étude s'est déroulée à Yopougon. 212 femmes âgées de 15 à 45 ans ont été interrogées à l'aide d'un questionnaire.Le logiciel SPSS est sollicité pour le traitement des données notamment le calcul du Khi carré.Les résultats indiquent d'une part quel'avis du partenaire influence significativement la femme dans sa pratique de la planification familiale. D'autre part, les agents de santé constituent la source d'information significative la plus importante et la plus efficace dans la sensibilisation à la pratique du planning familial.

Considered an effective strategy for improving socio-economic and demographic development indicators, the practice of family planning is still low in Côte d'Ivoire. The objective of this research is to determine the factors that can contribute to raising the adherence rate of women of childbearing age to the practice of family planning.The study took place in Yopougon. 212 women aged 15 to 45 were interviewed using a questionnaire. SPSS software is used for data processing, in particular the calculation ofthe Chi square.The results indicate on the one hand that the opinion of the partner significantly influences the woman in her practice of family planning. On the other hand, health workers are the most important and effective source of significant information in raising awareness about the practice of family planning.

Preferences, Utilization and Factors affecting Use of Contraceptives amongWomen attending Primary Health Care Facilities in Delta State,Southern Nigeria

Contraceptive use has numerous benefits for thefamily and the nation that can be maximized with its consistent use.However, many women have preferences for certain contraceptiveswith implications for continued use.OBJECTIVE: To determine the contraceptive preferences of women,their utilization pattern and factors affecting utilization of the preferredcontraceptive choices.METHODS: This cross-sectional study was conducted among 426women of reproductive age selected from 32 primary health facilitiesusing multistage sampling technique. Data was collected using a semi-structured interviewer-administered questionnaire. Descriptive andinferential analysis of data collected was carried out using IBM SPSSversion 22 software. P-value was set at 0.05.RESULTS: Close to half of the respondents 211 (49.5%) preferredinjectable contraceptives, 79 (18.6%) selected implants and 27 (6.3%)chose condoms. The majority 212 (49.8%) of respondents usedinjectable contraceptives, followed by implants 66 (15.5%), condoms33 (7.7%), IUCD 54 (12.7%) and OCP 61 (14.3%). Age (p<0.001),number of children (p<0.001), clients' employment status (p<0.001),husband support (p<0.021) and desire for more children (p<0.001)were all statistically associated with the utilization of preferredcontraceptives.CONCLUSION: Even though respondents preferred the injectablecontraceptives, implants and IUCD in that order, their utilizationpattern followed the order of Injectable, implants and OCP. Severalfactors were identified to be statistically associated with the utilizationof preferred contraceptives. Health education on contraceptive useamong women, spousal support and health workers training tohighlight those factors influencing women's contraceptive preferencesand utilization are recommended

Determinants of emergency contraceptive utilization among female tertiary students in the middle belt of Ghana, West Africa

Introduction: Emergency Contraceptives (ECs) are after-coital contraceptive methods used before implantation. These give females in the sexually active age group the opportunity to prevent unplanned pregnancies after refusing to patronize a contraceptive before unprotected sexual intercourse or when a regular contraceptive fails and or when raped. Higher education students fall under the sexually active age category and form a higher risk group for unplanned pregnancy because of inadequate utilization of ECs. The aim of this study was to identify the determinants of ECs utilization among female tertiary students in the Middle Belt of Ghana, West Africa. Methods: institutional-based descriptive cross-sectional study design was used with quantitative method in collecting the data from 28th March 2022 to 18th April 2022. A total of 535 female tertiary students were recruited using simple random proportionate sampling technique. Data were collected using structured questionnaires and entered into Stata version 15 and analyzed descriptively and inferentially using Chi-squared test. A conventional p<0.05 was considered statistically significant. Results: out of the 535 respondents that were interviewed, majority (426 (79.6%) were aware of ECs. However, only 44 (9.4%) had good knowledge of ECs utilization. All respondents who were affiliated to traditional religion had poor knowledge. About half of 279 (52.1%) indicated they ever utilized ECs and 200 (71.7%) of these said the efficacy of ECs was between 75-99%. Regarding barriers to ECs utilization, 333 (20.5%) indicated ECs cause infertility and 330 (20.4%) mentioned the fear of being seen by others. All Chi-square test of associations of demographic characteristics and knowledge on ECs were not statistically significant (p≥0.05). Conclusion: the study reported that ECs utilization among female tertiary students was quite low despite majority being aware of them. Most of them had poor knowledge on ECs utilization, even though majority had not experienced unplanned pregnancies. Further reproductive health and family planning education and promotion initiatives directed on the utilizations of ECs, their efficacies and typology are needed, especially among future health professionals who will later educate other young adults.

Assessment of knowledge, attitude and practice on family planning among women of reproductive age at hospitals and clinic centers in the rural Western Sierra Leone

Informed decisions about one's sexual and reproductive health can be made through family planning. Women of reproductive age in rural Sierra Leone's Western area were asked to participate in a survey to determine their attitudes and knowledge toward family planning and the use of contraceptives. A descriptive cross-sectional study survey was conducted in the Western Area Rural of Sierra Leone. Females in the range of 15 to 49 years old were included in the study. The research was conducted from November 2021 to December 2021. Using a pre-designed and pretested questionnaire, 180 women were assessed for their knowledge, attitudes, and practices regarding family planning. According to the study, all participants knew about family planning, but only 68.3% had used contraceptives. There were more than half who learned about it from the media. The study found that 95% of participants had a positive attitude towards contraceptives. Most commonly, contraceptives used were oral pills (31.6), injections (21.1%), implants (19.1%), lactational amenorrhea (13.8%), condoms (8.8%), and intrauterine devices (5%). In our study, the most common reasons given by participants for not using contraceptives were; not willing to disclose 52.6%, a desire for a child 19.2%, fear of side effects 15.7%, currently pregnant 8.7%, and against religious beliefs 3.5%. The study shows that even if people are aware and educated about contraceptives, they may not use them. Educating and motivating people and improving access to family planning services are still necessary to improve the effectiveness and appropriateness of contraceptive use and halt the population growth trend. (Afr J Reprod Health 2022; 26 [6]:15-21).

Knowledge, attitude and uptake of family planning services among women of reproductive age group attending outpatient clinic at a tertiary health institution in Edo State, Nigeria

Globally, family planning service is an essential element of reproductive health care and contributes immensely to the reduction of the worldwide burden of maternal and child morbidity and mortality. This study was designed to assess the knowledge, attitude and uptake of family planning services, among women of reproductive age group attending outpatient clinic at Irrua Specialist Teaching Hospital, Irrua, Nigeria. A cross-sectional study was carried out among women of reproductive age group attending outpatient clinics from December 2017 to January 2018. Respondents were selected using multi-stage sampling technique. Questionnaires were used for data collection. Data were analyzed using Statistical Package for Social Sciences SPSS version 17. A total of 191 (95.5%) women aged between 15 and 49 years were successfully interviewed during the study. Majority, 174/191 (91.1%) of the respondents had a good knowledge of family planning services; 125/174 (72.0%) had a positive attitude towards the use of various types of contraceptives and 29 (15.0%) were completely against the use of contraceptives. Majority of the respondents, 132 (69.0%) were not using any form of family planning. Condom was the most frequently used contraceptive method; where it accounts for 60.0% while sterilization contributes the least that is 22.0%. Major factors associated with the uptake of contraceptives include marital status (p=0.029) and the occupation of the respondents (p=0.010). Respondent's knowledge towards family planning was good but this did not translate to use. Also, over half of the respondents had positive attitude towards family planning. The uptake of family planning services was higher than the average for Edo State and for Nigeria. Common barriers to uptake included fear of side effects and for religious reasons. The state and local government should bridge the gap between awareness and uptake of contraception; by providing correct information to women of reproductive age to break down common barriers

Facteurs associés à l'utilisation des méthodes contraceptives à longue durée d'action et permanentes dans la ville de Lubumbashi, RD Congo

Introduction : Cette étude avait l'objectif de déterminer les facteurs qui sont associés à l'utilisation des Méthodes Contraceptives à Longue Durée d'Action et Permanente par les femmes (MCLDAP) dans la ville de Lubumbashi. Patientes et méthodes : Nous avons mené une étude transversale d'avril à juin 2015, auprès des femmes en union conjugale de la ville de Lubumbashi, d'où un échantillon a été tiré. L'échantillonnage en strates nous a permis de sélectionner les femmes ; les données étaient récoltées par interview guidée par un questionnaire ; les tests de Khi-deux de PEARSON, au seuil de risque de 5% et le Rapport de Prévalence et son Intervalle de Confiance à 95% nous ont permis de déterminer l'association. Les logiciels Excel et Epi Info version 3.3.2 nous ont aidés à analyser. Résultats : La prévalence contraceptive des MCLDAP était de 8,9%. Les facteurs associés à l'utilisation de ces méthodes étaient l'âge de la femme supérieur ou égal à 35 ans ; les religions catholique, protestante, musulmane et kimbanguiste prédisposaient les femmes à l'usage des MCLDAP, ainsi que les occupations telles que les entreprises publiques, la fonction publique et les entreprises privées ; les femmes dont les ménages possédaient la radio et la TV utilisaient plus la contraception à longue durée et permanente, de même que les femme qui avaient quatre à cinq enfants vivants ; nous avons également noté que les femmes qui avaient une attitude favorable face aux méthodes et un niveau de connaissance élevé avaient cette même chance. Enfin, celles qui discutaient couramment avec leurs conjoints et qui avaient obtenu leur soutien, avaient aussi plus de chance d'utiliser les MCLDAP.Conclusion : Ces facteurs devraient être soutenus pour optimiser l'utilisation des MCLDAP par les femmes dans la ville de Lubumbashi

Hemostase et oestro-progestatifs : a propos de 63 cas dans les centres de Planning familial du CHU et de la Formation Sanitaire de Yopougon

La thromboembolie est une complication rare mais grave pouvant survenir chez les femmes sous oestroprogestatifs. Ce danger est bien souvent meconnu des utilisatrices et a fait l'objet jusqu'a ce jour de peu d'investigations en Afrique. L'objectif de ce travail est d'evaluer le risque thromboembolique chez les utilisatrices d'oestroprogestatifs a Abidjan. C'est une etude prospective transversale multicentrique portant sur les variations de la coagulation chez 126 clientes reparties en deux groupes d'effectif egal : utilisatrices et non utilisatrices de pilules. Les parametres biologiques suivants ont ete doses: temps de Quick; taux de prothrombine; temps de cephaline active; plaquettes et fibrinemie. Les resultats n'ont pas montre de variations biologiques pathologiques concernant les facteurs precites. Cette etude n'a pas demontre de risques thromboemboliques chez les dames sous pilules contraceptives qu'il s'agisse de pilules normodosees ou minidosees. Les resultats observes suggerent les propositions suivantes : -poursuivre la recherche de l'impact des contraceptifs oraux sur la coagulation par le dosage d'autres facteurs tels que l'Antithrombine III; la proteine C; la proteine S ; -encourager la vulgarisation de la contraception orale ; -poursuivre la selection des sujets a risques vasculaires par l'interrogatoire et l'examen clinique