Knowledge, attitude and utilization of sub-dermal birth control implants among married rural women of Pakistan

Authors

  • Mehwish Mubarik Department of Community Medicine, Baqai Medical University, Karachi
  • Nazia Jameel Department of Community Medicine, Baqai Medical University, Karachi
  • Rehana Khalil Department of Family and Community Medicine, Unaizah College of Medicine, Qassim University

DOI:

https://doi.org/10.18203/2320-6012.ijrms20161792

Keywords:

Sub-dermal, Birth control, Implants, Married rural women

Abstract

Background: Pakistan has very high growth rate and only uptake of optimal birth spacing is a way to win this battle. One of modern contraceptive methods is long term hormonal birth control implant. The study was intended to explore the knowledge, attitude and practices of Sub-dermal Birth Control implants among married women in a rural area of Pakistan.

Methods: This descriptive cross sectional study was conducted at reproductive health services center at Panoaqil, Sindh, Pakistan. A sample of 120 married women of age 18-45 years, who attended RHS center were included in the study. Data was collected through a standardized questionnaire and analyzed using IBM SPSS version 22 and Microsoft excel.

Results: The mean age of sample was 29.48±5.05 years, almost half (44.2%) were illiterate, and 39% were educated up to primary. Three forth (73%) were housewives and 91.7% were poor. Majority (80%) had heard about one method but only one forth (26%) have used one while Implant was used by only 21.9% women. About two third (68%) didn’t know about Implant while 14.2% had good knowledge about Implant. Overall attitude was positive as 85% continued the method but 14.29% quitted due to side effects. Among never users; half (46%) would go for Implant if they would be provided with the insertion services.

Conclusions: The current study concludes that knowledge about sub-dermal Implant among women of reproductive age reaching the optimum level. The attitude of women was found positive. The factors which affect the knowledge and the attitude of women are age, parity, family type, level of education, employments status, SE status, previous use of family planning nad source of information.

References

Fertility and Contraceptive Use. UNICEF Statistics (http://unstats.un.org/ unsd/ demographic/ products/ Worldswomen/ Gender%20statistics%20sources.

UNFPA State of World Population 2004: Reproductive Health and Family Planning (www.unfpa.org/swp/2004/english/ ch6/index.)

PRB. 2011 World population data sheet. Population Reference Bureau: Washington, DC. 2011.

Popov AA, Visser AP, Ketting E. Contraceptive knowledge, attitudes, and practice in Russia during the 1980s. Stud Fam Plann. 1993;24(4):227-35.

Sueyoshi S, Al-Khozahe HO, Ohtsuka R. Effects of reproduction norms on contraception practice among Muslim women in Amman, Jordan. European Journal of Contraception & Reproductive Health Care. 2006;11:138–45.

Hagen AC, Fikree FF, Sherali AA. Fertility and family planning trend in Karachi, Pakistan. Int Fam Plann Perspectives. 1999;25:38-43.

National Institute of Population Studies, Pakistan, and IRD/ Macro International. 1992.

Zeba A, Sathar. Fertility in Pakistan: past, present and future:workshop on prospects for fertility decline in high fertility countries. Population Division, Department of economic and social affairs, United Nations secretariat New York.

National Institute of Population Studies. Pakistan Demographic and Health Survey-2012-13. NIPS, Islamabad. 2013.

Fikree FF, Saleem S, Sami N. A quality of care issue:appropriate use and efficacy knowledge of five contraceptive methods:views of men and women living in low socio-economic settlements of Karachi, Pakistan. J Pak Med Assoc. 2005;55:363-68.

Khan A. Adolescents and Reproductive Health in Pakistan:a literature review. Research Report No. 11. Islamabad: UNFPA and the Population Council. 2000.

Pakistan Demographic and Health Survey (PDHS) 2006-07. National Institute of Population Studies, Pakistan. 2009.

Bogale B, Wondafrash M, Tilahun T, Girma E. Married women's decision making power on modern contraceptive use in urban and rural southern Ethiopia. BMC Public Health. 2011;11:342.

Naqvi S, Hashim N, Zareen N, Fatima H. Knowledge, attitude and practice of parous women regarding contraception. J Coll Physicians Surg Pak. Feb 2011;21(2):103-5.

Atighetchi D. The position of Islamic tradition on contraception. Medicine and Law, 1994, 13(7–8):717–725.

Sivin I. Contraception with Norplant implants. Hum Reprod. 1994;9:1818–26.

Danwar PB. A clinical trial of Implanon Rod (Implant). NRIFC Karachi. 2007.

Robey B, Ross J, Bhushan I. Meeting unmet need:new strategies. Population Reports, Series J, Number 43. Baltimore, Maryland USA: Johns Hopkins School of Public Health, Population Information Program. 1996.

Kazi K. A study of knowledge, attitude and practice (KAP) of family planning among the women of rural Karachi. Department of Social Work, University of Karachi. 2006.

Aisien AO, Enosolease ME. Safety, efficacy and acceptability of implanon a single rod implantable contraceptive (etonogestrel) in University of Benin Teaching Hospital. Niger J Clin Pract. Sep 2010;13(3):331-5.

Cherry S. Implanon. The new alternative. Aust Fam Physician. 2002;31:897e900.

Affandi B, Korvers T, Geurts TBP, Coelingh-Bennink HJT. A pilot efficacy study with a single rod contraceptive implant (Implanon) in 200 Indonesian women treated for 4 years. Contraception. 1999;59:167–74.

Mastor A, Khaing LS, Omar SZ. Users perspectives on implanon in Malaysia, a multicultural Asian country. Open Access J Contraception. Feb 2011;2:79-84.

Wong RC, Bell RJ, Thunuguntla K, McNamee K, Vollenhoven B. Implanon users are less likely to be satisfied with their contraception after 6 months than IUD users. Contraception. 2009 Nov;80(5):452-6.

Sherpa SZ, Sheilini M, Nayak A. Knowledge, Attitude, Practice and Preferences of Contraceptive Methods in Udupi District, Karnataka. J. Family Reprod Health. 2013;7(3):115-20.

Downloads

Published

2017-01-02

How to Cite

Mubarik, M., Jameel, N., & Khalil, R. (2017). Knowledge, attitude and utilization of sub-dermal birth control implants among married rural women of Pakistan. International Journal of Research in Medical Sciences, 4(6), 2229–2239. https://doi.org/10.18203/2320-6012.ijrms20161792

Issue

Section

Original Research Articles