Online ISSN: 2515-8260

Keywords : Family Planning


Post-partum intrauterine contraceptive device practices, its acceptance and outcome in a tertiary care hospital: A record based study

Niveditha R, Manohar Rangaswamy, Sandyashree PK

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 858-864

Background: Only 26% of women are using any method of family planning in the first year
postpartum. Studies indicates that unmet need for family planning in postpartum period is as
65% (USAID ACCCESS 2009). Recent studies estimate that prevention of unplanned and
unwanted pregnancies could help avert 20 – 35% of maternal deaths and as many as 20% of
infant deaths. Use of temporary contraceptives in our country is limited to 10.2% and that of
intrauterine contraceptive device (IUCD) is only1.8%. Post-Partum IUCD (PPIUCD) was
thus introduced in the National Family Planning Programme, India in 2009-10.
Methods: This is a Retrospective study conducted in department of obstetrics and
Gynaecology, Mandya Institute of Medical Sciences, Mandya. All deliveries during time
period from April 2018 to March 2021 were included in the study. Women accepting
PPIUCD were analysed with respect to age, parity, educational status, complaints (during the
follow up visits) and timing of insertion.
Results: Out of total 31,212 deliveries between April 2018 to March 2021.19,662. delivered
vaginally, 11,550 delivered by C section. 702 (2.24%) accepted PPIUCD as a method of
contraception. Intra cesarean insertion were 567 cases, Post placental insertion were 108
cases and immediate postpartum insertion 27 cases. 54% of users were of age group 20 -
25yrs, 53.8% were Primipara. Most common complication reported was bleeding PV in about
5. 9% and 6.4% discontinued PPIUCD due to sexual interference [2.99%] as the commonest
reason.
Conclusion: Less acceptance of PPIUCD services in our hospital reminds us to optimize
PPIUCD services by counseling pregnant women right from ANC visits. Education and
counseling can plays major role in acceptance and IUCD continuation rate. Obstetricians and
nursing staff should play a major role to dispel myths and misconceptions prevalent with
IUCDs.

Factors related to cadre perceptions and behavior in promoting family planning at community health centers based on the Health Promotion Model (HPM)

Risniawati .; Tiyas Kusumaningrum; Aria Aulia Nastiti

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 741-745

Introduction: The coverage of family planning in Indonesia has yet been evenly distributed. The government, the private sector, and the community, including health cadres, have an important role to succeed the family planning program. Through cadres, family planning promotion can reach a wider community.
Aims: This study aims to explain the relationship between cadre perceptions and their behavior in promoting family planning based on the Health Promotion Model (HPM).
Method: The research design used was correlational with a cross-sectional approach. Participants were 200 cadres from the community health centers obtained by cluster sampling techniques. Participants filled the perception questionnaires and the data was analyzed using Spearman's rho test (α=0.05).
Results: The analysis showed that there were correlations between perceived benefits (r = 0.490), perceived barriers (r = 0.148), perceived self-efficacy (r = 0.420), activity-related effects (r = 0.165), and situational influence (r = 0.481) with cadres’ behavior in promoting family planning at the community health centers (p<α<0.05).
Conclusions: Positive perceived benefits of action, perceived barriers to action, perceived self-efficacy, activity-related effects, and high situational influence will increase the cadres’ good behavior in promoting family planning to the community. Cadres should enhance their knowledge and ability as well as foster their intention and enthusiasm to support family planning to the community.