Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, Pakistan
Objective: To identify the barriers in practicing family planning methods (FPM) among reproductive age group women attending antenatal clinics of two tertiary care hospitals of Karachi Pakistan. Methods: A cross sectional study was conducted in antenatal clinics of Obstetrics Outpatient Department...
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| Format: | Article |
| Language: | English |
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Dow University of Health Sciences
2019-08-01
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| Series: | Journal of the Dow University of Health Sciences |
| Subjects: | |
| Online Access: | http://www.jduhs.com/index.php/jduhs/article/view/807 |
| _version_ | 1818360474479099904 |
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| author | Ghazala Nasim Pasha Nighat Nisar Mehwish Hussain |
| author_facet | Ghazala Nasim Pasha Nighat Nisar Mehwish Hussain |
| author_sort | Ghazala Nasim Pasha |
| collection | DOAJ |
| description | Objective: To identify the barriers in practicing family planning methods (FPM) among reproductive age group women attending antenatal clinics of two tertiary care hospitals of Karachi Pakistan.
Methods: A cross sectional study was conducted in antenatal clinics of Obstetrics Outpatient Department of two tertiary care hospitals of Karachi Pakistan, 450 women of 15-49 years of age were included in the study by consecutive sampling, interviewed by using structured questionnaire after taking the informed consent. The data were entered and analyzed by using SPSS version 21. Frequencies and percentages were calculated, and logistic regression analysis was performed to determine the barriers related to use of family planning methods.
Results: The mean age of women was 26.6 with SD 4.6 years. The odds of using FPM by women who received advise of FP in last delivery were 2.9 times more as compared to women who did not receive FP advise (OR=2.9, 95%CI: 2.8- 3.1) in last delivery. The other variables which showed significant association with use of FPM were living in joint family (OR=1.8, 95%CI=1.7-1.9), having more than two female children (OR=3.0,95%CI=1.7-5.3), Husbands' in favor of use of FPM (OR=24.2,95% CI=1.7-5.3), women ever consulted with family planning clinics (OR=7.7, 95%CI=2.3- 26.0), women received antenatal care in last pregnancy (OR=2.1,95%CI=1.3-3.3) and women received post-partum care in last pregnancy (OR=2.7,95%CI=1.5-4.7).
Conclusion: Socio-cultural, minimal access, lack of information, husbands' involvement were the major barriers identiied in this study. Antenatal care and family planning counseling can play a major role in uptake of FPM. |
| first_indexed | 2024-12-13T21:01:22Z |
| format | Article |
| id | doaj.art-5911ea631b444ec483420915aa0fe3c3 |
| institution | Directory Open Access Journal |
| issn | 1995-2198 2410-2180 |
| language | English |
| last_indexed | 2024-12-13T21:01:22Z |
| publishDate | 2019-08-01 |
| publisher | Dow University of Health Sciences |
| record_format | Article |
| series | Journal of the Dow University of Health Sciences |
| spelling | doaj.art-5911ea631b444ec483420915aa0fe3c32022-12-21T23:31:36ZengDow University of Health SciencesJournal of the Dow University of Health Sciences1995-21982410-21802019-08-01132626910.36570/jduhs.2019.2.650807Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, PakistanGhazala Nasim Pasha0Nighat Nisar1Mehwish Hussain2Department of Community Medicine United Medical & Dental College Karachi, PakistanProfessor, Department of Community Medicine, Dow University of Health Sciences, Karachi-Pakistan.Department of Research, Dow University of Health Sciences, Karachi-Pakistan.Objective: To identify the barriers in practicing family planning methods (FPM) among reproductive age group women attending antenatal clinics of two tertiary care hospitals of Karachi Pakistan. Methods: A cross sectional study was conducted in antenatal clinics of Obstetrics Outpatient Department of two tertiary care hospitals of Karachi Pakistan, 450 women of 15-49 years of age were included in the study by consecutive sampling, interviewed by using structured questionnaire after taking the informed consent. The data were entered and analyzed by using SPSS version 21. Frequencies and percentages were calculated, and logistic regression analysis was performed to determine the barriers related to use of family planning methods. Results: The mean age of women was 26.6 with SD 4.6 years. The odds of using FPM by women who received advise of FP in last delivery were 2.9 times more as compared to women who did not receive FP advise (OR=2.9, 95%CI: 2.8- 3.1) in last delivery. The other variables which showed significant association with use of FPM were living in joint family (OR=1.8, 95%CI=1.7-1.9), having more than two female children (OR=3.0,95%CI=1.7-5.3), Husbands' in favor of use of FPM (OR=24.2,95% CI=1.7-5.3), women ever consulted with family planning clinics (OR=7.7, 95%CI=2.3- 26.0), women received antenatal care in last pregnancy (OR=2.1,95%CI=1.3-3.3) and women received post-partum care in last pregnancy (OR=2.7,95%CI=1.5-4.7). Conclusion: Socio-cultural, minimal access, lack of information, husbands' involvement were the major barriers identiied in this study. Antenatal care and family planning counseling can play a major role in uptake of FPM.http://www.jduhs.com/index.php/jduhs/article/view/807family planningcontraceptionpracticebarriersantenatal care. |
| spellingShingle | Ghazala Nasim Pasha Nighat Nisar Mehwish Hussain Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, Pakistan Journal of the Dow University of Health Sciences family planning contraception practice barriers antenatal care. |
| title | Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, Pakistan |
| title_full | Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, Pakistan |
| title_fullStr | Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, Pakistan |
| title_full_unstemmed | Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, Pakistan |
| title_short | Barriers in Use of Family Planning Methods among Outpatient Women Seeking Antenatal Care in Tertiary Care Hospitals of Karachi, Pakistan |
| title_sort | barriers in use of family planning methods among outpatient women seeking antenatal care in tertiary care hospitals of karachi pakistan |
| topic | family planning contraception practice barriers antenatal care. |
| url | http://www.jduhs.com/index.php/jduhs/article/view/807 |
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