Africas natural resource production 2000, 2010 and future potencial 2000 africas share of global production in % value of africas production 2010 usd m number of countries 2000 55 10 588 1 43 490 6 45 4 265 16 51 1 578 4 32 493 4 28 4 607 10 24 25 568 36 17 111 3 3 2 871 11 5 1 225 5 5 4 637 10 14 59 592 44 10 216 001 18 5 39 036 14. However, the use of iucd is still very low in subsaharan africa ssa. It is inserted into the uterus to prevent pregnancy. Besides a welldesigned community awareness campaign, providers communication and counseling skills have to be enhanced, as these are major contributing factors in iucd acceptance. Iucd expulsion, suggestion by an unhappy iucd user and method failure were also reported as some of the reasons for iucd removals with 28 4. Despite the availability of the iucd in south african clinics and hospitals, its uptake is still poor. Pdf policies, practices and barriers of ict utilization in. Utilization of longacting and permanent contraceptive methods and associated factors among married women in adama town, central ethiopia. To assess awareness of and interest in intrauterine contraceptive device iucd use among hivpositive women in cape town, south africa. Telecommunicationict markets and trends in africa, 2007. Given the consequences of closely spaced births, and the benefits of longer pregnancy intervals, targeted activities are needed to reach this population of postpartum women. Awareness of this method seemed to have improved over the past few years, but.
Saharan africa and growth in the demand for family planning. Contraceptive utilization and associated factors among. Immediate postpartum intrauterine contraceptive device. Nigeria and south africa will 2019 be a year of structural reform. Our aim was to study the clinical outcomes of ippiucd insertions and compare them as a factor of route of insertion vaginal versus caesarean. Trends in contraceptive use worldwide 2015 the united nations. Factors associated with intrauterine contraceptive device use. Fortyfive percent n86 of patients indicated a desire for future iucd use.
Two hundred fortyone participants were selected by systematic sampling technique from june 10 to july 10, 2018. In western africa, the median percentage of couples whose two members both approve of family planning as reported by the woman partner has risen slightly from 32 to 39, whereas change in eastern africa has been much more pronounced, the median having risen from 44 in 1992 to 63 in 2004. Total citrus utilization for processing table 17 oranges utilization for processing. However, only 33% of women in africa used contraceptive methods in 2015 2.
The sample size was determined using two population proportion formula by using age as a main determinant factor in iucd utilization. Factors associated with utilization of long acting and. The present study revealed that the proportion of current iucd utilization was optimal. The following section outlines sustainability theory and how this has progressed over the last four decades. Hivpositive women aged 18 through 45 years presenting for care at a primary health care clinic in cape town, south africa participated in this study. Pakistan was among the leading countries in south asia which started the family planning program in late 50s, forecasting the need to control the population. Africa was the second most populated region after asia, with 3.
The sociocultural factors influencing the ultilization of. Contraceptive knowledge, attitude and practice among rural. Background intrauterine contraceptive device iucd is a highly effective and reversible. Iucd intrauterine contraceptive device ps i population services international moh ministry of health rhru reproductive health research unit ses social economic status stds sexually transmitted diseases. Patient knowledge and intention to use the intrauterine. Different strategies are being followed to increase the utilization of family planning method in order to control high fertility 4. Mar 17, 2014 uganda has one of the highest total fertility rates globally and in subsaharan africa.
Factors associated with intrauterine contraceptive device use among. Utilization of youthfriendly reproductive health services yfrhs could save many adolescents from the numerous sexual and reproductive health problems. To address low iud utilization, interviewees suggested information and education activities to counter misconceptions and reservations among women, including. Over 90% of south africa s electricity is from coal. Pdf policies, practices and barriers of ict utilization. Citrus fruit statistics 2015 market and policy analyses of raw materials, horticulture and tropical ramhot products team. Community based crosssectional study was conducted from march to april, 2015 in southern. Expanding method choice in africa with longacting methods.
Documentary evidence points to high unmet need for family planning across subsaharan africa. Awareness and interest in intrauterine contraceptive. Two studies among reproductive aged women in south africa indicate low 2641% awareness of the iucd as a contraceptive method, despite its inclusion in contraceptive method mix and availability at no cost through the public sector 17, 18. To explore and analyze the factors that influence access and utilization of pmtct services by pregnant women including those in high risk groups in sudan. Research open access an all time low utilization of. Logistic regression employed to assess association between variables with 95% ci and p value less than 0. Community based crosssectional study was conducted from march to april. The main drawbacks many people complained about with this mirena iud is the nausea, dizziness, hormonal changes, cramping and mild side effects. Immediate postpartum iucd service became a government of india approved program in 2010. Political instability in africa where the problem lies and. Two threads are attached to the iucd and pass out through the neck of the womb cervix to lie in the vagina. Analysis of colonialism and its impact in africa market and international economy.
Production of electricity by source in africa excluding south africa ga geothermal 1% s 27% hydro 38% oil 34% source. Rethinking iucd use as a contraceptive option in kwazulunatal, south africa valerie makani1. In developing countries, 20 to 30% of women who use oral contraceptives or injectables stop within two years of starting because of side effects or other health concerns. If the women requested removal of iucd for any medical or personal reason, she was counselled and intrauterine device was removed. Factors associated with intrauterine contraceptive device.
Pdf factors influencing the utilisation of the intra. In africa, however, only 1% of women use the intrauterine contraceptive device, a rate considered the lowest in the world. Disparity between indications for and utilization of. Dec 22, 2018 aim was to assess utilization of iucd and factors among family planning users in han health center, bahir dar, ethiopia, 2018. Overall awareness of family planning methods is high, at 87%. Women with primary education and secondary education and above are utilizing modern family planning methods 2. Factors influencing contraceptive use in subsaharan africa. Characteristics n 100 percentage age in years 5 60 60% educational status illiterate 90 90% primary 10 10%. This study aimed to assess the reproductive aged womens knowledge, attitudes, and factors. Besides a welldesigned community awareness campaign, providers communication and counseling skills have to be enhanced, as these are major contributing factors in iucd. Magnitude and factors associated with intra uterine. The median duration of iucd use was 33 months range. To determine relevant factors affecting the utilization of fp services among women living with hiv and provide recommendations to improve the uptake of fp services.
Department of population, family and reproductive health, johns hopkins bloomberg school of public health, 615 n wolfe street, baltimore, md, 21205, united states of america. Rethinking iucd use as a contraceptive option in kwazulu. Modern family planning utilization and associated factors. It is fresh concept in pedagogical practice in educational institutions. Pdf factors associated with utilization of long acting. Contraceptive knowledge, attitude and practice among rural women table i. Longacting reversible contraceptives larc such as the intrauterine device iud and permanent contraceptive methods pm are highly effective and. Official symbols of united nations documents are composed of capital letters combined with numbers, as illustrated in the above citation.
Ethiopia is the second most populated country in africa after nigeria. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in mekelle town, tigray region, north ethiopia. Of 277 hivpositive women, 37% were aware of the iucd. Rates of iucd discontinuation and its associated factors. The purpose of this study was to explore factors influencing utilization of intrauterine contraceptive device among family planning clients in addis ababa. Binary logistic regression showed good knowledge of iucd use aor. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in mekelle town, tigray region, north ethiopia mussie alemayehu1, tefera belachew2 and tizta tilahun2 abstract background. Determinants of contraceptive use among postpartum women in a. Aim was to assess utilization of iucd and factors among family planning users in han health center, bahir dar, ethiopia, 2018.
P4p case studies increasing utilization of facilitybased family planning and safe motherhood services in kenya this case study describes a kenyan demand and supply side payfor performance p4p scheme that uses vouchers as a means to reduce. Contraceptive knowledge, attitude and practice among rural women. Ifa and fao collect data on african fertilizer statistics, but to date, high quality data can be found only in north africa and south africa. Iucd, utilization, factors, bahir dar city, ethiopia.
Western asia, the two most common methods are the pill 10. Awareness and interest in intrauterine contraceptive device use. This study was to assess factors associated with utilization of long acting implant and iucd and permanent vasectomy and female sterilization contraceptive methods among married women of reproductive age 1549 years in mekelle town, tigray region, north ethiopia. This study is aimed at assessing magnitude and factors associated with iucd utilization among clients attending family guidance association clinics in addis ababa area. Utilization of family planning services and influencing.
Who low use of contraception among poor women in africa. Contraceptive utilization and associated factors among women. It recognized that our transformation of the planet. Idris sudan 48th international course in health development september 19, 2011 september 7, 2012 kit royal tropical institute development policy and practice vrije universiteit amsterdam. A qalitative assessment of decisions affecting contraceptive utilization and fertility intentions among. Jan 26, 2012 this study was to assess factors associated with utilization of long acting implant and iucd and permanent vasectomy and female sterilization contraceptive methods among married women of reproductive age 1549 years in mekelle town, tigray region, north ethiopia. Number of children has also effect in utilization of modern family planning methods. Thus, assessing status and factors affecting contraceptive utilization among women of reproductive age group was found key step for program improvement. In ethiopia, the provision of iucd was free of costs, but its utilization was still very low in which only 2% of women utilized iucd nationally 12.
Two studies among reproductive aged women in south africa indicate low 2641% awareness of the iucd as a contraceptive method, despite its inclusion in contraceptive. Utilization of family planning services and influencing factors among women of child bearing age in assosa district, benishangul gumuz regional state, west ethiopia. Jun 29, 2017 there is a high unmet need for limiting and spacing child births during the postpartum period. Awareness and interest in intrauterine contraceptive device. Her high fertility is mainly attributed to the high unmet need for family planning. Women were offered reinsertion of iucd or alternative methods of contraception in case of expulsionsremovals.
May 03, 2015 utilization of family planning services and influencing factors among women of child bearing age in assosa district, benishangul gumuz regional state, west ethiopia. Our objective was to establish the determinants of contraceptive uptake among postpartum women in a county referral hospital in. Tina maartens2, prey harrison2 1department of health, kwazulunatal 2university research co. In ethiopia, the provision of iucd was free of costs, but its utilization was still very low in which only 2% of women utilized iucd. Pakistan has almost a stagnant contraceptive prevalence rate for more than a decade now, perhaps owing to the. Low use of contraception among poor women in africa.
Factors influencing access and utilization of prevention of mother to child transmission pmtct of hiv services in sudan almutaz k. Baffourawuaha a, mwininyaledzigborb pp, richterc s 2015 enhancing focused antenatal care in ghana. Keywords were grouped using the pen3 cultural model. Though contraceptive utilization has comprehensive benefit for women, it was one of underutilized public intervention in ethiopia and in the study area. Forty eight of the african continents 54 sovereign states are located in. However, it is noted that the percentage of women using this devise in africa is only 1% which is the lowest in the world. Access and utilization of prevention of mother to child transmission services by the pregnant women in sudan is very low. This area of practice is much neglected in africa, as evidenced in the. Immediate postpartum intrauterine contraceptive device ippiucd is a lucrative postpartum family planning method which provides effective reversible contraception to women in the delivery setting. Nigeria and south africa, two of africa s largest economies currently experiencing structural limbo, are in need of renewed growth drivers.
Christina bl 20 barriers to utilization of focused antenatal care among pregnant women in ntchisi district in malawi. Acceptability and factors associated with postpartum iucd. Though there is an intention to increase the utilization of long term including iucd, still high proportion of women in africa use short term family planning methods 10,11. Information and communication technology ict refers information and communication related devices as computer and internet and other dioceses associates with the term. The intrauterine contraceptive device iucd is a highly effective, longacting contraceptive method and is not widely used in subsaharan africa, including south africa. The iud intrauterine device is a plastic rod with 2 arms and a string. Despite this early intervention, fertility rate has declined but slower in pakistan as compared to most other asian countries. Use of longacting reversible contraceptives larc is low % in uganda yet they are the most costeffective contraceptives. Trends in contraceptive use worldwide 2015 stesaser.
Iucd b iucd act as an abortificient c the iucd might travel through the womens body, maybe to her heart or even to her brain d iucd will interfere with sex e the iucd may rust in womens body fiucd always causes women to have an ectopic pregnancy g a woman who has had an ectopic pregnancy. With the exception of south africa, electricity in africa is generated mainly from hydro and oil diesel sources as shown in the figure 3. Ethiopia is the second most populous country in subsaharan africa. Contraceptive use by method 2019 the united nations. Utilization of intra uterine contraceptive device and associated. Many of these women could benefit from switching to lapms 5. Utilization of reversible long acting contraceptive methods and.
Political instability in africa where the problem lies and alternative perspectives by antony otieno ongayo the african diaspora policy centre, amsterdam1 presented at the symposium 2008. Jan 26, 2012 ethiopia is the second most populous country in subsaharan africa. The african economy before colonization was primitive and based on barter system. An intrauterine contraceptive device iucd is a small device made from plastic and copper which sits inside the womb uterus.
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