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At least 613 records · Page 34Linked to original sources
PubMed2003

Urban-rural differentials in maternal and child health in Andhra Pradesh, India.

INTRODUCTION: The unborn child is totally dependent on the mother; after birth, the child depends completely on the immediate social environment of the family and of the mother in particular. Recently the Indian Government changed its emphasis from family planning programs to family welfare programs. The intention was to promote the maternal and child health (MCH) programs to improve the health of mothers and young children. This study examined urban-rural differentials in MCH, and the factors influencing net change in MCH input, its utilisation and its output between the Indian National Family Health Survey (NFHS)-I and NFHS-II. METHODS: The NFHS data collected from 4276 ever-married women in the age group 13-49 years in 1992 (NFHS-I) and 4032 ever-married women in the age group 15-49 years in 1998 (NFHS-II) were analysed. RESULTS: The analysis revealed a positive net change in maternal and child health input, its utilisation and its output in the years 1992-1998. CONCLUSION: Andhra Pradesh was one of the most successful Indian States in providing MCH services, even though urban-rural differentials still exist. The Indian Government must take the necessary steps to improve MCH programs, including the provision of information and education campaigns, and sending dedicated health personnel to remote and inaccessible rural areas in order to reduce child mortality.

Journal Article↗
PubMedDate not supplied

Efficacy of three variations of periodic abstinence for family planning in Indonesia.

A prospective study to determine the efficacy of three alternative guidelines for the practice of periodic abstinence (PA) for family planning was conducted in Indonesia. The three methods studied were the Billings ovulation method, the Dorairaj modified mucus method, and a local version of the mucus method. For each method, the study encompassed a three-month learning phase and an additional 12-month effectiveness phase. Data from a total of 850 acceptors showed that, despite some variations in the sociodemographic characteristics of the acceptors, the Billings ovulation method had the lowest (10.4 per 100 women) and the local mucus method had the highest (26.5 per 100 women) overall life-table discontinuation rates in the effectiveness phase. One-year life-table unplanned pregnancy rates ranged from 2.5 per 100 women for the Billings method to a high of 11.5 per 100 women for the local method acceptors. Unplanned pregnancy was the main reason for termination.

Adult↗
PubMedDate not supplied

Contraceptive failure in the United States: an update.

This report provides an update of the authors' previous estimates of first-year probabilities of contraceptive failure for all methods of contraception. Estimates are provided of failure during typical use (which includes both incorrect and inconsistent use) and during perfect use (correct use at every act of intercourse). The difference between these two probabilities provides a measure of how forgiving of imperfect use each method is. These revisions are prompted by recent studies that provide the first estimates of failure during perfect use for periodic abstinence and the cervical cap, by more complete evaluations of implants, and by the appearance of the Copper T 380A and disappearance of other IUDs from the US market. Also provided is a more complete explanation of how the previous estimate of the probability of becoming pregnant while relying solely on chance should be interpreted, and this estimate is revised slightly downward.

Clinical Trials as Topic↗
PubMed1989

Perspectives of physicians in Sri Lanka on periodic abstinence.

Since physicians strongly influence both national family planning policy and individuals' contraceptive choice, a survey was conducted to learn about the perspectives of Sri Lankan physicians (n-100) regarding periodic abstinence methods of family planning (PA). Female doctors (28% of the sample) were twice as likely to have ever provided PA advice to their clients as their male counterparts. Providers of PA were more likely to have ever personally used this form of contraception than PA non-providers. Regardless of PA provider status, all physicians most frequently recommended pills, injectables and IUDs to their clients. They had very good knowledge of the temperature method. The scientific foundation of this method is studied in medical school, suggesting that if the other modern methods (Billings and sympto-thermal) were incorporated into medical school curricula, physicians might be more willing to discuss, refer or provide other modern, scientific forms of PA to their clients.

Attitude of Health Personnel↗