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PubMedDate not supplied

Contraceptive choice in Lagos, Nigeria.

Among 1266 contraceptive acceptors (median age 30 years, median parity 4.5) attending a family planning clinic, mostly after referral from the post-natal clinic, two thirds chose the intrauterine device, almost all the remainder choosing oral contraception. Oral contraception was, however, the main choice among women parity 0 or 1. A definite intention to have no more children was given by none of the women of parity 3 or under, and only by 15% of those of parity 8 or more, so that child spacing was the main reason for accepting contraception. By 12 months, the discontinuation rate among oral contraceptive users was 17% (IUD 11%) of which 11% (IUD 6%) was for personal reasons or to plan pregnancy, 4% (IUD 5%) through adverse effects and 0.6% (IUD 0.8%) through accidental pregnancy.

Adult↗
PubMedDate not supplied

Fertility preferences and contraceptive use in Pakistan.

"The objective of this paper is...to analyse the levels and trends of fertility preferences in Pakistan during the 1975-1980 period and to see if any changes in the preferences have occurred over time even in the absence of the information, education and communication (IE&C) component of the family planning programme. Our hypothesis is that there exists a conscious choice of reproductive goals among married couples and there is no likelihood of any significant change in these expressed choices over time for the last twenty years." The data are from the 1979-1980 Population, Labour Force and Migration (PLM) Survey and the 1975 Pakistan Fertility Survey. "The analysis of data obtained for the two national surveys indicates that the surveys in question are highly consistent with regard to fertility preferences. They also indicate that the magnitude of family size preferences did not change appreciably between the two surveys. Moreover, the period and cumulative fertility behaviour in both the surveys did not record any significant variation.... When contraceptive behaviour was analysed with the reported fertility preferences, it appeared that the women were quite consistent in their stated fertility attitudes." Comments by Khalil A. Siddiqui are included (pp. 617-8).

Asia↗
PubMed2003

Perception of efficacy and safety as determinants for use and discontinuation of birth control methods in Muslim Jordanian women.

OBJECTIVE: This study was conducted to identify the perceptions of working Muslim Jordanian women regarding the efficacy and safety of their contraceptive methods, and whether these perceptions affected method choice or discontinuation. METHODS: A prospective study on 207 married working women of reproductive age was conducted between March and June 2002. RESULTS: The majority of women were using an intrauterine device (IUD), fewer were using traditional methods and oral contraceptive pills. Effectiveness was the main reason for choosing IUD and pill methods, while concerns about safety were the main reason for discontinuation. Safety was the main reason for choosing traditional methods and poor efficacy was the reason for discontinuation. CONCLUSION: Health-care professionals need to increase the use of proper contraceptive methods and compliance by providing counseling services and correcting any misperceptions regarding birth control methods before and during use.

Adult↗
PubMed1993

Effects of prebehavioral cognitive work on adolescents' acceptance of condoms.

Two educational strategies designed to promote condom use for sexually transmitted disease protection were tested in a field experiment involving 291 female, adolescent family planning clinic clients. The 1st strategy was designed to enhance attitude-behavior correspondence by increasing direct experience with handling condoms. The 2nd, a contingency-planning exercise, induced clients to generate a mental representation of negotiating condom use with a sexual partner. Both strategies were compared with the standard education. The dependent measures were condom acceptance (operationalized by the number of condoms taken), attitudes, and knowledge. Clients in the contingency-planning condition accepted about 60% more condoms than did other clients. Condom attitudes followed the same pattern, and knowledge did not differ among conditions.

Adolescent↗
PubMed2003

A process model of Depo-Provera use in Canadian women.

This study investigated women's experiences with the long-acting, injectable contraceptive Depo-Provera. Fourteen women were interviewed and 57 charts of clients at a Canadian Sexual Health Centre were reviewed to generate a theory of use. A three-stage process model describes women's choice of this contraceptive and decision to continue or discontinue use. This model suggests that women's use of Depo-Provera is determined by a complex interaction of individual cognition, relational processes, and sociocultural contexts.

Adolescent↗