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- 저자 : ( Niroj Ghimire ) (검색결과 1 건)
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Use of Contraceptives among Postpartum Women in Nepal: A case of Makawanpur District
( Sangita Karki Kunwor ),( Niroj Ghimire ),최수정,김하윤,임혜빈,최다인,김지우,한동운 한국모자보건학회 2018 한국모자보건학회 학술대회 연제집 Vol.2018 No.2
Background and Aim Contraceptive methods are very effective in reducing unwanted pregnancies, maternal and child mortality rate, unsafe abortion’s morbidity, and inadequate birth spacing. Despite national program on reproductive health to encourage contraceptive use, the proportion of women of reproductive age who regularly use modern contraceptive methods remains consistently low in Nepal. The objective of this study was to assess the prevalence of contraceptive methods and explore factors that influence the practice of postpartum contraceptives in Nepal. Methods A community based cross sectional quantitative study in October 2016 among the women aged 15 to 49 years who delivered a child within the last one year of the survey date. Multi-stage sampling technique was used to interview a total of 313 women of Makawanpur district through household survey using structured questionnaire. We used chi-square analysis to test the association between the independent and dependent variables. Binary logistic regression analysis was used for those variables which were found significant in chi-square test. Odds ratios with 95% confidence intervals were computed to identify factors associated with contraceptive use. Result From the view point of our study, the use of postpartum contraceptives is directly associated to their income, education, ethnicity, religion, menstruation status, planned birth spacing and availability of health facility. As a result, almost 50% of women were using a means of contraception during their postpartum periods with most commonly used injectable method(Dipo-Provera). Similarly, use of maternal health services (ANC, institutional delivery and PNC) in the previous pregnancy are directly associated in their use of family planning. Conclusion Apart from the urban and higher caste groups, the use of postpartum contraceptives remains low in poor communities with low caste groups. Thus, there is a need of special programs to motivate and address the need of those marginalized communities. To promote contraceptive use, an integration of maternal and child health programs with postpartum contraceptives service would be beneficial for those communities. Also, effective public awareness and productive counseling service should be considered to increase contraceptive use during postpartum period.
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