Hala Awadalla

Mısırlı kadınlar arasında kontraseptif devamsızlığı: 2005 Mısır Nüfus ve sağlık araştırmasından sonuçlar

AMAÇ: İstenmeyen gebelik; sadece ilgili bireyleri değil aynı zamanda toplumu etkileyen önemli bir halk sağlığı sorunudur. Gebelikten korunmak isteyen çoğu çift kontrasepsiyon uygular. Bu çalışmanın hedefleri değişik kontrasepsiyon yöntemlerinde devamsızlık sıklığını belirlemek ve kontraseptif kullanımında devamsızlığın nedenlerini tanımlamaktır. YÖNTEM: 2005 Mısır Nüfus ve Sağlık Araştırması (EDHS) 15-49 yaş arasındaki evli kadınlardan temsili olarak seçilen 19.474 kadının hanehalkı izlemidir. Örnek, çok aşamalı örnekleme tekniği kullanılarak seçilmiştir. Örnekteki kadınlarla yapılandırılmış yüz yüze görüşme yapılmıştır. Soru formunu tamamlamada yanıtlama hızı %99,5’tir. 2005 EDHS; doğurganlık, aile planlaması, anne ve bebek sağlığı ve beslenmesi ve kadına karşı şiddet konularında bol miktarda veri sağlamaktadır. BULGULAR: Bu çalışmanın sonuçları, kadınların %46,4’ünün kontrasepsiyon kullanımında devamsızlık göstermekte olduğunu ortaya koydu. Yöntemin yan etkileri en sık devamsızlık nedeniydi. SONUÇ: Mısırlı kadınların yaklaşık yarısı yöntemin yan etkilerinden dolayı ve daha fazla çocuk istediklerinde kontrasepsiyon kullanımına ara vermektedir.

Contraceptive discontinuation among egyptian women: Results from egypt Demographic and health survey 2005

AIM: Unintended pregnancy is a major public health problem that affects not only the individuals directly involved but also society. Most couples who want to avoid pregnancy practice contraception.The objectives of this study were to determine the prevalence of discontinuation of the different methods of contraception and describe the most common reasons of discontinuation of contraception usage. METHOD: The 2005 Egypt Demographic and Health Survey (EDHS) is a nationally representative household survey of 19 474 married women aged 15–49 years. The study sample was selected using a multistage sampling technique. A face-to-face structured interview was conducted with the selected women. The response rate was 99.5% for completing the questionnaires. The 2005 EDHS provides a wealth of information on fertility, family planning, maternal and child health and nutrition, and violence against women. RESULTS: The results of this study showed that 46.4% of women discontinued the use of contraception. Side effects of the method were the most frequent reason of discontinuation CONCLUSION: Nearly half of Egyptian women discontinued the use of contraception due to side effects and wanted more children.

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1. Adeyemi AS, Adekanle DA, Komolafe JO. Pattern of contraceptives choice among the married women attending the family planning clinic of a tertiary health institution. Niger J Med. 2008; 17(1): 67-70.
2. Yeakey MP, Muntifering CJ, Ramachandran DV, et al. How contraceptive use affects birth intervals: results of a literature review. Stud Fam Plan. 2009; 40(3): 205-214.
3. Trussell J, Vaughan B, Contraceptive Failure, Method-Related Discontinuation And Resumption of Use: Results from the 1995 National Survey of Family Growth. Family Planning Perspectives. 1999; 31(2): 64–72.
4. Vaughan B, Trussell J, Kost K, et al. Discontinuation and resumption of contraceptive use: Results from the 2002 National Survey of Family Growth Contraception. 2008; 78(4): 271–283.
5. Abasiattai AM, Bassey EA, Udoma EJ, Profile of intrauterine contraceptive device acceptors at the University of Uyo Teaching Hospital, Uyo, Nigeria. Ann Afr Med. 2008; 7(1): 1-5.
6. Eltigani EE, Toward replacement fertility in Egypt and Tunisia. Stud Fam Plan. 2009; 40(3): 215-226.
7. Leite IC, Gupta N, Assessing regional differences in contraceptive discontinuation, failure and switching in Brazil. Reprod Health. 2007; 10; 4-6.
8. D'Antona Ade O, Chelekis JA, D'Antona MF, et al. Contraceptive discontinuation and non- use in Santarém, Brazilian Amazon. Cad Saude Publica. 2009; 25(9): 2021-2032.
9. MEASURE DHS. 2009 Demographic and health surveys. Available from URL: http://www.measuredhs.com. [Accessed Date: 10.10.2010.]
10. El-Zanaty F, Way A Egypt Demographic and Health Survey 2005. Cairo: Ministry of Health and Population, National Population Council/El-Zanaty and Associates/Opinion Research Corporation Macro, 2006.
11. Curtis SL, Neitzel K, Contraceptive knowledge, use, and sources. Demographic and Health Survey Comparative Studies No. 19 Calverton, MD: ORC Macro; 1996.
12. United Nations. Department of Economic and Social Affairs. Population Division. World contraceptive use 2005. 2006; United Nations publication (ST/ESA/SER.A/253).
13. Awadalla HI, Kamel EG, Mahfouz EM, et al. Evaluation of maternal and child health services in El-Minia city, Egypt. J of Public Health. 2009; 17(5) : 321-329.
14. El-Raghy HA, EL-Lawndi MI, El-Salamony OK, et al. Maternal and Child Health Services Utilization in Cairo Urban Health Care Centers. The Egyptian Journal of Community Medicine. 2001; 19(2): 13-35.
15. Ibnouf AH, van den Borne HW, Maarse JA, Utilization of family planning services by married Sudanese women of reproductive age. East Mediterr Health J. 2007; 13(6): 1372-1381.
16. Miller RA, Ndhlovu L, Gachara MM, et al. The Situation Analysis Study of the family planning program in Kenya. Stud Fam Plan. 1991; 22(3): 131-143.
18. Barden-O'Fallon J, Speizer IS, C‫،أ‬lix J, et al. Contraceptive discontinuation among Honduran women who use reversible methods. Stud Fam Plan. 2011; 42(1): 11- 20.
19. Wildemeersch D. Intrauterine contraceptives that do not fit well contribute to early discontinuation. Eur J Contracept Reprod Health Care. 2011; 16(2): 135-141.
20. Moreau C, Cleland K, Trussell J, Contraceptive discontinuation attributed to method dissatisfaction in the United States. Contraception. 2007; 76(4): 267-272.
21. Moreau C, Bouyer J, Bajos N, et al. Frequency of discontinuation of contraceptive use: results from a French population-based cohort. Hum Reprod. 2009; 24(6): 1387-1392.
22. El-Zeini LO, The path to replacement fertility in Egypt: acceptance, preference, and achievement. Stud Fam Plan. 2008; 39(3): 161-176.
23. Bonacorsi S, Pareto Charts http://www.projectsmart.co.uk/pareto- charts.html. 2007 [Accessed Date: 15.01.2010].
24. Abd El Hamid DM, Shehad I, Gadallah MA, Patient Satisfaction Survey in Outpatient Clinics in Ain Shams University Hospital Egyptian Journal of Community Medicine. 2005; 23(4): 1-17.
25. Seltzer SE, Kelly P, Adams DF, et al. Expediting the turnaround of radiology reports: use of total quality management to facilitate radiologists' report signing Am. J Roentgenol. 1994; 162: 775–781.
26. Mayer M, Tomic B, Anic B, et al. The analysis of the highly aggregated national hospitalizations registry data as the primary source for epidemiological research of SLE using stratification methods and Pareto chart. Ann Rheum Dis. 2005; 64: 1795.
27. Grubb GS, Women’s perception of the safety of the pill: a survey in eight developing countries. J Biosoc Sci. 1987; 19: 313–321.
28. Aryeetey R, Kotoh AM, Hindin MJ, Knowledge, perceptions and ever use of modern contraception among women in the Ga East District, Ghana. Afr J Reprod Health. 2010; 14(4 Spec no.): 26-31.
29. Khan MA, Factors associated with oral contraceptive discontinuation in rural Bangladesh. Health Policy and Planning. 2003; 18(1): 101-108.
30. Bal MD, Sahin NH, The usage and discontinuation of contraceptive methods. Arch Gynecol Obstet. 2011; 284(1): 151- 155.
31-Shah NM, Shah MA, Chowdhury RI, Menon I, Reasons and correlates of contraceptive discontinuation in Kuwait. Eur J Contracept Reprod Health Care. 2007; 12(3): 260-268.
32. Ali MM, Cleland J, Oral contraceptive discontinuation and its after math in 19 developing countries. Contraception. 2010; 81(1): 22-29.
33. Brown W, Ottney A, Nguyen S Breaking the barrier: the Health Belief Model and patient perceptions regarding contraception. Contraception. 2011; 83(5): 453-458.