Kumar S, Priyadarshni A, Kant S, Anand K, Yadav B K
Dept of Community Medicine, BPKIHS, Dharan, Nepal.
Kathmandu Univ Med J (KUMJ). 2005 Jul-Sep;3(3):259-62.
To predict the need of family planning methods, family planning managers often rely on unmet need derived from measure of contraceptive demand. However women's intention and her background knowledge of family planning methods not received as much attention as a measure of family planning methods demand.
To know the attitude of women regarding use of family planning methods and to find out the factors that restricts its use, and the change in pattern of use over a period of one year.
This was a prospective study. One (Block G) out of eight blocks was selected randomly. Using convenient sample method, families were selected starting from a point in the selected block (Block G). 40 women of childbearing age group (15- 49 years) were enrolled. All women were followed for a period of one year.
Weakness was narrated as the commonest side effect from all family planning methods. More than 70% women told that irregular menstruation from Oral Contraceptive pills and ill health from tubectomy as the other side effects. Demands for more children and for son preferences were the leading reason for not using any methods followed by afraid of side effects and health problems. There was negligible change in the use of family planning methods during the period of the study.
Effective family planning methods use should be advocated through adequate counseling about the correct use, side effects and their proper management and their benefit in the back ground of custom and belief.
为预测计划生育方法的需求，计划生育管理人员通常依赖从避孕需求测量中得出的未满足需求。然而，女性对计划生育方法的意图及其背景知识并未像计划生育方法需求的一种测量那样受到同等程度的关注。
了解女性对使用计划生育方法的态度，找出限制其使用的因素，以及在一年时间内使用模式的变化。
这是一项前瞻性研究。从八个街区中随机选择一个（G街区）。采用便利抽样法，从选定街区（G街区）的一个点开始选择家庭。招募了40名育龄妇女（15 - 49岁）。所有妇女均随访一年。
虚弱被描述为所有计划生育方法最常见的副作用。超过70%的妇女表示口服避孕药导致月经不规律以及输卵管结扎术导致健康不佳是其他副作用。想要更多孩子和偏爱男孩是不使用任何方法的主要原因，其次是害怕副作用和健康问题。在研究期间，计划生育方法的使用变化微乎其微。
应通过充分咨询正确使用方法、副作用及其妥善管理以及在习俗和信仰背景下的益处，来倡导有效使用计划生育方法。
