Department of Community Medicine, Federal Teaching Hospital, Abakaliki, Nigeria.
Department of Community Medicine, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Int J Health Plann Manage. 2019 Apr;34(2):862-871. doi: 10.1002/hpm.2746. Epub 2019 Feb 8.
The study set out to determine the role of community resource persons in improving uptake of modern family planning methods among women of reproductive age in Ebonyi State.
A non-randomized intervention study with control was done. A multistage sampling technique was used to select a sample of 484 in union women of reproductive age. Data were collected using a pretested structured questionnaire. Community resource persons were trained to provide culturally appropriate information on family planning to men and women in the community. Postintervention data were collected after a waiting period of 3 months.
In the intervention arm, use of modern methods of family planning increased significantly by 7.4% at 3 months postintervention (P = 0.01) compared with the control arm. The most commonly used modern methods of family planning were pills, injectables, and barrier methods in the intervention arm and implant in the control arm. The major source of modern methods of family planning was health facility both before and after the intervention in both arms. Number of living children, increasing age and husband's education were predictors of current use of modern family planning methods.
Community-driven strategies are useful for increasing uptake of modern methods of family planning and are recommended.
本研究旨在确定社区资源人员在提高埃邦伊州育龄妇女现代计划生育方法使用率方面的作用。
采用非随机干预研究对照方法。采用多阶段抽样技术,在有生育能力的已婚妇女中抽取了 484 名样本。使用经过预测试的结构化问卷收集数据。培训社区资源人员,以便向社区中的男性和女性提供有关计划生育的文化适宜信息。干预后等待 3 个月收集后续数据。
在干预组中,与对照组相比,干预后 3 个月现代计划生育方法的使用率显著增加了 7.4%(P=0.01)。干预组中最常用的现代计划生育方法是避孕药、注射剂和屏障方法,而对照组中则是植入物。干预前后,现代计划生育方法的主要来源都是医疗机构。活产子女数量、年龄增长和丈夫教育程度是现代计划生育方法当前使用率的预测因素。
社区驱动策略对于提高现代计划生育方法的使用率是有用的,值得推荐。