1 / 17

Reproductive health seeking behavior of young married women

Reproductive health seeking behavior of young married women. Dr. Aftab Uddin Gano Unnayan Sangstha (GUS). Outlines of presentation. Objectives Methodology Key Findings Lessons Learned Recommendations.

tino
Download Presentation

Reproductive health seeking behavior of young married women

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Reproductive health seeking behavior of young married women Dr. Aftab Uddin Gano Unnayan Sangstha (GUS)

  2. Outlines of presentation • Objectives • Methodology • Key Findings • Lessons Learned • Recommendations

  3. general objective: to ascertain the health seeking behavior of young married women in Bangladesh Specific objective (s): To assess the socio – economic characteristics of the married adolescents; 1 To investigate the barriers or constraints in health seeking behavior of the adolescents; 2 To assess the attitudes of the parents and the community about health seeking behavior of the married adolescents; 3 4 To investigate the factors affecting the married adolescents health seeking behavior.

  4. Methodology • A cross sectional study designed to obtain information from the primary and secondary sources; • No. and Categories of sample Respondents: • Married Adolescents & Newlywed Couple from upazila, union and village levels: 1680 • Program managers and service providers: 14 UFPO, 14 MO (MCH-FP), 14 Sr. FWVs, 28 Family Planning Inspectors (FPIs), 28 Family Welfare Visitors (FWV), 28 SACMOs, and 84 Family Welfare Assistant (FWAs) • Focus Group Discussion: 10

  5. Methodology • Data collection: data were collected during May 2012 employing 8 sets of pretested instruments; • Data Analysis and results preparation: • Collected data were analysed by using EPI INFO and SPSS in IBM/IBM compatible PC. • Uni-variate and bi-variate analysis were done to prepare tables in line of the objectives of the study and for preparing the report.

  6. Key findings • Adolescent married women: 50% were under 17 and 37% were exactly 18 years, 36% had primary education while 53% had secondary level; • Nearly 90% were aware of the services such as: FP methods (68%), ANC service, delivery care, postnatal care, conduct delivery, general health service, vaccination and childcare. • More than 16% respondents were currently pregnant and…9 in 10 adolescents received ANC; • Main sources were: • Public sector (79%), private practitioners (26.3%), and NGO clinics (24.8%) • 20% of women received ANC at community clinic

  7. Key findings • 45% adolescents wanted to have baby after the age of 20 and only 14% wanted baby earlier. • Current use of contraception: • CPR (any method)- 52% with variations in high performing (62%) and low performing (43%) areas; • The pill was the most popular method in all regions; • Injectables were the second most popular method in low performing area, and • Condoms were the second most popular method in medium performing area; • Public sector provides more than 83% of all users; • FWAs were the most important source supplying 43%, 70% and 60.5% to users in high, medium and low areas respectively.

  8. Key findings • Complication for using FP method-25% users in the low performing area as against 10.3% in high performing area had complications while using FP method; • Obstacles and assistance for receiving services- • Very few young women had faced obstacles from both families and community; • 77.8% of the respondents in high performing area as against 90% in medium performing areas got assistance from health clinics.

  9. Key findings • Factors associate with attitude of health care service: • Two-third respondents suggested that mass campaign and courtyard meeting could raise awareness and increase the utilization of health care service; • Suggested following steps: • improve quality of services • increase the adequate number of doctors • provide aids and medicines • provide adequate contraceptive materials and • give quality training to the service providers

  10. Key findings • Program managers and service providers: • 62.5% managers described the status of health seeking behavior of women as average; • Women sought: • delivery and childcare (50%) and RH care (38%) • mostly (94%) from FWA/FWV/SACMO • 87% providers perceived that clients received appropriate services according to their needs • FP methods and RH services, care for pregnant women, mother and child care. • All program managers opined that the attitude of the parents, community and relatives appear to be good towards women’s health seeking behavior

  11. Key findings • Main obstacles for receiving services by a women • Superstition • lack of awareness of health in the family • lack of skilled worker and their frequent absence • Service providers opined that further steps needed: • courtyard meeting • group meeting with young and new couple • campaign including religious leaders to enhance existing service reception by the clients.

  12. Key findings • One in five managers stated: providers faced difficulties/obstacles while providing services to their clients • The most mentioned reasons: • Religiosity and non-cooperation of husband of the newlywed couples for receiving FP method; • To overcome providers recommended, to: • build awareness in the society and among adolescents (99%) • promote general education (60%), and • develop awareness from religious perspective (68%)

  13. Lessons Learned • Maternal, child and family planning services were available in the health center and 90% adolescent married women during their pregnancy received antenatal care mainly from the public sector. • Overall, 50% of the adolescent women used contraception, and pill was the most popular method in all regions-high, middle and low performing areas. • Negligible amount of respondents were using permanent method.

  14. Lessons Learned • Public sectors have been the important source of supplies for family planning users in Bangladesh • Private sector as the second largest provider • In general, very few young women had faced obstacles from families and community. • However, the main obstacles for the adolescent married women while receiving health service: • Religiosity and the lack of cooperation of husband of the newlywed couples • lack of health awareness in family • lack of skilled workers, and • lack of transport

  15. Recommendations • Launch effective BCC campaigns to increase coverage of RH-FP (ANC, Delivery, PNC and FP) services among adolescents; • Arrange adequate and efficient training programs including refreshers training to increase service providers’ knowledge and skills; • Increase community awareness by medically trained personnel about importance of RH-FP services so that young women can seek institutional and skilled services;

  16. Recommendations • Provide effective counseling with appropriate information, and treat complications of contraceptive use to prevent dropout; • Ensure timely supply of appropriate FP methods based clients’ demand; • Equip service centers with adequate field workers to deliver adolescent care services; • Increase quality of services for FP method: • adequate time for counseling and motivation • clinical examination, and • explaining to the clients about the problems and appropriateness of the FP methods.

  17. THANK YOU

More Related