부산대학교 도서관

Family planning and contraceptive utilization can have significant effects in reducing unplanned pregnancies and improving maternal and child health indicators. We conducted a retrospective cross-sectional study analyzing survey response data within six sub-locations of Migori County, Kenya in 2018 and 2019. We utilize this survey data to estimate both the prevalence of contraceptive uptake and unwanted pregnancies in the study populations, and to examine the potential role that different factors play in meeting related family planning targets. Descriptive statistics were calculated, and multivariable logistic regression was used to model determinants of contraceptive use and reported unplanned pregnancy. A total of 3,642 female heads of household were included. 63% of respondents reported that they currently use some form of contraception, and the prevalence of unplanned pregnancy was 36.7%. Our findings reflect the need for family planning programs to focus interventions on those at highest risk. There is a need for additional research and investigation into community and individual beliefs surrounding family planning in order to ensure that interventions are culturally sensitive and locally responsive. (Afr J Reprod Health 2021; 25[1]: 29-40). Keywords: Contraception; family planning; unplanned pregnancy; Kenya La planification familiale et l'utilisation de la contraception peuvent avoir des effets significatifs sur la reduction des grossesses non planifiees et l'amelioration des indicateurs de sante maternelle et infantile. Nous avons mene une etude transversale retrospective analysant les donnees de reponse a l'enquete dans six sous-sites du comte de Migori, au Kenya en 2018 et 2019. Nous utilisons ces donnees d'enquete pour estimer a la fois la prevalence de l'utilisation de la contraception et des grossesses non desirees dans les populations de l'etude, et pour examiner le role potentiel que jouent differents facteurs dans la realisation des objectifs de planification familiale connexes. Des statistiques descriptives ont ete calculees et une regression logistique multivariee a ete utilisee pour modeliser les determinants de l'utilisation de la contraception et les grossesses non planifiees signalees. Au total, 3 642 femmes chefs de menage ont ete incluses. 63% des repondants ont declare utiliser actuellement une forme de contraception et la prevalence des grossesses non planifiees etait de 36,7%. Nos resultats refletent la necessite pour les programmes de planification familiale de concentrer les interventions sur les personnes les plus a risque. Il est necessaire de mener des recherches et des enquetes supplementaires sur les croyances communautaires et individuelles entourant la planification familiale afin de garantir que les interventions sont culturellement sensibles et adaptees localement. (Afr J Reprod Health 2021; 25[1]: 29-40). Mots-cles: La contraception; planification familiale; grossesse non planifiee; Kenya
Introduction Family planning and contraceptive utilization can have significant effects in reducing unplanned pregnancies, improving maternal and child health indicators, and serving as a tool by which to empower women [...]