Main Article Content
A Study on Knowledge, Attitude, Practice and Quality of Care in Family Planning at Dessie Zuria District.
Abstract
Objective: To assess the knowledge, attitude and practice of Family Planning Programme of Dessie Zuria Woreda's female residents who are in childbearing age and to observe the quality of care in FP at health institution level.
Method: The type of the study is cross-sectional study. We have conducted community based KAP survey in 1998 in Dessie Zuria Woreda. The Woreda's female residents were interviewed about Family planning and regarding quality care in Family Planning the health institution and health personnel were assessed . In the rural area, the peasant associations were selected by random sampling methods and the village by cluster sampling. In town the urban dweller associations were selected by random sampling. After calculating the sample size the desired number of study population was 1599 women. Concerning the quality of care assessment all the health institutions and all the health personnel who are conducting Family Planning programme in the woreda were included.
Results: The most common source of information concerning FP in the urban area are Health personnel (64.6%), Mass media (14%) and similarly in the rural area, Health personnel contribute 80.3%. Among the study population 53.3% are not using Family Planning. It was observed that 75.2% of the rural and 36% of the urban are not using any means of contraceptive methods. When we compare the illiterate and those above six grades in relation to using Family planning service. Those above six grades are using the service 3.36 times more than illiterate ( P< 0.0001). OR= 3.36(95% CI 2.58< OR<4.38). From urban residents, 68% use pills and from the rural 92.6%. When we assess the support of the husbands concerning the use of Family Planning, we observed that 24.5% in the urban 31.6% in the rural area are not supporting their wives to use FP service. When the respondents askedto mention the main reason of not using the Family planning service they have mentioned 1. Desire to have more children (47%), 2. Service not available in the area (especially in rural area) (18%), 3. Cultural and religion problem (15.6%), 4. Health problem (4.7%). Regarding the quality of care, there were some problems such as lack of I.E.C. materials, availability of mix-contraceptive, not having privacy during counselling and examination, lack of skill and competency in carrying out the programme from the side of service provider.
Conclusion: Expansion of service at community level with the support of CBDs, ensuring the availability of mix-contraceptive and conducting in-service training on FP is recommended.
Key words: Family planning, Contraceptives, Information Education Communication, Counselling, Fertility.
[J Ethiopia Med Pract. 2001:3(2):70–76 ]
Method: The type of the study is cross-sectional study. We have conducted community based KAP survey in 1998 in Dessie Zuria Woreda. The Woreda's female residents were interviewed about Family planning and regarding quality care in Family Planning the health institution and health personnel were assessed . In the rural area, the peasant associations were selected by random sampling methods and the village by cluster sampling. In town the urban dweller associations were selected by random sampling. After calculating the sample size the desired number of study population was 1599 women. Concerning the quality of care assessment all the health institutions and all the health personnel who are conducting Family Planning programme in the woreda were included.
Results: The most common source of information concerning FP in the urban area are Health personnel (64.6%), Mass media (14%) and similarly in the rural area, Health personnel contribute 80.3%. Among the study population 53.3% are not using Family Planning. It was observed that 75.2% of the rural and 36% of the urban are not using any means of contraceptive methods. When we compare the illiterate and those above six grades in relation to using Family planning service. Those above six grades are using the service 3.36 times more than illiterate ( P< 0.0001). OR= 3.36(95% CI 2.58< OR<4.38). From urban residents, 68% use pills and from the rural 92.6%. When we assess the support of the husbands concerning the use of Family Planning, we observed that 24.5% in the urban 31.6% in the rural area are not supporting their wives to use FP service. When the respondents askedto mention the main reason of not using the Family planning service they have mentioned 1. Desire to have more children (47%), 2. Service not available in the area (especially in rural area) (18%), 3. Cultural and religion problem (15.6%), 4. Health problem (4.7%). Regarding the quality of care, there were some problems such as lack of I.E.C. materials, availability of mix-contraceptive, not having privacy during counselling and examination, lack of skill and competency in carrying out the programme from the side of service provider.
Conclusion: Expansion of service at community level with the support of CBDs, ensuring the availability of mix-contraceptive and conducting in-service training on FP is recommended.
Key words: Family planning, Contraceptives, Information Education Communication, Counselling, Fertility.
[J Ethiopia Med Pract. 2001:3(2):70–76 ]
