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FAMILY PLANNING ATTITUDE IN TURKISH CULTURE: RELATIONSHIP BETWEEN EXPERIENCING UNINTENDED PREGNANCY, RECEIVING COUNSELING, AND ACCESSING METHODS

Year 2023, Volume: 8 Issue: 1, 17 - 27, 30.04.2023

Büşra Duran Hafize Dağ Tüzmen Şerife İrem Döner

https://doi.org/10.33457/ijhsrp.1260825

Abstract

Objective: In this study, it was aimed to determine the frequency of married women using methods related to family planning and the factors associated with method use.
Method: 400 women between the ages of 15 and 49 were a part of the research, which was carried out as a descriptive and relationship-seeking study. The family planning attitude scale and a personal information form were utilized in the data collection phase of the study, and data were analyzed using the IBM SPSS 25 program. Ethics committee permission and written consent from the participants were obtained for the habituation to take place. T-test, one-way variance, and multiple regression analyzes were used in the analysis of the data.
Results: It was determined that the total mean score of the family planning attitude scale of the women was 133.49 ± 18.78, 67% of them used a modern family planning method, and 32.5% of them received counseling for family planning. It has been found that women's family planning attitudes are affected by age, income level, availability of family planning products and method selection reasons. It has been determined that the family planning attitude scale sub-dimensions of women who have experienced abortion/abortion have lower attitudes towards family planning and family planning method attitudes than women who have not experienced abortion/abortion.
Conclusion: According to the research, women have positive attitudes regarding family planning, but not at the level that is ideal. More effectively delivering training and consulting services is crucial to fostering a good attitude toward family planning.

Keywords

Family planning methods unwanted pregnancy

References

  • United Nations Human Rights Council (UNHRC) (2020, March, 31). Information series on sexual and reproductive health and rights maternal mortality and morbidity. [Online]. Available at: https://www.ohchr.org/sites/default/files/INFO_MMM_WEB.pdf
  • Egelioğlu Cetişli, N., Kahveci, M., Işık, S., Hacılar, A., “Postpartum Contraseptive Choice and Attitudes of Women”, Journal of Academic Research in Nursing, 6(1), 67-72, 2020.
  • World Health Organization (WHO) (2020, November, 9). Family planning/contraception methods. [Online]. Available at: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception, Date of access: 15.02.2023
  • Utomo, B., Sucahya, P. K., Romadlona, N. A., Robertson, A. S., Aryanty, R. I., & Magnani, R. J. “The impact of family planning on maternal mortality in Indonesia: what future contribution can be expected?”, Population Health Metrics, 19(1), 1-13, 2021.
  • Karacan, E., & Gökçe, S. "Gender inequality and women's health". Journal of Social Policy and Social Work Studies, 1(1), 39-59, 2020.
  • Bekele, D., Surur, F., Nigatu, B., Teklu, A., Getinet, T., Kassa, M., ... & Abesha, Y. "Knowledge and attitude towards family planning among women of reproductive age in emerging regions of Ethiopia". Journal of Multidisciplinary Healthcare, 13, 1463-1474, 2020.
  • Çalıkoğlu, E., Yerli, E., Yılmaz, S., Koşan, Z., Aras, A., “Determination of attitudes of 15-49 age married women towards family planning”, 19th National Public Health Congress Proceedings, Antalya, 15-19 Mart 2017.
  • Sarder, A., Islam, S. M. S., Talukder, A., & Ahammed, B. “ Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries”, PLoS One, 16(2), 1-13, 2021.
  • Bellizzi, S., Pichierri, G., Menchini, L., Barry, J., Sotgiu, G., & Bassat, Q., “The impact of underuse of modern methods of contraception among adolescents with unintended pregnancies in 12 low-and middle-income countries”, Journal of Global Health, 9(2), 1-9,2019.
  • World Health Organization (WHO) (2019, October, 25). High rates of unintended pregnancies linked to gaps in family planning services: New WHO study. [Online]. Available at: https://www.who.int/news/item/25-10-2019-high-rates-of-unintended-pregnancies-linked-to-gaps-in-family-planning-services-new-who-study
  • Türkiye Nüfus Sağlık Araştırmaları (TNSA) (2018). Family Planning. (2019, November, 31). [Online]. Available at: http://www.sck.gov.tr/wpcontent/uploads/2020/08/TNSA2018_ana_Rapor.pdf.
  • Skogsdal, Y., Fadl, H., Cao, Y., Karlsson, J., & Tydén, T., “An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health—a randomized controlled trial”, Upsala Journal of Medical Sciences, 124(3), 203-212,2019.
  • Dehingia, N., Dixit, A., Averbach, S., Choudhry, V., Dey, A., Chandurkar, D., & Raj, A., “Family planning counseling and its associations with modern contraceptive use, initiation, and continuation in rural Uttar Pradesh, India”, Reproductive Health, 16(1), 1-11,2019.
  • Wang, W., & Mallick, L., “Understanding the relationship between family planning method choices and modern contraceptive use: an analysis of geographically linked population and health facilities data in Haiti”. BMJ Global Health, 4(5), 1-10, 2019.
  • Azmat, S. K., Temmerman, M., & Ali, M., “Accessibility and uptake of modern contraceptive methods in Pakistan critical view on what works?. ” The Journal of the Pakistan Medical Association, 71(11), 20-32, 2021.
  • Örsal, Ö., & Kubilay, G., “Developing family planning attitude scale”, Florence Nightingale Journal of Nursing, 15(60), 155-164, 2007.
  • Gözükara, F., Kabalcıoğlu, F., & Ersin, F. “Determining the attitudes of woman towards family planning in Şanlıurfa”, Journal of Harran University Faculty of Medicine,12(1), 9-16,2015.
  • Çalikoğlu, E. O., Yerli, E. B., Kavuncuoğlu, D., Yılmaz, S., Koşan, Z., & Aras, A.,” Use of family planning methods and influencing factors among women in Erzurum. Medical science monitor: International”, Medical Journal Of Experimental And Clinical Research, 24, 5027-5034, 2014.
  • Semachew Kasa, A., Tarekegn, M., & Embiale, N., “Knowledge, attitude and practice towa rds family planning among reproductive age women in a resource limited settings of Northwest Ethiopia”, BMC Research Notes, 11(1), 1-6, 2018.
  • Sensoy, N., Korkut, Y., Akturan, S., Yilmaz, M., Tuz, C., & Tuncel, B., “Factors affecting the attitudes of women toward family planning”. Fam Plann, 13, 33-39, 2018.
  • Nikolic, Z., & Djikanovic, B. Differences in the use of contraception between Roma and non-Roma women in Serbia. Journal of Public Health, 37(4), 581-589, 2015.
  • Guracho, Y. D., Belay, B. Y., Alemayehu, A., Birhanie, G., Gelaw, Y. M., Agaje, M., & Ayana, D. "Women’s Decision-Making Power on Modern Family Planning Use and Its Associated Factors in Northwest Ethiopia”. BioMed Research International, 8, 1-8, 2022.
  • Avcı, I. A., Cavusoglu, F., Aydin, M., & Altay, B., “Attitude and practice of family planning methods among Roma women living in northern Turkey”. International Journal of Nursing Sciences, 5(1), 33-38, 2018.
  • Şenoğlu, A., Çoban, A., & Karaçam, Z., “Evaluation of unintended pregnancies and induced abortions”. Archive Resource Review Journali, 28(4), 300-305, 2018.
  • Yusoff, R. M., Akhlak, S. M., Mohammadnezhad, M., Mat, N. H. N., & Salehan, H. M. Determinants of Knowledge, Attitude and Practices towards Family Planning Among Women in Raub, Pahang, Malaysia. mortality, 8, 123-129, 2022.
  • Mansor, M., Abdullah, K. L., San San Oo, K. A., binti Jusoh, A. S., binti Ghazali, S., Haque, M., & Choon, L. C., “ The prevalence of family planning practice and associated factors among women in Serdang, Selangor”. Malaysian Journal of Public Health Medicine, 15(3), 147-156, 2015.
  • Abdelwahab, H., Fahmi, N. M., & Omran, A. A. H., “Women's Knowledge, Practices and Attitude Regarding Family Planning”. Egyptian Journal of Health Care, 8(2), 147-57, 2017.
  • UNFPA (2022, March, 31). Nearly half of all pregnancies are unintended—a global crisis, says new UNFPA report. [Online]. Available: https://www.unfpa.org/press/nearly-half-all-pregnancies-are-unintended-global-crisis-says-new-unfpa-report
  • Bearak, J., Popinchalk, A., Ganatra, B., Moller, A. B., Tunçalp, Ö., Beavin, C., ... & Alkema, L., “Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019”, The Lancet Global Health, 8(9), 1152-1161, 2020.
  • Apay, S. E., Nazik, E., Özdemir, F., & Pasinlioğlu, T. " The determination of the behaviours ahout family planning of the women ". Anatolian Journal of Nursing and Health Sciences, 13(3), 1-7, 2010.
  • Tezel, A., Gönenç, İ., Akgün, Ş., Öztaş, Karataş D, Altuntaş Yıldız T. "Attitudes Towards Family Planning of Women and Affecting Factors". Anatolian Journal of Nursing and Health Sciences 18(3), 181 – 188, 2015.
  • Çıtak Bilgin, N., & Tokur Kesgin, M. " Determining the knowledge and attitudes of women working in the poultry sector regarding family planning and emergency contraception*". Journal of Health Sciences, 29(2), 123-132, 2020.
  • Peach, E., Morgan, C., Scoullar, M. J., Fowkes, F. J., Kennedy, E., Melepia, P., ... & Beeson, J. G., “Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea”, Scientific Reports, 11(1), 1-13, 2021.
  • Guttmacher, I. Adding It Up: Investing in Contraception and Maternal and Newborn Health. Nova York, 2017.
  • Anbesu, E. W., Aychiluhm, S. B., & Kahsay, Z. H., “Male involvement in family planning use and its determinants in Ethiopia: a systematic review and meta-analysis protocol”, Systematic Reviews, 11(1), 1-5, 2022.
  • Raj, A., Ghule, M., Ritter, J., Battala, M., Gajanan, V., Nair, S., ... & Saggurti, N., “Cluster randomized controlled trial evaluation of a gender equity and family planning intervention for married men and couples in rural India”, PloS One, 11(5), 1-20, 2016.
  • Nanvubya, A., Wanyenze, R. K., Abaasa, A., Nakaweesa, T., Mpendo, J., Kawoozo, B., ... & Van Geertruyden, J. P., “Evaluating the effectiveness of enhanced family planning education on knowledge and use of family planning in fishing communities of Lake Victoria in Uganda: a randomized controlled trial”, BMC Health Services Research, 22(1), 1-12, 2022.
  • Leight, J., Hensly, C., Chissano, M., Safran, E., Ali, L., Dustan, D., & Jamison, J., “The effects of text reminders on the use of family planning services: evidence from a randomised controlled trial in urban Mozambique” BMJ Global Health, 7(4), 1-12, 2022.
  • Sultan, S., “The effects of education, poverty, and resources on family planning in developing countries”, Clinics in Mother and Child Health, 15(1), 3-6, 2018.
  • Sedgh, G., Ashford, L. S., & Hussain, R., “Unmet need for contraception in developing countries: examining women’s reasons for not using a method”, Guttmacher Instıtute, 1-93, 2016.
  • Gahungu, J., Vahdaninia, M., & Regmi, P. R., “The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature”, Reproductive Health, 18(1), 1-15, 2021.

Year 2023, Volume: 8 Issue: 1, 17 - 27, 30.04.2023

Büşra Duran Hafize Dağ Tüzmen Şerife İrem Döner

https://doi.org/10.33457/ijhsrp.1260825

Abstract

References

  • United Nations Human Rights Council (UNHRC) (2020, March, 31). Information series on sexual and reproductive health and rights maternal mortality and morbidity. [Online]. Available at: https://www.ohchr.org/sites/default/files/INFO_MMM_WEB.pdf
  • Egelioğlu Cetişli, N., Kahveci, M., Işık, S., Hacılar, A., “Postpartum Contraseptive Choice and Attitudes of Women”, Journal of Academic Research in Nursing, 6(1), 67-72, 2020.
  • World Health Organization (WHO) (2020, November, 9). Family planning/contraception methods. [Online]. Available at: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception, Date of access: 15.02.2023
  • Utomo, B., Sucahya, P. K., Romadlona, N. A., Robertson, A. S., Aryanty, R. I., & Magnani, R. J. “The impact of family planning on maternal mortality in Indonesia: what future contribution can be expected?”, Population Health Metrics, 19(1), 1-13, 2021.
  • Karacan, E., & Gökçe, S. "Gender inequality and women's health". Journal of Social Policy and Social Work Studies, 1(1), 39-59, 2020.
  • Bekele, D., Surur, F., Nigatu, B., Teklu, A., Getinet, T., Kassa, M., ... & Abesha, Y. "Knowledge and attitude towards family planning among women of reproductive age in emerging regions of Ethiopia". Journal of Multidisciplinary Healthcare, 13, 1463-1474, 2020.
  • Çalıkoğlu, E., Yerli, E., Yılmaz, S., Koşan, Z., Aras, A., “Determination of attitudes of 15-49 age married women towards family planning”, 19th National Public Health Congress Proceedings, Antalya, 15-19 Mart 2017.
  • Sarder, A., Islam, S. M. S., Talukder, A., & Ahammed, B. “ Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries”, PLoS One, 16(2), 1-13, 2021.
  • Bellizzi, S., Pichierri, G., Menchini, L., Barry, J., Sotgiu, G., & Bassat, Q., “The impact of underuse of modern methods of contraception among adolescents with unintended pregnancies in 12 low-and middle-income countries”, Journal of Global Health, 9(2), 1-9,2019.
  • World Health Organization (WHO) (2019, October, 25). High rates of unintended pregnancies linked to gaps in family planning services: New WHO study. [Online]. Available at: https://www.who.int/news/item/25-10-2019-high-rates-of-unintended-pregnancies-linked-to-gaps-in-family-planning-services-new-who-study
  • Türkiye Nüfus Sağlık Araştırmaları (TNSA) (2018). Family Planning. (2019, November, 31). [Online]. Available at: http://www.sck.gov.tr/wpcontent/uploads/2020/08/TNSA2018_ana_Rapor.pdf.
  • Skogsdal, Y., Fadl, H., Cao, Y., Karlsson, J., & Tydén, T., “An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health—a randomized controlled trial”, Upsala Journal of Medical Sciences, 124(3), 203-212,2019.
  • Dehingia, N., Dixit, A., Averbach, S., Choudhry, V., Dey, A., Chandurkar, D., & Raj, A., “Family planning counseling and its associations with modern contraceptive use, initiation, and continuation in rural Uttar Pradesh, India”, Reproductive Health, 16(1), 1-11,2019.
  • Wang, W., & Mallick, L., “Understanding the relationship between family planning method choices and modern contraceptive use: an analysis of geographically linked population and health facilities data in Haiti”. BMJ Global Health, 4(5), 1-10, 2019.
  • Azmat, S. K., Temmerman, M., & Ali, M., “Accessibility and uptake of modern contraceptive methods in Pakistan critical view on what works?. ” The Journal of the Pakistan Medical Association, 71(11), 20-32, 2021.
  • Örsal, Ö., & Kubilay, G., “Developing family planning attitude scale”, Florence Nightingale Journal of Nursing, 15(60), 155-164, 2007.
  • Gözükara, F., Kabalcıoğlu, F., & Ersin, F. “Determining the attitudes of woman towards family planning in Şanlıurfa”, Journal of Harran University Faculty of Medicine,12(1), 9-16,2015.
  • Çalikoğlu, E. O., Yerli, E. B., Kavuncuoğlu, D., Yılmaz, S., Koşan, Z., & Aras, A.,” Use of family planning methods and influencing factors among women in Erzurum. Medical science monitor: International”, Medical Journal Of Experimental And Clinical Research, 24, 5027-5034, 2014.
  • Semachew Kasa, A., Tarekegn, M., & Embiale, N., “Knowledge, attitude and practice towa rds family planning among reproductive age women in a resource limited settings of Northwest Ethiopia”, BMC Research Notes, 11(1), 1-6, 2018.
  • Sensoy, N., Korkut, Y., Akturan, S., Yilmaz, M., Tuz, C., & Tuncel, B., “Factors affecting the attitudes of women toward family planning”. Fam Plann, 13, 33-39, 2018.
  • Nikolic, Z., & Djikanovic, B. Differences in the use of contraception between Roma and non-Roma women in Serbia. Journal of Public Health, 37(4), 581-589, 2015.
  • Guracho, Y. D., Belay, B. Y., Alemayehu, A., Birhanie, G., Gelaw, Y. M., Agaje, M., & Ayana, D. "Women’s Decision-Making Power on Modern Family Planning Use and Its Associated Factors in Northwest Ethiopia”. BioMed Research International, 8, 1-8, 2022.
  • Avcı, I. A., Cavusoglu, F., Aydin, M., & Altay, B., “Attitude and practice of family planning methods among Roma women living in northern Turkey”. International Journal of Nursing Sciences, 5(1), 33-38, 2018.
  • Şenoğlu, A., Çoban, A., & Karaçam, Z., “Evaluation of unintended pregnancies and induced abortions”. Archive Resource Review Journali, 28(4), 300-305, 2018.
  • Yusoff, R. M., Akhlak, S. M., Mohammadnezhad, M., Mat, N. H. N., & Salehan, H. M. Determinants of Knowledge, Attitude and Practices towards Family Planning Among Women in Raub, Pahang, Malaysia. mortality, 8, 123-129, 2022.
  • Mansor, M., Abdullah, K. L., San San Oo, K. A., binti Jusoh, A. S., binti Ghazali, S., Haque, M., & Choon, L. C., “ The prevalence of family planning practice and associated factors among women in Serdang, Selangor”. Malaysian Journal of Public Health Medicine, 15(3), 147-156, 2015.
  • Abdelwahab, H., Fahmi, N. M., & Omran, A. A. H., “Women's Knowledge, Practices and Attitude Regarding Family Planning”. Egyptian Journal of Health Care, 8(2), 147-57, 2017.
  • UNFPA (2022, March, 31). Nearly half of all pregnancies are unintended—a global crisis, says new UNFPA report. [Online]. Available: https://www.unfpa.org/press/nearly-half-all-pregnancies-are-unintended-global-crisis-says-new-unfpa-report
  • Bearak, J., Popinchalk, A., Ganatra, B., Moller, A. B., Tunçalp, Ö., Beavin, C., ... & Alkema, L., “Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019”, The Lancet Global Health, 8(9), 1152-1161, 2020.
  • Apay, S. E., Nazik, E., Özdemir, F., & Pasinlioğlu, T. " The determination of the behaviours ahout family planning of the women ". Anatolian Journal of Nursing and Health Sciences, 13(3), 1-7, 2010.
  • Tezel, A., Gönenç, İ., Akgün, Ş., Öztaş, Karataş D, Altuntaş Yıldız T. "Attitudes Towards Family Planning of Women and Affecting Factors". Anatolian Journal of Nursing and Health Sciences 18(3), 181 – 188, 2015.
  • Çıtak Bilgin, N., & Tokur Kesgin, M. " Determining the knowledge and attitudes of women working in the poultry sector regarding family planning and emergency contraception*". Journal of Health Sciences, 29(2), 123-132, 2020.
  • Peach, E., Morgan, C., Scoullar, M. J., Fowkes, F. J., Kennedy, E., Melepia, P., ... & Beeson, J. G., “Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea”, Scientific Reports, 11(1), 1-13, 2021.
  • Guttmacher, I. Adding It Up: Investing in Contraception and Maternal and Newborn Health. Nova York, 2017.
  • Anbesu, E. W., Aychiluhm, S. B., & Kahsay, Z. H., “Male involvement in family planning use and its determinants in Ethiopia: a systematic review and meta-analysis protocol”, Systematic Reviews, 11(1), 1-5, 2022.
  • Raj, A., Ghule, M., Ritter, J., Battala, M., Gajanan, V., Nair, S., ... & Saggurti, N., “Cluster randomized controlled trial evaluation of a gender equity and family planning intervention for married men and couples in rural India”, PloS One, 11(5), 1-20, 2016.
  • Nanvubya, A., Wanyenze, R. K., Abaasa, A., Nakaweesa, T., Mpendo, J., Kawoozo, B., ... & Van Geertruyden, J. P., “Evaluating the effectiveness of enhanced family planning education on knowledge and use of family planning in fishing communities of Lake Victoria in Uganda: a randomized controlled trial”, BMC Health Services Research, 22(1), 1-12, 2022.
  • Leight, J., Hensly, C., Chissano, M., Safran, E., Ali, L., Dustan, D., & Jamison, J., “The effects of text reminders on the use of family planning services: evidence from a randomised controlled trial in urban Mozambique” BMJ Global Health, 7(4), 1-12, 2022.
  • Sultan, S., “The effects of education, poverty, and resources on family planning in developing countries”, Clinics in Mother and Child Health, 15(1), 3-6, 2018.
  • Sedgh, G., Ashford, L. S., & Hussain, R., “Unmet need for contraception in developing countries: examining women’s reasons for not using a method”, Guttmacher Instıtute, 1-93, 2016.
  • Gahungu, J., Vahdaninia, M., & Regmi, P. R., “The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature”, Reproductive Health, 18(1), 1-15, 2021.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Article
Authors

Büşra Duran 0000-0002-6407-8013

Hafize Dağ Tüzmen 0000-0001-7791-7536

Şerife İrem Döner 0000-0002-0052-4133

Publication Date April 30, 2023
Submission Date March 6, 2023
Acceptance Date April 27, 2023
Published in Issue Year 2023 Volume: 8 Issue: 1

Cite

IEEE B. Duran, H. Dağ Tüzmen, and Ş. İ. Döner, “FAMILY PLANNING ATTITUDE IN TURKISH CULTURE: RELATIONSHIP BETWEEN EXPERIENCING UNINTENDED PREGNANCY, RECEIVING COUNSELING, AND ACCESSING METHODS”, IJHSRP, vol. 8, no. 1, pp. 17–27, 2023, doi: 10.33457/ijhsrp.1260825.
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