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Original Articles
- Modern Contraception and Anaemia Among Reproductive-age Women in India: Results From a Household Survey
- Mihir Adhikary, Poulami Barman, Bharti Singh, Abhishek Anand
- J Prev Med Public Health. 2024;57(4):339-346. Published online June 19, 2024
- DOI: https://doi.org/10.3961/jpmph.23.504
- 1,333 View
- 168 Download
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Abstract
Summary
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Supplementary Material - Objectives
Chronic anaemia is a significant health concern, particularly among women of childbearing age. Factors such as menstrual blood loss, childbirth, inadequate nutrition, closely spaced pregnancies, and recurrent gastrointestinal bleeding increase the risk of anaemia. This study investigated whether current contraceptive methods are associated with anaemia in Indian women of reproductive age.
Methods
Cross-sectional data from the fifth round of the National Family Health Survey, conducted in 2019-2021, were used for this investigation. We included only non-pregnant and non-amenorrhoeic women in our analysis, resulting in a final analytical sample of 673 094 women aged 15-49. Bivariate cross-tabulations and multivariable logistic regression were employed to analyse the data.
Results
The prevalence of anaemia was 57%, and the adjusted regression models found no significant association between the use of any contraceptive methods and women’s haemoglobin status. Women using traditional contraceptive methods had 1.08 (95% confidence interval, 1.05 to 1.11) times higher odds of having anaemia. Among the modern methods, other than injectables, all other methods—such as an intrauterine device, barrier use, and sterilisation—were associated with higher odds of anaemia compared to women who used contraceptive pills.
Conclusions
This study explored the relationship between modern contraceptives and haemoglobin levels in India, revealing that injectables were associated with a notable reduction in the odds of anaemia, whereas traditional contraceptives and other modern methods exhibited positive associations with anaemia. These findings prompt policymakers to focus on anaemia reduction and safe contraceptives. More research is needed to inform decisions, given the scant literature. -
SummaryKey Message
This study investigated the association between contraceptive methods and anaemia in Indian women of reproductive age using data from the 2019-2021 National Family Health Survey. Results indicated that traditional contraceptives and several modern methods, except injectables, were associated with higher odds of anaemia. These findings suggest the need for policymakers to focus on anaemia reduction and the promotion of safer contraceptive options.- Role of Information and Communication Technology and Women’s Empowerment in Contraceptive Discontinuation in Indonesia
- Omas Bulan Samosir, Ayke Soraya Kiting, Flora Aninditya
- J Prev Med Public Health. 2020;53(2):117-125. Published online February 12, 2020
- DOI: https://doi.org/10.3961/jpmph.19.300
- 5,157 View
- 220 Download
- 8 Crossref
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Abstract
PDF
- Objectives
This study investigated the role of information and communication technology and women’s empowerment in contraceptive discontinuation in Indonesia.
Methods
The study used data from the 2017 Indonesia Demographic and Health Survey and monthly contraceptive calendar data. A Gompertz proportional hazards model was used for analysis.
Results
The 12-month contraceptive discontinuation rate was higher among women who had used the Internet in the past year, women who were mobile phone owners, and women who reported having fully participated in household decision-making than among their counterparts. These factors significantly impacted the risk of contraceptive discontinuation in Indonesia, even after controlling for contraceptive method, age, parity, contraceptive intent, education, work status, place of residence, and wealth status.
Conclusions
After adjustment for the control variables, a higher risk of contraceptive discontinuation was associated with having used the Internet in the past year, owning a mobile phone, and not participating in household decision-making. Higher contraceptive discontinuation risk was also associated with using contraceptive pills, older age, lower parity, intent of spacing births, more education, current unemployment, and rural residence, and the risk was also significantly higher for those in the lowest household wealth quintile than for those in the fourth household wealth quintile. The association of contraceptive discontinuation with the use of modern information and communication technology and relatively disempowerment in household decision-making may imply that information regarding family planning and contraception should be conveyed via social media as part of setting up an eHealth system. This must include a strong communication strategy to empower and educate women in contraceptive decision-making. -
Summary
Citations
Citations to this article as recorded by
- Contraceptive switch and abandonment among women using the pill, condoms and injectables in Brazil
Christiane Borges do Nascimento Chofakian, Ana Luiza Vilela Borges
The European Journal of Contraception & Reproductive Health Care.2024; 29(1): 15. CrossRef - Early discontinuation of long-acting reversible contraceptives methods and its associated factors in Hosanna town, central Ethiopia: a cross-sectional study
Amanuel Defar Bande, Tilahun Bayene Handiso, Habtamu Wude Hanjelo, Belayneh Hamdela Jena
Scientific Reports.2024;[Epub] CrossRef - Demographic and Socioeconomic Determinants Affecting Uses of the Internet in Indonesia
Wilson Rajagukguk, Bastian H. Adolf, Pane Medyawanti
Population and Economics.2024; 8(2): 82. CrossRef - Prevalence of discontinuation of contraceptives due to failure among women aged 14 to 49 years in Uganda: a nation wide cross-sectional survey
Ruth Ketty Kisuza, Saviour Kicaber, Derrick Bary Abila, Felix Bongomin, Christopher Orach Garimoi
Contraception and Reproductive Medicine.2023;[Epub] CrossRef - The Nexus between Economic Features and Contraceptive Switching in Indonesia
Wilson Rajagukguk, Fajar Lamhot Gultom, Muhammad Alfarabi
Balkan Journal of Interdisciplinary Research.2023; 9(3): 33. CrossRef - Predicting COVID-19 health behaviour initiation, consistency, interruptions and discontinuation among social media users in Nigeria
Eke Kalu Oyeoku, Felix Olajide Talabi, David Oloyede, Aiyesimoju Ayodeji Boluwatife, Verlumun Celestine Gever, Ibe Ebere
Health Promotion International.2022;[Epub] CrossRef - Does Digital Literacy Empower Adolescent Girls in Low- and Middle-Income Countries: A Systematic Review
Salima Meherali, Komal Abdul Rahim, Sandra Campbell, Zohra S. Lassi
Frontiers in Public Health.2021;[Epub] CrossRef - Pattern and Determinant of Contraceptive Use among Women in Indonesia from 2007 to 2017: Evidence from Demographic and Health Survey
Desy Nuri Fajarningtiyas, Dedik Sulistiawan, Margareth Maya Parulianta Naibaho, Riza Fatma Arifa
Open Access Macedonian Journal of Medical Sciences.2021; 9(E): 1363. CrossRef
- Perceptions of Contraception and Patterns of Switching Contraceptive Methods Among Family-planning Acceptors in West Nusa Tenggara, Indonesia
- Yuli Amran, Narila Mutia Nasir, Dini Dachlia, Fitra Yelda, Budi Utomo, Iwan Ariawan, Rita Damayanti
- J Prev Med Public Health. 2019;52(4):258-264. Published online July 19, 2019
- DOI: https://doi.org/10.3961/jpmph.18.198
- 7,345 View
- 340 Download
- 10 Crossref
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Abstract
PDF
- Objectives
The perceptions of family-planning (FP) acceptors regarding contraception influence the reasons for which they choose to switch their method of contraception. The objective of this study was to analyze the perceptions of contraception and rationales for switching contraceptive methods among female FP acceptors in West Nusa Tenggara, Indonesia.
Methods
This study involved the analysis of secondary data from the Improve Contraceptive Method Mix study, which was conducted in 2013 by the Center for Health Research, University of Indonesia. The design of the study was cross-sectional. We performed 3 stages of sampling using the cluster technique and selected 4819 women who were FP acceptors in West Nusa Tenggara Province, Indonesia as the subjects of this study. The data were analyzed using multiple logistic regression.
Results
The predominant pattern of switching contraceptive methods was switching from one non-long-term method of contraception to another. Only 31.0% of the acceptors reported a rational pattern of switching contraceptive methods given their age, number of children, and FP motivations. Perceptions of the side effects of contraceptive methods, the ease of contraceptive use, and the cost of the contraceptives were significantly associated (at the level of α=0.05) with rational patterns of switching contraceptive methods.
Conclusions
Perceptions among FP-accepting women were found to play an important role in their patterns of switching contraceptive methods. Hence, fostering a better understanding of contraception through high-quality counseling is needed to improve perceptions and thereby to encourage rational, effective, and efficient contraceptive use. -
Summary
Citations
Citations to this article as recorded by- Long-Acting Contraceptive Switching and Its Associated Factors among Married Women in Southwest Ethiopia
Alemnew Destaw, Melkamsew Tesfaye, Nigusie Shifera, Tewodros Yosef
SAGE Open Nursing.2024;[Epub] CrossRef - A Systematic Review of Determinants Influencing Family Planning and Contraceptive Use
Pipit Feriani, Esti Yunitasari, Ferry Efendi, Ilya Krisnana, Rini Ernawati, Niken A. Tianingrum, Nurus Safaah
Iranian Journal of Nursing and Midwifery Research.2024; 29(5): 596. CrossRef - Influence of internet, mobile phone use, and sociodemographic factors on women’s knowledge and attitude towards contraception in Indonesia
Achmad Kemal Harzif, Amalia Shadrina, Edward Christopher Yo, Nia Reviani, Andon Hestiantoro
Obstetrics & Gynecology Science.2023; 66(1): 42. CrossRef - Building trust through quality of service mediated with satisfaction to acceptors of family planning in the province of South Kalimantan
Misransyah, Semuel Risal, Mukhlan Khariry, Cici Asmawatiy, Riki Welly Saputra, Sri Sulandjari, Roosganda Elizabeth
Heliyon.2023; 9(2): e13142. CrossRef - Gender-based Approach in Family Planning in Practices in Turkey’s Most Fertile Province: Secondary Analysis of Mix Method Two Studies
Fatma KORUK, Kafiye EROĞLU, İbrahim KORUK
Journal of Basic and Clinical Health Sciences.2023; 7(2): 644. CrossRef - Long-acting family planning switching and associated factors among revisit women in Toke Kutaye district of West Shoa Zone, Oromia Region public health facilities, Ethiopia: a mixed methods study
Fayera Teshoma, Eden Girmaye Tefera, Teka Girma, Misganu Teshoma Ragasa, Ephrem Yohannes, Gizachew Abdissa Bulto, Negash Wakgari
BMC Women's Health.2023;[Epub] CrossRef - Indonesia mixed contraception method skewness background 1997-2012: A mixed method study
Dyah Utari
F1000Research.2022; 11: 1266. CrossRef - The use of Method Information Index (MII) to monitor the amount of information given to women users of modern contraceptives in Indonesia: results from an analysis of the 2007, 2012 and 2017 demographic and health surveys
Meiwita P. Budiharsana, Wiji Wahyuningsih, Peter Heywood
BMC Women's Health.2022;[Epub] CrossRef - Improving Communication Messages by Using Perceptual Mapping: Family Planning Survey in East Java and West Nusa Tenggara, Indonesia
Sarah Handayani, Rita Damayanti, Iwan Ariawan, Fitra Yelda, Sarah Harlan, Yunita Wahyuningrum, Douglas Storey
SAGE Open Medicine.2021;[Epub] CrossRef - Pattern and Determinant of Contraceptive Use among Women in Indonesia from 2007 to 2017: Evidence from Demographic and Health Survey
Desy Nuri Fajarningtiyas, Dedik Sulistiawan, Margareth Maya Parulianta Naibaho, Riza Fatma Arifa
Open Access Macedonian Journal of Medical Sciences.2021; 9(E): 1363. CrossRef
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