Abstract Background: Family planning permits individuals and couples to attain their desired number of children, the spacing and timing of their births. Widespread evidence shows that family planning is a good investment for governments, fewer babies mean improved health status for families, lower costs of maternal/child health care and education and higher worker productivity. The study aimed to assess factors influencing utilization of contraception among women in Port said City. Methodology: A community-based cross-sectional descriptive design was utilized in the family planning clinics at 12 health centers representing the six regions of Port-said city. A600 contraceptive user's women in the twelve centers were recruited randomly for the study. A self-administered questionnaire was used. Results: The women in the study sample mean age was 38.9 ±7.3 years, regarding uses of family planning methods the most common methods used were a hormonal method (56.5%). The intrauterine device was used by 28.3%. The majority of the studied women choose the method according to their desire and with their husband accord. More than one-third of them received contraceptive information from associates or friends and family member or relatives 34.7% of women suffered from side-effects and complications associated with the use of the contraceptive method. Method failure, cognitive barriers as well as the desire for conception were the most common reasons for discontinuation of contraceptives. Conclusion& Recommendation: Most of the ladies choose the method according to their cognitive, desire for conception, and method failure. A significant relation was found between financial variables, biological, menstrual factors, and utilization of contraceptive methods. Contraceptive barriers ought to be surveyed and dealt with to expand the utilization of contraceptive methods especially the long-acting reversible contraceptive methods. Keywords: utilization of contraception, factors influencing.
Family spacing and planning is a broad term in which it is the shirking of undesirable birth, realizing needed youngsters, the direction of the gap between pregnancies, controlling the time at which birth happens in connection to the age of moms. Notwithstanding, the arrangement of contraceptives, administration of fruitlessness, instruction about sex and parenthood, advising, screening for danger and reception administrations. It is accomplished mostly through utilization of different preventative techniques and treatment of involuntary infertility [1, 2]. In Egypt, the Strategic National Population Plan 2015-2030 has augmented efforts to reduce the total fertility rate(TFR) to 2.4 births per woman by the year 2030. The needed fertility level can be attained by increasing the rate of contraceptive use from 58% in 2014 to 72%. Furthermore, reducing the rate of the discontinuation from 30% in 2014 to 18% within twelveth months use, as well as reducing the prevalence of unfulfillment need for family planning from 13% to 6% (National Population Council 2015). To attain the mentioned goal, the family planning program must sustain a high rate of quality in the delivery of services and confirm that the acceptance and positive attitudes toward contraception are kept . It is estimated that about 225 million women in developing countries wanted to delay or avoid a pregnancy, but they were not using contraceptive methods which may lead to high failure rate . The poverty, low socioeconomic status and lack of access to modern family planning which results in high fecundity with unintended pregnancies were the most significant factors affecting maternal deaths in developing countries .
Promotion of family planning in nations with excessive or high birth rates has the potential of lessening poverty, deprivation, and hunger, whereas at the same time averting 32 % of all maternal deaths and nearly 10 % of child mortality. This would contribute substantially to women's empowerment, achievement of universal
Factors Influencing Utilization of contraception among Women in Port Said City
DOI: 10.9790/1959-0705115363 www.iosrjournals.org 54 | Page
primary schooling and long-term environmental sustainability. If the family planning services were increased, the unmet need for family planning could be met, thereby slowing population growth rate and reducing the costs of meeting Millennium Development Goals MDGs regarding universal primary education, which is influenced by the number of children in need of education . Human Reproductive Program (HRP) reported that the use of contraceptives for family spacing had increased benefits to the woman, and her family and so the society. The births spacing has a significant effect on the mother's health and increases the survival of the child. Furthermore, it can reduce poverty by creating opportunities for women to take paid job, as well as increases socio-economic and health benefits in general (HRP, 2012). The most significant obstacles facing women in the use of contraceptives are the lack of access to health care services and information, resistance from their husbands and communities, costs as well as ignorance of side effects  The World Health Organization approved the role of the nurse in family planning. The nurse can provide complete assessment, family planning education and counseling to all women. Also, the role of nurses in a family planning setting has increased intensely during the last ten years. The nurses can help the couple to attain their aims by teaching them about family planning preferences. Moreover, the nurses can assume many of the comprehensive clinical roles which performed previously by doctors as well as this increasing autonomy in family planning clinics by their professional developments and training [ 8, 9] The significance of the Study: In the worldwide, about more than 80 million untimely or unintended pregnancies occur each year donating to a high percentage of induced abortions, maternal morbidity, and mortality as well as infant mortality . It was estimated that 7.9% of all maternal deaths were due to abortion. Abortion-related deaths remain the fourth important cause of maternal mortality after hemorrhage, hypertensive disorders, and sepsis [11, 12]. Thus, The establishment of the family planning policy is vital in the women’s reproductive care to reduce the morbidity and mortality. Egypt in decades ago had endured significant financial outcomes of an over-populace issue, because of the abnormal state of the birth rate. Like clockwork, the total populace increments by 30 people and is likely multiplied throughout the following 40 years. Over populace and impromptu populace, a development obstructs financial improvement, prevents thriving, and undermines the well-being status of network individuals. Joined Nations projections demonstrate that the Egyptian populace will develop from 62.3 million of every 1995 to 95.6 million by 2026 and will reach 114.8 million before 2065 an increase of approximately 84.4 % over the current total  Regardless of the high commonness of medical contraceptive utilize, impromptu pregnancies stay recurrent, past the absence of data which may clarify some portion of the purported misuse of the contraception. Learning and utilization of contraceptives and the different components influencing their insight and utilize, this will enable wellbeing to mind experts to address misinterpretations, in this manner enhancing steady utilization of contraception, diminishing danger of unintended pregnancies and enhancing maternal and kid wellbeing. The nurses help the clients to arrive at the best method of their choices
The aim of the study: The study aimed to assess factors influencing utilization of contraception among women in Port Said City. Research design The current study used a community-based cross-sectional descriptive design. Research settingand sampling:- This study was carried out in family planning clinics in 12 health centers representing the six districts of Port-said, namely: Port-Fouad first, Bank Elescan, Port-Fouad second, El Manakh, El Kuwait, El Arab, Fatima Elzahraa, Omar Ibn Khattab, El Abouty, Osman Ibn Afan, Mostafa Kamel, and Elgather. A600 contraceptive user's women in the twelve centers with in the inclusion criteria were recruited randomly for the study.
محتويات مواقع أعضاء هيئة التدريس بما فيها من نصوص وملفات وصور وأبحاث وأية مواد أخرى هي مسئولية عضو هيئة التدريس بالكامل بصفته صاحب الموقع وبما له من صلاحية مطلقة في الإضافة والحذف، وتخلي الجامعة مسئوليتها عن محتويات تلك المواقع.
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