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Evidence from cluster surveys on the association between home‐based counseling and use of family planning in conflict‐affected Darfur
Author(s) -
Adam Izzeldin F.
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.09.023
Subject(s) - medicine , family medicine , pill , odds ratio , confidence interval , family planning , demography , cluster (spacecraft) , pregnancy , population , environmental health , nursing , research methodology , pathology , sociology , computer science , programming language , biology , genetics
Abstract Objective To examine the association between home counseling and awareness and use of modern family planning (FP) methods among women in internally displaced person (IDP) camps in conflict‐affected West Darfur, Sudan. Methods In a community‐based cross‐sectional study, two questionnaire‐based surveys were performed in three camps. Home‐based counseling had been introduced in March 2006. An initial survey (February 2007) and a follow‐up survey (April 2009) targeted women of child‐bearing age. A sample of 640 randomly selected women aged 15–49 years who had experienced pregnancy after joining the camp were interviewed for each survey. Results Overall, modern FP use increased from 10.9% (70/640) in 2007 to 21.6% (138/640) in 2009 ( P < 0.001). As compared with the initial survey, women in the follow‐up survey were more likely to be aware of and to use any modern FP method (adjusted odds ratio [aOR] 5.4, 95% confidence interval [CI] 3.9–7.4; and aOR 2.8, 95% CI 2.0–4.1, respectively). Contraceptive pills were the most common modern method used. Home counseling and loss of a child under 5 years were the most significant predictors of awareness and use of modern FP methods. Conclusion After the introduction of home‐based FP counseling for couples and FP services in clinics, women's awareness and use of modern FP methods increased in a conflict‐affected setting.