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Knowledge and Practice of Family Planning in Dschang Municipality, Cameroon

Catherine K. Fusi-Ngwa, Vincent K. Payne, Augustine N. Asakizi1, Bridget F. Katte

Abstract

This study was conducted to examine factors which influence contraception in order to ameliorate services. For 12 consecutive months, 706 consenting women on fertility control presenting at the Dschang District Hospital, Cameroon were interviewed and cervical/blood samples collected for analysis. Study respondents were aged 15-50 years (mean 33.61±6.29 years). Levonorgestrel implants (46.7%) and medroxyprogesterone injections (27.6%) were cost effective over the intrauterine copper device (9.5%), Norgestrel (7.8%), Norethisterone enanthate (6.7%), male condoms (6.4%), Progestin only pills (1.4%) and spermicides (1.1%). Lack of expertise precluded tubal ligation or implants and vasectomy. Stigmatization, male rejection, giving or taking methods without adequate laboratory services or regular health checks and failure to recognize or report adverse reproductive health changes impacted on contraception. Genital infections were identified in 33.7% respondents, vaginal candidiasis 20%, bacterial vaginosis 19%, HIV/AIDS 9%, chlamydia 6% and <2% other traditional venereal diseases. Sensitization, education, improved diagnostics and attitude change were adopted (Afr J Reprod Health 2013; 17[1]:137-148).

Résumé

Cette étude a été menée pour examiner les facteurs qui influent sur la contraception dans le but d'améliorer les services. Pendant 12 mois consécutifs, 706 femmes consentantes sur le contrôle de la fertilité qui fréquentent l'hôpital de district de Dschang, au Cameroun ont été interviewées et des échantillons des cols de l’utérus /du sang ont été prélevés pour analyse. Les participantes à l'étude étaient âgées de 15-50 ans (moyenne ± 33,61 6,29 années). Les implants au lévonorgestrel (46,7%) et les injections de médroxyprogestérone (27,6%) étaient rentables sur le dispositif intra-utérin (9,5%), Norgestrel (7,8%), Norethisterone énanthate (6,7%), les préservatifs masculins (6,4%), les  pilules progestatives seulement (1,4%) et les spermicides (1,1%). Le manque d'expertise a empêché la ligature des trompes ou des implants et la vasectomie. La stigmatisation, le rejet du mâle, le don ou la  prise des méthodes sans des services de laboratoire adéquats ou des bilans de santé réguliers et l'incapacité à reconnaître ou à déclarer des changements défavorables de santé de la reproduction a eu une influence  sur la contraception. Les infections génitales ont été identifiées chez 33,7% des personnes interrogées, la candidose vaginale 20%, la vaginose bactérienne 19%, le

VIH / sida 9%, 6% et chlamydia <2% d'autres maladies vénériennes classiques. La sensibilisation, l’éducation, ont amélioré les diagnostics et l’on a adopté les changements d'attitude (Afr J Reprod Health 2013; 17[1]:137-148).

Keywords: contraception, women, socio-demographics, barriers, genital health

 

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