Family planning practices and opinions on population growth of family planning healthcare providers in Turkey
), Tarık E Yilmaz(2), İskender Bülbül(3), Tuğba Yilmaz(4), İsmail Kasim(5), İrfan Şencan(6), Adem Özkara(7),
(1) Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey
(2) Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey
(3) Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey
(4) Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey
(5) Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey
(6) Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey
(7) Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Corresponding Author
Abstract
The purpose of this study was to investigate the opinions of health professionals (HPs) who provide family planning counselling (FPC) within the scope of primary health care services since they are perceived as role models by the society. The number of HPs providing family planning counselling in primary health services in Turkey was 43,000 and 40,000 of these individuals were invited to participate in this observational, cross-sectional study via e-mail and social media. There were 740 responders and all were included in the study. Physicians providing FPC within the scope of primary health care services consisted of 45.1% of the responders and the remaining were nurses. Among all HPs, 59.7% had insufficient awareness regarding Turkey’s population growth. Most of the HPs (52.4%) believed that the ideal number of children was 2 or less. The abortion rate was 9.1% in all pregnancies of HPs. The rate of caesarean section was 56% in all live births. According to responses, 75.6% of all pregnancies experienced by HPs were planned. According to 42.1% of the HPs, abortion must be performed if there is a life-threatening situation for the mother or if the fetus has some abnormalities. The most common method of birth control used by married HPs between the ages of 18 and 49 was male condoms (39.9%), while the pull-out method ranked first in the general population (25.5%). It was found that HPs, who had different opinions and practices about family planning than the general population, had insufficient awareness regarding population growth. Increased awareness of demography and FPC among HPs will likely contribute to the quality of service and the general wellbeing of the population. (Afr J Reprod Health 2021; 25[2]: 65-75).
References
“Population and Urban Research” [Internet]. Avcı S. Age
and over of population development and spatial distribution in Turkey [cited 2019 Feb 21]. Available from: http://tucaum.ankara.edu.tr/wp-content/uploads/sites/280/2015/08/semp8_30.pdf.
Doğan M. General overview of the population policy in
Turkey. Marmara Coğrafya Dergisi. 2011; 23: 293-307.
Beard JR and Bloom DE. Towards a comprehensive public
health response to population ageing. The Lancet. 2014. [doi: 10.1016/S0140-6736(14)61461-6].
“Birth Statistics” [Internet]. Turkish Statistical Institute
[cited 2017 May 18]. Available from: http://www.tuik.gov.tr/PdfGetir.do?id=24647.
“Population Projections, 2013-2075” [Internet]. [cited
Feb 21]. Turkish Statistical Institute Available from: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=15844.
Lutz W. The Future of Human Reproduction: Will Birth
Rates Recover or Continue to Fall? Oxford Institute of Ageing. 2007; Ageing Hoizons(7): 15-21.
Chun CY. Family Planning as a Part of the Nursing-Staff
In-Service Education Program. The Journal of Nurses Academic Society. 1975; 5(1): 112-132. (Published online April 03, 2017) [doi: https://doi.org/10.4040/jnas.1975.5.1.112]
World Health Organization, Reproductive, Maternal and
Child Health European Regional Office (Revised March 1999 & January 2001). Definitions and indicators in family planning maternal & Child health and reproductive health used in the who regional office for Europe
United Nations, Department of Economic and Social
Affairs, Population Division (2013). World Population Policies 2013. ST/ESA/SER.A/341.
Hacettepe University Institute of Population Studies
(2014), “2013 Turkey Demographic and Health Survey”. Hacettepe University Institute of Population Studies, Ankara, Turkey.
Karaoğlan S and Duman MZ. The effects of religious
beliefs and attitudes on fertility (Van Province Example). Journal of International Social Research. 2017; 10(50).
Aksoy Ş. Can abortıon be a medıcal decısıon only?
Turkiye Klinikleri Journal of Medical Ethics-Law and History. 1996; 4(1): 12-15.
Zeren Öztürk G, Toprak D, Hurşitoğlu M and İpek Y. The
knowledge, attitudes and behaviors of women applying to a family medicine center about cesarean section and curettage and their relationship with sociodemographig features. Türkiye Klinikleri Journal of Clinical Obstetrics & Gynecology. 2014; 24(1): 1-8.
Hostiuc S, Buda O and Hostiuc M. Late abortion. Attitudes
amongst young physicians in Romania. Archives of Gynecology and Obstetrics. 2013; 288(2): p. 431-7. [doi: 10.1007/s00404-013-2763-6. ]
Sedgh G, Henshaw S, Singh S, Ahman E and Shah IH.
Induced abortion: estimated rates and trends worldwide. The Lancet. 2007; 370(9595): 1338-1345. [doi: https://doi.org/10.1016/S0140-6736(07)61575-X]
Akyol A, Gönen Yağcı Ş and Tekirdağ Aİ. The
comparison of type and properties of delivery between health workers and non health workers. İstanbul Kanuni Sultan Süleyman Medical Journal. 2011; 3(2): 55-63.
Hacettepe University Institute of Population Studies
(2009) Turkey Demographic and Health Survey, 2008. Ministry of Health, General Directorate of Mother and Child Health and Family Planning, Ankara, Türkiye.
Betrán AP, Merialdi M, Lauer JA, Bing-Shun W, Thomas
J, Van Look P and Wagner M. Rates of caesarean section: analysis of global, regional and national estimates. Paediatric and Perinatal Epidemiology. 2007; 21(2): 98-113. [doi: 10.1111/j.1365-3016.2007.00786.x]
Reilly DR. Caesarean section on maternal request: How
clear medical evidence fails to produce ethical consensus. Journal of Obstetrics and Gynaecology Canada. 2009; 31(12): 1176-1179. [doi: 10.1016/s1701-2163(16)34379-1]
United Nations, Department of Economic and Social
Affairs, Population Division (2013). World Contraceptive Patterns 2013 (ST/ESA/SER.A/326).
Essien PK, Essien JK and Essien SK. Patterns of birth and
family planning acceptor rates in Ghana: An ecological study, Afr J Reprod Health 2020; 24[2]:64-69 [doi:10.29063/ajrh2020/v24i2.6].
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