Date of Award

2-7-2022

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Ms Arusa Lakhani

Second Advisor

Ms Marina Baig

Third Advisor

Dr Salma Rattani

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Pakistan is a country with high population growth rate, currently it is on fifth rank in the world. It has the high total fertility rate of 3.6%, with contraceptive prevalence rate of 34%. Moreover, 17% of married couple has unmet need for family planning which results in unwanted pregnancies and abortion. Abortion rates appeared to be considerably higher with lower levels of contraceptive use. In Pakistan of every 100 pregnancies 14 ended in induced abortion. This situation is alarming to health care sectors in Pakistan and is burden for country. Post-abortion family planning services and program can be helpful to overcome these challenges.
Purpose: The purpose of this study is to identify the factors that influence the married women for uptake of post-abortion family planning in public health facilities, in Sindh region, Hyderabad, Pakistan.
Method: A qualitative exploratory study design is used to explore the perceptions of married women regarding post-abortion family planning and to identify the factors for non-usage of family planning services. Purposive sampling method was used to recruit the participants. Data was collected from the participants, meeting the study inclusive criteria using semi structured interview guide. Content analysis was performed using Creswell’s six step to obtain themes and categories from participants’ responses.
Findings: Two main themes emerged from the data, barriers in the uptake of PAFP services and recommendation for the uptake of PAFP services. The first theme barriers divided into two subs themes socio-cultural factors and challenges in the health care system. The socio-cultural factors categorize into personal barriers, decision making for FP, and environmental barriers. Challenges in health care system are categorized into two categories attitude of health care providers, and hospital infrastructure and services. The second theme recommendation is divided into three categories family planning counselling, involvement of community and physical and social accessibility of contraceptives.
Conclusion: The study discovers gender inequality, low socioeconomic status, perceived or actual side effects of contraceptives, negative past experiences of women, religious beliefs and women empowerment are sociocultural barriers in the uptake of PAFP services. While limited FP counselling, service inaccessibility and provider attitude highlighted as health care system factors as hinderance for women in the uptake of post-abortion family planning services. The study also suggested the need for upgrading the education of community regarding FP and initiative and continuity of FP program in communities to sensitize the discussion.

First Page

1

Last Page

51

Download

Share

COinS