Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-26T00:45:29.836Z Has data issue: false hasContentIssue false
  • English
  • Français

Factors affecting acceptability of long-acting contraceptive injections in a rural Egyptian Community

Published online by Cambridge University Press:  31 July 2008

M. N. Younis ,
N. El Messeri Nadeem ,
H. I. Salem ,
A. F. Hamed ,
A. Ahmed ,
G. El-Masry  and
A. Hamza
M. N. Younis
Affiliation:
Department of Obstetrics and Gynaecology, Al-Azhar University
N. El Messeri Nadeem
Affiliation:
Social Research Center, American University, Cairo
H. I. Salem
Affiliation:
Department of Obstetrics and Gynaecology, Al-Azhar University
A. F. Hamed
Affiliation:
Department of Obstetrics and Gynaecology, Al-Azhar University
A. Ahmed
Affiliation:
Department of Obstetrics and Gynaecology, Al-Azhar University
G. El-Masry
Affiliation:
Department of Obstetrics and Gynaecology, Al-Azhar University
A. Hamza
Affiliation:
Department of Obstetrics and Gynaecology, Al-Azhar University
Get access Rights & Permissions [Opens in a new window]

Summary

This study was carried out in four adjacent villages in Lower Egypt with a combined population of 24,000. A team of social workers and physicians worked together to introduce the injectable contraceptive depomedroxyprogesterone acetate as a post-partum long-acting contraceptive to the community leaders and the villagers at several meetings. Postpartum women who agreed to use the drug were defined as acceptors (591) and those who did not were defined as rejectors (715). The incidence of polygamy was higher among the rejectors, and rejectors' husbands had more children from their other wives. Acceptors had more previous pregnancies and children of both sexes than rejectors. The interval between the last two pregnancies was shorter among the rejectors. A greater percentage of acceptors had previously used another contraceptive. The commonest reasons for rejection were desire for further pregnancy (69%), health problems (11%) and desire for another method of contraception (8%). Religious factors figured in only 3% of cases.

Type
Research Article
Information
Journal of Biosocial Science , Volume 19 , Issue 3 , July 1987 , pp. 305 - 311
Copyright
Copyright © Cambridge University Press 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Benagiano, G. & Fraser, I. S. (1981) The Depo-Provera debate: commenting on the article Depo-Provera or actual analysis. Contraception, 24, 493.CrossRefGoogle Scholar
Fraser, I. S. & Weisberg, E. (1981) A comprehensive review of injectable contraception with special emphasis on depomedroxyprogesterone acetate. Med. J. Aust. 1, 3.CrossRefGoogle Scholar
Freedman, R. (1963) Norms for family size in underdeveloped areas. Proc. R. Soc. B, 159, 220.Google ScholarPubMed
Gadalla, S. M. (1978) Is There Hope? Fertility and Family Planning in a Rural Egyptian Community, p. 87. Social Research Center, American University in Cairo Press, and the Carolina Population Center, University of North Carolina, Chapel Hill, USA.Google Scholar
Hefnawi, F., Fawzi, G. & Badraoui, M. H. H. (1976) Effect of some progestational steroids on lactation in Egyptian women. 1. Milk yield during the first year of lactation. J. biosoc. Sci. 8, 45.CrossRefGoogle ScholarPubMed
McCann, M. F., Liskin, L. S., Piotrow, P. T., Rinehart, W. & Fox, G. (1981) Breast-feeding, Fertility and Family Planning. Population Reports, Series J. No. 24. Population Information Program, Johns Hopkins University, Baltimore.Google Scholar
Potts, M. & Paxman, J. J. (1984) Depo-Provera—ethical issues in its testing and distribution. J. Med. Ethics, 10, 9.CrossRefGoogle ScholarPubMed
Shain, R. & Potts, M. (1983) Need for acceptability of long-acting steroidal contraception. In: Long Acting Contraceptive Delivery Systems. Edited by Zatuchni, G. I., Goldsmith, A., Shelton, J. D. & Sciarra, J. J.Harper & Row, Maryland.Google Scholar