The determination of women’s satisfaction about contraceptive
methods and family planning services
N. Erbil, C.P. Kaplan
Ondokuz Mayis
University, Ordu School of Health, Department of Nursing, Ordu, Turkey
Objective
This research has been made to determine the women’s satisfaction about family
planning methods and family planning services (FPS).
Design and methods The
population of this descriptive research is the Turkish women consulting to Ordu
Birth and Children’s Hospital Gynecology Polyclinic for some reasons. The sample
participants are those 507 women who consulted the polyclinic, accepted to take
part in the research, and used one of the contraceptive methods for at least
once. They were included in the research with nonrandomly sampling method. The
data were collected with the questionnaire form. The research was made between
08.02.2005 and 30.05.2005. The statistical analysis of the data was made with
frequency distribution percentage, arithmetic average, Chi-square test and
correlation analysis in SPSS 11.5 statistical program on a computer.
Results The
currently used contraceptive methods among the participants are withdrawal
(35.9%), condom (23.1%), intrauterine device (IUD) (17.2%). The past used
contraceptive methods are pill (20.1%), condom (15.2%), IUD (14.4%), and
withdrawal (10.8%). The percentage of women having used the emergency
contraception is only 0.4%. The percentages of women’s satisfaction about
contraceptive methods are female sterilization (FS) 72.5%, withdrawal 58.2%,
condom 51%, IUD 44.8%. The percentage of becoming pregnant unwillingly while
using family planning methods and the family planning method used are calendar
30%, withdrawal 16.2%, tablets 9%. It was determined that 32.6% of women using
pill, 30.8% of women using injection method, and 25.8% of women using IUD have
health problems about the method they use. When emotional and psychological
problems about the use of family planning methods were examined, 17.2% of women
using IUD have angriness, 18.4% of women using preservative feel discontent, 34%
of women using tablets feel angriness, 15.4% of women using injection feel
angriness, 18.8% of women having FS feel troubled, 17.8% of women using
withdrawal method feel discontent, 41.7% of women using vagina cleaning method
feel discontent, 47.4% of women using calendar method feel discontent. It was
determined that 51.3% of women stated using family planning methods made no
change in their sexual life, and 10.7% of them stated the increase in the
frequency of sexual relation. It was determined that 16.6% of women using IUD
have longer period of menstruating, and 11% of them have more amount of
menstruation blooding. It was determined that during the use of tablets women
mostly have problems about gaining weight and decrease in the number of
menstruation. 77.5% of women stated to suggest the family planning method they
currently use to the others. 66.3% of women stated their satisfaction with the
family planning services. When the factors positively effecting the satisfaction
with family planning services are ordered, informing people sufficiently
(13.6%), cheap price for the service (12%), and paying attention to privacy
(10%) can be seen at the top. At the top of the factors negatively effecting the
satisfaction with family planning services, we can see those of giving
insufficient information to the consultants (13.2%) for family planning from
Mother and Children Health centers and Family Planning Centers.
Conclusions At
the end of the research, it was determined that women are mostly satisfied with
tube ligation and pulling back methods, they have health problems about using
tablets and injection, and half of them are satisfied with family planning
services. During the contraception counseling, having trouble and being effected
from the problem can be reduced to the least by informing people both about the
positive and negative sides.