Perception of women towards contraceptive methods: using health belief model

  • Authors

    • Noha Mohamed Mahmoud university of Alexandria, Egypt
    • Asmaa Saber Ghaly university of Alexandria, Egypt
    • Afaf Hassan Ahmad university of Alexandria, Egypt
    2020-01-11
    https://doi.org/10.14419/ijans.v9i1.29966
  • Contraceptive Methods, Health Belief Model, Perception of Women.
  • Introduction: The Health Belief Model (HBM) is one of the major conceptual frameworks guiding current research as well as practice in the health sciences. It takes into account the multiple factors present in a person’s decisions to live a healthy life, seek help when needed, and maintain periodic check-ups and screening. Aim of the study is to identify perception of women towards contraceptive methods using the health belief model. Research design: A descriptive research design was utilized in this study. Setting: This study was conducted at four family planning clinics affiliated to four maternity hospitals namely: EL- Shatby Maternity University hospital affiliated to Alexandria University, Dar-Ismail Maternity hospital affiliated to Ministry of Health, Faisal hospital affiliated to Health Insurance and Dar ALWelada hospital affiliated to Medical Health Association. Subjects: A convenience sample of 320 women who were seeking family planning services. Tools; Tool I: Contraceptive users' basic data structured interview schedule; Tool II: Contraceptive users' Health Belief scale. Results: Approximately an equal percent (56.56% & 43.44%) of the contraceptive users perceived themselves either highly susceptible or moderately susceptible for threat of getting pregnant, respectively. More than three-fourths (76.25%) of them had moderate perceived severity to the problems associated with contraceptive use compared to only 23.75% of them who had high level of perception. As much as 84.37% of them highly perceived the benefits of contraception uptake. Meanwhile, almost all (93.44%) of them moderately perceived barriers associated with contraception utilization. Conclusion: Contraceptive users had high perception related to susceptibility of the threat of pregnancy and benefits of contraceptive methods utilization. Moreover, the vast majority of them had moderate perception to severity and barriers associated with contraception uptake. Last but not least, there was a statistically significant correlation between women's health beliefs and their utilization of contraceptive method.

     

  • References

    1. [1] Adefalu, A.A., Ladipo, O.A., Akinyemi, O.O., Popoola, O.A., Latunji, O.O., & Iyanda, O.F. (2018). Awareness and opinions regarding contraception by women of reproductive age in North-West Nigeria. The Pan African Medical Journal, 30. https://doi.org/10.11604/pamj.2018.30.65.12975.

      [2] Alemayehu, G.A., Fekadu, A., Yitayal, M., Kebede, Y., Abebe, S.M., Ayele, T.A., . . . Gelagay, A.A. (2018). Prevalence and determinants of contraceptive utilization among married women at Dabat Health and Demographic Surveillance System site, northwest Ethiopia. BMC women's health, 18(1), 118. https://doi.org/10.1186/s12905-018-0611-3.

      [3] Alege, S.G., Matovu, J.K.B., Ssensalire, S., & Nabiwemba, E. (2016). Knowledge, sources and use of family planning methods among women aged 15-49 years in Uganda: a cross-sectional study. Pan African Medical Journal, 24(1), 39. https://doi.org/10.11604/pamj.2016.24.39.5836.

      [4] Alharbi, M.M., Alharbi, M.S., Alnazzawi, A., Albasri, R., & Towairqi Mal, S.S. (2017). Knowledge, attitudes and practices towards family planning among Saudi female teachers in Al-Madinah Al-Munawarah City, Saudi Arabia. International journal of pharmaceutical sciences research, 4, 82-92.

      [5] Ali, A., Ali, S.A., Aziz Ali, S., & Khuwaja, N.S. (2016). Determinants of Unintended Pregnancy among Women of Reproductive Age in Developing Countries: A Narrative Review. Journal of midwifery and reproductive health, 4(1), 513-521.

      [6] Asadisarvestani, K., Khoo, S.L., Malek, N.M., Yasin, S.M., & Ahmadi, A. (2017). Determinants of contraceptive usage among married women in Shiraz, Iran. Journal of Midwifery and Reproductive Health, 5(4), 1041-1052. https://doi.org/10.17795/whb-38928.

      [7] Baiden, P., & Rajulton, F. (2011). Factors influencing condom use among women in Ghana: an HIV/AIDS perspective. Journal Of Social Aspects Of HIV/AIDS, 8(2), 46-54. https://doi.org/10.1080/17290376.2011.9724985.

      [8] Bamufleh, R.A., Al-Zahrani, A.E., & Yousuf, S.A. (2017). Systematic review: Contraceptive knowledge and use in Saudi Arabia. Journal of Gynaecology and Obstetrics 5, 69-77. https://doi.org/10.11648/j.jgo.20170506.11.

      [9] Banafa, N.S., Al-Hanshi, A.S., Almualm, Y., & Alkathiri, M.O. (2017). Knowledge and Attitude about Side Effect of Implanon (Implant) among Women Attend Primary Health Center-Al Mukalla District Yemen. Acta Scientific Medical Sciences, 1(1), 32-37.

      [10] Becker, M.H., Haefner, D.P., Kasl, S.V., Kirscht, J.P., Maiman, L.A., & Rosenstock, I.M. (1977). Selected psychosocial models and correlates of individual health-related behaviors. Medical care, 15(5), 27-46. https://doi.org/10.1097/00005650-197705001-00005.

      [11] Biruk, E., & Hailemariam, T. (2015). Implants Contraceptive Utilization and Factors Associated among Married Women in the Reproductive Age Group (18-49 Year) in Southern Ethiopia. Journal Women's Health Care, 4(1), 281.

      [12] Çalıkoğlu, E.O., Bilge Yerli, E., Kavuncuoğlu, D., Yılmaz, S., Koşan, Z., & Aras, A. (2018). Use of Family Planning Methods and Influencing Factors Among Women in Erzurum. Medical science monitor : international medical journal of experimental and clinical research, 24, 5027-5034. https://doi.org/10.12659/MSM.908388.

      [13] Champion, V.L. (1993). Instrument refinement for breast cancer screening behaviors. Nursing research, 42(3), 139-143. https://doi.org/10.1097/00006199-199305000-00003.

      [14] Chernick, L.S., Schnall, R., Higgins, T., Stockwell, M.S., Castano, P.M., Santelli, J., & Dayan, P.S. (2015). Barriers to and enablers of contraceptive use among adolescent females and their interest in an emergency department based intervention. Contraception, 91(3), 217-225. https://doi.org/10.1016/j.contraception.2014.12.003.

      [15] Clifford, E., Johnscy, S., Pratidnya, K., Rachel, J., & Reshma, R. (2015). A descriptive study to assess the perception and practice of selected contraceptive methods among target population in selected areas of mumbai. Puplished Master thesis, Fortis Institute of Nursing, Mumbai.

      [16] De Peralta, A.M. (2011). Health beliefs and socio-cultural factors that predict cervical cancer screening behaviors among Hispanic women in seven cities in the Upstate of South Carolina. PhD Thesis. Clemson Universit.

      [17] Deri, M. (2016). Contraceptive use among women of reproductive age in Jirapa District in Ghana. Master thesis, University of Ghana.

      [18] Eliason, S.K., Bockarie, A.S., & Eliason, C. (2018). Postpartum fertility behaviours and contraceptive use among women in rural Ghana. Contraception and reproductive medicine, 3(1), 13. https://doi.org/10.1186/s40834-018-0066-9.

      [19] Elkalmi, R.M., Khan, M.U., Ahmad, A., Srikanth, A.B., Abdurhaman, N.S., Jamshed, S.Q., . . . Ab Hadi, H.B. (2015). Knowledge, awareness, and perception of contraception among senior pharmacy students in Malaysia: A pilot study. Journal of research in pharmacy practice, 4(2), 94. https://doi.org/10.4103/2279-042X.155760.

      [20] El Shamy, B.M., Abdelsatar, H.N., & Awad, M.M. (2013). The contraceptive knowledge and use among women attending primary health care centers of Al Dawahe District in Port Said governorate. The Medical Journal of Cairo University, 81(2), 137-142.

      [21] El-Zanaty, F. (2014). Egypt Demographic and Health Survey. Cairo, Egypt: Ministry of Health and Population. El-Zanaty and Associates, National Population Council; 11-2.

      [22] Endriyas, M., Eshete, A., Mekonnen, E., Misganaw, T., Shiferaw, M., & Ayele, S. (2017). Contraceptive utilization and associated factors among women of reproductive age group in Southern Nations Nationalities and Peoples’ Region, Ethiopia: cross-sectional survey, mixed-methods. Contraception and reproductive medicine, 2(1), 10. https://doi.org/10.1186/s40834-016-0036-z.

      [23] Envuladu, E., Agbo, H., Abigail., Mohammed, A., Chia, L., Kigbu, J.H., & Zoakah, A. (2012). Utilization of modern contraceptives among female traders in Jos South LGA of Plateau state, Nigeria. International Journal of Medicine and Biomedical Research, 1(3), 224-231. https://doi.org/10.14194/ijmbr.1310.

      [24] Etenikang, A.S., Uji, A.B., Obinna, N.C., & Ife, E.C. (2017). Knowledge, practice and perception of contraception by literate adolescents in Calabar, Nigeria. European Journal of Biology and Medical Science Research, 5(6), 1-6.

      [25] Frohwirth, L., Moore, A.M., & Maniaci, R. (2013). Perceptions of susceptibility to pregnancy among US women obtaining abortions. Social Science & Medicine, 99, 18-26 https://doi.org/10.1016/j.socscimed.2013.10.010.

      [26] Frost, J.J., & Lindberg, L.D. (2013). Reasons for using contraception: perspectives of US women seeking care at specialized family planning clinics. Contraception, 87(4), 465-472. https://doi.org/10.1016/j.contraception.2012.08.012.

      [27] Gharaibeh, M.K., Oweis, A., Shakhatreh, F.M.N., & Froelicher, E.S. (2011). Factors Associated with Contraceptive Use among Jordanian Muslim Women: Implications for Health and Social Policy. Journal of International Women's Studies, 12(3), 168-184.

      [28] Girma, T., Sultan, A., & Leges, K. (2016). Prevalence and Factors Influences Utilization of Modern Contraceptive Methods among Married Women of Reproductive Age Group (15-49 Years) in Holeta Town, Oromia, Ethiopia 2016. Journal of Pregnancy and Child Health, 3(272), 2. https://doi.org/10.4172/2376-127X.1000272.

      [29] Gueye, A., Speizer, I.S., Corroon, M., & Okigbo, C.C. (2015). Belief in Family Planning Myths at the Individual and Community Levels and Modern Contraceptive Use in Urban Africa. International perspectives on sexual and reproductive health, 41(4), 191-199. https://doi.org/10.1363/intsexrephea.41.4.0191.

      [30] Hamdy, A. (2014). Pattern of contraception utilization among women attending to the well-baby clinics in damanhour city. Unpuplished Master Thesis, Faculty of Nursing. Alexandria University.

      [31] Hettiarachchi, J., & Gunawardena, N.S. (2012). Factors related to choose of modern vs traditional contraceptives among women in rural Sri Lanka. Sri Lanka Journal of Obstetrics and Gynaecology, 33(1), 1-20. https://doi.org/10.4038/sljog.v33i1.3999.

      [32] Huda, F.A., Robertson, Y., Chowdhuri, S., Sarker, B.K., Reichenbach, L., & Somrongthong, R. (2017). Contraceptive practices among married women of reproductive age in Bangladesh: A review of the evidence. Reproductive health, 14(1), 69. https://doi.org/10.1186/s12978-017-0333-2.

      [33] Ilori, O.R., Ilori, O.S., & Awodutire, P.O. (2017). Contraceptive Practices among Married Women of Reproductive Age Group in Ogbomoso Metropolis, Nigeria. Asian Journal of Medicine and Health, 9(4), 1-9. https://doi.org/10.9734/AJMAH/2017/37743.

      [34] Jaccard, J., Dodge, T., & Dittus, P. (2003). Do adolescents want to avoid pregnancy? Attitudes toward pregnancy as predictors of pregnancy. Journal of Adolescent Health, 33(2), 79-83. https://doi.org/10.1016/S1054-139X(03)00134-4.

      [35] Jalang'o, R., Thuita, F., Barasa, S.O., & Njoroge, P. (2017). Determinants of contraceptive use among postpartum women in a county hospital in rural KENYA. BMC public health, 17(1), 604-606. https://doi.org/10.1186/s12889-017-4510-6.

      [36] Jones, R.K., Tapales, A., Lindberg, L.D., & Frost, J. (2015). Using longitudinal data to understand changes in consistent contraceptive use. Perspectives on sexual and reproductive health, 47(3), 131-139. https://doi.org/10.1363/47e4615.

      [37] Kahraman, K., Göç, G., Taşkın, S., Haznedar, P., Karagözlü, S., Kale, B., . . . Ozmen, B. (2012). Factors influencing the contraceptive method choice: a university hospital experience. Journal of the Turkish German Gynecological Association, 13(2), 102-105. https://doi.org/10.5152/jtgga.2012.07.

      [38] Kassa, N., Berhane, Y., & Worku, A. (2012). Predictors of unintended pregnancy in Kersa, eastern Ethiopia, 2010. Reproductive health, 9, 1. https://doi.org/10.1186/1742-4755-9-1.

      [39] Megabiaw, B. (2012). Awareness and utilization of modern contraceptives among street women in North-West Ethiopia. BMC women's health, 12(1), 31. https://doi.org/10.1186/1472-6874-12-31.

      [40] Moodley, A., & Mahomed, O. (2019). Prevalence and predictors of Implanon uptake in Ugu (Ugu North Sub District) 2016/17. South African Family Practice, 61(2), 48-52. https://doi.org/10.1080/20786190.2018.1548725.

      [41] Mohsen, M.M., El-Abbassy, A.A., & Khalifa, A.M. (2016). Effect of application of a Health Belief Model on changing mothers’ beliefs regarding birth spacing in rural areas. Clinical Nursing Studies, 4(3), 54-66. https://doi.org/10.5430/cns.v4n3p54.

      [42] Mubarik, M., Jameel, N., & Khalil, R. (2016). Knowledge, attitude and utilisation of sub-dermal birth control implants among married rural women of Pakistan. International journal of research in medical sciences, 4, 2229-2239. https://doi.org/10.18203/2320-6012.ijrms20161792.

      [43] Nyarko, S.H. (2019). Unintended Pregnancy among Pregnant Women in Ghana: Prevalence and Predictors. Journal of Pregnancy and Child Health, 2019, 8. https://doi.org/10.1155/2019/2920491.

      [44] Okanlawon, K., Reeves, M., & Agbaje, O.F. (2010). Contraceptive use: Knowledge, perceptions and attitudes of refugee youths in Oru Refugee Camp, Nigeria. African journal of reproductive health, 14(4), 17-26.

      [45] Onokerhoraye , A.G., & Dudu, J.E. (2016). Onokerhoraye , Johnson Egbemudia Dudu.Knowledge and Practice of Family Planning by Women of Childbearing Age in Delta State, Nigeria. International Journal of Humanities and Social Science Invention, 8(5), 66-75.

      [46] Ontiri, S., Ndirangu, G., Kabue, M., Biesma, R., Stekelenburg, J., & Ouma, C. (2019). Long-Acting Reversible Contraception Uptake and Associated Factors among Women of Reproductive Age in Rural Kenya. International journal of environmental research and public health, 16(9), 1543. https://doi.org/10.3390/ijerph16091543.

      [47] Ouma, S., Turyasima, M., Acca, H., Nabbale, F., Obita, K.O., Rama, M., . . . Odongo-Aginya, E.I. (2015). Obstacles to family planning use among rural women in Atiak health center IV, Amuru District, northern Uganda. East African medical journal, 92(8), 394-400.

      [48] Palamuleni, M.E. (2013). Socio-economic and demographic factors affecting contraceptive use in Malawi. African journal of reproductive health, 17(3), 91-104.

      [49] Peipert, J.F., Zhao, Q., Allsworth, J.E., Petrosky, E., Madden, T., Eisenberg, D., & Secura, G. (2011). Continuation and satisfaction of reversible contraception. Obstetrics and gynecology, 117(5), 1105–1113. https://doi.org/10.1097/AOG.0b013e31821188ad.

      [50] Roderique-Davies, G., McKnight, C., John, B., Faulkner, S., & Lancastle, D. (2016). Models of health behaviour predict intention to use long-acting reversible contraception. Women's Health, 12(6), 507-512. https://doi.org/10.1177/1745505716678231.

      [51] Russo, J.A., Miller, E., & Gold, M.A. (2013). Myths and misconceptions about long-acting reversible contraception (LARC). Journal of Adolescent Health, 52(4), 14-21. https://doi.org/10.1016/j.jadohealth.2013.02.003.

      [52] Samim, T. (2014). Prevalence of Family Planning Method Among Married Women Aged 15-49 Years in One Rural Area NadershaKot District of Khost Province of Afghanistan. Master of Science Thesis, A Turkey Hacettepe University, Nkara

      [53] Sanders, J.N., Turok, D.K., Gawron, L.M., Law, A., Wen, L., & Lynen, R. (2017). Two-year continuation of intrauterine devices and contraceptive implants in a mixed-payer setting: a retrospective review. American journal of obstetrics and gynecology, 216(6), 590. https://doi.org/10.1016/j.ajog.2017.02.003.

      [54] Sensoy, N., Korkut, Y., Akturan, S., Yilmaz, M., Tuz, C., & Tuncel, B. (2018). Factors Affecting the Attitudes of Women toward Family Planning. Family Planning, 6(1), 33. https://doi.org/10.5772/intechopen.73255.

      [55] Sunnu, E., & Adatara, P. (2016). Knowledge, Attitudes, and Beliefs toward Contraceptive Use among Women and Men in the Ho Municipality in the Volta Region, Ghana. The Journal of Middle East and North Africa Sciences, 2(9), 305. https://doi.org/10.12816/0032690.

      [56] Tabane, N.S., & Peu, M.D. (2015). Perceptions of female teenagers in the Tshwane District on the use of contraceptives in South Africa. curationis, 38(2), 1-7. https://doi.org/10.4102/curationis.v38i2.1528.

      [57] Tavafian, S.S. (2012). Predictors of cervical cancer screening: An application of health belief model. Topics on cervical cancer with an advocacy for prevention, 1-24.

      [58] Tessema, G.A., Streak Gomersall, J., Mahmood, M.A., & Laurence, C.O. (2016). Factors Determining Quality of Care in Family Planning Services in Africa: A Systematic Review of Mixed Evidence. PloS one, 11(11), e0165627. https://doi.org/10.1371/journal.pone.0165627.

      [59] Ukegbu, A.U., Onyeonoro, U.U., Nwokeukwu, H.I., & Okafor, G.O.C. (2018). Contraceptive Method Preferences, Use and Satisfaction among Women of Reproductive Age (15-49 Years) in Umuahia, Abia State, Nigeria. Journal of contraceptive studies, 3(3), 16.

      [60] United Nations. (2015). United Nations, Department of Economic and Social Affairs, Population Division. Trends in Contraceptive Use Worldwide. Available at: https://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf. [Accessed in: Mar, 2019].

      [61] Wiebe, E.R., Trouton, K.J., & Dicus, J. (2010). Motivation and experience of nulliparous women using intrauterine contraceptive devices. Journal of Obstetrics and Gynaecology Canada, 32(4), 335-338. https://doi.org/10.1016/S1701-2163(16)34477-2.

      [62] World Health Organization (WHO). (2013). Family planning fact sheet. Available at: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception. [Accessed in: Mar, 2019].

      [63] Yang, F. (2013). Health Beliefs and Contraception Use in Leogane, Haiti: A Qualitative Study. Master Thesis. Duke Global Health Institute in the Graduate School of Duke University.

      [64] Yanikkerem, E., Ay, S., & Piro, N. (2013). Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. The journal of obstetrics and gynaecology research, 39(1), 180-187. https://doi.org/10.1111/j.1447-0756.2012.01958.x.

      [65] Yen, S., Saah, T., & Hillard, P.J.A. (2010). IUDs and adolescents-an under-utilized opportunity for pregnancy prevention. Journal of pediatric and adolescent gynecology, 23(3), 123-128. https://doi.org/10.1016/j.jpag.2009.09.004.

      [66] Yoost, J. (2014). Understanding benefits and addressing misperceptions and barriers to intrauterine device access among populations in the United States. Patient preference and adherence, 8(1), 947–957. https://doi.org/10.2147/PPA.S45710.

      [67] Zhao, J., Song, F., Ren, S., Wang, Y., Wang, L., Liu, W., . . . Sun, Y. (2012). Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China. PloS one, 7(11), 49542. https://doi.org/10.1371/journal.pone.0049542.

  • Downloads

  • How to Cite

    Mohamed Mahmoud, N., Saber Ghaly, A., & Hassan Ahmad, A. (2020). Perception of women towards contraceptive methods: using health belief model. International Journal of Advanced Nursing Studies, 9(1), 1-14. https://doi.org/10.14419/ijans.v9i1.29966