This research paper evaluated the family planning program in 15-49 year old women living in Barangay Lucban, San Carlos City, Philippines. Interviews with 20 women found that most had knowledge of family planning but some were still unaware or did not use family planning methods. While family planning access was available, more efforts are needed to educate women in rural areas. Recommendations included strengthening family planning policies, increasing adolescent education, and involving religious leaders to improve family planning implementation.
Definition and components of reproductive health?
Demographic trends and fertility determinants
Family planning
Impact of reproductive patterns on child health
Impact of reproductive patterns on women health
Mechanisms to reduce morbidity and mortality
Child Sexual Abuse as a Mental Health Issue - Tasmin Kurien, SHout ClubTasminKurien
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Presented by Tasmin Kurien, President of SHout Club, Department of Social Work, Madras Christian College on October 30, 2020
Introduction to Risk Factors for Pregnancy
Other Risk Factors For Pregnancy
1. Adolescent Pregnancy
2. Elderly Primigravida
3. Unwed Mothers
4. Sexual abuse before and during pregnancy
Consequences Of Adolescent Pregnancy
Adolescent Sexual and Reproduction Health PresentationDeepak TIMSINA
ADRA worked to scale-up ASRH programme in Kalikot District through its Strengthening Reproductive Health (SRH) project. I worked as a 'Training Officer' in ADRA from 2012-2013.
Definition and components of reproductive health?
Demographic trends and fertility determinants
Family planning
Impact of reproductive patterns on child health
Impact of reproductive patterns on women health
Mechanisms to reduce morbidity and mortality
Child Sexual Abuse as a Mental Health Issue - Tasmin Kurien, SHout ClubTasminKurien
Child Sexual Abuse: Ensuring Safe Environments & Healthy Childhoods
Presented by Tasmin Kurien, President of SHout Club, Department of Social Work, Madras Christian College on October 30, 2020
Introduction to Risk Factors for Pregnancy
Other Risk Factors For Pregnancy
1. Adolescent Pregnancy
2. Elderly Primigravida
3. Unwed Mothers
4. Sexual abuse before and during pregnancy
Consequences Of Adolescent Pregnancy
Adolescent Sexual and Reproduction Health PresentationDeepak TIMSINA
ADRA worked to scale-up ASRH programme in Kalikot District through its Strengthening Reproductive Health (SRH) project. I worked as a 'Training Officer' in ADRA from 2012-2013.
This is awareness campaign report during health teaching in a rural community within the Philippines to increase awareness of increasing trend of teenage pregnancy especially among low poverty income and less educated residents in a certain community in the Philippines
Teen pregnancy in the United StatesTeen pregnancy in the Unite.docxmattinsonjanel
Teen pregnancy in the United States
Teen pregnancy in the United States
The National Campaign to Prevent Teen Pregnancy was founded in 1996 and has its headquarters in Washington D.C. and has nearly 200 organizations and media outlets which serve as partners. The National Campaign to Prevent Teen and Unplanned Pregnancy’s main agenda seeks to improve the lives and future prospects of children and families by ensuring that children are born into stable, two-parent families who have a commitment to and are ready for the demanding task of raising the next generation. Their strategy is aimed at the prevention of teen pregnancy and unplanned pregnancy among single, young adults by supporting a combination of responsible values and behavior by both men and women and responsible policies in both the public and private sectors. Their actions are aimed at improving child and family well-being therefore reducing the prevalence rate of poverty by providing more opportunities for the teenagers to complete their education or achieve other life goals while advocating for fewer abortions towards the creation of a stronger nation.
Teenage pregnancies have resulted to a total of 273,105 babies who were born to women aged 15–19 years, for a live birth rate of 26.5% per 1,000 women in this age group. There has been a decline in teen pregnancies with a drop of 10% in 2013. The birth rates declined at 13% for women aged 15–17 years, and 8% for women aged 18–19 years (Child Trends, 2014). Still, the U.S. teen pregnancy rate is substantially higher than in other western industrialized nations (Clay, et al, 2012). The national teen pregnancy rate has been declining steadily over the last two decades which has been attributed to the combination of an increased percentage of adolescents who are waiting to have sexual intercourse and the increased use of contraceptives by teens. The teen pregnancy rate includes the pregnancies that end in a live birth, as well as those that end in abortion or miscarriage resulting from fetal loss. In the United States 4 in 10 teens get pregnant at least once before they reach the age of 20 which leads to the teenagers dropping out of school with more than 50% of teen mothers never completing school. The trends show that less than 10% of the fathers marry the mother of their child and that almost a half of the teen mothers get their second child within the first 24 months since 80% of teens who do not use protective methods have higher chances of becoming pregnant.
Teen birth rates have been declining significantly in the recent years, however, despite these declines, there still exists a lot of disparities that need to be properly addressed (Dessen, 2005). There are substantial disparities that persist in teen birth rates, and teen pregnancy and childbearing which continue to carry significant social and economic costs. In 2013, the Hispanic teen birth rates were still more than two times higher than the rate for ...
This is the abstract presentation of Jude Tayaben, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
Worldwide, women are disproportionately affected by economic vulnerability, lower social status, and limited access to education compared to men. The importance of addressing gender inequalities in access to healthcare has been well-established in the literature with a demonstrated reduction in mortality and morbidity for men and women alike
A Research paper on Male Involvement Strategy in Maternal, New-Born and Child...Stephen Olubulyera
The research paper highlights strategies on male involvement in Maternal, New-Born and Child Health in Turkana County. Different strategies to reach men with information and services will be appropriate in different contexts, as for Turkana County context
A case study about Teenage pregnancy which is a widespread problem all over the world. Teen pregnancy and childbearing bring substantial social and economic costs through immediate and long-term impacts on teen parents and their children.
Teen Pregnancy A Preventable Epidemic Our natio.docxmehek4
Teen Pregnancy: A Preventable Epidemic
Our nation is facing an adolescent reproductive-health crisis, with one in four teenage
girls having a sexually transmitted disease, and one in three becoming pregnant before
the age of 20.1 To address this challenge, teens must be able to obtain confidential and
affordable reproductive-health services. However, anti-choice politicians have stymied
efforts to give teens the tools they need to protect themselves against unintended
pregnancy and sexually transmitted diseases (STDs). We continue to call on lawmakers
– pro-choice and pro-life alike – to work together to achieve real solutions – instead of
divisiveness.
The Facts
In spite of a recent decline, the United States still has the highest rate of teen pregnancy
in the western industrialized world.2 Studies show that the United States’ teen-
pregnancy rate is more than twice that of Canada and Sweden.3
§ Approximately 750,000 young women in the United States become pregnant each
year. Eighty-two percent of teen pregnancies are unplanned 4 and more than a
quarter of those end in abortion.5
§ Teen mothers are less likely to complete school, less likely go to college, more
likely to have large families, and more likely to stay single – increasing the
likelihood that their children will live in poverty.6
§ In addition to other consequences for young women and their children, teen
childbearing costs U.S. taxpayers at least $11 billion annually.7
§ A sexually active teen who does not use contraception has a 90-percent chance of
becoming pregnant within a year.8
Potentially due to factors such as decreased access to health-care services and
information, racial and ethnic disparities persist in the reproductive health of young
Americans.
§ The problem of teen pregnancy is more pronounced in the African-American and
Latino communities, where rates of teen pregnancy are higher than those in
white communities – 15 percent and 14 percent respectively, compared to five
percent.9
2
§ Fifty-three percent of Latina teens and 51 percent of African-American teen girls
will become pregnant at least once before they turn 20. In comparison, only 19
percent of non-Hispanic white teen girls will become pregnant before the age of
20.10
A Failed Approach
Anti-choice lawmakers and advocates seized on this public-health crisis as an
opportunity to enact one of their longtime goals: withhold sex education from young
people in a misguided attempt to discourage them from having sex. Instead, they spent
more than $1 billion in taxpayer funds on “abstinence-only” programs11 – programs that
censor vital health information about contraception and safe sex. The approach has been
a spectacular failure.
§ Research shows that “abstinence-only” programs do not work and that
comprehensive sex-education programs do. In 2007, a report commissioned by
the U.S. Department of H ...
1. Virgen Milagrosa University Foundation
“The Home of God-Loving and Globally Competent
Individuals”
Martin P. Posadas Avenue, San Carlos City, Pangasinan, 2420, Philippines
GRADUATE SCHOOL
DEPARTMENT OF PUBLIC HEALTH
COURSE: SOCIO-CULTURAL DETERMINANTS OF HEALTH
Research paper
Topic: Evaluation Of Family Planning Program In 15-49 Years Old
Women Living in Barangay Lucban, San Carlos City,
Presented by:
BANKWHOT NUHU, HARUNA.
ID: 15-05694-1571
July, 2016.
2. Overview of Barangay Lucban;
Barangay Lucban is one of the serene places in the San
Carlos City, Pangasinan.
The people are warm, friendly and live a remotely quiet life.
The street is characterized by a number of low income
earners who own small shops consisting of items like
snacks, soft drinks, detergents, etc.
A few eateries can also be found there.
The young ones hang around on evenings to play basket
ball and chat with friends while the older ones sit in small
groups.
A variable mixture of well educated and low to average
educated persons live in the barangay while majority of the
population live modest lives.
3. The Philippines is an archipelago nation comprising 7107 islands
divided among three island groups (Luzon, Visayas and
Mindanao) located in south-east Asia (WHO report).
It has a relatively stable birth and death rate with the population
increasing steadily by 2% for the past decade, one of the highest in
Asia. (health of adolescent, WHO)
The continued growth of world’s population has become an
urgent global problem. Most of these growths are occurring in
developing countries where fertility rates are very high (Bandura
et al., 2002).
High fertility rates has contributed to the rapid population growth
and its negative consequences such as poverty and inequality,
environmental degradation, food insecurity, low quality of health
and poor standard of living, hence the need for family planning
cannot be overemphasized as an important regimen.
4. Family planning (FP) implies the ability of individuals
and couples to participate and attain their desired
number of children and the spacing and timing of their
birth.
Family planning is a programme to regulate the
number and spacing of children through the practice of
contraception or other methods of birth control
(Houghton et al., 2004).
Family planning through contraception tries to achieve
two objectives; firstly, to have only the desired number
of children and secondly, to have these children by
proper spacing of pregnancy (Babrals, Malik SL, 2004).
From the above, family planning can be defined as the
practice of controlling family size by birth spacing.
5. Intended audience: men and women of reproductive age
(15-49yrs) including adolescents.
Vision: empower men and women living healthy,
productive and fulfilling lives and exercising the right to
regulate their own fertility through legally and acceptable
family planning services
Mission: the DOH in partnership with LGUs, NGOs, the
private sectors and communities ensures the availability of
FP information and services to men and women who need
them
Program goals; to provide universal access to FP
information, education and services whenever and
wherever these are needed.
Objectives(general); to help couples, individuals achieve
their desired family size within the context of responsible
parenthood and improve their reproductive health.
6. This evaluation study is useful to health
administrators at various levels for planning,
implementation and assessment of reproductive
health programs and services.
Data obtained from this study can also be utilized
to identify needed targets for reproductive health
programs and this is an important tool not only for
planning but also for monitoring and evaluation of
health programs in general.
Statistical data can be beneficial to researchers,
academicians and government/ private health
administrators for population studies.
7. Assess the availment of family planning
program.
Investigate the extent of implementation of the
program.
Assess the extent of availment of the program
in the barangay.
8. The design used for this study was the qualitative research design.
The subjects were 20 (n=20) women living in Lucban street, in San
Carlos City, Philippines.
The age bracket for subjects was 15-49 years for all females.
The sample for this qualitative study was constructed by
purposive sampling of residents in barangay Lucban who were
interviewed on non-scheduled terms voluntarily, based on a set of
structured questions.
The structured questions used in the interview, as a checklist was
the primary tool used in the data gathering relevant to the study.
Numerical data obtained was described in tabulated format.
9. The participants were interviewed on family
planning knowledge-related terms as a means to
ascertain the availment of the family planning
program to the residents, the extent of
implementation of the program as well as the
extent of availment of the program within the
community.
A little of demographic data was also asked in the
process of the interview based on its relevance to
the evaluation study.
Careful consideration was ensured in the course of
the interview to questions deemed as private by
the participants.
10. Items
Age group
15-19
years old
20-24
years old
25 years
and above
NA
Total
Knowledge on family
planning program
2 5 8
5
20
Visited one or more family
planning centres recently
2 5 7 6 20
Experienced or participated
in family planning
awareness campaign/training
3 5 9 3 20
Actively using family
planning methods
3 7 4
6
20
11. From the table;
it can be noted that most of the participants
have a fairly good knowledge of family
planning program.
Adolescents of the age group 15-19 years show
a considerable level of sexual activity as
affirmed from the number of women who are
actively using family planning methods .
It can also be deduced from the table that there
are still some women who have no knowledge
on FP program or utilized a FP centre before.
12. The impact of family planning in the Philippines has so far been effective
in the lives of both women and men of all age group in the community.
The 2008 NDHS found that knowledge of contraceptive methods was
high among young women, with 96.3% of 15-19 year olds and 99.2% of
20-24 year olds having heard of any modern method of contraception
(Ibid).
However, women in urban regions who are also likely to have attained
higher levels of education have shown more positive long-term outcomes
in the use of family planning for birth control than their counterparts in
the rural areas.
Among all female adolescents aged 15-19 using contraceptive (3.1% of the
total respondents), withdrawal was the common method(41.9%) followed
by the pill, which was the most commonly used modern method (29%).
Among married adolescents aged 15-19, withdrawal was also the most
commonly used method (9.8%) followed by the pill(8.6%)
The results shown in the table indicates that family planning program is
quite available at the community level, however more still needs to be
done as there are still a considerable number of women that are still not
aware of the program, or even practice its methods.
13. 50.7% of married women used FP in 2008
Modern FP methods use reduced; 2003-2008
Poor women use some modern FP methods like pills, IUD, injectables, more
than rich women. But the modern method where they lag behind the most is
in ligation. This is likely the result of access problems rather than preference.
Poor women have more (28%) unmet FP need than rich women
Adolescent women have more (36%) unmet FP need compared with oldest
women.
Women aged 15-19yrs have the highest increase in fertility(birthrate) over
time (from 1965-2008)
Philippine women still use more traditional FP methods in recent years
compared to other neighboring countries like Thailand, Cambodia etc.
Using no FP or traditional method carries high risk of unintended
pregnancy. Women at risk of this include; all women, fecund, sexually
active, not intending to be pregnant.
Inadequate FP caused 54% of all pregnancies to be unintended in 2008
Maternal death, abortions and unplanned births and
miscarriages(unintended pregnancies) will rapidly decline if all women use
only modern family planning methods.
14. This study in addition to cited literature, implies that
there will still be a steady decline in life births amongst
women in urban areas whereas women in local or rural
areas will continue to have more unplanned
pregnancies.
This is basically due to fact that women in urban areas
are likely to be more educated and exposed to family
planning programs, methods and trainings.
hence more needs to be done by the government and
private sectors to reach out to communities on a more
consistent base to ensure that family planning practice
becomes a regular but convenient lifestyle amongst
women.
15. No government supplies
Weak family planning policies
Catholic group opposition
Contraception ban
Concerns about effects/side-effects
Misconceptions about fertility.
16. Infrequent sex is safe
Some women are prone to pregnancy than others
If you don’t enjoy sex, you will not get pregnant
Standing up, jumping up and down, and douching
with water after sex can prevent pregnancy
Uterine maneuver (hilot) can prevent pregnancy
If one’s children are grown, one does not get
pregnant
If one’s period is breastfeeding, one will not get
pregnant
If one has irregular period, one will not get
pregnant
17. Health concerns 20.9%
Want to have as many children 15.5%
Fear of side effects 13.9%
Infrequent/or no sex 9.8%
Infecund 9.8%
NDHS 2008 Table 5.15: Reason for not intending to
use contraception in the future.
18. In lieu of a proper implementation of the FP program the
following should be considered:
Enforcement of policies and laws by government on maximum
number of children per unit family
Adolescent education programs on sex, self esteem, skill
acquisition and peer influence should be frequent routine.
Curfews for adolescents should be made by parents to keep their
wards from untold danger e.g. rape
Religious clerics should be involved in government sponsored FP
programs.
Routine monitoring, promotion and evaluation of FP programs
already established should be ensured by both government and
private sectors.
Modern FP methods, its convenience and significance, should be
well explained by FP administrators or trainers during
counselling, campaigns or promotions.
19. Likhaan, identifying barriers to accessing safe motherhood
services, unpub, 2009.
Guttmacher Institute, Investing in women’s contraception use
in the philippines,2009.
Junice L. D., training of medical educators on family planning,
2010 ppt.
DOH.,The Philippine health statistics, 2013
Philippines National Demographic and Health Survey 2008.
Republic of the Philippines and Calverton, Maryland:
National Statistics office and ICF Macro, 2009.
State of the world’s children 2009. United Nations
Children’s Fund. (cited 22 September 2010) Available from:
http://www.unicef.org/sowc09/statistics/tables.php
http://www.accelerated-personal-
development.com/barriers-to-personal-growth.html
Editor's Notes
DOH department of health, LGU Local government units, NGO non-governmental organization