Exploring the knowledge, attitude, and practice of family planning services among healthcare workers in Khyber Pakhtunkhwa: Cross-sectional online survey-based research
Abstract
Introduction: Family planning services have a pivotal role in encouraging reproductive health and ensuring the well-being of individuals, families, and communities worldwide. This current research aims to investigate the knowledge, attitudes, and practices (KAP) regarding family planning services.
Methodology: An online survey among female health workers was conducted in Khyber Pakhtunkhwa from March 1st to July 31st, 2023, for 5 months. The survey questionnaire was designed to assess KAP regarding family planning methods, implementation, and associated variables.
Results: Among the 319 participants, 15% had primary education, 21% were diploma holders, and 64% were graduates. Most participants (65.5%) had a monthly household income of less than Rs. 50,000, and 71.2% were married. Regarding family size, 61.3% had two or more children. All participants were familiar with family planning methods, with 89.5% receiving information from trainers and 9.5% through self-study. Over 85% provided correct information on family planning methods, with high accuracy across different types of contraceptive methods. Regarding attitudes, 80% of participants had a positive attitude towards family planning, 82% reported regular practice, and 94.3% advocated for an appropriate gap between childbirth. Additionally, 77.3% encouraged others to use family planning, and 82.6% believed it improved living standards.
Conclusion: The study concludes that attitudes and practices are influenced by knowledge of family planning methods. While awareness and positive attitudes were evident, utilization remained lower than desired. Factors such as education level, income, marital status, family size, and participation in training were highly associated with knowledge, attitude, and practice scores.
Downloads
References
Chilinda IT, Cooke A, Lavender DT. Experiences of women, men and healthcare workers accessing family planning services in Malawi: A grounded theory. S Afr Fam Pract. 2020; 62(3).
DOI: https://doi.org/10.4102/safp.v62i1.5153
Wani RT, Rashid I, Nabi SS, Dar H. Knowledge, attitude, and practice of family planning services among healthcare workers in Kashmir–A cross-sectional study. J Family Med Prim Care. 2019; 8(4):1319-25.
DOI: https://doi.org/10.4103/jfmpc.jfmpc_96_19
Wagner AD, Beima-Sofie K, Awuor M, Owade W, Neary J, Dettinger JC, et al. Implementation determinants and strategies in integration of PrEP into maternal and child health and family planning services: experiences of frontline healthcare workers in Kenya. Front Reprod Health. 2023; 5.
DOI: https://doi.org/10.3389/frph.2023.1205925.
Khan AW, Amjad CM, Hafeez A, Shareef R. Perceived individual and community barriers in the provision of family planning services by lady health workers in Tehsil Gujar Khan. J Pak Med Assoc. 2012; 62(12):1318-22.
Gavin L, Moskosky S, Carter M, Curtis K, Glass E, Godfrey E, et al. Providing quality family planning services: recommendations of CDC and the US Office of Population Affairs. MMWR Recomm Rep. 2014; 63(RR-04):1-54.
Jonas K, Crutzen R, van den Borne B, Reddy P. Healthcare workers’ behaviors and personal determinants associated with providing adequate sexual and reproductive healthcare services in sub-Saharan Africa: a systematic review. BMC Pregnancy Childbirth. 2017; 17:1-9.
DOI: https://doi.org/10.1186/s12884-017-1268-x
Samal J, Dehury RK. Challenges faced by health workers in providing maternity management and family planning services in Assam. J. Public Health Res. 2015; 2(3):90-3.
DOI: https://doi.org/10.4103/2394-2010.168372
Soin KS, Yeh PT, Gaffield ME, Ge C, Kennedy CE. Health workers’ values and preferences regarding contraceptive methods globally: A systematic review. Contraception. 2022; 111:61-70.
DOI: https://doi.org/10.1016/j.contraception.2022.04.012
Ackerson K, Zielinski R. Factors influencing use of family planning in women living in crisis-affected areas of Sub-Saharan Africa: A review of the literature. Midwifery. 2017; 54:35-60.
DOI: https://doi.org/10.1016/j.midw.2017.07.021
Rouncivell L, Takuva S, Ledibane N, Musekiwa A, Leong TD. Knowledge, attitudes, and perceptions of long‐acting reversible contraceptive methods among healthcare workers in sub‐Saharan Africa. Trop Med Int Health. 2021; 26(8):840-61.
DOI: https://doi.org/10.1111/tmi.13586
Hakim AJ, Ogwal M, Doshi RH, Kiyingi H, Sande E, Serwadda D, et al. At the intersection of sexual and reproductive health and HIV services: use of moderately effective family planning among female sex workers in Kampala, Uganda. BMC Pregnancy Childbirth. 2022; 22(1):646.
DOI: https://doi.org/10.1186/s12884-022-04977-5
Stevens LM. Planning parenthood: Health care providers' perspectives on pregnancy intention, readiness, and family planning. Soc Sci Med. 2015; 139:44-52.
DOI: https://doi.org/10.1016/j.socscimed.2015.06.027
Kumar A, Jain AK, Ram F, Acharya R, Shukla A, Mozumdar A, et la. Health workers’ outreach and intention to use contraceptives among married women in India. BMC Pub Heal. 2020; 20:1-9.
DOI: https://doi.org/10.1186/s12889-020-09061-1
Ezirim EO, Omole OR, Akwuruoha EM, Ejikem PI, Airaodion AI. Factors Influencing Family Planning Services among Rural Women in Nigeria. Int. J. Res. Rep. Gynaecol. 2023; 6(1):54-66.
Mustafa G, Azmat SK, Hameed W, Ali S, Ishaque M, Hussain W, et al. Family planning knowledge, attitudes, and practices among married men and women in rural areas of Pakistan: Findings from a qualitative need assessment study. Int J Reprod Med. 2015; 2015(1):190520.
DOI: https://doi.org/10.1155/2015/190520
Newmann SJ, Zakaras JM, Tao AR, Onono M, Bukusi EA, Cohen CR, et al. Integrating family planning into HIV care in western Kenya: HIV care providers’ perspectives and experiences one year following integration. AIDS Care. 2016; 28(2):209-13.
DOI: https://doi.org/10.1080/09540121.2015.1080791
Jonas K, Crutzen R, Krumeich A, Roman N, van den Borne B, Reddy P. Healthcare workers’ beliefs, motivations and behaviours affecting adequate provision of sexual and reproductive healthcare services to adolescents in Cape Town, South Africa: a qualitative study. BMC Health Serv Res. 2018; 18:1-3.
DOI: https://doi.org/10.1186/s12913-018-2917-0
Wahed T, Alam A, Sultana S, Rahman M, Alam N, Martens M, et al. Barriers to sexual and reproductive healthcare services as experienced by female sex workers and service providers in Dhaka city, Bangladesh. PloS One. 2017; 12(7):e0182249.
DOI: https://doi.org/10.1371/journal.pone.0182249
Holt K, Lince N, Hargey A, Struthers H, Nkala B, McIntyre J, et al. Assessment of service availability and health care workers’ opinions about young women’s sexual and reproductive health in Soweto, South Africa. Afr J Reprod Healt. 2012; 16(2):283-94.
Trisolini M, Javier ME, Jabar M, Rodriguez C, Varquez J, Danganan OD, et al. Improving the quality of family planning services in the Philippines: Barriers and opportunities. The International Journal of Health Planning and Management. Int J Health Plann Manage. 2023; 38(6):1629-43.
DOI: https://doi.org/10.1002/hpm.3683
Mashanda-Tafaune B, Monareng LV. Perception and attitude of healthcare workers towards the use of a female condom in Gaborone, Botswana. Health SA Gesondheid. 2016; 21:162-70.
Solanke BL, Oyediran OO, Awoleye AF, Olagunju OE. Do health service contacts with community health workers influence the intention to use modern contraceptives among non-users in rural communities? Findings from a cross-sectional study in Nigeria. BMC Heal Ser Res. 2023; 23(1):24.
DOI: https://doi.org/10.1186/s12913-023-09032-3
Lim MS, Zhang XD, Kennedy E, Li Y, Yang Y, Li L, et al. Sexual and reproductive health knowledge, contraception uptake, and factors associated with unmet need for modern contraception among adolescent female sex workers in China. PloS One. 2015; 10(1):e0115435.
DOI: https://doi.org/10.1371/journal.pone.0115435
Hameed F, Panezai S, Saqib SE, Fatima K. Assessing the Quality, Use and Determinant of Family Planning Services: The Case of Panjgur District, Balochistan. Public Health Res. 2021; 11(2):33-43.
DOI: https://doi.org/10.1371/journal.pone.0115435
Ali I, Ijaz M, Rehman IU, Rahim A, Ata H. Knowledge, attitude, awareness, and barriers toward influenza vaccination among medical doctors at tertiary care health settings in Peshawar, Pakistan–A cross-sectional study. Frontiers Public Health. 2018; 6:173.
Copyright (c) 2024 Journal of Shifa Tameer-e-Millat University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Shifa Tameer-e-Millat University (JSTMU) is the owner of all copyright to any work published in the journal. Any material printed in JSTMU may not be reproduced without the permission of the editors or publisher. The Journal accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing and/or decision in this journal. The Editorial Board makes every effort to ensure the accuracy and authenticity of material printed in the journal. However, conclusions and statements expressed are views of the authors and do not necessarily reflect the opinions of the Editorial Board or JSTMU.
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.