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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
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

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
Copyright
Copyright © Cambridge University Press 1987

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