Jessie Metilda, N (2012) An Approach to Assess the Practice on Permanent Family Planning Methods and their Determinance among Eligible Couples at Madurai District. Doctoral thesis, The Tamilnadu Dr. M.G.R. Medical University, Chennai.
|
Text
141205_12 jessie_metilda.pdf Download (14MB) | Preview |
Abstract
The investigator intended to carry out a study “To assess the practice on permanent family planning methods and their determinance among eligible couples at Madurai District”. A comparative descriptive design was adopted for the present study. Conceptual frame work for the study was based on Pender’s Health Promotion Model. Non-probability convenience sampling technique was used to collect 400 female eligible couples and 100 male eligible couples as per the inclusion criteria. The content validity of the tool and learning module was established by obtaining suggestions from experts. The tool reliability was statistically significant. Data were collected by using structured interview schedule on general, specific determinance and practice domains. The pilot study was found to be feasible. Main study data were obtained from the study subjects who had undergone permanent family planning in Government Hospitals and Family planning centre in Madurai District. Learning module pamphlet or C.D. on permanent family planning method was distributed to the participants and to the Health Care Provider of the centre for further motivation of the eligible couples to adopt permanent family planning method. The data were analyzed using descriptive, inferential statistical methods and interpreted based on the objectives and hypothesis of the study. The results of the study include: General determinance: General determinance related to five factors among males the highest mean percentage 89% and 87% were for spiritual determinance in urban and rural areas respectively. Among females the highest mean percentage 80% and 75% were for spiritual determinance in urban and rural areas respectively. Overall general determinance among males the highest mean percentage 78% in rural and 75% in urban were higher compared to the mean percentage 70% among females in rural and 69% in urban areas. Difference between the general determinance on permanent family planning method among urban and rural male eligible couples showed that the overall ‘t’ value (6.553 P=0.000) was highly significant at P<0.001 level. The ‘t’ value for socio-cultural determinance was significant at p<0.001 level, socio-economic determinance was significant at p<0.01 level and spiritual determinance was significant at p<0.05 level. Among urban and rural female eligible couples, the overall ‘t’ value (3.285 p=0.001) was significant at p< 0.01 level. The ‘t’ value for physical, socio-economic and spiritual determinance were highly significant at p<0.001 level and socio-cultural determinance was significant at p<0.05 level. The overall ‘t’ value (16.499 p=0.000) was for general determinance among male and female eligible couples in urban and the overall ‘t’ value (15.361 p=0.000) was for male and female eligible couples in rural area, which were highly significant at p<0.001 level. Multiple regression between general determinance and selected demographic variables among males in urban and rural area showed R2=75% and R2=77% variance in the criterion variables respectively. Having one or more female or male children were the most significant determinance to undergo permanent family planning method among male eligible couples. Among female eligible couples in urban and rural area showed (R2=74%) and (R2=66%) variance in the criterion variables respectively. Choice of interval sterilization, religion, nuclear family were the significant general determinance among females to adopt permanent family planning method in urban and rural areas. Specific determinance:- knowledge determinance: Specific knowledge determinance among males, the mean percentage 74% in urban and 68% in rural were higher compared to the females’ mean percentage 63% in urban and 61% in rural areas. Difference between the specific knowledge determinance on permanent family planning method among urban and rural male and urban and rural female eligible couples, the unpaired ‘t’ test calculated values revealed that the overall ‘t’ value (2.457 p= 0.016) and (2.293 p = 0.022) were for knowledge determinance which were significant at p < 0.05 level respectively. The overall ‘t’ value (6.605 p=0.000) was for specific knowledge determinance among male and female eligible couples in urban area and the overall ‘t’ value (5.782 p=0.000) was for male and female eligible couples in rural area which were highly significant at p<0.001 level. Multiple regression between specific knowledge determinance and selected demographic variables in among females urban and rural area showed R2=95.5% and R2=95% variance in the criterion variables respectively. Having sterilization after medical termination of pregnancy and during interval period were the most significant knowledge determinance on permanent family planning method among female eligible couples. Among males in urban and rural area showed R2=85% and R2=77% variance in the criterion variables respectively. Having number of children and type of family were the most significant knowledge determinance on permanent family planning method among male eligible couples. Specific determinance:- Barrier determinance Specific barrier determinance related to five factors among males the highest mean percentage 100% was for socio-cultural and 100% was for spiritual barrier factors in urban and rural areas respectively. Among females, the highest mean percentage 99% in urban and 94% in rural areas were for spiritual barrier factor. The overall mean percentage regarding specific barrier determinance among males 89% and 88% in urban and rural areas respectively were higher compared to the mean percentage 66% and 58% among females in urban and rural areas respectively. Difference between the specific barrier determinance on permanent family planning method among urban and rural male eligible couples the ‘t’ value (3.860 p = 0.000) was for socio-economic barrier determinance which was highly significant at P<0.001 level. Among urban and rural female eligible couples the ‘t’ value for physical, psychological, socio-economic and spiritual barrier determinance were highly significant at p < 0.001 level. The overall ‘t’ value (23.506 p=0.000) was for specific barrier determinance among male and female eligible couples in urban area and the overall ‘t’ value (19.059 p=0.000) was for male and female eligible couples in rural area, which were highly significant at p<0.001 level. Multiple regression between barrier determinance and selected demographic variables among male eligible couples in urban and rural area showed (R2=80%) and (R2=87%) variance in the criterion variables respectively. Most of the samples were from nuclear family, all the samples were educated, those who had adopted permanent family planning method were having two or more children. These variables had influenced in reducing the barrier determinance regarding tubectomy among male eligible couples. Even then considering the spouse’s health and care of the children men had adopted vasectomy. Among female eligible couples in urban and rural showed R2=94% and R2=93.9% variance in the criterion variables respectively. Most of the source of information were through the care providers, newspapers and relatives. The choice of post partum sterilization, Interval sterilization, education and the age at marriage between 25 - 30 years, which had played a major role in adopting tubectomy and who would be able to motivate other eligible couples to adopt permanent family planning method. Among females the barrier determinance towards vasectomy was high, hence they avoid their spouse to undergo vasectomy. Practice domains: Practice domains on permanent family planning method among male eligible couples the highest mean percentage 93% and 91% were for physical domain in rural and urban respectively. Among females, the highest mean percentage 86% and 85 % were for spiritual domain in urban and rural areas. Regarding practice, the overall mean percentage 85% and 82% were for males in urban and rural respectively were higher compared to the mean percentage 80% and 81% in urban and rural areas respectively among females. Unpaired ‘t’ test was calculated to analyze the difference between practice domains on permanent family planning method among urban and rural male eligible couples and the overall ‘t’ value (5.301 p = 0.000) was highly significant at p <0.001 level. The ‘t’ value for psychological domain, socio economic domain and spiritual domains were highly significant at p<0.001 level. Among urban and rural female eligible couples the overall ‘t’ value was (1.645 p = 0.101).The ‘t’ value for socio cultural domain was significant at p<0.05 level and ‘t’ value for socio-economic domain was highly significant at p<0.001 level. The overall ‘t’ value (6.734 p=0.000) was for practice domain among male and female eligible couples in urban, which was significant at p<0.001 level. The overall ‘t’ value (2.528 p=0.012) was for male and female eligible couples in rural which was significant at p<0.05 level. Multiple regression between practice and selected demographic variables among male eligible couples in urban and rural showed (R2=92.7%) and (R2=78.3%) variance in the criterion variables respectively. Most of the samples were from nuclear family received information from care providers and counselling was given to them, which had reduced their fear and they had high level of practice satisfaction who would be able to motivate other eligible couples to adopt vasectomy. Among female eligible couples in urban and rural showed (R2=90.3%) and (R2=85.3%) variance in the criterion variables respectively. The females who had received information through care providers and relatives, who were between the age group of 20 - 40 years, having one or more male children and education had high level of practice satisfaction on permanent family planning method, who would be able to motivate other eligible couples to adopt permanent family planning method. Karl pearsons correlation co-efficient was calculated to analyze the relationship between knowledge determinance and practice on permanent family planning method among urban and rural eligible couples and there was a positive relationship between knowledge determinance and practice on permanent family planning method among female eligible couples in both urban and rural which was highly significant at p<0.001 level. It is concluded that for males (p<0.001) and females (p<0.01) the general determinance had influenced them to undergo permanent family planning in both urban and rural area. The male and female eligible couples had moderate adequate knowledge in both urban and rural areas (p<0.05). Females had more misconception on vasectomy (p<0.001) related to physical, psychological, socio-economic and spiritual barrier determinance compared to males misconception on socio-economic barrier determinance only (p<0.001) regarding tubectomy. Overall the practice domains were highly satisfactory (p<0.001) among males after vasectomy when compared to the female eligible couples after tubectomy p=0.101. Inculcating knowledge and creating awareness among male and female eligible couples regarding general and specific determinance on permanent family planning methods will further facilitate more eligible couples to adopt permanent family planning method.
| Item Type: | Thesis (Doctoral) |
|---|---|
| Uncontrolled Keywords: | Practice, permanent family planning methods, determinance, eligible couples, Madurai District. |
| Subjects: | NURSING > Community Health Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 23 Jan 2022 13:13 |
| Last Modified: | 23 Jan 2022 13:13 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19069 |
Actions (login required)
 |
View Item |
