Connaissance, perceptions et utilisation constante de la contraception moderne chez les femmes dans le district de Ga de l'Est, Ghana.

A survey of 332 women, ages 15-49 years, was carried out in the Ga East district of Ghana to identify community knowledge, perceptions, and factors associated with ever using modern family planning (FP). Knowledge of modern FP was almost universal (97 percent) although knowledge of more than three methods was 56 percent. About 60 percent of all and 65 percent of married respondents reported ever use of a modern method. Among ever users, 82 percent thought contraceptives were effective for birth control. However, one-third did not consider modern FP safe. About 20 percent indicated their male partner as a barrier, and 65 percent of users reported at least one side effect. In a multivariate model that controlled for age, education, religion, and occupation, being married remained significantly associated (OR=2.14; p=0.01) with ever use of a modern contraceptive method. Interventions are needed to address service- and knowledge-related barriers to useUne enquête de 332 femmes âgées de 15 à 49 ans a été menée dans le district de Ga de l'Est au Ghana pour identifier la connaissance de la communauté, ses perceptions et les facteurs liés à l'utilisation constante de la planification familiale moderne (PF). La connaissance de la PF moderne était presque universelle (97%) bien que la connaissance de plus de trois méthodes était de 56%. A peu près 60% de toutes les répondantes et 65% de répondantes mariées ont déclaré une utilisation constante d'une méthode moderne. Parmi les utilisatrices constantes, 82% ont pensé que les contraceptifs sont efficaces pour la limitation des naissances. Néanmoins, un tiers n'ont pas considéré la PF moderne comme étant sans danger. Environ 20% ont indiqué leur partenaire male comme étant un obstacle et 65% des utilisatrices ont déclaré au moins un effet secondaire. Dans un modèle multifactoriel qui a contrôlé l'âge, l'instruction, la religion et l'occupation, le fait d'être marié est resté sensiblement lié (OR=2,14 ; p=0,01) à l'utilisation constante d'une méthode de la contraception moderne. Il faut des interventions pour s'occuper des obstacles liés aux services et à la connaissance dont on se servir

Attitudes Toward Wife Beating Among Palestinian Women of Reproductive Age From Three Cities in West Bank

Dhaher EA, Mikolajczyk RT, Maxwell AE, Krämer A. Attitudes Toward Wife Beating Among Palestinian Women of Reproductive Age From Three Cities in West Bank. Journal of Interpersonal Violence. 2010;25(3):518-537.A total of 450 women were interviewed in Mother and Child Health Care Centers in three cities in West Bank, Palestine, to assess attitudes toward wife beating. Overall, women perceived wife beating to be justified if a wife insults her husband (59%), if she disobeys her husband (49%), if she neglects her children (37%), if she goes out without telling her husband (25%), if she argues with her husband (11%), and if she burns the food (5%). Sixty-five percent of women agreed with at least one reason for wife beating, but there were statistically significant regional differences: Wife beating was most accepted in Jenin (73% acceptance of at least one reason) and least accepted in Hebron (55%). Lower level of education, not being employed, having more than one child, being married for fewer than 10 years, and making few household decisions were all associated with women's acceptance of wife beating. The implications of these results are discussed