Perceptions of Couples Who Use Jadelle Implant in Blantyre District, Malawi

Brima Osaio Kamara; Rachel Rodriguez; Genesis Chorwe-Sungani; Angela Chimwaza

doi:10.4236/ojn.2015.511106

Home > Journals > Medicine & Healthcare > OJN

Open Journal of Nursing > Vol.5 No.11, November 2015

Perceptions of Couples Who Use Jadelle Implant in Blantyre District, Malawi ()

Brima Osaio Kamara^*, Rachel Rodriguez, Genesis Chorwe-Sungani, Angela Chimwaza

Kamuzu College of Nursing, University of Malawi, Blantyre, Malawi.

DOI: 10.4236/ojn.2015.511106 PDF HTML XML 3,031 Downloads 3,875 Views Citations

Abstract

Malawi has a high total fertility rate of 5.7 per woman and Jadelle implant may be an ideal option for couples who want to practice family planning. Jadelle is a long term contraceptive which is inserted just under the skin of a woman’s upper, inner arm by a nurse or midwife and prevents a woman from getting pregnant for a period of five years. But the use of Jadelle for family planning depends on perceptions of couples. The purpose of this study was to explore the perceptions of couples who choose Jadelle as their family planning method at a Central Hospital in Blantyre district. This study used a descriptive qualitative design. A purposive sample of 5 couples was used. Ethical clearance was granted by relevant authorities. Data was analysed through content analysis. The findings showed that the following nine themes emerged from the qualitative data: 1) men and women perspectives about mode of action of Jadelle; 2) knowledge about effectiveness and efficacy of Jadelle among men and women; 3) sources of information about Jadelle; 4) information given to Jadelle users by providers; 5) benefits of Jadelle; 6) challenges associated with Jadelle; 7) myths associated with Jadelle; 8) attitudes of providers of Jadelle and 9) role played by men regarding use of Jadelle. In conclusion, this study found that both men and women generally lacked knowledge of Jadelle. Men play a vital role when couples are choosing contraceptives. Every opportunity should be utilised at antenatal, postnatal and family planning clinics to teach individuals about family planning. This may allow women and men to make informed choices about the use of Jadelle.

Keywords

Perception, Jadelle, Couples, Family Planning

Share and Cite:

Kamara, B. , Rodriguez, R. , Chorwe-Sungani, G. and Chimwaza, A. (2015) Perceptions of Couples Who Use Jadelle Implant in Blantyre District, Malawi. Open Journal of Nursing, 5, 994-1003. doi: 10.4236/ojn.2015.511106.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	National Statistical Office (NSO) and ICF Macro (2011) Malawi Demographic Health Survey 2010. NSO, Zomba, ICF Macro, Calverton.
[2]	Quinn, H. and Le May, A. (2008) Introducing the Contraceptive Sino Implant II (Zarin) in Sierra Leone. Marie Stopes International, London. https://www.k4health.org/sites/default/files/Introducing%20the%20Contraceptive%20Impant %20to%20Sierra%20Leone%20finalDraft%20HQ.pdf
[3]	Chipeta1, E.K., Chimwaza, W. and Kalilani-Phiri, L. (2010) Contraceptive Knowledge, Beliefs and Attitudes in Rural Malawi: Misinformation, Misbeliefs and Misperceptions. Malawi Medical Journal, 22, 38-41. http://dx.doi.org/10.4314/mmj.v22i2.58790
[4]	Nyanzi, S., Nyanzi, B. and Kalina, B. (2005) Contemporary Myths, Sexuality Misconceptions, Information Sources, and Risk Perceptions of Bodabodamen in Southwest Uganda. Sex Roles, 52, 111-119. http://dx.doi.org/10.1007/s11199-005-1198-3
[5]	Wang, X., Chen, C., Wang, L., Chen, D., Guang, W. and French, J. (2003) Conception, Early Pregnancy Loss, and Time to Clinical Pregnancy: A Population-Based Prospective Study. Fertility and Sterility, 79, 577-584. http://dx.doi.org/10.1016/S0015-0282(02)04694-0
[6]	World Health Organization (2007) Unsafe Abortion: Global and Regional Estimates of Incidence of Unsafe Abortion and Associated Mortality in 2003. 5th Edition, World Health Organization, Geneva.
[7]	Omo-Aghoja, L.O., Omo-Aghoja, V.W., Aghoja, C.O., Okonofua, F.E., Aghedo, O., Umueri, C., Otayohwo, R., Feyi-Waboso, P., Onowhakpor, E.A. and Inikori, K.A. (2009) Factors Associated with the Knowledge, Practice and Perceptions of Contraception in Rural Southern Nigeria. African Journal of Reproductive Health, 15, 135.
[8]	Khunga, S. and Lupick, T. (2011) Malawi: Unsafe Abortions Lead Cause of Maternal Death. Daily Times, 5, 12.
[9]	Futures, C. (2008) Analysis of the Operational Policy Barriers to Financing and Procuring Contraceptives in Malawi. Health Policy Initiative, USAID.
[10]	Levy, J. (2008) Reaching the Goals of Cairo: Male-Involvement in Family Planning (Carolina Papers on International Health No. 28). Center for Global Initiatives, NC: UNC Global.
[11]	Ministry of Health (MOH) (2009) National Sexual and Reproductive Health and Rights Policy. Ministry of Health, Lilongwe.
[12]	Munhall, P.L. (2007) Nursing Research: A Qualitative Perspective. 4th Edition, Jones & Bartlett Publishers, Boston.
[13]	Topsever, P., Alvur, T.M., Aladag, N., Topall, R., Cigerli, O. and Görpelioglu, S. (2006) Counselling and Knowledge about Contraceptive Mode of Action among Married Women; A Cross-Sectional Study. BMC Women’s Health, 6, 1-6. http://dx.doi.org/10.1186/1472-6874-6-12
[14]	Bogale, B., Wondafrash, M., Tilahum, T. and Girma, E. (2011) Married Women’S Decision Making Power on Modern Contraceptive Use in Urban and Rural Southern Ethiopia. BioMed Central Public Health, 11, 42. http://dx.doi.org/10.1186/1471-2458-11-342
[15]	Power, J., French, R. and Cowan, F.M. (2012) Subdermal Implantable Contraceptives versus other Forms of Reversible Contraceptives or other Implants as Effective Methods for Preventing Pregnancy (Review). http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001326.pub2/pdf
[16]	Wiebe, E.R., Henderson, A., Joyce Choic, J. and Trouton, K. (2006) Ethnic Korean Women’S Perceptions about Birth Control. Contraception, 73, 623-627. http://dx.doi.org/10.1016/j.contraception.2006.02.001
[17]	Kululanga, L.I., Sundby, J., Malata, A. and Chirwa, E. (2012) Male Involvement in Maternity Health Care in Malawi. African Journal of Reproductive Health, 16, 145-157.
[18]	Duong, D.V., Lee, A.H. and Binns, C.W. (2005) Contraception within Six Month Postpartum in Rural Vietnam: Implications on Family Planning and Maternity Services. European Journal of Contraception and Reproductive Health Care, 10, 111-118. http://dx.doi.org/10.1080/13625180500131527
[19]	Ikechebelu, J.I., Joe-Ikechebelu, N.N. and Obiajulu, F.N. (2005) Knowledge, Attitude and Practice of Family Planning among Igbo Women of South-Eastern Nigeria. Journal of Obstetrics and Gynaecology, 25, 792-795. http://dx.doi.org/10.1080/01443610500328231
[20]	Maja, T.M. (2007) Involvement of Males in Promoting Reproductive Health. Curationis, 30, 71-76. http://dx.doi.org/10.4102/curationis.v30i1.1054
[21]	Monjok, E.E., Smesny, A., Ekabua, J.E. and Essien, E.J. (2010) Contraceptive Practices in Nigeria: Literature Review and Recommendation for Future Policy Decisions. Open Access Journal of Contraception, 1, 9-22. http://dx.doi.org/10.2147/OAJC.S9281
[22]	Cremer, M., Ditzian, L., April, A., Peralta, B., Klausner, D., Podolsky, R. and Dierking, E. (2011) Depot-Medroxyprogesterone Acetate Contraception Use among Salvadoran Women: An In-Depth Analysis of Attitudes and Experiences. Journal of Women’s Health, 20, 1751-1756. http://dx.doi.org/10.1089/jwh.2010.2264
[23]	Frost, J.J. and Lindberg, L.D. (2012) Reasons for Using Contraception: Perspectives of US Women Seeking Care at Specialized Family Planning Clinics. Contraception, 87, 465-472. http://dx.doi.org/10.1016/j.contraception.2012.08.012
[24]	Ladipo, O.A. and Akinso, S.A. (2005) Contraceptive Implants. African Journal of Reproductive Health, 9, 16-23. http://dx.doi.org/10.2307/3583156
[25]	Stover, J. and Ross, J. (2010) How Increased Contraceptive Use Has Reduced Maternal Mortality. Maternal Child Health Journal, 14, 687-695. http://dx.doi.org/10.1007/s10995-009-0505-y
[26]	Kane, R., Brown, S., Parkes, N., Walling, M. and Kallick, S. (2009) Long Acting, Reversible and Permanent Methods of Contraception: Insight into Women’s Choice of Method. Quality in Primary Care, 17, 107-14.
[27]	Okanlawon, K., Reeves, M. and Agbaje, O.F. (2010) Contraceptive Use: Knowledge, Perceptions and Attitudes of Refugee Youths in Oru Refugee Camp, Nigeria. African Journal of Reproductive Health, 14, 17.
[28]	Krakowiak-Redd, D., Ansong, D., Otupiri, D., Tran, S., Klanderud, D., Boakye, I., Dickerson, T. and Crookston, B. (2011) Family Planning in a Sub-District Near Kumasi, Ghana: Side Effect Fears, Unintended Pregnancies and Misuse of a Medication as Emergency Contraception. African Journal of Reproductive Health, 15, 135
[29]	French, K. (2009) Long-Acting Reversible Contraceptive. Primary Health Care, 19, 40-46. http://dx.doi.org/10.7748/phc2009.05.19.4.40.c7029
[30]	Haider, S., Todd, C., Ahmadzai, M., Rahimi, S., Azfar. P., Morris, J.L. and Miller, S. (2009) Childbearing and Contraceptive Decision Making amongst Afghan Men and Women: A Qualitative Analysis. Health Care for Women International, 30, 935-953. http://dx.doi.org/10.1080/07399330903052129
[31]	Ijadunola, M.Y., Abiona, T.C., Ijadunola, K.T., Afolabi, O.T., Esimai, O.A. and OlaOlorun, F.M. (2010) Male Involvement in Family Planning Decision Making in Ile-Ife, Osun State, Nigeria African. Journal of Reproductive Health, 14, 45
[32]	Imbuki, K., Todd, C.S., Stibich, M.A., Shaffer, D.N. and Sinei, S.K. (2010) Factors Influencing Contraceptive Choice and Discontinuation among HIV-Positive Women in Kericho, Kenya. African Journal of Reproductive Health, 14, 98-109.
[33]	Tilahun, M., Mengistie, B., Egata, G. and Reda, A.A. (2012) Health Workers’ Attitudes toward Sexual and Reproductive Health Services for Unmarried Adolescents in Ethiopia. Reproductive Health, 9, 19. http://dx.doi.org/10.1186/1742-4755-9-19
[34]	Shattuck, D., Kemer, B., Gilles, K., Hartmann, M., Ng’ombe, T. and Guest, G. (2011) Encouraging Contraceptive Uptake by Motivating Men to Communicate about Family Planning: The Malawi Male Motivator Project. American Journal of public health, 101, 12-18. http://dx.doi.org/10.2105/ajph.2010.300091