Case Study- Family Planning

STATEMENT OF THE PROBLEM This study seeks to determine the knowledge of the pregnant mothers about Family Planning. 1. How well they know Family Planning? 2. Are they using it properly? 3. How come some are not willing to have Family Planning? 4. Where do most women go to consult about Family Planning and how frequent?

PURPOSE OF THE STUDY Nursing Students  This research study seeks to reach the future nurses, that they may become aware of their responsibilities when it comes to Family Planning and also to broaden their knowledge about its impact to women. Pregnant Women  The result of this study will serve as a basis for the assessment of the pregnant women’s knowledge about Family Planning in the area of Gastambide, Manila.

BACKGROUND OF THE STUDY The study was conducted because of its relevance to maternal health. Family Planning plays a vital role to a mother’s health because it allows mothers to have birth spacing. Birth spacing enables mothers to allot time for recovery during labor and delivery. Some methods also protect women from sexually transmitted disease as well. We had chosen this study because it is also related in our community immersion topic and we find it very interesting because we know that it can be useful later on in life.

CENTRO ESCOLAR UNIVERSITY COLLEGE OF NURSING Mendiola, Manila

Case Study “Family Planning” NCM 101 LEC Submitted To: Dr. Tirso Jacalan

Submitted By: Paderes, Dianne D. Recana, Michelle B. Reyes, Carrel Miles A. Ringor, Sheryl Ann S. Sioson, Abigael R. Solomon, Ma. Clarissa E. Villaruel, Ma. Charmaine Dawn D.P. Yu, Hannah Lorenza D. Zubia, Avigail D.

De Chavez, Joseph Noel C. (BSN-3B)

QUESTIONNAIRE Pangalan (Name):_____________________________Date:________________ Edad (Age):_____________________________ Occupation:_____________ Marital Status: _______________________ 1). Ano ang pinakamataas na antas sa pag-aaral ang naabot ninyo?(What is your highest educational attainment?__________________________ 2). Ano po ang relihiyon ninyo? (What is your religion?)______________ 3). Kailan po kayo huling nagregla?(When did you have your last menstruation?) In the past 1-2 months ()

Over 6 months ago ()

Over 2-4 months ()

Specify month/day ______________

Over 4-6 months () 4). Gaano kadalas kayong magregla?(How often do you have menstruation?) Once a month ()

Others (specify) _________()

Once in 2 months ()

Currently pregnant (# of months_________()

Once in 3 months ()

5). Pakisabi kung gaano ang kaalaman ninyo tungkol sa FAMILY PLANNING? (Please tell me how much you know about FAMILY PLANNING) 

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Maraming-marami akong nalalaman tungkol sa FAMILY PLANNING(I know a great deal about FAMILY PLANNING) () Medyo marami akong nalalaman tungkol sa FAMILY PLANNING(I know a fair amount about FAMILY PLANNING) () Kaunti ang nalalaman ko tungkol sa FAMILY PLANNING(I know a little about FAMILY PLANNING)

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Narinig ko na ang tungkol sa FAMILY PLANNING pero wala akong alam tungkol dito(I have heard about FAMILY PLANNING but I don't know anything about it) () Hindi ko pa naririnig kahit na kailan ang FAMILY PLANNING (I have never heard of FAMILY PLANNING) ()

6) Anu-anong paraan ng pagpaplano ng pamilya ang iyong nalalaman? (What family planning methods are you knowledgeable/familiar with?)

a. FEMALE STERILIZATION/TUBAL LIGATION: () b. ORAL PILL: () c. IUD: () d. SKIN INSERTION/NORPLANT: () e.BILLINGS,THERMOMETER,SYPMTO -THERMAL: () f. FULL BREASTFEEDING OR ACTATIONAL AMENORRHEA (LAM) ()

h. WITHDRAWAL: () i. FEMALE CONDOM: () j. DIAPHRAGM, FOAM, JELLY () k. FOAMING TABLETS: () l. TRADITIONAL METHODS: () m. PAGGAMIT NG MGA HALAMANG GAMOT, SINTURON SA BAYWANG, ATBP. PARAAN (Herbs, waistband, belts, or any other method)________

g. RHYTHM CALENDAR OR CALCULATION: ()

n. NATURAL FAMILY PLANNING () ___________ o. OTHERS ____________ p. NONE/NEVER HEARD OF ANY FAMILY PLANNING METHOD () 7). Anu-anong paraan ng pagpaplano ng pamilya ang nagamit/nagawa o nasubukan na ninyo (o ng inyong asawa/partner/boyfriend), kahit na kailan, para maiwasan/maantala ang pagbubuntis? Ano pa po? Mayroon pa po ba?(What FAMILY PLANNING METHOD(S) have you (or your spouse/partner/boyfriend) ever adopted to prevent or delay pregnancy? What else? Anything else?) a. FEMALE STERILIZATION/TUBAL LIGATION: () b. ORAL PILL: () c. IUD: () d. SKIN INSERTION/NORPLANT: () e.BILLINGS,THERMOMETER,SYPMTOTHERMAL: () f. FULL BREASTFEEDING OR LACTATIONAL AMENORRHEA (LAM) ()

h. WITHDRAWAL: () i. FEMALE CONDOM: () j. DIAPHRAGM, FOAM, JELLY () k. FOAMING TABLETS: () l. TRADITIONAL METHODS: () PAGGAMIT NG MGA HALAMANG GAMOT, SINTURON SA BAYWANG, ATBP. PARAAN (Herbs, waistband, belts, or any other method)________________

g. RHYTHM CALENDAR OR CALCULATION: () n. NATURAL FAMILY PLANNING () _____________

o. OTHERS ____________ p. NONE/NEVER HEARD OF ANY FAMILY PLANNING METHOD ()

8). Bakit hindi mo hindi ginagamit ng ibang Family Planning method? (Why are you not using the other methods?)_____________________________________________________________ 9) Kayo ba ay bukas sa paggamit ng ibang paraan maliban sa mga nakasanayang Family Method? (Are You willing to try other Family Planning Methods?) Yes_____ No____ 10) Anu ang mga benepisyo na iyong nakuha sa paggamit ng Family Planning? (What are the benefits you had after using Family Planning? Improvement in health ()

Prevents unplanned pregnancy ()

Economic Status ()

Improves the well being of the families ()

Less Abortion ()

Relieves pressures ()

11). Anu-anong klase ng pangkalusugang pasilidad o “health facility” ang napuntahan/nabisita na ninyo kahit na kailan para komunsulta tungkol sa kalusugan? Ano pa? (Which types of health facilities have you ever visited? What else?) Rural Health Unit/Health Center ()

Friendly Care Health Center ()

Barangay Health Station ()

Other:_________________

Private clinics/hospitals ()

NEVER/NOT VISITED A HEALTH FACILITY ()

Public clinics/hospitals ()

12).Nitong nakaraang 12 buwan, saan kayo pinakamadalas komunsulta?(In the past 12 months, where did you consult most often?) Rural Health Unit/Health Center ()

Friendly Care Health Center ()

Barangay Health Station ()

Other:_________________________

Private clinics/hospitals ()

NEVER/NOT VISITED A HEALTH FACILITY ()

Public clinics/hospitals ()

13). May napuntahan/nabisita na ba kayong pangkalusugang pasilidad o “health facility” na Sentrong Sigla Center o hindi?(Have you ever visited a health facility which was labeled as a Sentrong Sigla Center or not?) Yes_____ No_____ 14). Kahit na kailan, bumisita na po ba kayo sa isang pangkalusugang pasilidad o “health facility” para komunsulta o kumuhang impormasyon tungkol sa family planning? (Have you ever visited a health facility to get information, advice, or a method for family planning?) Yes_____ No_____

15). Kailan po kayo huling pumunta para komunsulta sa family planning?(When was the last time you went to consult for FAMILY PLANNING? ) Past 4 weeks ()

Over 6-12 months ()

Over 1-3 months ()

Over 12 months ()

Over 3-6 months ()

Can’t recall ()

16). Ano po ang posibilidad na kayo ay bibisita sa isang FAMILY PLANNING CENTER para komunsulta sa pagpaplano ng pamilya sa mga darating na araw? (How likely would it be for you to visit a health facility to consult for family planning in the near future? ) Talagang may posibilidad (Very likely)() Medyo may posibilidad (Somewhat likely)() Maaaring may posibilidad,maaaring wala (Maybe likely, maybe not)()

Medyo walang posibilidad (Not very likely) () Talagang walang posibilidad (Not at all likely)() Hindi alam (Not know)()

17). Nitong nakaraang 12 buwan, napag-usapan ba ninyo ng inyong (asawa/partner/boyfriend) ang tungkol sa mga pamamaraan at pagsasagawa ng pagpaplano ng pamilya? (In the past 12 months, have you talked about FAMILY PLANNING practices and methods with your [spouse/partner/boyfriend]?)

Yes_____

No_____

18).Gaano po ka-kumportable/kahanda ang inyong (asawa/partner/boyfriend) sa pakikipag-usap sa inyo nang hayagan tungkol sa mga pamamaraan at pagsasagawa ng pagpaplano ng pamilya? (How comfortable/willing was your (spouse/partner/boyfriend) to talk openly about FAMILY PLANNING practices and methods?) 

Talagang kumportable/handa, nakipag-usap sa akin ng hayagan tungkol sa mga pamamaraan at pagsasagawa ng pagpaplano ng pamilya(Very comfortable/willing, talked openly about FAMILY PLANNING practices and methods with me) ()

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Medyo kumportable/handa, medyo nag-atubili sa pakikipag-usap sa akin tungkol sa tungkol sa mga pamamaraan at pagsasagawa ng pagpaplano ng pamilya (Somewhat comfortable/willing, was a bit reluctant to talk about FAMILY PLANNING practices and methods with me) () Medyo hindi kumportable/handa, talagang nag-atubili sa pakikipag-usap sa akin tungkol sa tungkol sa mga pamamaraan at pagsasagawa ng pagpaplano ng pamilya (Somewhat uncomfortable/unwilling, was very reluctant to talk about FAMILY PLANNING practices and methods with me) () Talagang hindi kumportable/handa, ayaw makipag-usap sa akin tungkol sa tungkol sa mga pamamaraan at pagsasagawa ng pagpaplano ng pamilya(Very uncomfortable/unwilling, refused to talk about FAMILY PLANNING practices and methods with me()

19). Gaano ka-importante sa inyo ang opinyon ng inyong asawa/partner/boyfriend tungkol sa mga pamamaraan at pagsasagawa ng pagpaplano ng pamilya? (How important to you is your spouse's/partner's/boyfriend's opinion with regards to FAMILY PLANNING practices and methods?) Talagang importante (Very important) () Medyo importante (Somewhat important) () Maaaring importante/maaaring hindi (Maybe important/maybe not) ()

Hindi masyadong importante (Not very important) () Talagang hindi importante (Not at all important) () Don’t know ()

20). Sa pangkaraniwan, kayo po ba ay sumasang-ayon o hindi sumasang-ayon sa paggamit/paggawa ng pamamaraan ng pagpaplano ng pamilya upang maiwasan ang pagbubuntis? (In general, do you approve or disapprove of adopting a family planning or a contraceptive method to avoid getting pregnant?) Approve ()

Disapprove ()

No opinion ()

NOTE: If Disapprove is answered, Ask This Question. Ano ang pangunahing dahilan kung bakit kayo o ang inyong asawa/partner/boyfriend ay hindi pa/hindi gumagamit/gumagawa ng paraan ng PAGPLANO NG PAMILYA kasalukuyan? (What is the main reason you or your spouse/partner/boyfriend have never are not currently adopting a FAMILY PLANNING METHOD?)

Never had sex ()

Lack of knowledge()

No reason/didn’t think about it/forgot()

Husband/partner opposed()

Costs too much() Cannot find a suitable (hiyang) method() Has side effects () Difficult to acquire method/unavailable () Against religion () Infrequent sex () Past menapause/Difficult to get pregnant () Wanted child() Currently pregnant () Just delivered/breastfeeding()

1. Educational Attainment TALLY

FREQUENCY

PERCENTAGE

Elementary Graduate

|

1

8%

High School Undergraduate

||

2

17%

High School Graduate

|||||

5

42%

College Undergraduate

|||

3

25%

College Graduate

|

1

8%

12

100%

TOTAL

Educational Attainment

8%

8% 17%

25%

Elem. Graduate HS Undergrad. HS Grad. College Undergrad. College Grad.

42%

2. Religion TALLY Catholic

||||||||||

Methodist

|

Religion

FREQUENCY

PERCENTAGE

10

84%

1

8%

1

8%

8%

Born-again

|

8%

TOTAL

12

Catholic Methodist Born-again

84%

100%

3. Last Menstruation TALLY In the past 1-2 months

||

2-4 months

FREQUENCY

PERCENTAGE

2

17%

0

0%

4-6 months

|||

3

25%

Over 6 months ago

|||||||

7

58%

12

100%

TOTAL

Last Menstruation

17% 0%

In the past 1-2 mos. 2-4 mos.

58%

25%

4-6 mos. Over 6 mos. Ago

4. Frequency of Menstruation

8%

Once a month Once every 2 months

92%

Tally

Frequency

Percentage

Once a month

|||||||||||

11

91.67%

Once in 2 months

|

1

8.33%

Once in 3 months

0

Others

0 TOTAL

5. Knowledge about Family Planning

12

100%

8%

I know a great deal about family planning

0%

I know a fair amount about family planning

17% 42%

I know a little about family planning I have heard about family planning but I don't know anything about it I have never heard of family planning

33%

6. Knowledge about the Methods of Family Planning Tally

Frequency

a. Female Sterilization/Tubal ligation

||||||

6

b. Oral Pills

||||||||

8

|||

3

c. IUD d. Skin Insertion/ Norplant

0

e. Billings, Thermometer, Sympto-thermal

0

f. Full Breastfeeding or Lactational Amenorrhea (LAM)

0

g. Rhythm Calendar or Calculation h. Withdrawal i. Female Condom j. Diaphragm, Foam, Jelly

|

1

|||||

6

|

1 0

k. Foaming tablets l. Traditional Methods

0 |

1

|

1

Paggamit ng mga halamang gamut, sinturon sa baywang, atbp. Paraan (Herbs, waistband, belts or any other method) n. Natural Family Planning o. Others (MSLE condom)

2

p. None/ never heard of any Family Planning Method

0

Methodsof FamilyPlanning

Fe m ale

St er iliz at ion /T ub Sk O .. ra in lP Bi I ills llin nse gs rtio Fu , T n ll B he / N IU r re m or D Rh ast om pla n f e yt hm eed ter t , i Ca ng ... le or nd La c ar or ... C W al.. i th . F Di ap em dra hr ale w a ag m Con l ,F do oa m F Tr oam m, J Na adit ing elly tu ion ta ra b l F al M let Ot am et s No he ily ho ne rs ( Pla ds n /n M ev ale ning er c he ond ar o d o m) fa n. ..

9 8 7 6 5 4 3 2 1 0

7. Family Planning Used Tally a. Female Sterilization/Tubal ligation b. Oral Pills c. IUD d. Skin Insertion/ Norplant e. Billings, Thermometer, Symptothermal f. Full Breastfeeding or Lactational

|

Frequency 0 1 0 0 0 0

Amenorrhea (LAM) g. Rhythm Calendar or Calculation h. Withdrawal i. Female Condom j. Diaphragm, Foam, Jelly k. Foaming tablets l. Traditional Methods Paggamit ng mga halamang gamut, sinturon sa baywang, atbp. Paraan (Herbs, waistband, belts or any other method) n. Natural Family Planning o. Others (Male condom) p. None/ never heard of any Family Planning Method

0 4 0 0 0 0

||||

| ||

1 2 0

8. Reasons For Not Using Family Method Reasons

Tally

Frequency

Percentage

IIIII

5

45.45%

2. Wants to have baby

II

2

18.18%

3. Partner does not want to use it

I

1

9.09%

1. Does not know how to use it

4. Does not try/not used to it

II

2

18.18%

5. Did not expect to be pregnant

I

1

9.09%

11

100%

Total

Does not know how to use it Wants to have baby Partner does not want to use it Does not try/not used to it Did not expect to be pregnant

9. Willingness to Try Other Family Planning Method Willingness

Tally

Frequency

Percentage

Yes

lllll-llll

9

81.82%

No

ll

2

18.18%

Total

lllll-lllll-l

11

100%

Yes No

10. BENEFITS OF FAMILY PLANNING

Economic status Prevents unplanned pregnancy None

Tally

Frequenc y

Percentage

||||||

6

50%

|

1

8%

|||||

5

42%

12

100%

TOTAL

Economic status

42% 50% 8%

11. TYPES OF HEALTH FACILITIES VISITED

Prevents unplanned pregnancy None

Tally

Frequenc y

Percentage

Rural Health Unit/Health Center

||||||

6

50%

Barangay Health Station

|

1

8%

Public clinics/hospitals

|||

3

25%

Friendly Care Health Center

||

2

17%

12

100%

TOTAL

Rural Health Unit/Health Center

17%

Barangay Health Sation 50%

25% 8%

Public clinics/hospitals Friendly Care Health Center

12. Health Facility Where Most Pregnant Women Had Their Consultation Tally

Frequenc y

Rural Health Center/ Health Center ||||||||| 9 Barangay Health Station

0

Private clinics/ hospitals

0

Percentage 75%

Public clinics/hospitals

|

1

8.33%

Friendly Care Health Center

|

1

8.33%

Never/ Not visited a Health Facility Total

1

8.33%

12

100%

Rural Health Center/ Health Center Barangay Health Station

9 8 7 6 5

Private clinics/ hospitals

4 3 2 1 0

|

Frequency

Public clinics/hospital s Friendly Care Health Center

Never/ Not 13. Pregnant Women who visited health care facilities (Sentrong Sigla) visited a

Tally

Frequency Health Facility Percentage

Yes

1111111

7

58.33%

No

11111

5

41.67%

12

100%

Total

7 6 5 4

Yes

3

No

2 1 0

Frequency

14. Pregnant Women who visits health facilities for Family Planning advice Tally

Frequency

Percentage

Yes

|||||||

7

58.3%

No

|||||

5

41.67%

12

100%

TOTAL

Yes No

15. Last Time of Family Planning Consultation Tally

Frequency

Percentage

Past 4 weeks

|||||

5

41.67%

Over 1-3 months

|

1

8.33%

Over 3-6 months

0

0%

Over 6-12 months

0

0%

Over 12 months

|

1

8.33%

Can’t recall

|

1

8.33%

None

||||

4

33.33%

12

100%

TOTAL

Past 4 weeks

12

Over 1-3 months Over 3-6 months Over 6-12 months Over 12 months Can’t recall

10 8 6 4 2 0 Frequency

None TOTAL

16. Possibilities Of Visiting Family Planning Centers ANSWERS

Tally

Frequency

Percentage

Very likely

|||

3

33.33%

Somewhat likely

|||||

5

41.67%

Maybe likely, maybe not

||

2

16.67%

Not very likely Not at all

0 ||

2

16.67%

Don’t know

0 TOTAL

12

100%

Very likely Somewhat likely Maybe likely, maybe not Not very likely Not at all Don't know

17. Family Planning Conversation With Partner ANSWERS

Tally

Frequency

Percentage

Yes

||||||

7

58.33%

No

||||||

5

41.67%

12

100%

TOTAL

Yes

No

18. Openess About Family Planning

Talagang kumportable

Tally

Frequency

Percentage

|||||

5

42 %

|||

3

25 %

|||

3

25 %

|

1

8%

12

100 %

(Very comfortable) Medyo kumportable (Somewhat comfortable) Medyo hindi kumportable (Somewhat uncomfortable) Talagang hindi kumportable (Very uncomfortable) TOTAL

8%

VeryComfortable

42%

25%

Somewhat Comfortable Somewhat Uncomfortable VeryUncomfortable

25%

19. Importance Of Family Planning

Talagang Importante

Tally

Frequency

Percentage

|||||

5

42 %

|||

3

25 %

|

1

8%

|

1

8%

|

1

8%

|

1

8%

12

100 %

(Very Important) Medyo Importante (Somewhat Important) Maaaring Importante/Maaaring hindi (Maybe Important/Maybe not) Hindi masyading importante (Not very important) Talagang hindi Importante (Not at all Important) Don’t Know TOTAL

8% 8%

VeryImportant

8%

42%

Somewhat Important Maybe Important/Maybe not Not veryImportant

8%

Not at All Important Don't Know 25%

20. Pregnant women that agrees and disagrees on Family Planning

Approved Disapproved Total

Tally

Frequency

Percentage

||||||||||||

12

100%

0

0%

12

100%

1. Educational Attainment INTERPRETATION: Among the 12 pregnant women that we have interviewed, 5 (42%) are High School Graduates and haven’t got the chance to continue going to College. The second highest percentage was the category of College Undergraduate (25%), wherein 3 out of 12 pregnant women were included. One of which has reached 1st yr College, while the other two reached until 2nd yr College when got pregnant. Two of the interviewees (17%) were able to reach until 3rd yr High School. Also, out of those 12, one (8%) was has finished the Elementary Level, and another one (8%) has graduated College. ANALYSIS: A person’s educational attainment affects the level of knowledge and awareness that he/she has in Family Planning. Most of the pregnant women that we had interviewed haven’t finished their studies. 2. Religion INTERPRETATION: Ten out of twelve (84%) pregnant women are Catholics. One (8%) is a Methodist, and the other is a Born-again Christian (8%). ANALYSIS: Different religions have different perspectives or views regarding family planning. For many people, their choices surrounding family planning revolves around their religious beliefs. The Roman Catholics and Born-again Christians, in fact, agree with the use of natural birth control practices, such as withdrawal and rhythm calendar method, but disagree with the use of artificial methods. The Methodist Church, on the other hand, encourages people to seek alternatives to elective abortion, such as the use of family-planning devices and adoption services. 3. Last Menstruation INTERPRETATION: Most of the pregnant women that we have interviewed had their last menstruation for over 6 months ago (58%). Three interviewees (25%) had their last menstruation 4-6 months ago, and in the past 1-2 months, two interviewees (17%). ANALYSIS: With these data regarding the interviewees’ last menstruation, we can be able to identify how many months they are pregnant as of now, and their expected date of delivery.

4. Frequency of Menstruation INTERPRETATION: Out of 12 pregnant mothers interviewed, 11 of them or 92% stated that they have their menstruation once a month and only 1 person or 8% stated that she only has her menstruation once in 2 months. All of the clients interviewed were pregnant with varying age of gestation. ANALYSIS: The menstrual cycle may be defined as an episodic uterine bleeding in response to cyclic hormonal changes according to Adelle Pilliteri. It normally has an interval of 28 days in average which lasts for 2-7 days. The data gathered upon interview implies that most of the mothers have regular menstruation. A woman who experiences an irregularity in the frequency of menses may indicate a nutritional or hormonal problem that may affect her ability to be pregnant. All of the mothers that were interviewed were currently pregnant with varying months of gestation. 5. Knowledge about Family Planning INTERPRETATION: Out of 12 respondents 42% or 5 of them answered that they have fair knowledge regarding the topic of family planning. 4 of them or 33% indicate that they know only a little amount of information regarding the topic. 17% or 2 of them stated that they don’t know anything about family planning but has heard of it in the past. Lastly, 8% or 1 of them claims that she has never heard of the topic. ANALYSIS: The data gathered is an indication of the amount of knowledge that the mothers have with regards to the topic of family planning. A large number of respondents claimed that they have a fair knowledge about family planning that they have gained throughout their years in school. Some of them claimed that they know only a little regarding the topic because they rarely have time to visit the health center or attend health teachings that are regularly conducted in the vicinity. The number of respondents that claimed that they only heard of the topic or have not heard about the topic at all should be given the most priority. It serves as the basis for the approach that the researchers need to have in order to sustain or add information to the respondents of the interview. Lack of knowledge regarding family planning may lead to severe problems like a burden in the socio-

economical status of the patient or a great number of unplanned pregnancies mainly in adolescents. It may also deviate the improvements that families have in their well-being. 6. Knowledge about the Methods of Family Planning INTERPRETATION: 8 of the respondents are knowledgable about oral pills, IUD: 3, only 1 of them has the knowledge about Rhythm Calendar, Traditional Methods and Female Condom, Withdrawal: 6, and Others: 2. ANALYSIS: Most women are knowledgeable with Family Methods that are accessible and easy. They are most familiar with withdrawal, Oral pills and IUD. Oral Pills is well known by the respondents probably because of its numerous advantages such as it reduces the risk of ovarian and endometrial cancer, gynecologic symptoms and it does not interfere with sexual intercourse. 7. Family Planning Used INTERPRETATION: 4 out of the 12 pregnant women interviewed used withdrawal as a form of contraception. 2 of them are aware of the use of their partner of the male condom. 1 uses the oral pills and another 1 uses the natural family planning. ANALYSIS: Withdrawal is the most commonly used method of contraception among the group of the interviewed pregnant women. The withdrawal method is commonly used among the group because it does not involve the use of materials to prevent conception unlike the use of the male condom which may interrupt the process of making love due to the time used to fit the condom. The other pregnant women who do not use any contraception expressed that they are not using any method is because they wanted to have a child. 8. Reasons For Not Using Family Method INTERPRETATION: The table and the graph shows that the first major reason for not using family Method is does not know how to use it with a frequency of 5 or 45.45%. The second major reasons are wants to have baby and does not try/used to it with a frequency of 2

or 18.18%. The third in rank are the reasons partner does not want to use it and did not expect to be pregnant with a frequency of 1 or 9.09%. ANALYSIS: It can be gleaned that most of the respondents do not know how to use family planning method. It is because nobody explained it to them and also because they do not participate actively with this kind of program in their health centers. It means that the respondents have knowledge deficit regarding Family Planning method and causes the respondents to suffer from unwanted or unexpected pregnancy. Health teaching plays a vital role in explaining the family planning methods and active participation of the people will result to good health of the family. 9. Willingness to Try Other Family Planning Method INTERPRETATION: The table and the graph show that the first in rank in willingness to try other Family Planning Method is yes with a frequency of 9 or 81.82%. Next in rank is no with a frequency o 2 or 18.18%. ANALYSIS: It can be gleaned from that majority of the respondents are willing to try another family planning method. It is because the respondents know the benefits of family planning and that, it will help them a lot especially to their health. 10. BENEFITS OF FAMILY PLANNING INTERPRETATION: Out of 12 respondents, there are 6 who said family planning increases their economic status garnering 50%; there is 1 who said that family planning helped them to prevent unplanned pregnancy garnering 8%; and lastly, there are 5 who mentioned that family planning gives them no benefits at all garnering 42%. ANALYSIS: Most of the respondents answered that Family Planning increases their economic status because this is a major problem in our country as of today: that is overpopulation. Having to many children without enough money to support their needs can result to poverty. Thus Family Planning enters into the picture of the couple because family planning allows couples to plan ahead on how many children they want and are capable of supporting.

11. Types Of Health Facilities Visited INTERPRETATION: Out of 12 respondents, 6 said that they have visited a rural health unit or a health center to consult for health garnering 50%; 1 said that she had visited their barangay health station for consultation garnering 8%; 3 said that they have been to public clinics or hospitals garnering 25%; and there were 2 who had visited Friendly Care Health Center for health consultation garnering 17%. ANALYSIS: All of the repondents were able to visit health care facilities because of health concerns. But not all of them went to the health facilities to consult Family Planning but also about their other health concerns. Some of the respondents admitted that it feels awkward, if ever they’ll be having a Family Planning consultation because it is a sensitive manner. 12. Health Facility Where Most Pregnant Women Had Their Consultation INTERPRETATION: 9 (75%) out of 12 mothers often consult at the Rural Health Unit or Health Centers. 1 (8.33%) out of 12 mothers often consult at the Public clinics/ Hospitals. And 1 (8.33%) out of 12 mothers often visits the Friendly Care Health Center for consultation while 1 (8.33%) out 12 mothers never visited a Health Facility for consultation. ANALYSIS: Mothers who visit health facilities regularly will have more knowledge about health promotion than those mothers who doesn’t visit any health facilities. 13. Pregnant Women who visited health care facilities (Sentrong Sigla) INTERPRETATION: 7 out of 12 mothers visit health facilities that have been labeled as Sentrong Sigla Center while 5 out of 12 mothers visit health facilities that have not been labeled as Sentrong Sigla Center. ANALYSIS: Mothers who visits health facilities that have been labeled as Sentrong Sigla Center receives more quality in reproductive health services than those mothers who visit health facilities that have not been labeled as Sentrong Sigla Center. 14. Pregnant Women who visits health facilities for Family Planning advice. INTERPRETATION:

Out of 12 respondents (pregnant women), 7 (58.3%) of them visits health facilities for Family Planning advice while 5 (41.67%) of them didn’t. ANALYSIS: Most pregnant women interviewed in the area of Gastambide visits health care facilities to seek advice about Family Planning. One of the reasons why women seek advice is because of poverty. Most of them have numerous children and this is part of their action to avoid having another. The reason why the rest does not visit is that they have no time to do so. 15. Last Time of Family Planning Consultation. INTERPRETATION: Out of 12 respondents (pregnant women), 5 (41.67%) of them had their last Family Planning consultation on the past 4 weeks, 4 (33.33%) of them haven’t had any Family Planning consultation, 1 (8.33%) of them had their consultation for over 1-3 months, 1 (8.33%) of them had their consultation over 12 months and 1 (8.33%) of them can’t recall when. ANALYSIS: Most pregnant women interviewed in the area of Gastambide had a Family Consultation for the last 4 weeks. Four people didn’t have any consultations because they are busy. And the rest consulted over 1-3 and 6-12 months. The primary reason why most of them have no time to consult is because they are occupied with other things like taking care of their house and family. 16. Possibilities Of Visiting Family Planning Centers INTERPRETATION: Out of 12 respondents, 3 (4%) answered that they are very likely to visit Family Planning, 5 (41.67%) answered somewhat likely, 2 (16.67%) answered maybe likely, maybe not, and 2 (16.67%) answered that they don’t want to visit Family Planning. ANALYSIS: The results indicated that most mothers are looking forward in learning more about family planning at nearby health center in the future. This may imply their eagerness to enhance or broaden their knowledge towards family planning. Some mothers were very likely to have an outlook of going to health center in educating them about family planning. Least of the mothers believed that there would be no possibility that they would visit health center and least of them also were still undecided whether they are going to visit or not. 17. Family Planning Conversation With Partner

INTERPRETATION: Out of 12 respondents, 7 of them talked to their partners about Family Planning while the rest didn’t. ANALYSIS: Communication plays a vital role in a relationship. The respondents claimed that they take time to consult their partners first regarding such sensitive topics. It indicates that they already have the idea on planning their family; they may just be experiencing lack of knowledge on the different methods to support their decision. Most of them claimed that partners should be open about this topic in order to know whether it is okay for both parties to follow some methods in family planning especially the permanent methods wherein both partners consent should be given. Family planning should not be a one-sided decision for both parties are concerned. The respondents also claimed that they view family planning as a way of improving their status in life. 18. Openess about Family Planning

INTERPRETATION: Out of 12 respondents (pregnant women), 5 of them (42%) are comfortable about Family Planning, 3 (25%) of them are somewhat comfortable, 3 (25%) of them are somewhat uncomfortable and 1 (8%) of them is very uncomfortable with Family Planning. ANALYSIS: Based on the result, still most of the pregnant women are very open and comfortable to talk the idea of Family Planning with their respective partners. Sometimes the husband/partner/boyfriend itself was the one who take the first move to suggest using Family Planning. They have a wider understanding that Family Planning will help them to prevent the unwanted pregnancy of the woman. The couple/partner also brought up the benefits and some disadvantages of using contraceptive methods as well as natural methods when having conversation about Family Planning. But there are still few pregnant women who are not comfortable of talking about Family Planning because for them, Family Planning is a sensitive topic and they hardly talks about it or didn’t talks about it totally because their partner doesn’t have any idea about Family Planning. 19. Importance of Family Planning

INTERPRETATION:

Out of 12 respondents (pregnant women), 5 of them (42%) thinks that Family Planning is very important, 3 (25%) of them thinks it’s Somewhat important, 1 (8%) of them thinks that it maybe important or not, 1 (8%) of them thinks that it’s not very important, and 1 (8%) of them thinks it’s not important at all. ANALYSIS: Based on the result, most of the pregnant women state that their partner’s opinion is very important for them because Family Planning should be the decision of the couple and not only the woman’s own decision. Preventing pregnancy should not only the choice of the woman because the man should also have the chance to say what he wants. Using Family Planning should have the agreement of both woman and men because it will further reach the desired goal of family planning that is to prevent the unwanted pregnancy. However, there are still few pregnant women who answers that their partner’s opinion is not important in the decision of using Family Planning methods and practices. This is possible to the pregnant women who suffer from early pregnancy and still don’t understand the importance of having same decision between couples or live-in partners. 20. Pregnant women that agrees and disagrees on Family Planning INTERPRETATION: Out of 12 respondents (pregnant women), All of them (100%) agrees on Family Planning. ANALYSIS: All the of the mothers that we had interviewed agreed on family planning whether it is natural of artificial practically because of the economic crisis that we suffer in out country. Individuals that we had interviewed told that they want to first have steady job and stable income before having a child. They also agree on the family planning method because having an unplanned pregnancy is very hard. It is just because they are no yet financially ready to support the needs of the baby. Many Filipinos are now engaged into family planning programs primarily because of practicality.

REVIEW OF RELATED LITERATURE

INTRODUCTION

QUESTIONNAIRE

TABLES AND GRAPHS

INTERPRETATION AND ANALYSIS

RECOMMENDATIONS

DOCUMENTATION (Respondents of Gastambide, Manila)

REFERENCE: www.fhi.org Family Planning: Its Economic and Psychosocial Influences on the Lives of Women in Western Visayas The Philippine family planning program began in the 1970s and reflected a concern with rapid population growth and inadequate maternal and child health (MCH). Over the past two decades, the program has had varying degrees of political support and, consequently, somewhat erratic implementation. In the past six years, there has been an attempt to revive training of MCH and family planning workers and increase the choice of contraceptive methods. For example, injectables have been introduced. Among the benefits of family planning often cited by contraceptive users are improvements in women's health and the family's economic status. In research conducted in Western Visayas, the Philippines, women said family planning allowed them more freedom to participate in the work force and more time to participate in community activities. Women who used family planning were generally more satisfied with their lives and more likely to share in household decision-making. Domestic violence was a concern for many women in this region of the Philippines. Research Findings Researchers interviewed 1,100 married women of reproductive age, plus 50 key informants. Investigators also conducted nine pre-survey and 27 post-survey focus group discussions with women, men, community leaders, members of women's groups, and family planning service providers. Both rural and urban residents took part in the study. More than half of the women interviewed currently used contraception or had used family planning at some point. Thirty seven percent are current users. The most popular methods are the pill, tubal ligation, and injections while the most unpopular are maleoriented methods -- condoms and vasectomy. The most common reason for choice of family planning methods was effectiveness, while the most often cited side effect was dizziness. In focus group discussions, men and women expressed fears about contraceptive side effects and gave this concern as a reason for not using family planning. Family planning users were more likely to engage in paid work than were non-users. Family planning use provided increased economic opportunities for women, including opportunities to earn a living and to become more efficient workers. Women who used family planning were more likely to participate in community activities, such as Parent-Teacher Associations, religious organizations and beautification projects. Women found community activities relaxing, and said these

activities allowed them to socialize and interact with their peers. Women reported that social participation gave them satisfaction and increased their sense of self-worth. More family planning users than nonusers shared decision-making with their husbands in four areas: the woman's work outside the home; the woman's travel outside the community; use of family planning; and plans for future births. Nonusers were more likely to report that their husbands made decisions independently in these four areas. More than one-third of the women reported they had been victims of physical abuse, psychological abuse, or both. Most domestic violence happened when the perpetrator (usually the husband) had been drinking. Among the perceived causes of violence were jealousy, quarrels due to suspected infidelity, and arguments over financial and other family matters. The most common reported acts of physical abuse were beating, boxing, slapping, and kicking. Contraceptive use did not reduce women's risks of violence, nor did work status. Recommendations There should be continuous efforts to improve the family planning program, including an effort to provide integrated reproductive health. Special attention needs to be given to helping women deal with side effects. Because of demands on women's time at home and in the work place, health services should be offered at times (and places) convenient to women; for example, on weekends or after normal business hours. Policy-makers should be concerned about the need for more employment opportunities for women, and should encourage women to take on greater leadership roles in the community. Community leaders should develop strategies to minimize and eliminate domestic violence and should develop referral systems to respond to victim's needs in a timely manner. Study Details This research was conducted by the Social Science Research Institute, Central Philippines University, in collaboration with the Women's Resource Center and the Family Planning Organization of the Philippines. The principal investigators were Dr. Fely David and Dr. Fely Chin. Research was supported by the Women's Studies Project at Family Health International, through a cooperative agreement funded by the U.S. Agency for International Development. Technical assistance was provided by Dr. Eilene Bisgrove.

REFERENCE: www.gmanews.tv CBCP plans consultation on family planning in July 07/01/2008 | 05:43 AM MANILA, Philippines - The Catholic Bishops Conference of the Philippines (CBCP) is expected to hold a consultation on natural family planning in July to mark the anniversary of a papal encyclical on the matter. A statement on the CBCP website said the Episcopal Commission on Family and Life Apostolate would undertake the consultation. CBCP president Angel Lagdameo said the CBCP Permanent Council discussed details of the forum to mark the encyclical "Humanae Vitae," while it holds its semi-annual plenary assembly in July. The CBCP Episcopal Commission on Family and Life Apostolate led by Pampanga Archbishop Paciano Aniceto will organize the consultation on NFP, the CBCP said. The Permanent Council, which includes 12 bishops representing various regions of the country, meets every two months. Pope Paul VI issued "Humanae Vitae," an encyclical on the question of human procreation and unlawful birth control methods, on the feast of St. James the Apostle on July 25, 1968. The Permanent Council also discussed the Comprehensive Agrarian Reform Program (CARP) and the upcoming National Rural Congress II to be held also in July. The Catholic Church has been adamant in opposing artificial contraception in family planning, opting instead to promote only natural family planning. It had crossed paths several times with the government over the issue of population control. - GMANews.TV

REFERENCE: www.monstersandcritics.com/news/health

US helps Philippines implement family planning programmes

Manila - The United States will provide a 3-million-dollar grant to the Philippines to help promote family planning in the workplace, officials said Thursday. The grant will fund a joint project of the health and labour departments to help companies disseminate information on family planning and reproductive health among employees. US Ambassador Kristy Kenney said the grant aims to 'bring in access to health care to private workplaces, help private companies to expand their ability to deliver health care.' 'The greatest strength we always have is our people and the greatest thing we can do is to invest in our people,' she said in a speech at the signing of the agreement on the grant. The project will target small and medium-scale enterprises with at least 200 employees, according to Paulyn Jean Roseli Ubial, a regional director of the Department of Health. Ubial said the US Agency for International Development (USAID) will provide training and technical support for companies to manage reproductive health units in the workplace. USAID, the main supplier of artificial contraceptives in the Philippines for the past 30 years, is scheduled to reduce its donation programme in the country in 2008. Population control is a touchy issue in the predominantly Catholic Philippines, where the church blasts as evil and immoral any campaign to promote the use of artificial contraceptives. The Philippines' current population is estimated to be 88.7 million, according to government data. The population is projected to grow at 1.95 per cent per year until 2010, when it will reach 94 million. The projected population growth rate is down from 2.34 per cent in the past decade.