dc.contributor.author | Mwangi, Juma G | |
dc.date.accessioned | 2013-06-07T12:13:32Z | |
dc.date.available | 2013-06-07T12:13:32Z | |
dc.date.issued | 2002-02 | |
dc.identifier.citation | Degree of Master of Medicine in Obstetrics and Gynaecology | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/30068 | |
dc.description | In part fulfillment for examination of Masters Of
Medicine
In
Obstetrics and Gynaecology
Of the
University Of Nairobi | en |
dc.description.abstract | Norplant is one of the safest hormonal contraceptive methods in use currently. Norplant
may be safely used in conditions for which other hormonal contraceptives have been
contraindicated. Its use in Kenya has been on the rise especially in urban areas. However,
in Central Province of Kenya, an area where the overall contraceptive use is high,
Norplant use remains low.
A descriptive cross-sectional study was conducted between 1/5/2001 and 15/8/2001 to
establish the causes oflow prevalence of Nor plant use in the Central Province of Kenya.
Twenty-eight family planning clinics were visited. They included 9 hospitals, 4 subdistrict
hospitals and 15 health centers. A total of 110 family planning providers were
interviewed using self-administered questionnaires. Fifty nine percent had worked for •
more than 8 years after their basic qualification. Seventeen percent had post-basic
training in reproductive health. All the clinics reported a shortage of personnel.
Using a checklist of known conditions and side effects associated with Norplant use, the
knowledge on Norplant was low with 73.4% having below average knowledge on
Norplant. Nurses in the family planning clinics had a positive attitude towards Norplant
but were not able to offer the service due to lack of knowledge and skill on Norplant
insertion and removal techniques. 90.4% of the respondents believed that Norplant was
an effective method of family planning. Seventy seven percent (77%) were also
promoting its use. Eighteen percent (18%) of the respondents could not advocate use of
Norplant to breast-feeding mothers and 68% did not advocate use of Norplant to
adolescent.
The waiting period for Norplant insertion was as long as three months hence clients
change to another more easily accessible and available method. Only doctors were
inserting and removing Norplant implants. In the thirteen centers offering the Norplant
services, supplies and instruments were adequate but there was a lack of trained
personnel. Training of more personnel especially nurses on Norplant may improve its
usage in the region. | en |
dc.language.iso | en | en |
dc.title | Case records and long commentaries in Obstetrics and Gynaecology | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Obstetrics and Gynaecology | en |