Ajong et al.

BMC Res Notes (2016)

9:347
DOI 10.1186/s13104-016-2155-7
BMC Research Notes

RESEARCH ARTICLEOpen Access

Knowledge of women in family planning

and future desire to use contraception: a cross
sectional survey in Urban Cameroon
Atem Bethel Ajong1,6*, Philip Nana Njotang1,2, Bruno Kenfack3,6, Martin Ndinakie Yakum4
and Enow Robinson Mbu1,5

Abstract
Background: The rate of modern contraceptive use will be on an increase and maternal mortality on a
decrease if women had a good knowledge on family planning and its methods. This survey was designed to
evaluate the knowl- edge and determine the future desires to use contraception among women in Urban
Cameroon.
Methods: We conducted a cross sectional community based survey from March 2015 to April 2015 targeting
women of childbearing age in the Biyem-Assi Health District. Participants were included using a multistep
cluster sampling and the data collected face to face by well-trained surveyors using a pretested and validated
questionnaire. The data were then analysed using the statistical software Epi-Info version 3.5.4. Proportions
and their 95 % confi- dence intervals were calculated and in a multiple logistic regression model with threshold
of significance
≤ set at p value 0.05, the odds ratio was used as the measure of association between selected
covariates and future desire to use contraception.
Results: Among the 712 women included in the survey, the mean age was 27.5 ± 6.5 years. A good proportion
(95.6 %) identified contraception as used to prevent unwanted pregnancy and this showed an increasing trend with
increasing level of education. Also, 77.5 % thought that contraception should be used by all sexually active women.
The most cited contraceptive methods were; condom 689 (96.8 %), oral pills 507 (71.2 %), and implants 390 (54.8
%). Their main sources of information were the health personnel (47.7 %) and the school (23.6 %). It was estimated
that
31.0 [25.5–37.0] % of current contraceptive non-users had no desire of adopting a contraceptive method in the
future. With the level of education, age, and marital status controlled, the number of unplanned pregnancies
more than 3 (OR 0.66= [0.45–0.97], p 0.035), and past adoption of more than 2 modern contraceptive
methods = (OR 0.45 [0.21– 0.97], p 0.041) were statistically significantly associated to decreased desire to
adopt contraception in the future. The level of knowledge showed an association though not statistically
significant with future desire to use contracep-
tion (OR 0.80 [0.47–1.37], p = 0.061).
Conclusion: The knowledge of women of childbearing in the Biyem-Assi Health District was relatively high but
still unsatisfactory. The proportion of contraceptive non users who have no desire of adopting any contraceptive
method in future is still unacceptably high. Policy makers should improve on their strategies while empowering
the health personnel and working in collaboration with the education ministries.
Keywords: Knowledge, Family planning, Contraception, Future desire, Cameroon

*Correspondence: [email protected]
1
Department of Obstetrics and Gynaecology, Faculty of Medicine
and Biomedical Sciences, University of Yaoundé I, Yaoundé,
Cameroon Full list of author information is available at the end of the
article

© 2016 The Author(s). This article is distributed under the terms of the Creative Commons Attribution 4.0 International
License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in
any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative
 Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/ publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise
stated.
Ajong et al. BMC Res Notes (2016) 9:347
Page 2 of 6

Background and rationale Melen, Biyem-Assi and Mvog-Betsi). The minimum

The rate of use of family planning services in the devel- sam- ple size of the study was calculated using the
oping world and more particularly in Cameroon following parameters: the expected proportion of non-
remains unsatisfactory [1, 2]. The number of women contracep- tive users with future desire to use
with an unsatisfied potential demand for contraception contraception (46 % according to the national
is still very high in Cameroon [3]. Meeting targets of the demographic and health survey data 2011) [3], the
Sus- tainable Development Goals in maternal and absolute precision required on either sides of the
neonatal health requires a good and consistent use of proportion (0.05), threshold of error at 5 % and a
family plan- ning services. With abortion not legalised cluster effect of 2. The minimum required sample size
in Cameroon, the effective use of family planning for the survey was estimated at 680 participants and
methods remains the mainstay in the fight against the 712 were included in the survey using a cluster
already high rates of induced abortion and its multistep sampling.
complications [4–7]. In this process, all four health areas were included in
The adoption of any contraceptive method requires the survey and the whole district divided into a total of
prior knowledge of the method. A good knowledge of 70 geographical clusters from which 50 were randomly
the use of family planning methods and their selected with replacement. In a selected cluster, a road
benefits/side effects depends on the effectiveness of the junction was randomly selected from all major junc-
counselling and sensitization of the risk population [2, tions and a street selected by tossing a plastic bottle. In
4, 6, 8]. Also, the perception of family planning by a selected street, all households on the left hand side of
women is depend- ent on good knowledge and has a the interviewer were included in a successive manner.
great impact on their attitudes and practices [7, 9, 10]. Prior to data collection, a two-day training session was
A recent survey (2015) in Yaoundé–Cameroon organised by the principal investigator to enlighten the
showed that 20.4 % of women in a union had an unmet surveyors (of both gender) on the consenting and data
need for family planning and that the potential demand collection procedure. All eligible and consenting par-
for family planning was just at 70.6 % [3]. According to ticipants within a selected house hold were included in
the national demographic and health survey in 2011, the survey. Data were collected using a pretested and
with a contra- ceptive prevalence of 24, 94 % of women validated questionnaire administered face to face by
of childbearing age in Cameroon had knowledge of at well- trained surveyors. Data collected included
least one modern contraceptive method. Also, about 46 evaluation of the knowledge of participants on family
% of contracep- tive non-users in 2011 had no intention planning and their intentions to use contraception in
of adopting any method in the future [1]. the future. The data were collected from March 2015 to
Given that a good knowledge influences perceptions April 2015.
and will improve on the future desires to use contra-
ception. Policy makers need to stress on the need for Data analysis
sensitizers and family planning providers to remain The data from filled and validated questionnaire were
very explicit in their interventions. A good knowledge then entered into a predesigned data capturing sheet
and perception is indispensable for the fight against the and analysed using the statistical software Epi-Info
unsatisfactory potential demand of family planning ser- version
vices and therefore its consequences. This survey was 3.5.4. Major analysis included calculation of
designed to evaluate the knowledge and the future proportions (current contraceptive users, future desire
desire to adopt family planning methods in a sample of to use, the different knowledge indicators etc.) and
women in urban Cameroon among which unmet need their 95 % con- fidence intervals where relevant for
for family planning had been reported high [3]. qualitative variables and means with standard
deviations for quantitative vari- ables. With potential
Methods confounders like age, level of edu- cation, marital
We conducted a cross sectional community based sur- status, and religion checked in a multiple logistic
vey in the Biyem-Assi Health District (the largest health regression model, the odds ratio was used as the
district in Yaoundé with a high prevalence of unmet measure of association between selected covariates
need for family planning) [3] targeting sexually active (knowledge, number of methods used in the past and
women of childbearing age. Not included were visitors number of unplanned pregnancies) and the outcome of
to the district, and women who were mentally interest (future contraceptive use). All with a statistical
incapacitated at the time of our survey. The Biyem-Assi
significant threshold set at p value ≤0.05). The knowl-
Health District is an urban health district with a edge variable was divided to level of knowledge below
cosmopolitan population dispersed over a total of four or above average depending on the number of right
health areas (the Mendong, answers given to the set of questions to evaluate the
knowledge, that is above or below 50 % of correct
answers. The num- ber of modern methods adopted in the past was divided
Ajong et al. BMC Res Notes (2016) 9:347
Page 3 of 6

into the number of modern methods adopted in the sexually active and not planning to get pregnant any
past above two or less than or equal to two while the time soon. A relatively high proportion thinks only
number of unplanned pregnancies was divided into women with at least a child should adopt contraception.
above three and less than or equal to 3 years. The This could be explained by the beliefs and
results were pre- sented on tables, figures and some misinformation on some reversible family planning
written out. methods associated to risk of infertility.
Figure 2 shows the identified sources of modern con-
Results and discussion traceptive methods. The most mentioned sources of
Among the 712 women included in the survey, the modern contraceptive methods were the hospital 568
mean age of the participants was 27.5 ± 6.5 years and (79.8 %) and the pharmacy 320 (44.9 %). These are the
the most represented age group range was 20–29 correct sources of modern contraceptive methods. A
years. Most
sur- vey among students and staff in Delta state Nigeria
(60 %) were in a union, 96.7 % Christians and about 8
also identified the pharmacy and the health centre as
in every 10 had acquired at least a secondary education.
major places where family planning methods could be
All the women interviewed had heard of contraception
gotten [12].
in their lifetime. Figure 1 shows the uses of contracep-
Table 1 presents the knowledge of the participants on
tion or family planning as indicated by the participants.
the different family planning methods. The most cited
A good proportion (95.6 %) identified contraception as
contraceptive methods were; condom 689 (96.8 %),
used to prevent unwanted pregnancies and this showed
oral pills 507 (71.2 %), implants 390 (54.8 %),
an increasing trend with increasing level of education.
injectable 325 (45.6 %), and IUD 311 (43.7 %). The
A survey carried out in 2010 in the Mbouda Health
trend is not very dif- ferent from that reported in a
District in West Region of Cameroon found out that 96
2010 survey in Mbouda Health District during which
% of the sample surveyed had heard of family planning
96 % knew the condom,
and about
76.2 % the injectable, 75.2 % the oral pills, 56.4 % the
80.3 % identified it as used to prevent unwanted preg-
implant and 39.6 % the IUD [2]. However the differ-
nancies [2]. This slight difference in the results could
ences could be explained by the differences in the
be explained by the semi-urban setting of the Mbouda
meth- ods adopted in questionnaire administration and
sur- vey and the increasing sensitization over the years
also by the fact that Yaounde and Mbouda are found in
on family planning. Among refugees in Cameroon, it
regions with clearly different socio-cultural beliefs. In
was found that only about 80.7 % had ever heard of
addi- tion, the organisation of the family planning
contra- ception [11]. This is low compared to our
services in these two settings is not identical. The
findings but however normal given the life conditions
condom remains the most cited method of
of the refugees and the little exposure to information on
contraception among women in Cameroon. This was
health and more precisely reproductive health [11]. Also
also true according to the 2011 Demographic and
35.7 % said some family planning methods could also
Health Survey in Cameroon [1]. This is because of the
be used to prevent sexually transmitted infections (see
dual function of the condom which has made it highly
Fig. 1).
publicised over the media and cam- paigns on the fight
Of the 712 participants, 552 (77.5 %) thought that
against HIV/AIDS. Also, 701 (98.5 %) of the
con- traception should be used by all sexually active
participants cited at least 01 contraceptive method with
women while 35 (4.9 %) thought only women with at
699 (98.2 %) and 518 (72.7 %) citing at least one and
least one child should use contraception. Unplanned
three modern contraceptive methods respectively
pregnancy is a problem among all sexually active
women, therefore contraception should be adopted by
any woman who is

120.00%
100.00% 95.60%
80.00%
60.00% primary(n=104) secondary(n=313) higher(n=293)
40.00% total(n=712)
20.00% 35.70%
0.00%
1.00%
prevention of prevention ofNo idea unwantedSTIs
pregnancy

Fig. 1 Uses of contraception or family planning as indicated by the participants

90.00% 79.80%
80.00%
70.00%
60.00%
50.00% 44.90%
40.00%
30.00%
16.40%
20.00%
10.00% 2.80% 1.30%
0.00%
In the Hospital Pharmacy shopsHawkersOthers

Fig. 2 Sources of modern contraceptive methods

Ajong et al. BMC Res Notes (2016) 9:347 Page 4 of 6

Table 1 Knowledge of different methods of contraception stratified by level education of participants

Indicator Level of education (frequency in %) Total n (%)

Primary, n = 104 Secondary, n = 313 Higher, n = 293

Can you cite the different contraceptive methods you know? (n = 712)
Condoms 97 (93.3) 299 (95.5) 291 (99.3) 689 (96.8)
Diaphragms 5 (4.8) 12 (3.8) 47 (16.0) 64 (9.0)
Cervical caps 2 (1.9) 2 (0.6) 16 (5.5) 20 (2.8)
IUD 36 (34.6) 120 (38.3) 154 (52.6) 311 (43.7)
Spermicides 1 (1.0) 15 (4.8) 24 (8.2) 40 (5.6)
Implants 48 (46.2) 172 (55.0) 169 (57.7) 390 (54.8)
Oral pills 60 (57.7) 218 (69.6) 227 (77.5) 507 (71.2)
Injectable 50 (48.1) 151 (48.2) 123 (42.0) 325 (45.6)
LAM 1 (1.0) 19 (6.1) 17 (5.8) 37 (5.2)
Coitus interruptus 6 (5.8) 35 (11.2) 54 (18.4) 96 (13.5)
Cycle 15 (14.4) 46 (14.7) 53 (18.1) 115 (16.2)
Others 1 (1.0) 6 (1.9) 6 (2.0) 14 (2.0)
No idea 3 (2.9) 5 (1.6) 1 (0.3) 9 (1.3)
Number of cited modern methods n = 712
0 4 (3.8) 8 (2.6) 1 (0.3) 13 (1.8)
1 22 (21.2) 27 (8.6) 21 (7.2) 70 (9.8)
2 15 (14.4) 59 (18.8) 37 (12.6) 111 (15.6)
3 20 (19.2) 86 (27.5) 74 (25.3) 181 (25.4)
4 29 (27.9) 89 (28.4) 93 (31.7) 212 (29.8)
5 13 (12.5) 38 (12.1) 50 (17.1) 101 (14.2)
6 1 (1.0) 3 (1.0) 9 (3.1) 13 (1.8)
7 0 (0.0) 2 (0.6) 6 (2.0) 8 (1.1)
8 0 (0.0) 1 (0.3) 2 (0.7) 3 (0.4)
IUD intra-uterine device, LAM lactation and amenorrhoea method

(see Table 1). This is proof of a relatively good knowl-

Table 2 Sources of information on contraception
edge of these women on the different contraceptive
n (%)
methods. This result is in line with that reported in the
2011 Demographic and Health Survey in which 94 % of Main source of information n = 709
women of childbearing age were knowledgeable of at School 167 (23.6)
least one modern contraceptive method [1]. The mild Family, relations and friends 112 (15.8)
dif- ference observed in the results may be explained by Health personnel 338 (47.7)
the highly urbanised nature of the Biyem-Assi Health Media 92 (13.0)
Dis- trict which could mean easy access to information According to you, what is the best source of information about
on family planning or could be due to sample variation. contraception? n = 702
In addition, the level of education of women of Family, relations, and friends 20 (2.9)
childbear- ing age in the Biyem-Assi Health District was Health personnel 629 (89.6)
relatively high with 85.4 % having acquired at least a Media 36 (5.1)
secondary education. Out of the 699 women who cited School 16 (2.3)
at least one modern contraceptive method, 674 (96.4 Others 1 (0.1)
%) identified the condom as used to prevent STIs. This
is very impor- tant given that the use of condoms
among sexually active women is the mainstay in the information on contraception, 338 (47.7 %) said their
effective fight against sexu- ally transmitted infections main source of information was a health personnel, 167
and the HIV/AIDS pandemic. (23.6 %) from school, 112 (15.8 %) from family,
Table 2 shows the sources of information of the par- relations and friends, and the remaining 92 (13.0 %)
ticipants on family planning. Of the 709 participants said it was the media. It is clear from here that to meet
who responded to the question on the main source of the targeted
Ajong et al. BMC Res Notes (2016) 9:347
population, the health personnel need to be empowered Page 5 of 6
in this domain. A survey among secondary school girls
in Tanzania identified the school as a major source of
infor- mation on contraception [13]. Knowledge could
also be increased by making sure that every student
leaving sec- ondary education in Cameroon acquires at for intensified and focused sensitization in this domain.
least a course in family planning. Comparing this to It is clear from here that if contraceptive non-users be
their main source of information, 629/702 (89.6 %) well sensitized, we will have more of them adopting
said the health person- nel was the best source of contra- ceptive methods in the future.
information on contraception. Though a good With the level of education, age, marital status and
proportion correctly identifies the health personnel as reli- gion controlled the number of unplanned
the best source of information, more is still to be done pregnancies more than 3 (OR = 0.66 [0.45–0.97], p =
to understand the limits to access of this infor- mation 0.035), and past
on family planning and contraception. adoption of more than 2 modern contraceptive methods
Out of 708 participants who responded to contracep- (OR = 0.45 [0.21–0.97], p = 0.041) were statistically
tive use, 61.7[58.0–65.3] % were currently using at sig- nificantly associated to decreased desire to adopt
least one contraceptive method and 91.8[89.5–93.7] % contra- ception in the future. Women who have adopted
had adopted at least one contraceptive method in their more than two methods of contraception most often
life- time. This rate of contraceptive practice is have suffered from side effects and inconveniences of
relatively high but does not give a clear picture of the differ-
contraceptive need of the population. A survey carried ent methods that made them move from one to another.
out in this population in the same year revealed that When these complaints are not clearly addressed by the
16.4–24.8 % of women in a union had an unmet need health provider, the women turn to withdraw from con-
for family planning [3]. Dur- ing our survey, it was traceptive use. Contraceptive non-use has been
estimated that 31.0[25.5–37.0] % of those who were described to be highest among women with unintended
not currently using contraception had no desire of pregnan- cies [14]. This relationship is clear in the light
adopting a contraceptive method in the future. that contra- ceptive non-users are opened to having
This shows to an extent the magnitude of work more unplanned pregnancies than users. This exposes
awaiting family planning providers in convincing and the conservatism portrayed by contraceptive non-users
dissuading this population to adopt effective and more specifi- cally those with more unplanned
contraceptive methods. However a survey carried out in pregnancies to avoid the adoption of modern
this population during the same time frame revealed contraceptive methods.
that discussion of fam- ily planning within the couple
and husband’s approval of contraception were two Limits and strengths of the survey
major determining factors keeping unmet need for This survey evaluated just the knowledge of women of
family planning high [3]. Also, the fear of side effects childbearing age on family planning. The perceptions
was the major reason of non-use of family planning and attitudes of this population towards family plan-
among these women [3]. This finding is nonetheless, ning were not evaluated. Given the vital role men play
better compared to national demographic and health in the decision making, a survey is required among
survey results in 2011, in which up to 46 % of men. Also, the health personnel who are at the centre of
contraceptive non-users had no future desire of using a the dispensation of knowledge and provision of family
modern contraceptive method in the rest of their repro- plan- ning services were not evaluated in this survey.
ductive life. This shows the positive efforts of the Cam- However, the level of knowledge and future desire to
eroon government and its family planning care use contra- ception pictured from this survey shows the
providers in increasing modern contraceptive practice. necessity of the health personnel and family planning
With level of education, age, marital status and sensitizers to improve on their strategies in order to
religion controlled, the level of knowledge showed an improve on the knowledge of the population in need.
association though not statistically significant with This survey was well designed with adequate
future desire to methodology and all put in place to check for bias. It
use contraception (OR 0.80 [0.47–1.37], p = 0.061). types out the situation on the level of knowledge on
The family planning in an urban setting in Cameroon.
lower the knowledge on contraception and its methods,
the less likely had they plans to adopt contraception in Conclusion
future. This is but logical given the fact that The knowledge of women of childbearing in the Biyem-
contraceptive use requires a good knowledge of its Assi Health District was relatively high but still unsatis-
functions and meth- ods. Many surveys have associated factory. A high proportion (31.0 %) of contraceptive
good knowledge to increased contraceptive use [3, 6, non users had no desire of adopting any contraceptive
8]. Though not statisti- cally significant in our survey, it method in future. Major sources of information on
is a pointer to the need contracep- tion are the health personnel and the school.
With the level of education, age, and marital status
controlled, the number of unplanned pregnancies more
than 3, and past
Ajong et al. BMC Res Notes (2016) 9:347
Page 6 of 6

adoption of more than 2 modern contraceptive meth- institutional ethical review board of the Faculty of Medicine and Biomedi-
ods are statistically significantly associated to cal Sciences of the University of Yaoundé I. Administrative authorisation
decreased desire to adopt contraception in the future. was
obtained from the Biyem-Assi District Health Service. Data was collected from
The level of knowledge showed an association though only eligible and consenting participants.
not statistically significant with future desire to use
contraception. Policy makers should improve on their Received: 22 April 2016 Accepted: 13 July 2016
strategies while empow- ering the health personnel and
working in collaboration with the education ministries
to encourage teachings on family planning and its
methods to at least all secondary school leavers. More References
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Ethical consideration
The autonomy and confidentiality of the participants was respected during
the survey and an ethical clearance for the survey was obtained from the
REVIEW JOURNAL INTERNASIONAL SESUAI STANDAR

EVIDENCE BASED NURSING

DISUSUN OLEH:

FEGI MENTARI PUTRI ERLINA (1803040)

PROGRAM STUDI S.1 KEPERAWATAN

SEKOLAH TINGGI ILMU KESEHATAN KARYA HUSADA
SEMARANG
2020
 SISTEMATIKA REVIEW JURNAL
BAB I

A. PENDAHULUAN
1. Latar Belakang (Kasus)
Anda adalah seorang perawat sedang memberikan penyuluhan kesehatan tentang
kesehatan penggunaan kontrasepsi pada ibu-ibu PKK di sebuah desa yang kurang
pengetahuan tentang alat kontrasepsi. Ada seorang ibu bertanya terkait
penggunakan alat kontrasepsi. Ibu tersebut menanyakan apakah dengan
menggunakan alat kontrasepsi dapat menunda kehamilan dan alat kontrasepsi
seperti apa yang dapat menunda kehamilan ?
Anda ingin mencari evidence untuk menjawab hal masalah tersebut, dimana ada
beberapa kontrasepsi yang efektif untuk menunda kehamilan seperti alat kontrasepsi
modern yaitu dengan menggunakan kondom.
2. Pertanyaan Klinik
a. Merumuskan Keyword

Questions Questions Term Keyword/ Synonim

Part

Population/ Wanita usia subur Women of childbearing

Pasient age

Intervention Kontrasepsi Contraception

Comparison Kondom Condom

Outcome Mencegah kehamilan Pregnancy

b. Merumuskan pertanyaan klinik

“Apakah penggunaan kontrasepsi modern akan meningkat dan angka kematian
ibu menurun ?
c. Langkah Penelusuran Jurnal

a. Open search engine Modzilla dan click : www.ncbi.nlm.nih.gov/pubmed

 b. Insert the keyword :

- Women of childbearing age : 9223

- Add “ AND Contraception 1264

- Add ‘AND Condom 132

- Add AND prenancy 84

c. Click Limit and choose :

- Free full text available 16

- Type of article (RCT) 4

- Publication dates (5 year) 6

Saya memilih artikel jurnal yang berjudul “Knowledge of women in family

planning and future desire to use contraception: a cross sectional survey
in Urban Cameroon” karena menurut saya artikel penelitian ini bermanfaat
untuk menganalisis masalah tentang alat kontrasepsi agar wanita usia subur
memiliki pengetahuan yang baik tentang alat kontrasepsi modern sehingga
dapat menjawab pertanyaan klinik diatas.
 BAB II

B. ANALISA JURNAL
No Resume Jurnal Analisa

1. Nama peneliti Atem Bethel Ajong1,6*, Philip Nana Njotang1,2,

Bruno Kenfack3,6, Martin Ndinakie Yakum4 and
Enow Robinson Mbu1,5

2. Judul Penelitian Knowledge of women in family planning and future

desire to use contraception: a cross sectional survey
in Urban Cameroon

3. Tempat dan waktu Kami melakukan survei berbasis komunitas cross

penelitian sectional dari target Maret 2015 hingga April 2015 di
Urban Kamerun.

4. Tujuan penelitian Untuk mengevaluasi efektifitas Tingkat penggunaan

kontrasepsi modern akan meningkat dan angka
kematian ibu menurun jika perempuan memiliki
pengetahuan yang baik tentang keluarga berencana
dan metode-metodenya.

5. Latar belakang Tingkat penggunaan kontrasepsi modern akan

meningkat dan angka kematian ibu menurun jika
perempuan memiliki pengetahuan yang baik tentang
keluarga berencana dan metode-metodenya. Survei
ini dirancang untuk mengevaluasi pengetahuan tepi
dan menentukan keinginan masa depan untuk
menggunakan kontrasepsi di kalangan perempuan di
Urban Kamerun

6. Metode penelitian : a. Desain penelitian Kami melakukan survei berbasis

komunitas cross sectional.
a. Desain penelitian
b. - Populasi wanita usia subur di Distrik Kesehatan
b. Populasi dan sampel
 c. Kriteria inklusi dan Biyem-Assi di Urban Kamerun.
eksklusi - Sampel minimum yang diperlukan
d. Teknik pengumpulan ukuran untuk survei diperkirakan 680 peserta dan
data 712 dimasukkan dalam survei menggunakan
e. Analisa Data cluster multist.
c. Kriteria inklusi : wanita melahirkan anak di Biyem-
Assi Health District relatif tinggi tetapi masih tidak
memuaskan.
Kriteria eksklusif : penggunaan kontrasepsi modern
akan meningkat dan angka kematian ibu menurun
jika perempuan memiliki pengetahuan yang baik
tentang keluarga berencana dan metode-
metodenya.
d. Teknik pengumpulan data, data yang dikumpulkan
secara langsung oleh surveyor yang terlatih
menggunakan kuesioner yang telah diuji dan
divalidasi.
d. Analisa Data, data kemudian dianalisis
menggunakan perangkat lunak statistik Epi-Info
versi 3.5.4. Proporsi dan kepercayaannya 95%
interval dence dihitung dan dalam model regresi
logistik ganda dengan ambang batas signifikansi
ditetapkan pada p nilai ≤0,05, rasio odds digunakan
sebagai ukuran hubungan antara kovariat yang
dipilih dan keinginan masa depan untuk gunakan
kontrasepsi.

7. Hasil penelitian Di antara 712 wanita yang dimasukkan dalam survei,

usia rata-rata adalah 27,5 ± 6,5 tahun. Proporsi yang
bagus (95,6%) mengidentifikasi kontrasepsi yang
digunakan untuk mencegah kehamilan yang tidak
 diinginkan dan ini menunjukkan tren peningkatan,
peningkatan tingkat pendidikan.
8. Diskusi/ Pembahasan Saya menganggap bahwa penggunaan kontrasepsi
modern akan meningkat dan angka kematian ibu
menurun jika perempuan memiliki pengetahuan yang
baik tentang keluarga berencana dan metode-
metodenya, khususnya orang di Urban Kamerun.
Dalam penelitian ini 77,5% berpikir bahwa
kontrasepsi harus digunakan oleh semua wanita yang
aktif secara seksual. Metode kontrasepsi yang paling
banyak dikutip adalah; kondom 689 (96,8%), pil oral
507 (71,2%), dan implan 390 (54,8%). Sumber
informasi utama mereka adalah tenaga kesehatan
(47,7%) dan sekolah (23,6%). Diperkirakan itu 31,0
[25,5-37,0]% dari pengguna kontrasepsi saat ini tidak
memiliki keinginan untuk mengadopsi metode
kontrasepsi di masa depan.
Dengan tingkat pendidikan, usia, dan status
perkawinan terkontrol, jumlah kehamilan yang tidak
direncanakan lebih dari 3 (OR 0,66 [0,45-0,97], p =
0,035), dan adopsi lebih dari 2 metode kontrasepsi
modern (OR 0,45 [0,21–
0,97], p = 0,041) secara statistik terkait signifikan
dengan penurunan keinginan untuk mengadopsi
kontrasepsi di masa depan.
Tingkat pengetahuan menunjukkan hubungan
meskipun tidak signifikan secara statistik dengan
keinginan masa depan untuk menggunakan
kontrasepsi. (OR 0,80 [0,47-1,37], p = 0,061).

9. Saran penelitian Pengetahuan wanita melahirkan anak di Biyem-Assi

 Health District relatif tinggi tetapi masih tidak
memuaskan. Proporsi bukan pengguna kontrasepsi
yang tidak berkeinginan untuk mengadopsi metode
kontrasepsi apa pun di masa depan masih sangat
tinggi. Pembuat kebijakan harus meningkatkan
strategi mereka sambil memberdayakan kesehatan
personel dan bekerja dalam kolaborasi dengan
kementerian pendidikan.

1 Daftar Pustaka Tuliskan jumlah daftar pustaka yg digunakan dalam

artikel. Telah tiap jurnal yg dicitasi, dipublikasikan ke
dalam jurnal apa saja?

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BMC Res Notes (2016) 9:347 DOI 10.1186/s13104-016-2\