Factors Influencing Modern Contraceptive Use in Georgia
ESC Congress Library. Tsuleiskiri N. May 28, 2014; 50620; A-205
Mrs. Nino Tsuleiskiri
Mrs. Nino Tsuleiskiri
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Abstract
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1. Objective
The objective of the study was to research the tendencies and nature of misconceptions in use of contraceptives. Furthermore, reveal the causes and factors influencing contraceptive use in population of Georgia.


2. Methods
To meet the objectives, quantitative and qualitative research methods were used in this study. Qualitative, literature review, was conducted in order to evaluate international experience and to adapt international questionnaires for use in quantitative study. Quantitative study included interviews and focus group discussions with reproductive health services providers, women and men in fertility. Interviewees were chosen by different profiles such as: ages, gender, urban and rural, education level, income and region.


3. Results


In total, 15 focus group discussions among women and men in fertility age (18-44) with different profiles in Kutaisi, Senaki, Akhaltsikhe and Tbilisi. Furthermore, face to face interviews were performed with, 22 medical providers of various disciplines, 18 representatives from governmental and non-governmental agencies, and 10 representatives from pharmaceutical companies.


It was found that most popular methods of contraception in Georgia are: condoms (42%), withdrawal method (27%) and calendar/rhythm methods (25%). The causes of popularity are high accessibility and relatively low price.


Overall knowledge of population about contraceptive methods varies by region, age, sex and education. For example almost 100% of women are aware about contraception, and 80% know about modern methods of contraception whereas less than half questioned men possess knowledge. Furthermore, usage of contraception in men is directly associated only with condom.


Psycho-emotional factor, such as \"\"shame\"\" during purchase and/or inability of using oral pills regularly, was found to negatively influence people's perception about contraception and its use. False perception is not handled by service providers. On controversy, inappropriate doctor patient communication is additional hurdle for patients.


4. Conclusion


Research conclusions about modern contraceptives use in Georgia can be separated in two levels. From social perspective, there are psychological, economic and geographical barriers which result in unequal availability and high cost of contraceptives. Whereas second is, non-friendly service provision and counseling. Doctor-gynecologists and family physicians still are most reliable qualified source of information. In other words, there are monopolistic environment among medical professionals in Georgia where there are no incentive for quality especially in regions and rural areas. All above mentioned indicates that the existing environment cannot ensure patients' sexual and reproductive rights as an integral part of human rights.


 

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