Fmaily Planning Knowledge, Attitude and Practice among married women in Bahri district ,Khartoum state 2022.

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Mai Hassan Alamin Hassan
Meaad Alaauldin Yassin Mohammed
Fatima Ahmed Alturaify Ahmed
Alaa Bannaga yagoub Musa
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Napata College
Evaluation of the various factors that influence the use of family planning services is important to improve services and policies. This study aimed to asses Knowledge ,Attitude and use of family planning methods among married women in Khartoum North (Bahri). A cross sectional study was conducted in a simple randomized sampling of married women between November 1st 2022, and December 5th 2022. Four hundred married women aged 20-49 were surveyed using a structured questionnaire. The mean age of the participants was 30-39 years, 55% were university educated and 52% were housewives. More than half of them (59%) had 1-3 living children. All of the respondent's (100%) were aware of at least one contraceptive method. The most common source of information on contraception was doctors (46%), followed by Healthcare center staff (43%) and finally by social media , friends and family. More than two thirds of participants ( 74%) reported use of at least one contraceptive method, and about (26%) have not used any family planning method. Pills were the most commonly used method ( 52.7%) followed by natural method ( 20.3%), Implants (18.9%), condoms(9.5%)and ligation (8.1%).Among these more than half (66%) reported adverse side effects ranging from irregular menustrautions (59.2%) to inflammations (38.8%) , to unwanted pregnancies (10.2%) and even ectopic pregnancies (8.2%) and uterine perforations (6.1%). Among the women not using family planning methods (26%), the causes behind not using them were commonly the adverse health effects(46.2%),husband refusal (42.3%),no desire to regulate pregnancy (38.5%), no enough information (34.6%) and religious causes (26.9%). The majority of these women (76.9%) had no desire for future use and (23.1%) had intention to use family planning methods in the future. This study reveals that with increase level of education, awareness also increased. Most of the respondents have the considerable knowledge and favourable attitude towards contraceptive methods and the wide knowledge practice gap has shown a decrease in this study, which was contradictory to findings of studies done in other developing countries. Improved female education strategies and better access to services are needed to solve these problems. The use of communication media suitable for audience and adequate message is important in conducting effective family planning awareness activities. Efforts should be made to educate the public about the safety and convenience of modern, long term, reversible methods of contraception among both healthcare professionals and the public.