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Table of Contents
ORIGINAL ARTICLE
Year : 2020  |  Volume : 17  |  Issue : 2  |  Page : 194-198

Opinion's assessment of female teachers regarding the risk factors affecting the reproductive health


Department of Community Health, Kirkuk Technical Institute, Northern Technical University, Kirkuk, Iraq

Date of Submission07-Jan-2020
Date of Acceptance04-May-2020
Date of Web Publication17-Jun-2020

Correspondence Address:
Wafa Mahmod Jasim
Department of Community Health, Kirkuk Technical Institute, Northern Technical University, Kirkuk
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/MJBL.MJBL_97_19

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  Abstract 


Background: Reproductive health is affected both by the quality of the health-care services and the socioeconomic development level and the position of women in the society. Women's health cannot be understood unless a specific definition of health that is related to their role and position in society, specifically in the family unite. Materials and Methods: The aim was to assess the female teachers' opinions regarding the factors affecting the reproductive health in the Kirkuk Technical Institute. A cross-sectional study was done, and a randomly selected sample from 50 female teachers from different scientific departments after receiving their agreements to participate in the study which was started from November 1, 2016, to December 1, 2016. A special questionnaire form was prepared and distributed to the study sample. Results: The study results showed that 66.0% of study teachers were living inside Kirkuk city, (58.0%) from the administrative department. Nearly 42.1% teachers from the administrative department married at the age <20 years, whereas 32.2% teachers from the technical department married at the age >20 years. Conclusions: The study concluded that young age pregnancy can be prevented through the encouragement of family planning counselling.

Keywords: Female teachers, Kirkuk, opinions, reproductive health


How to cite this article:
Jasim WM. Opinion's assessment of female teachers regarding the risk factors affecting the reproductive health. Med J Babylon 2020;17:194-8

How to cite this URL:
Jasim WM. Opinion's assessment of female teachers regarding the risk factors affecting the reproductive health. Med J Babylon [serial online] 2020 [cited 2020 Jul 4];17:194-8. Available from: http://www.medjbabylon.org/text.asp?2020/17/2/194/287062




  Introduction Top


Reproductive health refers to that all people are able to have a satisfy, responsible, and more safer sex life and have the ability to reproduce and the freedom to make their decision if how and when often to do so, in addition to reproductive health or in another word (a sexual health) can be defined as the functions and systems in all stages of life.[1]

Inequalities in reproductive health services based on stages and socioeconomic background including the educational level, ethnicity, age and religion, and other health resources which are present in that environment, for example, individuals with low income lack the appropriate knowledge about the perfect useful contraception for reproductive health maintenance.[2]

Reproductive health is affected both by the quality of the health-care services and the socioeconomic development level and the position of women in the society.[3] The most important factor affecting the reproductive health is child bearing which have a greater risk for both women and their infants. Therefore, the suitable age for the marriage is 18 years old to improve maternal and child health.[4],[5]

Accordingly if a further child conceived, it is better to consider the mother health in addition to the succeeding child, that to wait for about 2 years to maintain her health.[2]

WHO detected that every year, 358000 women die because of the major complications related to both pregnancy and child birth, and 99% of these deaths happened within the poorest group countries.[6] These deaths can be prevented by good quality care from a skilled birth attendant throughout the pregnancy. The other factor affecting reproductive health is the availability of contraception, especially the modern type, therefore, the WHO estimates that about 222 million women throughout the world lack of access to modern contraception mainly in the poor population, those who are living in urban and rural slums, and those who are internally displaced.[7]

For the above reasons, poor reproductive outcome mostly associated with unintended pregnancy.[8] Accordingly UNFPA documented that one in three deaths can be prevented which is related to pregnancy and child birth by good accessible contraceptive services.[8]

The study aimed to assess the female teachers' opinions regarding the risk factors affecting the reproductive health in the Kirkuk technical institute.


  Materials and Methods Top


Study design

The study was carried out in the primary health center which belongs to the Kirkuk technical institute. This descriptive cross-sectional study was done among 50 female teachers from different departments. A special questionnaire was distributed to them after receiving their agreements to participate in the study, and the data were collected by interviewing with the study teachers after complete explanation of the study aim. The study was done during the period from November 1, 2016, to December 1, 2016. The exclusion criteria included any female teacher who is not married.

Data collection tool

The data of this study were collected through two sources which are:

  1. The first one from a primary source by direct interviewing with the study participants
  2. The second one from the available related literatures, books, and articles. The questionnaire form included four main parts:


    • Part-1: Demographic characteristics including (age, scientific department, certificate, scientific degree, and residence)
    • Part-2: Teachers distribution according to the age of marriage
    • Part-3: Teachers assessment bout the effect of various risk factors on the reproductive health
    • Part 4: Teachers suggestions for better future improvement in reproductive health.


Reliability of the questionnaire form

The questionnaire was presented to the (4) experts in the clinical medicine; they were (2) community physicians and (2) statistical experts. The reliability of the questionnaire was 75%.

Statistical analysis

All the questions with yes and no answer, number, and percent will be calculated. The statistical test used for this study was Chi-square to detect the relation among the studied variables and the dependent level of significance was P < 0.05.[9]

Ethical consideration

The study was conducted in accordance with the ethical principles that have their origin in the Declaration of Helsinki. It was carried out with patients verbal and analytical approval before the sample was taken. The study protocol and the subject information and consent form were reviewed and approved by a local ethics committee. Official permission was taken from the Kirkuk Technical Institute and primary health center before establishing the study.


  Results Top


[Table 1] shows that 66.0% of study teachers were living inside Kirkuk city, 58.0% from administrative department, 56.0% having a bachelors, 54.0% aging between 40 and 50 years, and 68.0% of them have a scientific degree of assistant lecturer.
Table 1: Sociodemographic characteristics of the study teachers

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[Table 2] shows that 42.1% teachers from the administrative department married at the age <20 years, whereas 32.2% teachers from the technical department married at the age >20 years with a P = 0.514.
Table 2: Distribution of study teachers according to the age of marriage

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[Table 3] shows that 56.2% from female teachers who were married at the age <20 years agree with the availability of modern contraception in comparison to 78.9% from female teachers who were married at the age >20 years agree with the need to further women awareness about their health needs with a P = 0.833.
Table 3: Frequency distribution of study teacher according to their opinions toward the factors affecting the reproductive health

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On the other hand, 56.2% of women who married at the age <20 years agree with the norms and values about the reproductive and sexual health as a cultural factor affecting the reproductive health in comparison to 68.4% of female teachers who married >20 years of age agree with the needed confidence about health needs with a P = 0.033.

For the demographic factors affecting the reproductive health, both groups of female teachers agree that poverty is an important risk factor (50.0%, 52.6%), respectively, with a P = 0.086.

[Table 4] shows that 47.4% of female teachers from the group who were married at the age <20 years go with the need for more emphasis and concentration on adolescent reproductive health services in comparison to female teachers who were married at the age >20 years go with preventing young age pregnancy by the encouragement of contraception counseling with a P = 0.000.
Table 4: Frequency distribution of study teachers according to their future suggestions for reproductive health improvement

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  Discussion Top


Concerning the demographic distribution of the study sample, majority of them were living inside Kirkuk city, aging between 40 and 50 years. A previous study reported in her study about the factors influencing women's reproductive health in ASA University Bangladesh, that demographic factors affecting the health in two approaches, the first one is the Macro level which mean the whole society including the population growth and the surrounding environment, whereas the second approach is the Micro level which mean the family or individual.[10]

Concerning the age of marriage, the current study show that about half of teachers from administrative Department married at the age <20 years while about one third teachers from technical department married at the age >20 years. Similar study done in Baghdad city to determine the age of marriage in association with different socioeconomic characters in the family from 800 randomly selected healthy mothers during their attendance to primary health centers and they found that more than half of the study women were married at the age <20 years which indicates that more than half of women in the sample were adolescent at the time of their marriage and it is regarded as an important determinant of women reproductive health.[11] Another study reported in his study that the adolescent girls reproductive health is affected by their sexual behavior, poor agreement of healthy life style, the higher prevalence rate of unintended pregnancy and lack of responsibility in sexual relation.[12]

Regarding the teachers opinions about the effect of demographic, environmental, and cultural factors, the current study shows that the group of female teachers who were married at the age <20 agree with the availability of modern contraception in comparison to another group of female teachers who were married at the age >20 years agree with the awareness of women about their health needs.

A similar study was conducted to assess the effect of availability of health services and the impact of them on the reproductive health after the data collection from 43 countries in Africa and Asia (urban and rural regions) through monitoring the relationship between individual, household, and the community.[13] They found that 20% of deliveries were happened alone or with friends and the facility delivery rates are lower in Africa with some greater proportion better in delivery services in Asia because of the presence of private hospitals in comparison to Africa.

A study was prepared in Ethiopia to verify the impact of sociodemographic factors on reproductive health on married women after collected the data from 220 women from the urban area and 132 women from the rural area taking different variables such as (education, occupation, religion, type of family, per capita income, and type of housing).[14] They revealed that there was a quite differences between the two groups regarding illiteracy, occupation, and type of family, as follows: illiteracy, (urban 69.8% and rural 87%), occupation (urban 84% and rural 71.9%), and type of family (urban 66.1% and rural 74.5%). They concluded that the educational level, occupation, and type of family have a direct relation on women reproductive health.

Another study was designed in Nigeria regarding the effect of literacy status and the life expectancy which is represented by the human development and they found that the reproductive health is a panacea toward reversing the stalled socioeconomic growth in Nigeria, and it is directly affected by the social factors such as education, poverty, and other cultural determinants.[15]

A study reported in her study done in Road Sardarpura Jodhpur/Rajasthan about the impact of demographic factors on reproductive health that developmental disparities are related to socioeconomic differences and women with low social status have a negative impact on their health status with little utilization of health services from different segments of the society because of many reasons.[16]

Concerning the teachers' suggestions for the future improvement in reproductive health, the current study showed that “more emphasis on adolescent reproductive health services with the prevention of young age pregnancy (by the encouragement of contraception counseling)” was the most influential suggestion. A previous effort was done in two districts - Peshawar and Kohat/Pakistan to identify the relation of reproductive health with the socioeducational, demographic, and cultural factors. They found that there is an essential need for the availability and accessibility of modern family planning centers for every basic unite to encourage the norms of small family. They also suggested that for future reproductive health improvement, it needed for early scientific awareness of women about the sociodemographic and sexual health implication and necessary information before marriage and continuous creation regarding the true Islamic spirit for the formation of family and its function in the community.[17]

Another study suggested about the family structure, socioeconomic status on the access to health care for children that it is very critical to cover the public health insurance to maintain the proper health care access and utilization among the children of less educated mother in regarding to family structure. In addition to that, they mentioned that approach to reproductive health should be recognized correctly because women health are based on their childhood and adolescent, and it is affected by many factors such as education, nutrition, social status, and cultural practices.[18]


  Conclusions Top


  1. There was a good awareness about their reproductive health needs
  2. Lack of availability of modern contraception is the main environmental risk factors for reproductive health, whereas norms and values about the sexual health are the cultural risk factors
  3. Poverty is the another main demographic risk factor for reproductive health needs
  4. The main future suggestion for the improvement of reproductive health by the prevention of early pregnancy through encouragement of contraception counseling.


Acknowledgment

I would like to acknowledge all the study teachers who support me in completing this research in addition to that all the experts in community medicine and statistics who help me in data analysis with my special thanks for the scientific departments for their intelligent and cooperative communication with the teachers.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
WHO. Reproductive health. Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries, International technical guidance on sexuality education: an evidence-informed approach. Paris: UNESCO. 2018. p. 22. Available from: http://unesdoc.unesco.org/images/0026/002607/260770e.pdf”\h. [Last retrieved on 2008 Aug 19].  Back to cited text no. 1
    
2.
Hall KS, Moreau C, Trussell J. Determinants of and disparities in reproductive health service use among adolescent and young adult women in the United States, 2002-2008. Am J Public Health 2012;102:359-67.  Back to cited text no. 2
    
3.
Hora EA. Factors that affect women participation in leadership and decision making position. Asian J Humanit Art Lit 2014;1:97-117.  Back to cited text no. 3
    
4.
Healthy timing and spacing of pregnancy: HTSP Messages. USAID, Adolescent sexual and reproductive health: The global challenges. Int J Gynecol Obst., 2008; 131 Suppl 1: S40.  Back to cited text no. 4
    
5.
Ansari AK. Reproductive health care in Rajasthan: A situational analysis. Am J Math Math Sci 2012;1:1-7.  Back to cited text no. 5
    
6.
World Health Organization. Maternal and Perinatal Health. World Health Organization. Available from: https://www.who.int/reproductivehealth/en/.[Last retrieved on 2011 Mar 03].  Back to cited text no. 6
    
7.
Family Planning — UNFPA — United Nations Population Fund. Available from: www.unfpa.org. [Last retrieved on 2016 Dec 13].  Back to cited text no. 7
    
8.
Shobha R, Carol V, Jayshree S. Economic development, women's social and economic empowerment and reproductive health in rural India. Asian Popul Stud 2014;10:4-22.  Back to cited text no. 8
    
9.
Bagdonavicius V, Nikulin MS. Chi-squared goodness-of-fit test for right censored data. Int J App Math Statistics 2011;24:30-50.  Back to cited text no. 9
    
10.
Nasrin Z. Factors influencing women's reproductive Health. ABC J Adv Res 2014;3:38-46.  Back to cited text no. 10
    
11.
Enas TA, Abdul-Hussain A. Mother age at marriage as a determinant of reproductive health. Iraq J Med Sci 2005;4:54- 62.  Back to cited text no. 11
    
12.
Sedlecki K, Markovic A, Rajic G. Medical aspects of adolescent sexuality. Srp Arh Celok Lek 2001;129:109-13.  Back to cited text no. 12
    
13.
Diamond-Smith N, Sudhinaraset M. Drivers of facility deliveries in Africa and Asia: Regional analyses using the demographic and health surveys. Reprod Health 2015;12:6.  Back to cited text no. 13
    
14.
Hiwarkar YA, Rathi HB. Impact of socio demographic factors on reproductive health of married women in reproductive age group. Res J Pharmacol Pharmacodynamics 20130;5:197-201.  Back to cited text no. 14
    
15.
Adinma JI, Adinma ED. Impact of reproductive health on socio-economic development: A case study of Nigeria. Afr J Reprod Health 2011;15:7-12.  Back to cited text no. 15
    
16.
Firdous A. Impact of social and demographic factors on reproductive health. Indian J App Res 2015;5:106-7.  Back to cited text no. 16
    
17.
Mohammad MK, Mohammad l Z, Tanvir A, Ashfaq A. Effect of socio- economic, cultural and demographic factors on women reproductive health. Pak J Agric Sci 2009;46:308-13.  Back to cited text no. 17
    
18.
Heck KE, Parker JD. Family structure, socioeconomic status, and access to health care for children. Health Serv Res 2002;37:173-86.  Back to cited text no. 18
    



 
 
    Tables

  [Table 1], [Table 2], [Table 3], [Table 4]



 

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