Contraceptive method change among rural Sri Lankan women

1989 ◽  
Vol 21 (S11) ◽  
pp. 133-148
Author(s):  
Amy Ong Tsui ◽  
Shyam Thapa ◽  
David Hamill ◽  
Victor de Silva

SummaryPatterns of contraceptive method change and their association with reproductive motivation and contraceptive failure are examined using data from a 1986 survey of family planning behaviour of rural Sinhalese married women aged 15–44 in seventeen districts of Sri Lanka. A notable degree of rationality in contraceptive method changes occurs with family formation. The attempt to control unwanted fertility leads to more efficacious use of contraception, including traditional methods. Some methodological improvements to the analysis of contraceptive switching are indicated. Implications of the findings for programmatic emphasis on permanent versus non-permanent modern methods are discussed.

2007 ◽  
Vol 39 (6) ◽  
pp. 801-817 ◽  
Author(s):  
ALTANKHUYAGIIN GERELTUYA ◽  
JANE FALKINGHAM ◽  
JAMES BROWN

SummaryThis study examines the determinants of current contraceptive use and method choice in Mongolia using data from the 1998 Mongolian Reproductive Health Survey and 2000 Mongolian Population and Housing Census. Since 1976, access to modern contraceptives has been liberalized and all restrictions on the use, distribution and import of contraceptives were removed in 1989. There were some increases in the use of modern contraceptives among married women in the 1990s; however, at the start of the twenty-first century the IUD and periodic abstinence remain the most widely used methods. Women with higher levels of education are more likely to be current users of contraception, and if they are current users, they are more likely to choose the IUD and traditional methods. Women living in rural areas have a higher probability of using contraception and are more likely to choose the IUD and traditional methods. Significant variations exist between primary sampling units in current contraceptive use and in the choice of modern methods. Community-level variables were important predictors in reducing variation between primary sampling unit, when other modern methods were compared with traditional methods.


1986 ◽  
Vol 18 (1) ◽  
pp. 23-34 ◽  
Author(s):  
M. Kabir ◽  
M. M. Uddin ◽  
S. R. Chowdhury ◽  
T. Ahmed

SummaryThe 1981 Bangladesh Contraceptive Prevalence Survey found that 55% of ever-married women had some knowledge of traditional methods of contraception and the overall level of ever use was 23%. There was a positive relationship between use and socioeconomic variables. Current use of traditional methods at 7·7% was only slightly below the figure for modern methods (10·9%). It is suggested that traditional methods still have an important role in family planning and that this should not be disregarded.


1973 ◽  
Vol 3 (4) ◽  
pp. 745-747 ◽  
Author(s):  
Maurice H. King

The comparative emptiness of Africa in relation to so many other parts of the developing world makes it difficult both for the administrator and the public to see the demographic advantages of a slower rate of population increase. This difficulty is accentuated by tensions among the tribes within a country, and by the racial tensions in the continent as a whole. Political difficulties are compounded by personal ones and there are deep psychologic impediments to family limitation. Although traditional methods of family planning are common in many tribes, there is much resistance to the modern methods that attempt to replace them. Yet even if the economic arguments for family limitation are not widely understood, progress has been made and family planning is slowly coming to be more widely accepted. Still, ominous portents for the future can already be seen. The recent bloodshed in Rwanda, on a scale which has had too little international publicity, seems to have been at least partly due to the pressure of people on land. This is a warning of what the continent can expect if her countries do not make good use of the time that most of them still have to implement rational population policies.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254400
Author(s):  
Ranjita Ghosh ◽  
Arupendra Mozumdar ◽  
Aparajita Chattopadhyay ◽  
Rajib Acharya

Since the inception of the National Programme for Family Planning, messages on family planning (FP) have been promoted across India using different mass media platforms. Mass media plays an important role in disseminating important information among the masses, such as how reversible modern methods give women more reproductive choices than opting for permanent methods that limit their child-bearing capacity. Mass media can provide a continuous flow of information and motivation to deter women from discontinuing the methods they have opted for. However, very few studies have been conducted on this issue, especially using recently available data. This study particularly focuses on exposure to mass media and the use of reversible modern methods of family planning among married women in India. The data for this study was obtained from the National Family Health Survey (2015–16) on currently married women aged 15–49 years. The association of reversible modern method use with media exposure variables was examined, controlling for a set of independent variables from multiple levels—individual, district, state, and region. The findings from this study showed that television was the most important medium for disseminating information on FP among married women in India. Spatial analysis revealed that some districts in the north, parts of the northeast, and Kerala in South India lacked any television exposure. The results from the decomposition analysis showed that mass media exposure was associated with a 14% increase in the use of reversible modern methods. Results from the multilevel analyses showed that exposure to TV along with other media (AOR 1.57 95% CI 1.49–1.65) and exposure to FP messages through different media (AOR 1.22 95% CI 1.12–1.32) had a significant positive effect on the use of reversible modern methods even when various individual, district, state, and regional-level factors were controlled. The findings of this paper provide evidence supporting the use of mass media to promote and increase awareness of voluntary contraceptive use in India. An increase in mass media exposure coupled with improvement in coverage and services of the FP program can significantly increase the use of reversible modern methods in a cost-effective yet efficient manner among women in need of FP services.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sylvain Y. M. Some ◽  
Christy Pu ◽  
Song-Lih Huang

Abstract Background In Burkina Faso, gender inequality prevents women from meeting their reproductive needs, leading to high rates of unintended pregnancies, abortions and deaths. Evidence shows that empowering women may increase the proportion of demand for family planning satisfied using modern methods (mDFPS), but few studies have measured this process in multiple spheres of life. We investigated how empowerment influences the mDFPS among married women of reproductive age (MWRA) in Burkina Faso. Methods We analyzed data from the 2010 Burkina Faso Demographic and Health Survey (DHS) on 4714 MWRA with reproductive needs living in 573 communities. We used principal component analysis (PCA) and Cronbach’s alpha test to explore and assess specific and consistently relevant components of women’s agency in marital relationships. Aggregated measures at the cluster level were used to assess gender norms and relationships in communities. Descriptive statistics were performed and multilevel logistic regression models were carried out to concurrently gauge the effects of women’s agency and community-level of gender equality on mDFPS, controlling for socioeconomic factors. Results Overall, less than one-third (30.8%) of the demand for family planning among MWRA were satisfied with modern methods. Participation in household decision-making, freedom in accessing healthcare, and opposition to domestic violence were underlying components of women’s agency in marital relationships. In the full model adjusted for socioeconomic status, freedom in accessing healthcare was significantly (aOR 1.27, CI 1.06–1.51) associated with mDFPS. For community-level variables, women’s greater access to assets (aOR 1.72, 95% CI 1.13–2.61) and family planning messages (aOR 2.68, 95% CI 1.64–4.36) increased mDFPS, while higher fertility expectations (aOR 0.75, 95% CI 0.64–0.87) reduced it. Unexpectedly, women in communities with higher rates of female genital mutilation were more likely (aOR 2.46, 95% CI 1.52–3.99) to have mDFPS. Conclusions Empowering women has the potential to reduce gender inequality, raise women’s agency and increase mDFPS. This influence may occur through both balanced marital relationships and fair community gender norms and relationships. Progress toward universal access to reproductive services should integrate the promotion of women’s rights. Trial registration No clinical trial has been performed in this study.


2014 ◽  
Vol 3 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Md. Shahidul Islam

Family planning programs are considered to be an important way to control the rapid population growth of Bangla-desh with the main focus being women. As a male dominant country, the knowledge of, attitude towards, and ap-proval of family planning is largely influenced by the male member of couples in their choice of appropriate contra-ceptive methods. This paper examined the determinants of current choices in family planning methods in relation to male knowledge, attitude and approval of family planning practices in Bangladesh. A total of 430 married men aged 15-49 years were interviewed in Narsingdi, a district town of Bangladesh. The findings revealed that the men’s level of contraceptive knowledge and their attitude to modern contraceptive was high in this area. The findings asserted that the contraceptive prevalence rate among couples was (62.1%), with oral pills (26.51%) and withdrawals (6.25%) being the most preferred modern and traditional methods respectively. The multinomial logistic regression model has been applied to understand the determinants of the choice of contraceptive method. These findings indi-cated that women in skilled occupation, positive attitude towards modern contraceptives of male, high level of knowledge on contraceptive methods of male, approval of family planning by male, and current living children had significantly more positive effects on using modern contraceptives by the couple. It was also found that couples who desired more children were less likely to use modern contraceptives. Alternatively, the education level of the hus-band and the desired number of additional children had a negative impact on the use of traditional methods while media exposure, a high level of knowledge on contraceptives, and an approval of family planning had positive im-pacts on the use of traditional contraceptives over not using any method. The government should increase the fund-ing and availability of family planning programs which promote the use of modern contraceptive methods, espe-cially those that are targeted towards the male population. South East Asia Journal of Public Health 2013; 3(1): 50-56 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17711


2014 ◽  
Vol 9 (4) ◽  
pp. 24-29
Author(s):  
N Bhandari ◽  
GK Shrestha ◽  
PC Thakuri

Background The use of contraception can prevent pregnancies related complication and helps in improving the women’s health and quality of their lives. Objective To explore reproductive characteristics among married women of reproductive age. To find out method of contraceptive use and side effects among married women of reproductive age. To uncover factors related to contraceptive use among married women of reproductive age. Methods This cross-sectional was carried out among (369) married couples of reproductive age group in ward number 5, 6 and 7 of Dhulikhel Municipality using purposive sampling. Those who fell in between the age group of (14-49 years) and willing to participate were included and pregnant women were excluded from the study. Questionnaire was used to obtain informations. Results Among 369(81.3%) of the respondents of reproductive age were using a modern contraceptive method. Regarding education 331(89.5%) of women’s and 352(95.1%) of husbands were literate and 275(91.6%) of women were found to be involved in decision making and had good inter-spousal communication that is 280(93.3%). Among the temporary method of family planning, Depo-Provera was the choice 150(54.5%) of contraceptive method. Conclusion The present study put more emphasis on increase in women’s literacy, women’s involvement in decision making and inter-spousal communication which helps to promote the effective use of contraceptive methods. As women play an important role in the decision making, women should be included in all aspects of reproductive health and family planning programs. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 24-29 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10233


1996 ◽  
Vol 28 (3) ◽  
pp. 257-264 ◽  
Author(s):  
M. Mujibur Rahman ◽  
M. Nurul Islam ◽  
M. Mazharul Islam

SummaryThis paper examines the changing patterns of knowledge, attitude and use of traditional methods of contraception, compared to modern methods, over the last five contraceptive prevalence surveys in Bangladesh (1981–91). The results show that knowledge of at least one method of family planning is universal in Bangladesh and usage is higher at all ages for women who are using modern methods than for those who are using traditional methods. Educated women and those in employment are more likely to use modern contraceptive methods.


2011 ◽  
Vol 38 (1-2) ◽  
pp. 61 ◽  
Author(s):  
Gebremariam Woldemicael ◽  
Roderic Beaujot

Eritrea’s contraceptive prevalence rate is one of the lowest in sub-Saharan Africa and its fertility has only started to decline. Using data from the 2002 Eritrea Demographic and Health Survey (EDHS), this study examines the determinants of unmet need for family planning that is the discrepancy between fertility goals and actual contraceptive use. More than one-quarter of currently married women are estimated to have an unmet need, and this has remained unchanged since 1995. The most important reason for unmet need is lack of knowledge of methods or of a source of supply. Currently married women with higher parity, and low autonomy, low or medium household economic status, and who know no method of contraception or source of supply are identified as the most likely to have an unmet need. Addressing the unmet need for family planning entails not merely greater knowledge of or access to contraceptive services, but also the enhancement of the status of women.


Author(s):  
Neelam Joharwal ◽  
Shital Kapadia

Background: Population explosion has been major challenge for India since Independence. The adoption of contraceptive methods remains the best solution to this problem. The objective of this study was to determine the factors for non-acceptance of different contraceptive methods among married women of postnatal ward in tertiary care hospital, Ahmedabad, Gujarat, India. The aim of the study was to analyse about the level of awareness and attitude towards different methods of contraception among married women of reproductive age groups.Methods: It was a prospective observational study carried out in the department of obstetrics and gynaecology, B. J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India, a tertiary care teaching hospital from June 2019 to November 2020. 200 patients meeting inclusion criteria were included. Case sheets were analysed to obtain data regarding reasons for non-acceptance of contraceptive methods.Results: In our study, we found that among study population 64% women use family planning methods, which was still low as compared to developed countries. 36% women were non-users in study population. The main reason of non-acceptance of contraceptive method were desire for male child, non-allowance by religion/custom, the myth regarding price of contraceptive method, desire of more children and worry about side effects.Conclusions: To increase the use of contraceptive among women, we can increase awareness about different family planning method with counselling about various available contraceptives. It is also important to increase participation of husbands as they often influence the decision regarding reproductive health of women.


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