Using data from the Pakistan Demographic and Health Survey of
1990-91, this study examines the effect of selected socio-cultural and
supply factors on contraceptive use as reported by married women of
reproductive ages. In addition to the expected positive relationship of
woman’s age, number of living children, education, and place of
residence with contraceptive use, it is theorised that there are five
factors potentially affecting fertility regulation in the
socio-structural context of Pakistan. These include the extend of
communication between husbands and wives, religious beliefs, female
autonomy, son preference, and the family planning service and supply
variables. Using logistic regression analysis, the results of the study
indicate that the explanatory power of these five factors is significant
in affecting the use of contraception in both urban and rural areas.
While knowledge of a source for family planning is the strongest
predictor of contraceptive use, husband-wife communication and religious
attitudes are also significant. The fact that the inclusion of the
theoretical variables dampens the predictive effect of the primary and
secondary education for women leads to the speculation that while the
extremely low levels of literacy among women must be addressed through
government commitment to universal education, scarce family planning
programme resources can be focused more effectively on promoting spousal
communication, about family size and contraceptive use, and on
soliciting the support of religious leaders to counteract the
misperceptions about Islamic teachings on family planning and reliance
on fate. With high quality and accessible services, these measures could
go a long way towards providing couples with the means to meet their
reproductive goals.