scholarly journals Contraception-still miles to go: a study among married women in a rural area of West Bengal

Author(s):  
Jayita Pal ◽  
Shamshad Ahmad ◽  
Arohita Siva

Background: Unregulated growth of population is the most important problem that is hindering the socio-economic growth of a developing country like India since its independence. Multiple socio-economic factors are responsible for non-acceptance of contraception. To meet the unmet need these factors are needed to be explored. The current study aimed to assess the rate of acceptance of different contraceptive methods, various socio-demographic factors affecting acceptance and to find out the reasons for non-acceptance among married women of reproductive age group in a rural area of West Bengal.Methods: An institution based cross sectional study was conducted among 224 married women of reproductive age group with the help of a predesigned, pretested schedule.Results: Almost entire study population (98.2%) had the knowledge of any modern accepted method of contraception; health personnel (91.1%) being the most common source of knowledge. In majority of cases (69.6%) the decision of contraceptive use was taken by the husband and wife jointly. The overall prevalence of current use of contraception was 33.9% of which most common method adopted was found to be tubectomy (42.1%). The total unmet need was 50%. Multivariate analyses revealed that women aged more than 27 years, belonging to Hindu religion, nuclear family of higher per capita income with education of self and husband being up to or above middle level, having at least two leaving issue and one male child had higher odds of ever use of contraception.Conclusions: To bridge the gap of knowledge and practice intense awareness generating programmes focusing on the local barriers of contractive practice were the need of the hour to address this alarming public health problem.

2015 ◽  
Vol 23 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Nirmeen Rifat Khan ◽  
Sadia Jerifa

This was a descriptive cross-sectional type of study conducted with an aim to find out the prevalence of contraceptive use among married women of reproductive age group (15-49 years) in a rural area of Sreepur upazilla under Gazipur district. The study was conducted from February 2012 to June 2012. Out of 265 respondents, majority (27.17%) were found between the age group of 20-24 years where mean age was 28.12 years with SD of ±7.881 years. Among all the respondents 97.7% were Muslims. Maximum number of respondents (28.7%) were educated up to secondary school level but most of them (84.5%) were housewives. Majority (34%) of their husbands were service holders and businessmen each, 29.4% had monthly family income of 5,001-10,000/- Tk. This lower middle class comprised the highest group in our study. Among 265 respondents, 62.3% were using contraceptive methods at the time of study and rest 37.7% were not using due to some different reasons, such as pregnancy, breast feeding, eagerness to take child etc. Maximum couple (81.9%) took decision combindly to adopt contraceptive methods and most of them (69.8%) lived in a nuclear family. Majority (62.63%) had 1 to 2 children. Mostly used contraceptive method among ever users (81.69%) and current users (60%) was oral contraceptive pill. Majority (45.28%) mentioned no side effect from any of the methods. Relatives and neighbors were the highest informer (33.96%) than the family planning workers (20.75%) and even mass media (7.54%). In this study the prevalence of contraceptive use was found 62.3%. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22686 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 7-13


2020 ◽  
Author(s):  
Matewos Wotango Wonago ◽  
Desalegn Tsegaw Hibstu

Abstract Back Ground: The Ethiopia Demographic and Health Survey, report indicates that high level with slight decrement of unmet need for family planning among married women that is, 37%, 25%, and 22% in 2000, 2011 and 2016 respectively. One of the consequences of unmet need is unwanted pregnancy with its serious squeal of induced abortion, and ultimately results in high maternal morbidity and mortality. The risk would increase in developing countries considerably (10). Therefore, this study focused on assessing magnitude of unmet need for FP and associated factors among married women of reproductive age group in Shebedino district, Sidama Zone, South Ethiopia, 2019.Methods: Community-based cross-sectional study was conducted from April 12 to 28, 2019. Data on married reproductive age groups women were collected using a pre-tested and interviewer administered structured questionnaire from 447 women using systematic random sampling technique. The data were entered using Epi Data version 3.1 and then exported in to SPSS version 20.0 Software for analysis. The result of bi-variable and multi-variable was reported by Adjusted Odd Ratio with 95% confidence. Result: A total of 447 married reproductive age group (15-49 years) women were included in the study with 100 % response rate. Fifty Six (12.5%) 95% CI: 9.5%-15.5%) women had unmet need for family planning [42 (9.4%) for spacing and 14 (3.1%) for limiting]. Age of the respondents [AOR= 6.02, CI: 2.73, 13.27], Age at first marriage [AOR= 9.3, CI: 1.9, 45.42], birth interval, [AOR= 2.9, CI, 1.3, 6.3], Number of alive children, [AOR= 9.3, CI: 1.9, 45.42], and Age at first start to use family planning to control birth (AOR= 3.69, CI: 1.44, 9.45) were identified as a positively associated factors.Conclusion: The level of unmet need for family planning in this study (12.5%) was lower than both the national (22%) and South Regional State (21%). Thus, spacing among births for at least two or more years, enforcing the law on minimum age for the first marriage, involvement of men in shaping reproductive preferences, reducing early marriage and participating relevant stakeholders to minimize mistimed and unwanted pregnancies and unmet need for family planning are recommended.


Author(s):  
Radha Ramaiah ◽  
Srividya Jayarama

Background: India was the first country to implement Family Planning Programme in 1952. The extent of acceptance of contraceptive methods still varies within societies and also among different religious groups. Objectives: To determine knowledge, attitude, practice regarding contraceptive use among married women of reproductive age group in a rural area of Karnataka.Methods: A community based, cross sectional study was conducted among 200 married women of reproductive age group residing in a rural area of Karnataka. Data regarding knowledge, attitude, practice of contraceptive methods was collected using a predesigned questionnaire prepared in local language. Institutional ethical committee approval, informed consent from the study participants was taken and anonymity, confidentiality was ensured.Results: Out of 200 study participants, 81% had knowledge and awareness of family planning methods, positive attitude for contraceptive use was shown by 76% of study participants, 53% were practicing different contraceptive methods.Conclusions: Women education and counseling of couples can play an important role to adopt family planning methods. 


2015 ◽  
Vol 2015 ◽  
pp. 1-8
Author(s):  
Anjana Verma ◽  
Jitendra Kumar Meena ◽  
Bratati Banerjee

Background. In developing countries, women are at high risk for several reproductive health problems especially RTI/STIs. Since all RTIs/ STIs are preventable and most of them are curable, it is pertinent to study the determinants of the health seeking behaviour.Objectives. To compare the prevalence and treatment seeking behaviour about RTI/STI symptoms among the married women of reproductive age group (18–45 years) living in urban and rural area of Delhi.Methods. A cross-sectional study was done among the married women of reproductive age group residing in Pooth Khurd, a village in North West district of Delhi, and Delhi Gate, an urban locality situated in central Delhi.Results. In this study, the prevalence of RTI/STI symptoms was found to be similar in both urban (42.3%) and rural area (42%). In urban area, 73% sought treatment, while in rural area only 45.6% sought treatment. Prevalence of the symptoms was found to be higher among the study subjects who were not using any contraceptive method, had history of abortion, and were with lower educational status, in both urban and rural areas. Treatment seeking behaviour was significantly higher among the educated women, contraceptive users, and older age group women in both rural and urban area.


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