scholarly journals Which Contraceptive Methods are Used for Stopping Childbearing in India? Levels, Patterns and Determinants

Author(s):  
AVIJIT ROY ◽  
MARGUBUR RAHAMAN ◽  
NANIGOPAL KAPASIA ◽  
PRADIP CHOUHAN

Abstract Background: This study aims to examine patterns and socio-economic correlates of using contraceptives for limiting childbirths in India. Methods: The study is based on data from the fourth round of the National Family Health Survey considering 339,537 currently married, non-pregnant and fecund women. Bivariate and three separate binary logistic regression model were carried out to accomplish the research objectives. Results: Most of the women stated to postpone their childrearing after age 25 years and after achieved children 2 or more in India. Still, 13.5% women were not using any contraceptive to satisfy their demand for postpone childbearing and 8% women were using traditional contraceptive to postpone their childbearing and using traditional contraceptive to postpone childrearing was higher among women aged 15-19 years, illiterate, poor, Muslims and belong from central and northeast region. Women’s age, parity, year of schooling, wealth status, religion, caste, mass media and region found to be strong determinants of met need for limiting childbearing and using traditional contraceptives in India. Conclusion: The met need for demand of spacing methods was fur lagging to desire goals of SDG-3.7.The government should needs to focus on women with high unmet need for limiting and use traditional methods for limiting.

2020 ◽  
Author(s):  
AVIJIT ROY ◽  
MARGUBUR RAHAMAN ◽  
NANIGOPAL KAPASIA ◽  
PRADIP CHOUHAN

Abstract Background: This study aims to examine patterns and socio-economic correlates of using contraceptives for limiting childbirths in India. Methods: The study is based on data from the fourth round of the National Family Health Survey considering 339,537 currently married, non-pregnant and fecund women. Bivariate and three separate binary logistic regression model were carried out to accomplish the research objectives. Results: Most of the women stated to postpone their childrearing after age 25 years and after achieved children 2 or more in India. Still, 13.5% women were not using any contraceptive to satisfy their demand for postpone childbearing and 8% women were using traditional contraceptive to postpone their childbearing and using traditional contraceptive to postpone childrearing was higher among women aged 15-19 years, illiterate, poor, Muslims and belong from central and northeast region. Women’s age, parity, year of schooling, wealth status, religion, caste, mass media and region found to be strong determinants of met need for limiting childbearing and using traditional contraceptives in India. Conclusion: The met need for demand of spacing methods was fur lagging to desire goals of SDG-3.7.The government should needs to focus on women with high unmet need for limiting and use traditional methods for limiting.


2020 ◽  
Vol 7 (11) ◽  
pp. 2157
Author(s):  
Sankar Goswami ◽  
Rituparna Acharjee ◽  
Sanku Dey

Background: Childhood anaemia is a major public health threat that can increase susceptibility to infections, risk of mortality together with serious degrading consequences on cognitive and physical development. The aim was to examine the prevalence of anaemia in children aged under-five years in Assam, India, exploring 2015-2016 National Family Health Survey (NFHS-4) data.Methods: Statistical analysis is performed on the cross-sectional data of 10,309 children from 2015-2016 National Family Health Survey (NFHS-4), using binary logistic regression model, to assess the significance of some risk factors of child anaemia. Anaemia was diagnosed by WHO cut-off points on hemoglobin level.Results: The prevalence of child anaemia was 35.7 per cent in Assam, India, with mean haemoglobin concentration 11.36 gm/dl (95% CI, 11.32-11.38); male and female being equaled proportionately anaemic. Out of 27 districts in Assam, the highest prevalence was found in Dibrugarh (52.2 per cent), followed by Nalbari (46.7 per cent) and Darrang (45.6 per cent); and the least prevalence was found in Karbi-Anglong (24.4 per cent). The findings indicate that rural children and lower age-groups were at greater risk of anaemia. Higher birth order, low level of maternal education, low level of maternal nutrition and non-intake of iron supplements during pregnancy increased the risk of anaemia among children (p<0.05).Conclusions: The findings suggest a need for proper preventive measures to combat child anaemia. Rural population should be given special attention. Maternal education, nutrition, and birth control measures should be priorities in the programs.


2011 ◽  
Vol 44 (1) ◽  
pp. 57-71 ◽  
Author(s):  
ABHISHEK SINGH ◽  
STAN BECKER

SummaryExamining waiting time to birth among newlywed couples is likely to provide insights into the desire for spacing births among newlywed husbands and wives. Data from the Indian National Family Health Survey of 2005–06 are used to examine the desired waiting time (DWT) to birth among newlywed couples. The dependent variable is spousal concordance on desired waiting times. Overall 65% of couples have concordant desired waiting times. Among discordant couples, wives were more likely to want to wait longer than their husbands. Couples from richer wealth quintiles were more likely than couples from the poorest quintile to have concordant desired waiting times. Muslims were less likely than Hindus to have concordant desires. There is a need for spacing contraceptive methods among newlyweds in India. This may have implications for the Indian Family Planning Programme, which to date has largely focused on sterilization. Programmes need to include newlywed husbands to promote use of spacing methods.


2012 ◽  
Vol 16 (10) ◽  
pp. 1723-1731 ◽  
Author(s):  
Nisha Malhotra

AbstractObjectiveDespite a rapidly growing economy and rising income levels in India, improvements in child malnutrition have lagged. Data from the most recent National Family Health Survey reveal that the infant and young child feeding (IYCF) practices recommended by the WHO and the Indian Government, including the timely introduction of solid food, are not being followed by a majority of mothers in India. It is puzzling that even among rich households children are not being fed adequately. The present study analyses the socio-economic factors that contribute to this phenomenon, including the role of nutritional information.DesignIYCF practices from the latest National Family Health Survey (2005–2006) were analysed. Multivariate logistic regression analyses were performed to establish the determinants of poor feeding practices. The indicators recommended by the WHO were used to assess the IYCF practices.SettingIndia.SubjectsChildren (n 9241) aged 6–18 months.ResultsWealth was shown to have only a small effect on feeding practices. For children aged 6–8 months, the mother's wealth status was not found to be a significant determinant of sound feeding practices. Strikingly, nutritional advice on infant feeding practices provided by health professionals (including anganwadi workers) was strongly correlated with improved practices across all age groups. Exposure to the media was also found to be a significant determinant.ConclusionsProviding appropriate information may be a crucial determinant of sound feeding practices. Efforts to eradicate malnutrition should include the broader goals of improving knowledge related to childhood nutrition and IYCF practices.


Author(s):  
Samuel A Abariga ◽  
Hamed Khachan ◽  
Gulam Muhammed Al Kibria

Abstract Objective To estimate the prevalence and determinants of hypertension in India based on a new definition by the 2017 American College of Cardiology/American Heart Association (2017 ACC/AHA) Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults, and compare prevalence estimates with those of the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7). Methods We used the National Family Health Survey (NFHS-4) conducted in India (n= 212, 007). We accounted for the sampling strategy by applying survey weights. Results Prevalence of hypertension among Indians aged 15-49 years was 40.6% (95% confidence interval [CI]: 40.3-41.0) and 13.0% (95% CI: 12.8-13.2) based on 2017 ACC/AHA and JNC7 guidelines respectively. The overall absolute increase in prevalence was 27.6% (95% CI:27.3-27.9). The absolute changes in crude prevalence of hypertension between the JNC7 and 2017 ACC/AHA guidelines for men and women were 31.4% (95% CI: 30.9-31.9) and 23.7% (95% CI: 23.5-23.9), respectively. As per both guidelines, the overall prevalence was significantly higher among older people , age, male sex, overweight/obesity, higher wealth status, and urban residence. Conclusion Applying the 2017 ACC/AHA guideline to the Indian population led to a significant increase in the proportion of Indians with hypertension. There is also socioeconomic differences in the prevalence of hypertension as per both guidelines. Implementation and expansion of public health efforts for prevention and control strategies for hypertension is warranted.


Author(s):  
Ms Poonam Sandhir

The paper is based on National Family Health Survey (NFHS) Haryana data collected during third and fourth round of survey. In terms of maternal health care indicators like ANC, IFA consumption, TT, assisted births, institutional births and PNC, Haryana performed better than India for parameters like TT, assisted deliveries and PNC; at par for IFA tablets and lower for ANC and institutional deliveries. Punjab was ahead of Haryana in terms of all these parameters. All these maternal health care indicators had a positive relationship with the raise in the educational level of the women. With the education the awareness level of women gets enhanced and they understand the importance of vital factors than their uneducated counterparts. Our policy planners and programme implementers should keep this important point well in mind that education is the key to easy eradication of all these problems and education of women will assist in achieving better results.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pradeep Kumar ◽  
Shekhar Chauhan ◽  
Ratna Patel ◽  
Shobhit Srivastava ◽  
Dhananjay W. Bansod

Abstract Background Malnutrition in mothers as well as in children is a significant public health challenge in most of the developing countries. The triple burden of malnutrition is a relatively new issue on the horizon of health debate and is less explored among scholars widely. The present study examines the prevalence of the triple burden of malnutrition (TBM) and explored various factors associated with the TBM among mother-child pairs in India. Methods Data used in this study were drawn from the fourth round of the National Family Health Survey (NFHS-IV) conducted in 2015–16 (N = 168,784). Bivariate and binary logistic regression analysis was used to quantify the results. About 5.7% of mother-child pairs were suffering from TBM. Results Age of mother, educational status of the mother, cesarean section delivery, birth size of baby, wealth status of a household, and place of residence were the most important correlates for the triple burden of malnutrition among mother-child pairs in India. Further, it was noted that mothers with secondary education level (AOR: 1.15, CI 1.08–1.23) were having a higher probability of suffering from TBM, and interestingly the probability shattered down for mothers having a higher educational level (AOR: 0.90, CI 0.84–0.95). Additionally, mother-child pairs from rich wealth status (AOR: 1.93, CI 1.8–2.07) had a higher probability of suffering from TBM. Conclusion From the policy perspective, it is important to promote public health programs to create awareness about the harmful effects of sedentary lifestyles. At the same time, this study recommends an effective implementation of nutrition programs targeting undernutrition and anemia among children and obesity among women.


2019 ◽  
Author(s):  
Gunjan Kumar ◽  
Tarun Shankar Choudhary ◽  
Akanksha Srivast ◽  
Ravi Praksah Updhyay ◽  
Sunita Taneja ◽  
...  

Abstract Objectives We estimated the utilisation, determinants and equity of full antenatal care (ANC), defined as 4 or more antenatal visits, at least one tetanus toxoid (TT) injection and consumption of iron folic acid (IFA) for a minimum of 100 days, in India. Methods We used data from India’s National Family Health Survey-4. Concentration curves and concentration index were used to assess equity in full ANC utilisation. Multivariable binary logistic regression model was used to examine the factors associated with full ANC utilization. Results In India, 21% of pregnant women utilised full ANC, ranging from 2.3% - 65.9% across states. Overall, 51.6% had 4 or more ANC visits, 30.8% consumed IFA for atleast 100 days, and 91.1% had one or more doses of tetanus toxoid. Registration of pregnancy, utilisation of government’s Integrated Child Development Services (ICDS) and health insurance coverage were associated with higher odds of full ANC utilisation. Lower maternal education, lower wealth quintile(s), lack of father’s participation during antenatal visits, higher birth order, teenage and unintended pregnancy were associated with lower odds of full ANC utilisation. Full ANC utilisation was inequitable across area of residence, caste and maternal education. Conclusions Full ANC utilization in India was inadequate and inequitable. Although half of the women did not receive the minimum recommended ANC visits, the utilisation of TT immunisation was almost universal. The positive association of full ANC with ICDS utilisation and child’s father involvement may be leveraged for increasing the uptake of full ANC. Strategies to address the socio-demographic factors associated with low and inequitable utilisation of full ANC are imperative for strengthening India’s maternal health program.


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