scholarly journals Use of Contraceptive Methods among Young Married Women in Nepal

2018 ◽  
Vol 32 (2) ◽  
pp. 75-96 ◽  
Author(s):  
Kamala Devi Lamichhane

Nepal has a fairly high adolescent fertility rate and low use of contraception. Lack of contraceptive use is a major contributor to the high rates of unintended pregnancies amongst youth. There is also lack of specific studies dealing with contraceptive behavior among young married women. This study examines the use and determinants of contraceptive methods over the time period of 15 years (2001-2016) among young women in Nepal. Trend and bi-vatiate analysis of this study is based on the Nepal Demographic and Health Survey (NDHS), 2001, 2006, 2011 and 2016 data. The multivariate analysis is based on NDHS 2016 data of 2059 currently married non-pregnant young women aged 15-24 years. Logistic regression is used to assess the net effect of independent variables on dependent variable. The study shows that the contraceptive prevalence rate of young women is only 34 percent. Number of living children, spousal separation, husband education, women, occupation, wealth status, caste/ethnic affiliation, fertility preference, decision making status, ideal number of children they prefer and media exposure, are statistically associated to the use of contraception among young women in Nepal. There is a need to strengthen income generating activities so as to improve young women's socio-economic status which will translate into female economic and social empowerment hence ability to discuss sexuality related issues. Family planning programmes should be designed so as to address the contraceptive need of young women especially the low parity and Muslim adolescents.

Author(s):  
Turnwait O. Michael ◽  
Grace A.T. Scent

The negative consequences of non-use of contraceptives on reproductive health are well documented. The role of contraceptive use in attaining the desired number of children in Nigeria is yet to receive adequate academic investigation. The central concern of this paper was to examine how socio-cultural and economic variables influence contraceptive use and desire for less number of children among currently married women of reproductive age (15-49) in Nigeria. The data were derived from the 2013 Nigeria Demographic and health Survey (NDHS). The NDHS collected data on current background characteristics, contraceptive methods, desire for more children, and number of living children, among others. The 23,933 currently married women respondents who had provided responses to questions on contraceptive use methods and desire for more children constitute the sample. The study found large disparities among correlated variables as factors determining contraceptive use and desire for more children. The study revealed that while 16% of the sampled population used contraceptive methods, 78% acknowledged desire for more children. The regression analysis showed that current contraceptive use and desire for more children significantly varied by selected background characteristics. Thus, there is an urgent need to reach out to women of reproductive age on the need for contraceptive use in marital union to limit childbearing and the concomitant negative effects in Nigeria


2021 ◽  
Vol 16 (1) ◽  
pp. 13
Author(s):  
Mugia Bayu Raharja ◽  
Robani Catursaptani ◽  
Rahmadewi Rahmadewi

The number and sex composition of children are important for some married couples in Indonesia. Having sons in the family is considered as a must since they are argued to be the successor of the family lineage. The presence of daughters is expected to help with household chores and care for their elderly parents. The sex preference for children by the married couples can affect their number of children. This study aims to assess the relationship between the number and sex composition of children, contraceptive use, and the desire to have more children among women in Indonesia. The study employed the data from the 2017 Indonesian Demography and Health Survey (IDHS), with the unit of analysis of currently married women aged 15-49 who have at least one living children. The results show that women with two or more children of the same sex had a higher tendency to have additional children and no use of contraceptives. The Family Planning program's campaign of similar values shared between son and daughter is still hardly accepted, hence, sex preference still exists. It is necessary to reformulate an effective concept for proper socialization of these values as an effort to control the fertility rate in Indonesia.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241506
Author(s):  
Wambui Kungu ◽  
Anne Khasakhala ◽  
Alfred Agwanda

The Kenya Demographic and Health Survey (KDHS 2014) revealed changing patterns in the contraceptive use of young women aged 15–24, shifting from injectable methods to implants. Long-acting reversible contraception (LARC) is user friendly, long-term, and more effective than other modern methods. It could be a game-changer in dealing with unintended pregnancies and herald a new chapter in the reproductive health and rights of young women. This study determined the factors associated with LARC use among adolescent girls and young women to expand the evidence of its potential as the most effective method of reducing unwanted pregnancies among the cohort. This study analysed secondary data from KDHS 2014 using binary logistic regression. The findings showed a rise in LARC use (18%), with identified predictors of reduced odds being aged 15–19 [OR = 0.735, 95% CI = 0.549–0.984], residence (rural) [OR = 0.674, CI = 0.525–0.865], religion (Protestant/other Christian) [OR = 0.377, CI = 0.168–0.842], married, [OR = 0.746, CI = 0.592–0.940], and region (high contraception) [OR = 0.773, CI = 0.626–0.955], while the number of living children showed increased odds for 1–2 children [OR = 17.624, CI = 9.482–32.756] and 3+ children [OR = 23.531, CI = 11.751–47.119]. This study established the rising popularity of LARC and identified factors that can be addressed to promote it. Its increased uptake could help Kenya achieve the International Conference on Population and Development 25’s first and second commitments on teenage pregnancies and maternal and new-born health, thus promoting the health, wellbeing, educational goals, and rights of this critical cohort. This study can guide the accelerated efforts needed in Kenya’s march towards the five zeros of unmet need for contraception, teenage pregnancies, unsafe abortions, preventable maternal deaths, and preventable neonatal/infant deaths.


Author(s):  
Uche C, Isiugo-Abanihe

Fertility preferences reported by currently married women are analyzed with respect to their characteristics and contraceptive use. Only 36 percent of the women gave numerical responses to the question on desired family size, while 63 percent gave ‘up to God’ responses. Nigerian women still have a preference for a large family size (6 children), which may be considered moderate relative to family size of 7 to 10 children reported in earlier studies. Only 18 percent of currently married women desired to cease childbearing, a low figure indeed, but much higher that the 5 percent recorded a decade ago by a comparable national survey. The study reveals a^ high level of consistency between desire for children and whether or not desired family size exceeds the number of living children, and shows that fertility preference reasonably predicts contraceptive use. Desire to cease childbearing is as closely related to contraceptive use as most of other variables considered. There is therefore the need to improve contraceptive accessibility and knowledge of fertility control possibilities for the general public, which are among the objectives of Nigeria’s population policy.


1999 ◽  
Vol 38 (1) ◽  
pp. 85-118 ◽  
Author(s):  
Jennifer Benneti

This study investigated factors associated with child mortality in an area in Rawalpindi, one of the large cities of Pakistan. Using both demographic and anthropological methods, the research was conducted to specifically examine the processes and mechanisms whereby a link is established between child mortality and its covariates. Controlling for the socio-economic status as a determinant of child mortality, the study population was limited to a lower income stratum living in a homogeneous environment where all households had equal access to health-related and other facilities. Results of the proportional hazards model analysis on 130I index children suggest that non-economic factors like maternal health-seeking behaviour were related to high child mortality. The cultural norm of bearing a large number of children was the most significant correlate. In order of significance, this was followed by contraceptive use, current age of the mother, age at marriage and the hygienic conditions of the household. The study provides strong evidence of familial clustering of mortality by order of the household.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adja Mariam Ouédraogo ◽  
Adama Baguiya ◽  
Rachidatou Compaoré ◽  
Kadari Cissé ◽  
Désiré Lucien Dahourou ◽  
...  

Abstract Background The effective use of contraception among adolescents and young women can reduce the risk of unintended pregnancies. However, the prevalence of contraceptive use remains low in this age group. The objective of this study was to estimate the rate of contraceptive method discontinuation among adolescents and young women and to identify its associated factors in Burkina Faso, Mali, and Niger. Method This was a secondary analysis of data from Demographic and Health Surveys of Burkina Faso (2010), Mali (2012–2013), and Niger (2012). The dependent variable was the time to discontinuation of contraceptive methods. Independent variables were represented by sociodemographic, socioeconomic, and cultural characteristics. Mixed-effects survival analysis with proportional hazards was used to identify the predictors. Results A total of 2,264 adolescents and young women aged 15 to 24 years were included in this analysis, comprising 1,100 in Burkina Faso, 491 in Mali, and 673 in Niger. Over the last five years, the overall contraceptive discontinuation rate was 68.7% (50.1% in Burkina Faso, 59.6% in Mali, and 96.8% in Niger). At the individual level, in Burkina Faso, occupation (aHR = 0.33), number of living children (aHR = 2.17), marital status (aHR = 2.93), and region (aHR = 0.54) were associated with contraceptive discontinuation. Except for education and marital status, we found the same factors in Mali. In Niger, a women's education level (aHR = 1.47) and her partner (aHR = 0.52) were associated with discontinuation. At the community level, the region of origin was associated with discontinuation of contraceptive methods. Conclusion Most adolescents and young women experienced at least one episode of discontinuation. Discontinuation of contraceptive methods is associated with the level of education, occupation, number of children, marital status, and desire for children with the spouse. Promotion of contraceptive interventions should target adolescents, young women, and their partners, as well as those with a low education level or in a union.


2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods. 


2020 ◽  
Author(s):  
Betregiorgis Hailu Zegeye ◽  
Gashaw Woldeamanuel Garedew ◽  
Wassie Negash ◽  
Balkew Tegegn Asegidew

Abstract Background: Maternal mortality is unacceptability high in Sub-Saharan-African countries including Angola. Despite family planning is one of the vital intervention to reduce maternal death, the coverage of modern contraceptive use in Angola is extremely low and there is a paucity of evidence regarding current factors associated with contraceptive use in Angola. Therefore, this study aimed at investigating predictors of contraceptive use among married women in Angola using nationally representative data.Methods: The data were extracted from 2015/16 Angola Multiple Indicator and Health Survey for this study and approximately 8,033 married women aged 15 - 49 years were participated. Bivariate and multivariate logistic regression were performed using STATA version 14 software to identify the predictors, and p-value less than 0.05 was considered as statistically significant.Results: The coverage of modern contraceptive use among married women was 8.9%. Maternal age, women’s educational level, maternal occupation, place of residence, media exposure, number of living children, desire for more children and subnational region were main predictors for modern contraceptive use.Conclusion: Modern contraceptive use among married women in Angola was very low. Married women who were educated, wealthiest, exposed for media, who had living children, interested to have child after 2 years and those who were not interested to have at all were more likely to use contraceptive. Therefore, the government of Angola and other concerned bodies need to emphasize in empowering women through education and economy as well as dissemination of contraceptive related information through media especially for women’s living in rural settings.


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


1993 ◽  
Vol 25 (4) ◽  
pp. 455-464 ◽  
Author(s):  
A. I. Chowdhury ◽  
Radheshyam Bairagi ◽  
Michael A. Koenig

SummaryThe effects of family sex composition on fertility preferences and behaviour during the period 1977–88 are examined using longitudinal data from Matlab, Bangladesh. The sex composition of living children was found to be systematically related to fertility preferences and behaviour, with a higher number of sons at each family size associated with a higher percentage of women wanting no more children, a higher percentage currently using contraception, and lower subsequent fertility. However, the highest percentage wanting no more children, using contraception and having lowest subsequent fertility was found among women who already had one daughter as well as at least one son. The effects of sex preference on fertility preferences and behaviour were measured using an index developed by Arnold (1985). The results suggest that while sex preference remained largely unchanged during the study period, its effect on contraceptive use declined and its impact on actual fertility remained modest and fairly stable.


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