scholarly journals Contraceptive usage and preferences among young married women in Himachal Pradesh

Author(s):  
Dr. Kanika Sharma ◽  
Dr. Abhey Minhas
2017 ◽  
Vol 44 (3) ◽  
pp. 414-444 ◽  
Author(s):  
Qurra-tul-ain Ali Sheikh ◽  
Mahpara Sadaqat ◽  
Muhammad Meraj

Purpose The purpose of this paper is to obtain empirical evidence on the impacts of socio-economic and demographic factors on the fertility decisions taken by a common family in developing countries like Pakistan. Also, this study contravenes the conventional orthodoxy of childbirth decisions of a family by enlarging the canvas and conjectures the fundamental nexus amongst female’s education, fertility and contraceptive use. Design/methodology/approach The study is based on micro-level data, obtained from the Pakistan Demographic and Health Survey (2012-2013) which is the third survey carried out in Pakistan. Demographic and socio-economic profiles of 13,558 ever-married women, aged 15-49 years, were randomly selected from Gilgit Baltistan and the four provinces of Pakistan. Three dependent variables are used in empirical analysis i.e. current use of contraceptives, total fertility and cumulative fertility. In order to estimate the probability of contraceptive use maximum likelihood, Probit technique is employed with ordinary least squares on reduced form specifications of total fertility and cumulative fertility models. Findings The empirical results proved the hypotheses that educated females practice more family planning through modern contraceptives which leads to a decrease in total fertility rates. Some significant links among females’ education, contraceptive use and fertility define the quantity – quality trade-off and opportunity cost of time. Evidently, female education provides maturity and awareness of family size which is necessary to take crucial economic decisions. Research limitations/implications The empirical evidence suggests that maximum efforts should be made toward women’s education. The current standard of education in Pakistan is not enough to overcome the long-standing problem of excessive child birth. This could be done with the help of public – private partnership as the measures taken by the government alone are insufficient. The government should initiate some adequate measures such as education and awareness about contraceptive usage at the secondary school level that could be a vivacious step to support fertility reduction. Practical implications The framework used in this study provides a broader intra-household income–expenditure approach. With a smaller family size, the household’s income would be shared among fewer individuals. It is highly probable that parents would be more attentive if they need to look after a few children. That is the best way to progress their children with limited resources. Social implications From the socioeconomic perspectives, educated parents plan the ideal family size which allows them to spend more on their children’s upbringing. Originality/value This study captures the magnitude of fertility decisions with the relevance of the wife’s education because the present practice in Pakistan does not allow higher education for married women. This is why this study could be used as a benchmark for further study in the same area.


2019 ◽  
Vol 3 (5) ◽  
pp. 185-188
Author(s):  
V K Singhal ◽  
Shalini Ray ◽  
Priyanka Sachdeva ◽  
Vishesh Yadav

INTRODUCTION: Declining sex ratio is a major concern worldwide, especially in a developing country like India. The role of sociocultural factors in gender preference is known since ages. The skewed sex ratio in India is attributed to selective female feticides and misuse of technological advancements. This also has a strong influence on contraceptive acceptance among couples. OBJECTIVES: The present study was conducted to explore the contraceptive use, gender preferences and its determinants among married women in rural Gurgaon. MATERIALS AND METHODS: A cross-sectional study was conducted among married women (18-45years) residing in the rural field practice area of SGT medical college and hospital, Gurugram. The sample size was found to be 400. Systematic random sampling technique was used to recruit the study participants.  Pre- tested, pre-designed questionnaire was used for data collection. RESULTS AND DISCUSSION: Among 400 married women, current contraceptive usage among study population was found to be 58.25%. The most common method of contraception used by the study subjects was intrauterine contraceptive device. The preference for male child was found among 49.5% women. The reasons cited for such preference were propagation of family name (48.2%), financial dependability in the old age (34%), social responsibilities are carried out by males (25.3%) and males are lesser economic liability (31%). Lower age group of mother, nulliparity, Hindu religion, lower educational status and lower socioeconomic status were found to be the determinants of male child preference in the present study. CONCLUSION: There is need of awareness and education amongst women and both the genders deserve equal respect without any preferences.


2019 ◽  
Vol 10 (3) ◽  
pp. 1832-1835
Author(s):  
Nithyananthan P ◽  
Jagadeesan M ◽  
Prasanna Karthik S ◽  
Kannan R ◽  
Bavithra K ◽  
...  

In the Indian society, various factors other than mere knowledge have shown to have a more significant impact over contraceptive usage and choice such as educational levels of women, marital duration, cultural and social factors, and exposure to mass media. This study focuses on assessing the knowledge, attitude and practices (KAP) of contraceptive use among married women. A cross-sectional study was conducted among married women aged between 18 to 49 years attending a tertiary care hospital in the city of Chennai from June to September 2018. A total of 146 women were interviewed, and the KAP parameters were assessed using a pretested structured questionnaire. Though 97.9% (n=143) of the women in this study had knowledge about some form of contraception, only 24.7% (n=36) practiced them. Among the users (n=36), the decision to adopt contraception was made by the husband in 69.4% (n=25).Among the non-users (n=110), the major reasons for not practicing contraception were lack of interest in 37.2%(n=41) and fear of side effects in 35.5% (n=39).This study demonstrates a significant gap between the knowledge and practice of contraceptives in our population. Improving doctor-patient relationship and encouraging a positive attitude of the husband towards contraception are the key factors in promoting adoption of the contraceptive practices.


2021 ◽  
Author(s):  
Getu Debalkie Demissie ◽  
Yonas Akalu ◽  
Abebaw Addis Gelagay ◽  
Wallelign Alemnew ◽  
Yigizie Yeshaw

Abstract Background: In sub-Saharan Africa there are several socio-economic and cultural factors which affect women’s ability to make decision regarding their own health including contraceptive usage. The main aim of this study was to determine factors associated with decision making power of women to use family planning in sub-Saharan Africa.Methods: The appended, most recent demographic and health survey datasets of 35 sub-Saharan countries were used. A total weighted sample of 83,882 women were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of decision making power of women to use family planning in SSA. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential variables included in the final model. Results: Those married women with primary education (AOR=1.24; CI:1.16,1.32),secondary education (AOR=1.31; CI:1.22,1.41), higher education (AOR=1.36; CI:1.20,1.53),media exposure(AOR=1.08; CI: 1.03, 1.13), currently working (AOR=1.27; CI: 1.20, 1.33), antenatal care visit of 1-3 (AOR=1.12; CI:1.05,1.20) and ≥ 4 ANC visit (AOR=1.14;CI:1.07,1.21), women who were informed about family planning (AOR=1.09; CI: 1.04, 1.15), women who had less than 3 children(AOR=1.12; CI: 1.02, 1.23) and 3-5 children (AOR=1.08; CI: 1.01, 1.16) had higher odds of decision making power to use family planning than their counter parts. Besides, mothers with age of 15-19 (AOR=0.61; CI: 0.52, 0.72), 20-24 (AOR= 0.69; CI: 0.60, 0.79), 25-29 (AOR=0.74; CI: 0.66, 0.84), and 30-34 years (AOR=0.82; CI: 0.73, 0.92) had reduced chance of decision making power of women to use family planning. Conclusion: Age, women’s level of education, occupation of women and their husband, wealth index, media exposure, ANC visit, fertility preference, husband’s desire number of children, region and information about family planning were factors associated with decision making power to use family planning among married women.


2020 ◽  
Vol 17 (S2) ◽  
Author(s):  
Sk Masum Billah ◽  
Rashidul Haque ◽  
Atique Iqbal Chowdhury ◽  
Md Shahjahan Siraj ◽  
Qazi Sadequr Rahman ◽  
...  

Abstract Background The Global Network for Women’s and Children’s Health Research (Global Network, GN) has established the Maternal Newborn Health Registry (MNHR) to assess MNH outcomes over time. Bangladesh is the newest country in the GN and has implemented a full electronic MNH registry system, from married women surveillance to pregnancy enrollment and subsequent follow ups. Method Like other GN sites, the Bangladesh MNHR is a prospective, population-based observational study that tracks pregnancies and MNH outcomes. The MNHR site is in the Ghatail and Kalihati sub-districts of the Tangail district. The study area consists of 12 registry clusters each of ~ 18,000–19,000 population. All pregnant women identified through a two-monthly house-to-house surveillance are enrolled in the registry upon consenting and followed up on scheduled visits until 42 days after pregnancy outcome. A comprehensive automated registry data capture system has been developed that allows for married women surveillance, pregnancy enrollment, and data collection during follow-up visits using a web-linked tablet-PC-based system. Result During March–May 2019, a total of 56,064 households located were listed in the Bangladesh MNH registry site. Of the total 221,462 population covered, 49,269 were currently married women in reproductive age (CMWRA). About 13% CMWRA were less susceptible to pregnancy. Large variability was observed in selected contraceptive usage across clusters. Overall, 5% of the listed CMWRAs were reported as currently pregnant. Conclusion In comparison to paper-pen capturing system electronic data capturing system (EDC) has advantages of less error-prone data collection, real-time data collection progress monitoring, data quality check and sharing. But the implementation of EDC in a resource-poor setting depends on technical infrastructure, skilled staff, software development, community acceptance and a data security system. Our experience of pregnancy registration, intervention coverage, and outcome tracking provides important contextualized considerations for both design and implementation of individual-level health information capturing and sharing systems.


Author(s):  
Srishti Singh ◽  
Meenakshi Kalhan ◽  
J. S. Malik ◽  
Anuj Jangra ◽  
Nitika Sharma ◽  
...  

Background: India’s continuously growing population has been a matter of serious concern and obstacle in socioeconomic development. Family planning is beneficial for both individuals and the society. Objective was to assess the family planning practices and its determinants among currently married women of rural Haryana.Methods: The present study was community based cross-sectional study conducted in rural area of Haryana from September 2015 to August 2016 among 500 currently married women (18-49 years).Results: 54.6% of the participants were using contraceptives among which female sterilization was the commonest. Age, occupation, type of family, number of sons, concordance between husband and wife and knowledge of contraceptives was significantly associated with contraceptive use. The commonest reason for not using contraception was desiring to get pregnant (28.2%) and not considering it necessary (15%).Conclusions: Contraceptive usage was low and male participation in family planning was negligible.


Author(s):  
Chukwuechefulam K. Imo ◽  
Oyewole O. Olusanya ◽  
Ifeoluwa E. Oluwatuase

Background: The issues of sexual behaviour that increase risk of a negative outcome among women have been debated. This paper explored the influence of cultural and gender norms on sexual behaviour among rural childbearing married women in Akoko, Ondo State, Nigeria.Methods: The study utilized exploratory study design and purposively recruited 394 and 30 childbearing married women for quantitative and qualitative studies, respectively through which data were generated. The analyses were carried out with Stata software (version 13.0) for quantitative data using descriptive and chi-square statistics, while thematic content analysis was used for qualitative data.Results: About two-third of the respondents did not use contraceptive methods, which was a significant predictor of unplanned pregnancies among the women at p<0.05. Alluding to cultural preference of children and male roles in sexual behaviours, the qualitative data revealed that desire for large family sizes by partners, cultural norms, men’s superiority on sexual matters and partners’ disapproval of contraceptive usage predict women’s inability to negotiate sex with partners.Conclusions: Therefore, risk reduction strategies aimed at enlightening childbearing married women on their imperative positions in sexual relationships within marriages should be initiated to facilitate the achievement of sustainable development goals should be intensified.


2008 ◽  
Vol 39 (10) ◽  
pp. 59
Author(s):  
HEIDI SPLETE
Keyword(s):  

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