Social determinants of discontinuation of depo-provera among married women in Nepal

Background: Knowledge of family planning plays a significant role in public health to control birth and maintain the health of women. The Chepang, a backward and deprived indigenous group of Nepal, heavily experiences teenage pregnancies, high fertility and high mortality of infants and mothers, which are largely due to lack of knowledge on family planning. So, the objective of this study was to find knowledge and practice regarding family planning among married women of reproductive age. Methods: A cross sectional descriptive study was conducted among married women of the Chepang community, Benighat, Dhadnig, Nepal from September 2016 to November 2016. A simple random probability sampling technique was used to collect 80 respondents. Results: The mean age of the respondents was (30.7 ± 7) years, ranging from 17 to 47, with majority being 25-29 years.. The average marital age, and average age at first pregnancy were (16.7 ± 2) years and (17.7 ± 2.33) years respectively. Ninety-two percent of the respondents were aware of family planning. The major sources of information were health workers (79.2%) and radio/television (57.1%). The most known methods of contraception were Depo- provera (87.3%) and pills (85.7%), whereas least known methods were copper T (31%) and Norplant (31%). The contraceptive prevalence was 49.9%, among which pills and Depo provera were used maximum by the respondents (41.1%). One third (33.8%) of the respondents had the adequate knowledge. Education, spousal communication, current contraceptive users, married age, number of children, and age at first pregnancy were the significant factors affecting the knowledge and practice of family planning (P < 0.05). Conclusion: Literacy status, spousal communication, marital age, size of children, and age at first pregnancy are the associated factors of knowledge. Whereas, practicing of family planning was associated to cultural taboos, self-decision, literacy status, and spousal communication.

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Social Determinants of Health of Child Marriage (Analysis of IFLS 2000, 2007, 2014)

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v15i1.16514 ◽

2019 ◽

Vol 15 (1) ◽

pp. 62-68

Author(s):

Tri Wahyudi ◽

Mubasysyir Hasanbasri ◽

Hari Kusnanto ◽

Mohammad Hakimi

Keyword(s):

Social Determinants Of Health ◽

Social Determinants ◽

Economic Status ◽

Married Women ◽

Determinants Of Health ◽

Sub Saharan Africa ◽

Early Marriage ◽

Age At First Birth ◽

Cross Sectional ◽

Employment Education

Early marriage is defined as a marriage of women aged <18 years old. The current world prevalence is declining, but when compared with the growth in population, the total number of married children tends to increase. Today, early marriage reaches 41.000 every day, especially in Sub-Saharan Africa and South Asia. This research aims to identify the social determinants of health that encourage early marriage. This research used a quantitative observational analytic study with cross-sectional design. The number of <18 year-old married women were 1.96% (IFLS5), <18 year-old married men were 0.15% (IFLS5). The average age at first birth was 22.96 years old. The economic status of early marriage was mostly in Quintile 1, and the majority of residences were in rural area. The ratio of married women and men aged <18 years old was 11-14: 1. Employment, education, residence and poverty were associated with early marriage and were statistically significant.

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