Factors influencing acceptance of family planning methods among women coming to immunization OPD: a cross sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233783Keywords:
Contraception, Family planning, Reasons, Unmet needsAbstract
Background: Family planning is one of the most cost-effective interventions. Therefore, different factors influencing reasons behind non acceptance of family planning are necessary to be known in order to formulate good plans and policies.
Methods: This study was a cross-sectional study conducted at immunization clinic of urban area. Systematic random sampling method was used. A pre-determined questionnaire was administered. Data was analysed using SPSS 22.
Results: Only 42.63% women adopted family planning methods. The statistically significant predictors for uptake of family planning services are knowledge of contraceptives (p=0.000), school education (p=0.002), prior use of contraceptives (p=0.001) and age of mother. The reasons for non-acceptance of family planning practices were fertility related (21.2%), lack of knowledge (19.7%), opposition from family members (16.9%), breastfeeding (14.5%), not having intercourse (12%), method related side effects (8.5%) and preference to specific gender (2.1%).
Conclusions: According to age group and number of children to women should be motivated by the health worker for the appropriate contraception choice and reasons for non-acceptance of family planning methods form the basis for the qualitative research studies.
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References
“India’s population ‘to be biggest’ in the planet”. 18 August 2004. United States Census Bureau- International Data Base (IDB). Available at: Population.un.org/wpp/publications/files/key_findings_wpp_2015.pdf. accessed on 1 September 2023.
Demographics of India. Wikipedia. 2007. Available from: https://en.wikipedia.org/wiki/ Demographics_of_India. Accessed on 8 January 2015.
Park K. Family planning. In: Park’s textbook of preventive and social medicine. 23rd edn. Banarsidas Bhanot Publishers; 2015.
Family planning, 2010. Available from: https://en.wikipedia.org/wiki/Family_planning. Accessed on 8 January 2015.
Park K. Family planning. In: Park’s Textbook of Preventive and Social Medicine. 18th edn. Jabalpur, Indian: M/s Banarsidas Bhanot Publishers; 2009:3589.
Bill and Melinda Gates Foundation. Family Planning Overview. 2012. Available from: http://www.gatesfoundation.org/familyplanning/Pages/overview.aspx. Accessed on 20 January 2012.
Kelly MP, Morgan A, Bonnefoy J, Butt J, Bergman V. The social determinants of health: developing an evidence base for political action. National Institute for Health and Clinical Excellence, 2007.
Social determinants of health. Wikipedia. 2012. Available from: https://en.wikipedia.org/wiki/Social_determinants_of_health#:~:text=The%20United%20States%20Centers%20for,populations%20effectively%20determines%20length%20and. Accessed on 21 November 2012.
USAID. Fact sheet: Integration of Family Planning with Immunization Services: A Promising Approach to Improving Maternal and Child Health. fhi360.org/sites/default/files/media/documents/integration-family-planning-immunization.pdf. accessed on 1 September 2023.
Tiwari S. Factors influencing unmet needs for family planning among currently married women in Nepal. Norway: University of Tromsø. 2012. www.unpopulation.org.
Makade KG, Padhyegurjar M, Padhyegurjar SB, Kulkarni RN. Study of contraceptive use among married women in a slum in Mumbai. Nat J Community Med. 2012;3(1):40-3.
Mitkari KK, Haralkar S, Sancheti P, Gokhale R. Study of contraceptive use in married women of reproductive age group in urban slum area of western Maharashtra. Int J Community Med Public Health. 2019;6(10):4499-504.
Sileo KM, Wanyenze RK, Lule H, Kiene SM. Determinants of family planning service uptake and use of contraceptives among postpartum women in rural Uganda. Int J Public Health. 2015;60:987-97.
Khan S, Verma R, Mahmood S. Correlates of use of family planning methods among married women of reproductive age group in Bareilly, India. Nat J Community Med. 2012;3(4):623-6.
Sajid A, Malik S. Knowledge, attitude and practice of contraception among multiparous women at Lady Aitchison Hospital, Lahore. Ann King Edward Med Univ. 2010;16(4):266.
Sudha V, Vrushabhendra HN, Srikanth S., Suganya E. Unmet need for contraception among urban women: a cross sectional study in Puducherry. Int J Community Med Public Health. 2017;4(5):1494-9.
Patel SV, Patel DN, Pandit NB, Patel MV. A cross sectional study of contraceptive uses and unmet need for family planning among rural population of Vadodara. Int J Biomed Adv Res. 2015;6(11):765-7.
Genet E, Abeje G, Ejigu T. Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; a cross-sectional study. Reprod Health. 2015;12:42.
