Trends in contraceptive demands and unmet need for family planning in migrant population of Uttarakhand
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20180234Keywords:
Contraceptive demand, Unmet need, Unmet need for spacing, Unmet need for limitingAbstract
Background: The knowledge of contraceptive use and unmet need is important to know the constraints for unmet need based on user perspective. The aim of the study was to find the prevalence of Contraceptive use, Contraceptive preferred and the Un-met demand for contraceptives.
Methods: Married, non-pregnant women of reproductive age group (15-49 years) from the migrant population were interviewed by Census method using pre-designed and pre-tested instrument by cross-sectional survey. Operational definitions for unmet need for spacing, limiting and unfelt need used in the study were as per NFHS -4 findings and traditional methods of contraception like abstinence, withdrawal were included in Un-met need for contraceptive due to its very high failure rate.
Results: 58.44% study subjects had ‘Ever Used FP’ and 56.78% are currently using FP methods. The CPR is 56.7% by ‘Any Method’ and 43.0% by ‘Modern method’. The method which is most popular is ‘Sterlisation 29% and 20.96% and ‘Others’ i.e. highly unreliable methods like coitus interruptus, calendar method etc. found high number of users. The reasons for non use were apprehension of complication/side effects in 39%) and inconvenience or the difficulties with modern contraceptive methods or lack of knowledge by 7.67% and 6.95% respectively, 16% were relied on traditional methods, such as periodic abstinence, withdrawal and herbal mixtures from traditional healers as well as LAM 8% for a FP method, all of which have high failure rate. Only 24.8% Women were decision maker regarding the time and type of contraceptive to be used. The unmet need was 29.7% out of which the unmet needs for spacing and limiting were 9.6 per cent and 20.1 per cent, respectively
Conclusions: The unmet need is high and can be addressed by removing the constraints such as poor accessibility to the knowledge thus removing apprehension for side effects, improve accessibility to resources and low decision-making autonomy.
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References
United Nations Population Division/DESA: Fertility and Family Planning Section. World Contraceptive Use 2009: Unmet Need for Family Planning. Available at http://www.un.org/esa/population/ publications/WCU2009/Metadata/UMN.html. Accessed on 3 August 2017.
Mumbai: International Institute for Population Studies; 2007. IIPS. National family health survey (NFHS-4), 2015-16. Available at: http://www. mohfw.nic.in/nfhs3/index.htm. Accessed on 1 January 2016.
District level household and facility survey III 2012-13 (DLHS IV). Ministry of health and family welfare, Government of India. Available at: http://www.rchiips.org/pdf/INDIA_REPORT_DLHS-3.pdf. Assessed on 29 December 2014.
NFHS 4 Factsheet -National Family Health Survey. KEY FINDINGS FROM NFHS-4. Available at rchiips.org/NFHS/factsheet_NFHS-4.shtml. Assessed on 29 December 2014.
Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. Lancet. 2012;380:149–56.
Revising Unmet Need for Family Planning. Available at https://measuredhs.com/publications/ publication-as25-analytical-studies.cfm. Assessed on 29 December 2014.
A 2003 policy brief from Population Reference Bureau. Available at http://www.prb.org/pdf/ UnmetNeedFamPlan-Eng.pdf. Assessed on 29 December 2014.
Ashford L. Policy Brief - Unmet Need for Family Planning: Recent Trends and Their Implications for Programs. Population Reference Bureau and MEASURE DHS+. Doi2003 Available at http://www.prb.org/pdf/UnmetNeedFamPlan-Eng.pdf. Assessed on 29 December 2014.
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