DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20192327

A study to assess the unmet need for contraception among married women in the urban field practice area of a medical college

Anupama M., Krishna Iyengar, Rajesh S. S., Ashok Jayaram, Venkatesh P.

Abstract


Background: The concept of unmet need for family planning points to the gap between some women’s reproductive intentions and their contraceptive behaviour. The National Population policy (NPP) 2000 states that the immediate objective is to address the unmet need for contraceptive services. Unintended pregnancy related to unmet need is a worldwide problem that affects women and their families and societies at large.

Methods: A community based cross-sectional study was conducted from November 2016 to October 2017 in Maralur and Maralur Dinne, urban localities under urban health Training Centre of Sri Siddhartha Medical College. 260 Married women (15–49 years) were interviewed by house to house survey. The questionnaire was used to collect data to assess their reproductive intentions and contraceptive behaviour.

Results: Out of 260 participants, 144 (55.4%) of them belonged to the group where their contraceptive needs were met for spacing and limiting births, 59 (22.69%) of them of did not have any need for contraceptives, 16 (6.15%) had unmet need for spacing births and 41 (15.77%) of the participants had unmet need for limiting births.

Conclusions: The unmet need for contraceptives was 21.92% in the study which is much higher compared to NFHS-4 data for urban India (12.1%). The reasons and the factors associated with the unmet need should be addressed.


Keywords


Unmet need, Married women, Reproductive age-group

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References


Pachauri S. Expanding contraceptive choice in India: Issues and evidence. J Fam Welf. 2004;50:13-25.

Ministry of Home Affairs. Provisional population Totals paper 1 of 2011 India, series 1. New Delhi: Office of Registrar General and Census Commissioner, Ministry of Home Affairs, Government of India, 2011. 188. Available at: http://censusindia.gov.in/2011-provresults/indiaat glance.html. Accessed on 12 November 2017.

Bhattacharya SK, Ram R, Goswami DN, Gupta UD, Bhattacharyya KS, Ray S. Study of unmet need for family planning among women of reproductive age group attending immunization clinic in a medical college of Kolkata. Indian J Community Med. 2006;31(2):73-5.

Robey B, Ross J, Bhushan I. Meeting unmet need: new strategies. Popul Rep J. 1996;43:1-35.

Guttmacher Institute. The role of reproductive health providers in preventing HIV, Issues in brief; 2004.

Marston C, Cleland J. Relationships between contraception and abortion: a review of the evidence. Int Fam Plan Perspect. 2003;29:6–13.

Malwenna LI, Jayawardana PL, Balasuriya A. Effectiveness of a community based health educational intervention in reducing unmet need for modern methods of family planning among ever married reproductive age women in the Kalutara District Siri Lanka. Int J Collabarative Res Intern Med Public Health. 2012;4:1097–114.

Atuahene MD, Afari EO, Adjuik M, Obed S. Health knowledge, attitudes and practices of family planning service providers and clients in Akwapim North District of Ghana. Contracept Reprod Med. 2016;1:1-8.

Sinding SW, Ross JA, Rosenfield AG. Seeking common ground: unmet need and demographic goals. International Family Planning Perspectives 1994;20(1):23–32.

Kashyap R, Vidya GS, Dhar R. A Study on Unmet Need of Contraception Among Married Women in Urban Field Practice Area of JJM Medical College, Davangere, Karnataka. Natl J Community Med 2017;8(4):203-207.

Ansari Mohammad, Iti L. Jannatbi, Ahmad Md, Reddy Srinivas. A Study to Assess the Factors Determining the Unmet Need for Contraceptive Usage in an Urban Area Rajapur. J Evidence Based Med Healthcare. 2015;2(35):5367-76.

Raveendran R, Vijayakumar B. Unmet need for family planning in South India. Int J Biomed Adv Res. 2017;8(03):82-6.

Kumar PVS, Pujari P. Prevalence of unmet need for contraception among reproductive age group married women in district hospital, Ananthapuramu. Int J Res Health Sci. 2014;2(1):118-25.

Chakraborty N, Kaviraj RS, Mandal AK. Use Of Family Planning Methods And Unmet Need Of Contraception Among Married Women In A Rural Area Of West Bengal: A Cross-Sectional Study. J Dent Med Sci. (IOSR-JDMS) 2016;15(2):24-9.