Determination of prevalence, knowledge, attitude and practices of contraceptive use in an urban population in South India: a community based study

Yeshvanth Kumar, Pavan Mukherjee, Augustin Frankline, Sajitha M. F. Rahman, Kirubah V. David, Ruby Angeline Pricilla


Background: Family planning influences mothers and infant’s health, population growth and regional and national development. Studying the knowledge, attitude and practice of contraceptive methods of a region aids in overcoming the barriers in the utilization of the services providing them.

Methods: A community based cross sectional study was done among 350 married women of an urban population by systematic random sampling using a structured questionnaire.

Results: From a total of 350 women enrolled, majority were of the Hindu religion (84.9%) and from the lower socio-economic status (68%). The prevalence of use of contraceptive methods was 75.4% and it was predominantly female sterilization. It was significantly higher (p<0.001) in women aged above 32 years, married for more than 10 years, having more than two children and last child birth of more than seven years. Only 142 (40.6%) of the participants had adequate knowledge of contraceptive methods. However, 299 (85.4%) had a positive attitude to contraception and 296 (84.6%) had good practice of family planning (FP) methods.

Conclusions: The knowledge and use of contraceptive methods especially temporary methods needs to be improved in our community. The utilization of media can be improved in addressing this shortfall. Health care providers being the bulk source of information on contraceptive methods must be pro-active in every interaction with women and men of reproductive age group by providing information on the various methods.


Contraceptive methods, Urban community based, Knowledge attitude and practice

Full Text:



Park’s Text book of Preventive and Social Medicine 23rd Edition. Bhanot Publishers; 2015: 490-561.

National Family Health Survey– 4, 2015-16. Ministry of Health and Family Welfare. Government of India. Available at: http://rchiips. org/NFHS/factsheet_NFHS-4.shtml. Accessed on 17 August 2017.

National Family Health Survey– 4, 2015-16. State Fact Sheet– Tamil Nadu. Ministry of Health and Family Welfare. Government of India. Available at: Accessed on 17 August 2017.

Meenakshi B, Panna L, Nandini S, Preena B, Ashok K. Prevalence of induced abortions and contraceptive use among married women in an urban slum of Delhi, India. Int J Gynecol Obstet. 2017;136:29–32.

Budi IS, Raymond S. Knowledge, Attitude and practice of contraception among pregnant women in Ende District, East Nusa Tenggara, Indonesia. J South Asian Federation Obstetr Gynaecol. 2017;9(2):110-8.

Abate M, Assefa N, Alemayehu T. Knowledge, Attitude, Practice, and Determinants Emergency Contraceptive Use among Women Seeking Abortion Services in Dire Dawa, Ethiopia. PLoS ONE. 2014;9(10):e110008.

Nivedita K, Fatima SN. Knowledge, Attitude and Practice of Emergency Contraception on Nursing Personnel. J Clin Diagnos Res. 2014;8(9):OC20-2.

Te-Hsiung S, Chang MC, Lee ML, Lin HS. Knowledge, Attitudes and Practice of contraception in Taiwan: Sixth province-wide fertility survey (KAP VI), 1986. ICPSR version. Taichung, Taiwan: Taiwan Provincial Institute of Family Planning [producer], 1986. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2002.

Agarwal M, Samanta S, Bhusan D, Anant M. Assessing knowledge, attitude, and practice of contraception: a cross- sectional study among patients in a semi-urban tertiary hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6(2):720-4.

Sonam ZS, Melita S, Asha N. Knowledge, Attitude, Practice and Preferences of contraceptive Methods in Udupi District, Karnataka. Journal of Family and Reproductive Health. 2013;7(3):115-20.

Mustafa R, Afreen U, Hashni HA. Contraceptive knowledge, attitude and practice among rural women. J Coll Physicians Surgeons Pakistan. 2008;18(9):542-5.

Kasa AS, Tarekegn M, Embial N. Knowledge, attitude and practice towards family planning among reproductive age women in a resource limited settings of Northwest Ethiopia. BMC Res Notes. 2018;11:577.

Lwelamira J, Mnyamagola G, Msaki MM. Knowledge, Attitude and Practice (KAP) Towards Modern Contraceptives Among Married Women of Reproductive Age in Mpwapwa District, Central Tanzania. Cur Res J Soc Sci. 2012;4(3):235-45.

Pricilla RA, David KV, Siva R, Vimala TJ, Rahman SP, Angeline N. Quality of antenatal care provided by nurse midwives in an Urban health centre with regard to low-risk antenatal mothers. Indian J Community Med. 2017;42:37-42.

Pricilla RA, David KV, Siva R, Vimala TJ, Rahman SM, Sankarapandian V. Satisfaction of antenatal mothers with the care provided by nurse-midwives in an urban secondary care unit. J Family Med Prim Care. 2016;5:420-3.