DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20201979

High birth order pregnancy and unmet need of contraception in semi-urban population in India: a comparison of two cross sectional surveys performed 10 years apart

Shikha Chadha, Shweta Mittal, Parwati Sharma

Abstract


Background: Rising population is the greatest problem facing the country. The current study was done to find out reasons behind the failure of two child norm policy and to find out the changes in last 10 years in this regard.

Methods: A cross sectional survey was done at a referral hospital involving the pregnant women with two or more live children. The Performa used for survey was same as that used 10 years back for a similar study. A comparative analysis was done.

Results: A large number of high birth order pregnancies remains unintended (47.47% versus 46.06%). Intended pregnancies still reflect a preference for male child (58.78% versus 54.62%). Unintended pregnancies involves a large population with unmet need of contraception.

Conclusions: The prevalence of unmet need for family planning remains high in our society. There is a dire need of better client friendly family planning services especially in antenatal clinics along with educating men and women regarding the importance of planning ones family.


Keywords


Contraception, Family planning, Unintended pregnancies

Full Text:

PDF

References


Sedgh G, Hussain R, Bankole A, Singh S. Unmet need for contraception in developing countries: levels and reasons for not using a method. Guttmacher Institute. 2007. Available at: https://www.guttmacher.org/sites/default/files/pdfs/pubs/2007/07/09/or37.pdf. Accessed on 15 April 2019.

NFHS 4 Report 2015-16. Govt. of India and International Institute of Population Sciences. Available at: http://rchiips.org/NFHS/NFHS-4Reports/India.pdf. Accessed on 15 April 2019.

Bhattathiry MM, Ethirajan N. Unmet need for family planning among married women of reproductive age group in urban Tamil Nadu. J Fam Community Med. 2014;21(1):53-7.

Begum S, Nair S, Donta B, Prakasam C. Prevalence of unmet need for contraception in urban slum communities, Mumbai. Int J Reprod Contracept Obstet Gynecol. 2014;3(3):627-30.

Patil SS, Rashid AK, Narayan KA. Unmet needs for contraception in married women in a tribal area of India. Malaysian J Publ Health Med. 2010;10(2):44-51.

Girum T, Shegaze M, Tariku Y. The Role of currently married men in family planning and its associated factors in Agaro Town, South West Ethiopia. Ann Med Health Sci Res. 2017;7:119- 24.

Ling JES, Tong SF. The roles of men in family planning- a study of married men at the UKM primary care clinic. Malays Fam Phys. 2017;12(1):2-13.

Upadhye JJ, Upadhye JV. Contraceptive awareness and practices in women of urban India. Int J Reprod Contracept Obstet Gynecol. 2017;6(4):1279-82.

Renjhen P, Kumar A, Pattanshetty S, Sagir A, Samarasinghe CM. A survey on knowledge, attitude and practice of contraception among college students in Sikkim, India. J Turk Ger Gynecol Assoc. 2010;11(2):78-81.