A cross sectional study of contraceptive use and reasons for unmet needs among mothers attending immunisation clinic at tertiary care centre of central India

Archana Dethe, Pradeep Kaswan, Umakant G. Shidam, Bhagyashree S. Gawande, Daljeet Kaur


Background: Unmet need of contraception remains a national problem. The study was conducted among the mothers attending immuno-prophylaxis clinic (IPC) at tertiary care centre of central India to determine the use of different types of contraception and assess the unmet need for contraception along with the reasons associated with the unmet needs of contraception. Aim and objective was to study the contraceptive use, reasons for unmet needs amongst the mothers attending IPC and some related factors.

Methods: This was a cross-sectional study conducted during the period from February-April 2016 at IPC in tertiary care setting. In this study 280 mothers attending IPC for Measles and DPT 1st booster of their child were enrolled. The sample population was selected by simple random sampling method. A pre-tested structured questionnaire was used to collect data from the respondents with written informed consent.

Results: This study shows that, 65% of mother told they were practicing any type of family planning method. Unmet need for contraception was 37.14 per cent. Among those having unmet need (n=104), fear of side effects (41.35%), infrequent sex (25%) were the common reasons for unmet need. Religion, age of marriage, age at 1st pregnancy, education, socioeconomic status, occupation of husband, counselling about contraceptives during ANC/PNC visits and resumption of menses were significantly associated with the use of contraceptives.

Conclusions: The unmet need for contraception was quite high. Most of the study subjects were not using contraception due to fear of side effects and lack of knowledge.


Contraceptive use, Immuno-prophylaxis clinic, Unmet need

Full Text:



Sedgh G, Singh S, Hussain R. Intended and Unintended Pregnancies Worldwide in 2012 and Recent Trends. Stud Fam Plann. 2014;45(3):301-14.

Annual Report 2013-14 Family planning. Ministry of health and family welfare, Govt. of India. Website: http: //www.mohfw.nic.

Yadav D, Dhillon P. Assessing the impact of family planning advice on unmet need and contraceptive use among currently married women in Uttar Pradesh, India. PLoS One. 2015;10(3):e0118584.

Puri A, Garg S, Mehara M. Assessment of unmet need for contraception in an urban slum of Delhi Indian M. J Community Med. 2009;29(3):9.

National Family Health survey (NFHS-IV) 2015-16: India. Available at: nfhs/factsheet_NFHS-4.shtml.

Patil SS, Abdul RK, Narayan KA. Unmet needs for contraception in married women in a tribal area of india. Malaysian J Public Health Med. 2010;10(2):44-51.

Mahawar P, Anand S, Raghunath D, Dixit S. Contraceptive knowledge, attitude and practices in mothers of Infant: a cross-sectional study. Nat J Community Med. 2011;2(1):105-7.

Unmet need for family planning-WHO. Available at: family_planning/unmet_need_fp/en/. Accessed on 18 June 2020.

Bhasin SK, Pant M, Metha M, Kumar S. Prevalence of usage of different contraceptive methods in east Delhi- a cross sectional study. Indian J Community Med. 2005;30(2).

Sulthana B, Shewade HD, Sunderamurthy B, Manoharan K, Subramanian M. Unmet need for contraception among married women in an urban area of Puducherry, India. Indian J Med Res. 2015;141(1):115-8.

Prateek SS, Saurabh RS. Contraceptive practices adopted by women attending an urban health centre. Afr Health Sci. 2012;(4):416-21.

Maulik S, Dasgupta A. Knowledge, perceptions and practice of ‘family planning’ methods in mothers visiting an immunisation clinic of rural Bengal, India. Indian J Med Special. 2013;4(1):75-80.