Unmet needs of family planning and its associated factors among married women in reproductive age group, Mysuru
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20214594Keywords:
Contraceptives, Family planning, Reproductive age, Unmet need, Knowledge, AttitudeAbstract
Background: According to national family health survey-5 (NFHS-5), in urban Karnataka, the total unmet need was 7.3. An important concept to describe effectiveness of family planning program is unmet need for family planning. Most married women want to limit childbirth and space deliveries but are unable to use contraceptives for varying reasons leading to unmet need. To assess unmet need of family planning and its associated factors among married women in reproductive age group in Mysuru.
Methods: A community based cross-sectional study was done from November 2020-January 2021 among married women in reproductive age group (18-49 years) in urban Mysuru. Sample size calculated was 162. The samples were selected by systematic random sampling and interviewed using a pre-tested semi- structured questionnaire. Data was analysed using SPSS version 23 (licensed to JSS AHER).
Results: The overall unmet need was 29.01%, among this 17.3% was for spacing and 11.71% for limiting. Out of 162 females studied, around 131 had knowledge about at least one contraceptive method. Unmet need was higher in unemployed women belonging to the lower socio-economic group. Important reasons cited for not using contraceptives were family opposition, fear of side effects, negligent attitude of the women and lack of knowledge about family planning.
Conclusions: Unmet need of family planning in the study area was comparatively high, therefore, routine family planning counselling, health education, and health awareness programs need to be strengthened.
Metrics
References
Park K. Park’s Textbook of Preventive and Social Medicine. 25th ed. Jabalpur: M/s Banarsidas Bhanot. Chapter 9, Demography and Family Planning. 2019;445-520.
WHO. Technical Report. Series. No. 483. 1970. Available at: http://apps.who.int/iris/bitstream/ handle/10665/40931/WHO_TRS_483.pdf;jsessionid=2DD4EBC96F328598B05E300FF60584FD?sequence=1. Accessed on 17 February 2021.
George N, Sulekha T, Ramachandran A, Peters A, Kiran PR. The unmet needs for family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka: acommunity based cross sectional study. Int J Community Med Public Health. 2018;5(5):2048-52.
Abortion. Available at: https://www.who.int/western pacific/health-topics/abortion. Accessed on 17 February 2021.
Bill and Melinda Gates Foundation. Family Planning Overview. Available at: http://www.gatesfoundation. org/familyplanning/Pag es/overview.aspx. Accessed 12 January 2018.
Family Planning and the 2030 Agenda for Sustainable Development (Data Booklet) [Internet]. United Nations; 2019. Available at: http://www.un-ilibrary.org/population-and-demography/family-planning-and-the-2030-agenda-for-sustainable-development-data-booklet_e154e49d-en. Accessed on 17 February 2021.
Kantorova V. Unmet need for family planning. 2017;4.
National Family Health Survey (NFHS-5). Available at: http://rchiips.org/nfhs/factsheet_NFHS-5.shtml. Accessed on 17 February 2021.
National Family Health Survey. Available at: http://rchiips.org/nfhs/factsheet_NFHS-4.shtml. Accessed on 17 February 2021.
Rao S. Karnataka: pioneer in family planning. Yojana. 1983;27(12):39-40.
Raveendran R. Unmet need for family planning in South India. 2017;5.
Yadav K, Agarwal M, Shukla M, Singh JV, Singh VK. Unmet need for family planning services among young married women (15-24 years) living in urban slums of India. BMC Women’s Health. 2020;20(1):187.
Nazir S, Mittal A, Anand BK, Goel R, Singh J, Rashid A. Determinants of unmet need for family planning in a developing country: an observational cross-sectional study. National J Community Med. 2015;6(1):6.
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. Community Med. 2017;8(4):203-7.
Kumar SD, Pramod G, Roli G, Neeraj G, Manoj B. A study to assess the unmet needs of family planning in gwalior district and to study the factors that helps in determining it. National J Community Med. 2011;2(1):4.
Gupta A, Roy TK, Sarker G, Banerjee B, Ghosh S, Pal R. Determinants of contraceptive practices among eligible couples of urban slum in Bankura District, West Bengal. J family med primary care. 2014;3(4):388.
Shree V, Prasad RR, Kumar S, Sinha S, Choudhary SK. Factors for nonacceptance of contraceptive methods amongst married women of reproductive age group in rural Patna. Int J Community Med Public Health. 2017;4(6):1882-7.
Sunita TH, Desai RM. Knowledge, attitude and practice of contraception among women attending a tertiary care hospital in India; 2013. Available from: http://112.133.228.228:8080/xmlui/handle/123456789/671. Accessed on 17 February 2021.
Thulaseedharan JV. Contraceptive use and preferences of young married women in Kerala, India. Open Access J Contracept. 2018;9:1-10.