Can Women's Childbearing and Contraceptive Intentions Predict Contraceptive Demand? Findings from a Longitudinal Study in Central India

Roy, Tarun Kumar; Ram, F.; Nangia, Parveen; Saha, Uma; Khan, Nazoora

doi:10.2307/3180998

Cited by 49 publications

(64 citation statements)

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“…This finding is similar to a study in India, where it was found that women would not practice any method if they still desired additional children (Roy et al, 2003). …”

Section: Discussionsupporting

confidence: 80%

Application of Logistic Regression in Determining the Factors Influencing the use of Modern Contraceptive among married women in Ethiopia

Aragaw¹

2015

AJTAS

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Abstract:The aim of the study was to investigate the determinants of use of modern contraceptive among married women in Ethiopia. Our study is based on the data taken from a nationally representative survey EDHS of 2011. The sample includes 9,438 married women aged 15-49 years. Cross tabulations were carried out at the bivariate level to assess the association between contraceptive use and each of the explanatory variables and binary multiple logistic regression analysis was used to identify the factors influencing modem contraceptive use among married women in Ethiopia. The bivariate analysis reveals statistically significant association between all explanatory variables i.e age of woman, region, religion, place of residence, education level of woman, number of living children, desire for more children, wealth status, and decision maker for modern contraception, educational level of husband, modern contraceptive knowledge and exposure to media. Results for binary multiple logistic regression analysis reveals that age of woman have a statistically significant positive effect on modern contraceptive use. Contraceptive use was highest in the age group of 15 to 19 years while it was lowest among married women aged 40-44 years compared to those married women aged 45-49 years as reference category. Furthermore, uneducated women and women not at work want no more children. The lowest wealth status women are less likely to use modern contraception compared to their corresponding reference group. The result also shows that married women who do not discuss about family planning with their husbands use modern contraception 25.6% less in comparison to those couples made decisions jointly. Generally men play a critical role in determining the size of their family. Male involvement, therefore, is an integral component of successful reproductive health programs. But binary logistic regression results do not support the hypothesis that educational levels of husband have influence on the use of modem contraceptive methods among women. Media exposure is another factor that influences modem contraceptive use. The odds of married women who were not exposed to media are 35.8 % less likely in using a modern contraception method than those who had media exposure.

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“…This finding is similar to a study in India, where it was found that women would not practice any method if they still desired additional children (Roy et al, 2003). …”

Section: Discussionsupporting

confidence: 80%

Application of Logistic Regression in Determining the Factors Influencing the use of Modern Contraceptive among married women in Ethiopia

Aragaw¹

2015

AJTAS

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“…In part, the debate arises from basic questions about the salience of fertility preferences in low-resource settings, where fertility planning and control may not represent meaningful concepts to many women or couples (Demeny 1988;van de Walle 1992). Nevertheless, indirect support for the validity and usefulness of questions about fertility preference has been provided by a series of studies that have found a high degree of correspondence between women's stated fertility preferences and subsequent contraceptive or fertility behaviour, in India (Vlassoff 1990;Roy et al 2003) and other less developed countries (Freedman et al 1975;Hermalin et al 1979;Foreit and Suh 1980;de Silva 1991;Razzaque 2000), as well as in the consistency of respondents' fertility preferences over time (Bankole and Westoff 1998). Thus, while fertility preferences may not be meaningful for some population subgroups in specific settings, there appears to be an emerging consensus that fertility goals and preferences are important for most women of reproductive age in most developed countries.…”

Section: Discussionmentioning

confidence: 99%

Do current measurement approaches underestimate levels of unwanted childbearing? Evidence from rural India

et al. 2006

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The validity of estimates of unintended childbearing has often been questioned, especially given their almost exclusive reliance on responses to survey questions that ask women to recall their intentions about past pregnancies. An opportunity to compare prospective and retrospective descriptions of intendedness was provided by a follow-up survey in four Indian states in 2002-2003 of rural woman originally interviewed in the 1998-99 National Family Health Survey-2. The results demonstrate a pronounced tendency for births prospectively classified as unwanted to be retrospectively described as having been wanted or mistimed. The main reason seems to be either that mothers adapt to the reality of a new birth or are reluctant to describe an existing child as having initially been unwanted. Our findings suggest that retrospective accounts of the wantedness of a birth, such as those obtained by current Demographic and Health Surveys, may lead to significant underestimates of true levels of unwanted childbearing.

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“…We do acknowledge that intentions are a poor substitute for behavior, though they are predictive of subsequent adoption (Curtis and Westoff 1996; Roy et al. 2003). When the follow‐up survey data become available, we will be able to assess the predictive power of method‐specific perceptions on contraceptive use dynamics, including method‐specific uptake and method‐specific discontinuation.…”

Section: Discussionmentioning

confidence: 99%

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Mumah¹,

Casterline²,

Machiyama³

et al. 2018

Studies in Family Planning

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Despite an extensive evidence base on contraceptive method choice, it remains uncertain which factors are most influential in predisposing women toward certain methods and against others. This paper addresses this gap in knowledge by making use of rarely‐measured perceptions about specific methods, perceived social network experience of methods, and women's own past experiences using specific methods. We draw on baseline data from the project, “Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning.” Using conditional logit analysis, we ascertain which perceived method‐specific attributes, including past experience of methods by women themselves and by their friends, predict preferred future contraceptive method among 317 women living in Nairobi slums who are using no method but intend to start in the next 12 months. Results show that satisfaction with past use, positive experience of use by a woman's social network, husband/partner's approval, lack of interference with menses, and perception of safety for long term use were all associated with choice of a future method.

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Can Women's Childbearing and Contraceptive Intentions Predict Contraceptive Demand? Findings from a Longitudinal Study in Central India

Abstract: In India, use of both contraceptive and childbearing intentions predicts contraceptive demand better than use of either indicator alone, and may thus help program planners estimate future demand for contraceptive services.

Cited by 49 publications

References 0 publications

Application of Logistic Regression in Determining the Factors Influencing the use of Modern Contraceptive among married women in Ethiopia

Application of Logistic Regression in Determining the Factors Influencing the use of Modern Contraceptive among married women in Ethiopia

Do current measurement approaches underestimate levels of unwanted childbearing? Evidence from rural India

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

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