Factors for non-acceptance of contraceptive methods amongst married women of reproductive age group in rural Patna

Abstract

INTRODUCTIONIndia is the second most populous country in the world with a population of more than 1.2 billion population explosion has been India's major problem since independence.1 It is a major obstacle to the overall progress of the nation. The explosive growth of human population combined with unsustainable production and consumption pattern, is putting increasing stress on air, water, land, energy and other essential resources.There are a number of factors that affect population growth in India. These include socioeconomic factors, religious and cultural factors, and geographical factors. Poverty and illiteracy leads to poor utilization of family ABSTRACT Background: Population explosion has been India's major problem since independence. It is a major obstacle to the overall progress of the nation. Adoption of family planning methods is one of the best solutions to tackle this problem. The present study was planned to determine the factors for non-acceptance of different contraceptive methods among married women of reproductive age group in rural areas of Patna. Methods: Study design: a community based cross sectional study. Study population: married women of reproductive age group (15-45 years). Study period: January 2012-July 2013. Study area: field practice area of PHC Sampatchak, Patna. Sample size: 705 using formula n =4p* q/d 2 . Study tool: pre tested semi-structured proforma. Collected data was analysed using latest version of SPSS. Results: 705 married women of reproductive age group were surveyed and it was found that out of 705 women only 230 (32.65%) were using contraceptive methods. Amongst the users 70.87% were using permanent method of contraception and that too female sterilization. Of the temporary method users (29.13%) 2.60% were using condom, 15.21% were using OCP (oral contraceptive pills) and 11.30% were using IUCD (Intra Uterine Contraceptive Device). Choice of contraceptive method was mostly OCP (71.4%) when duration of marriage was <5 years. Greater the duration of married life more was the acceptance of Tubectomy. The main reasons for non-acceptance of contraceptives method was desire for child (31.17%) followed by fear of side effects (21.05%). Want of male child and opposition by husband accounted for 8.45% &12% respectively. Conclusions: There is tremendous need to increase use of temporary contraceptives for spacing after one or two children. Male involvement in RCH care is essential. It is important to increase their participation as husbands often influence their wife's decision regarding reproductive health.

Assessment of need for limiting family after two children: A cross-sectional study from a Northern State of India

“…Other reasons for the high unmet need, in our study, were young age of the last child and time constraints with no one to look after the family, especially children, during and after hospitalization for operation. Similar reasons for the unmet need are observed by Haldar et al ,[ 20 ] Shree et al ,[ 23 ] Sudha et al ,[ 9 ] Valekar et al ,[ 24 ] Durowade et al ,[ 25 ] and the RESPOND project in Nigeria[ 26 ] in their studies, but they have considered the total unmet need instead of unmet need for permanent methods only. Also, the studies have been conducted in different regions and cultural settings that can explain the different frequencies of the reasons specified.…”

Predictors of contraceptive use among adolescent girls and young women (AGYW) aged 15 to 24 years in South Africa: results from the 2012 national population-based household survey

“…Also amongst socio-demographic factors, marriage was also associated with non-use of contraceptive. This finding was previously linked to the desire to have children within marriage, cultural norms or opposition by the husbands [23,24,7]. This finding could also suggest that the majority of unmarried AGYW are using contraceptives.…”

Knowledge and barriers towards use of family planning methods among women: a study from Western India

“…8,9 Contrary to these results, Vijay Sree and colleagues reported different age group characteristics as majority of the study subject were within age group 20-30 years and were illiterate. 10 The findings of the present research study indicated that all the women had ever heard of family planning methods and their main source of information were friends/families and health workers respectively. Consistent results have been seen in the study conducted by Uma where almost 82% women were aware about family planning methods and most of them received information about FP methods from Health personnel.…”