Fertility Limiting Intention and Contraceptive Use among Currently Married Men in Nepal: Evidence from Nepal Demographic and Health Survey 2016

Abstract

Introduction Less is known about fertility intention of men and family planning (FP) use pattern among men or their spouses who do not want to have more children in Nepal. The objective of the current research was to assess whether number and sex composition of living children determine contraceptive use and method mix among Nepalese men who expressed not wanting to have more children. Methods We used couple dataset from NDHS 2016 for the analysis. The sample consisted of 1551 (weighted) men aged 20 or older who had at least one living child and said they wanted no more children. Multinomial logistic regression analysis was conducted to identify determinants of sterilization, traditional, temporary contraceptive use. Analysis was conducted considering clustering and stratification in NDHS 2016 survey. Results Of the total respondents, more than 80% mentioned they do not want to have any more children. However, only one-third of the men or their spouses who expressed desire not to have children were using sterilization methods at the time of survey. Contraceptive use showed a strong association with number and sex composition of children with men favouring to have at least 1 or 2 sons. Multinomial logistic regression analysis showed that use of sterilization method (especially female sterilization) was strongly associated with having at least 1 or 2 sons. Men with daughters only and one son with daughters were more likely to use temporary methods. Conclusion Among men who do not want to have more children, FP use was associated with number and sex composition of living children. Use of sterilization methods was associated with having at least 1 or 2 sons. Nepal's family planning program can be further strengthened by joining hands with initiatives aimed at promoting the value of girl child.

Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey

“…Further, women who wanted fewer children are more likely to be higher educated than women wanting more children [35]. Moreover, reproductive coercion and contraceptive sabotage by husbands might be more prevalent among women wanting fewer children than women wanting three or more children until desired sex composition is achieved since son preference was found to be equally prevalent among younger generations in Nepal [36].…”

Predictors of modern contraceptive use and fertility preferences among men in Myanmar: further analysis of the 2015-16 demographic and health survey

“…19 On the other hand, our finding of geographical zone and wealth quintile as significant predictors for modern contraceptive use was consistent with a finding of a Nepal study. 28 Men's involvement in women's sexual and reproductive health was a significant predictor of a positive health outcome for their partners and children. 29 Men's influence on desired number of children within the family was also essential for family planning.…”

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“…Husbands with only sons are more likely to use contraceptive methods than those with only daughters. 22 The cultural variables types associated with current contraceptive use are place of residence and religion. Rural respondents in Bangladesh are less likely to practice family planning methods compared to their urban counterparts.…”