Unmet Needs of Family Planning Among Women: A Cross-Sectional Study in a Rural Area of Kanchipuram District, Tamil Nadu, South India

Abstract

Background Global contraceptive usage was 63.3 % in 2010 which was 9 % more than that in 1990. NFHS-III 2005-2006 revealed that the contraceptive prevalence rate was 56 % while in the past decade it was 48 %. In India, female sterilization is the most commonly preferred method of contraception accounting for 76 %, while in Tamil Nadu it was 90 %. Thus, this study aims at measuring the prevalence of unmet needs of family planning and its determinants in a rural area of Kancheepuram district, Tamil Nadu. Materials and Methods The study was carried out as a community-based cross-sectional study in Chunambed panchayat, a rural area in Kanchipuram District, Tamil Nadu, India, among 505 women of age group 15-49 years. Cluster random sampling was done to select the households to include in the study. In every household, all the available and eligible women were explained about the study and recruited after obtaining informed consent. Statistical Analysis Chi-square test was applied for finding the difference in proportion, and p value \0.05 was considered statistically significant. 123Results The prevalence of unmet need for family planning in our study population was nearly 31 %; it was even more for younger age groups and for the women whose family size was less. 51.7 % of the participants were currently using a contraceptive measure and very few of their partners used contraception. Government health facilities were the major source of contraceptive service and majority of our participants were well aware about the various contraceptive methods. Conclusion Unmet needs of family planning were high in our study population, and the knowledge about the contraceptive use and family planning was found to be fairly adequate.

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

“…In this study, the unmet need for permanent contraception was found to decrease significantly with an increase in women age. Similar results were depicted in studies done by Vishnu Prasad et al and Haldar et al [ 19 20 ] This decrease in the unmet need for permanent contraception in our study may be associated with most couples undergoing sterilization operations before 30 years of age (unmet need changing to met need);[ 21 ] contrarily the decrease may also be due to not feeling the need for permanent contraception due to the change in sexual activity in the perimenopausal period[ 22 ] – these reasons need further exploration with more detailed studies.…”

“…Vishnu Parsad et al too observed a significant decrease in the unmet need for family planning with an increase in the number of children. [ 19 ] The number of children is associated with an increase in the age of women, which explains the trend.…”

Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019

“…The finding in our series is similar to that reported by Prasad et al [18] in southern Sudan, which was 32.1%; this similarity may be due to the comparability of the study design and population. Our values are higher than those reported in Nigeria and Guinea, respectively, by 16% and 22% [5] [16] [19].…”

Exploring Readiness for Birth Control in Improving Women Health Status: Factors Influencing the Adoption of Modern Contraceptives Methods for Family Planning Practices

“…A woman's autonomy to make decisions about any aspect of her life is strongly influenced by the stratified family structure [78]. All these barriers contribute towards modern contraceptive prevalence for FP practices, in which women do not want to conceive for a period of time but still do not use any contraceptives [79]. Based on the above literature, it is argued whether perceived barriers act as moderator in the relationship between CSE, contraceptive knowledge, spousal communication, and FP practices or not.…”