Understanding Contraceptive Utilisation Patterns in Kerala: Insights from NFHS-5

Authors

  • Adwaith Gopan Government College Attingal, University of Kerala, Thiruvananthapuram, India https://orcid.org/0009-0009-0360-4778
  • Binu Kumar B J Mahatma Gandhi College, University of Kerala, Thiruvananthapuram, India

DOI:

https://doi.org/10.55489/njcm.150720244039

Keywords:

Contraceptives, Sterilisation, Knowledge, Utilisation, NFHS, Kerala

Abstract

Background: In the past decade, Kerala has witnessed an increase in the number of sexually transmitted diseases and unmet family planning needs. This study examines the knowledge of modern contraceptives, their use, and the current use of modern Keralite contraceptives against selected indicators.

Methodology: The dataset from the fifth round of the National Family Health Survey was used for this study (N=10969). To analyse the factors associated with and affecting knowledge and use of contraceptives (current use of modern and ever use of any), chi-square test and binary logistic regression were used.

Results: Wealth, age, and education level were positively associated with knowledge of modern contraceptives, whereas tribals were less aware than other castes. Wealthier, older, and less educated individuals had higher odds of using any/modern contraceptives than poor, younger, and higher educated individuals (odds<1). Muslims are likely to use contraceptives but are less likely to use modern methods than other religions (odds ratio: 1.67 and 0.78). Tribals had higher odds of using contraceptives (odds: 2.13). Urban respondents had lower odds of using modern contraceptives than rural respondents (odds: 0.751).

Conclusions: The higher odds of older, less-educated respondents using sterilisation over reversible contraceptives are likely due to social insecurities and misconceptions. Awareness and promotion of contraceptive use at the government level would help boost its use.

References

Nair PS. Understanding Below-replacement Fertility in Kerala, India. J Health Popul Nutr [Internet]. 2010 [cited 2024 Apr 15];28(4):405. Doi: https://doi.org/10.3329/jhpn.v28i4.6048 PMid:20824985 PMCid:PMC2965333

Sreenivasan K. Population Policies and Family Planning Programmes in India : a. International Institute of Population Sciences (IIPS) [Internet]. 2006;1-39. Available from: https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=dbe4b9f209cd170a31c10d739b568eafe90108a0

International Institute for Population Sciences (IIPS) and ICF, Ministry of Health and Family Welfare. National Family Health Survey (NFHS-4) Factsheet. 2016.

Nair A. Sex and the State. The New Indian Express [Internet]. 2024;1. Available from: https://www.newindianexpress.com/cities/kochi/2024/Mar/25/sex-and-the-state#:~:text=KOCHI : Kerala is witnessing a worrying,marked increase from 15%2C296 in the previous

Thulaseedharan JV. Contraceptive use and preferences of young married women in Kerala, India. Open Access J Contracept [Internet]. 2018 Jan [cited 2024 Apr 15];9:1. Doi: https://doi.org/10.2147/OAJC.S152178 PMid:29440936 PMCid:PMC5804019

Pruitt SL, von Sternberg K, Velasquez MM, Mullen PD. Condom Use among Sterilized and Non-sterilized Women in County Jail and Residential Treatment Centers. Womens Health Issues [Internet]. 2010 Nov [cited 2024 Apr 15];20(6):386. Doi: https://doi.org/10.1016/j.whi.2010.06.007 PMid:20880718 PMCid:PMC3068599

International Institute for Population Sciences (IIPS) and ICF. National family health survey(NFHS-5) India 2019-21 [Internet]. Vol. Volume I, Demographic and health surveys. 2021. Available from: https://dhsprogram.com/methodology/survey/survey-display-541.cfm

Ram F, Shekhar C, Chowdhury B. Use of traditional contraceptive methods in India & its sociodemographic determinants. Indian J Med Res. 2014;140(November):17-28.

Namasivayam V, Dehury B, Prakash R, Becker M, Anand P, Mishra A, et al. Understanding the rise in traditional contraceptive methods use in Uttar Pradesh, India. Reprod Health [Internet]. 2023 Dec 1 [cited 2024 Apr 15];20(1):1-14. Doi: https://doi.org/10.1186/s12978-022-01547-y PMid:36609308 PMCid:PMC9817250

Panda SN, Barik M, Acharya AS, Kanungo S, Pati S. Spatial distribution and factors influencing modern contraceptive practice among tribal married women in India: evidence from National Family Health Survey 5 (2019-2021). BMC Womens Health [Internet]. 2023 Dec 1 [cited 2024 Apr 10];23(1):1-11. Doi: https://doi.org/10.1186/s12905-023-02454-5 PMid:37340372 PMCid:PMC10281003

Ewerling F, McDougal L, Raj A, Ferreira LZ, Blumenberg C, Parmar D, et al. Modern contraceptive use among women in need of family planning in India: an analysis of the inequalities related to the mix of methods used. Reprod Health [Internet]. 2021;18(1):1-12. Doi: https://doi.org/10.1186/s12978-021-01220-w PMid:34419083 PMCid:PMC8379729

Kothari C. Research Methodology. 2nd ed. New Delhi: New Age International; 2004. 414 p.

Harris JK. Primer on binary logistic regression. Fam Med Community Heal [Internet]. 2021 Dec 23 [cited 2024 Apr 15];9(Suppl 1):1290. Doi: https://doi.org/10.1136/fmch-2021-001290 PMid:34952854 PMCid:PMC8710907

Rattan S, Kalia M, Rohilla R, Grover PK, Dandona S, Sharma MK, et al. Contraceptive awareness and practices in reproductive age couples: A study from urban slums of Punjab. J Fam Med Prim Care [Internet]. 2022 [cited 2024 Apr 10];11(7):3654. Doi: https://doi.org/10.4103/jfmpc.jfmpc_2257_21 PMid:36387680 PMCid:PMC9648284

Narzary PK. Knowledge and Use of Contraception among Currently Married Adolescent Women in India. Stud Home Community Sci [Internet]. 2009 Jul [cited 2024 Apr 10];3(1):43-9. Doi: https://doi.org/10.1080/09737189.2009.11885275

George MS, Davey R, Mohanty I, Upton P. "Everything is provided free, but they are still hesitant to access healthcare services": why does the indigenous community in Attapadi, Kerala continue to experience poor access to healthcare? Int J Equity Health. 2020 Jun 26;19(1). Doi: https://doi.org/10.1186/s12939-020-01216-1 PMid:32590981 PMCid:PMC7320563

Podder D, Dasgupta A, Dobe M, Paul B, Bandyopadhyay L, Pal A. Health Care Seeking Behavior in a Scheduled Tribe Community in India: A Mixed Methods Research Using the Framework of Andersen's Behavioral Model. Asia-Pacific J Public Heal. 2021;33(4):369-77. Doi: https://doi.org/10.1177/1010539521993695 PMid:33588576

Sámano R, Martínez-Rojano H, Chico-Barba G, Sánchez-Jiménez B, Sam-Soto S, Rodríguez-Ventura AL, et al. Sociodemographic Factors Associated with the Knowledge and Use of Birth Control Methods in Adolescents before and after Pregnancy. Int J Environ Res Public Health [Internet]. 2019 Mar 2 [cited 2024 Apr 10];16(6):1022. Doi: https://doi.org/10.3390/ijerph16061022 PMid:30897835 PMCid:PMC6465996

Devaru JS, Jabeen B, Puttaswmy M. A Study on Knowledge, Attitude and Practice Regarding Family Planning Methods among Women Residing in Peri-Urban Area of Bangalore City. Natl J Community Med. 2020;11(2):80-6. Doi: https://doi.org/10.5455/njcm.20190807124747

Ghule M, Raj A, Palaye P, Dasgupta A, Nair S, Battala M, et al. Barriers to use contraceptive methods among rural young married couples in Maharashtra, India: Qualitative findings. HHS Public Access. 2018;5(6). Doi: https://doi.org/10.5958/2249-7315.2015.00132.X PMid:29430437 PMCid:PMC5802376

Budu E, Dadzie LK, Salihu T, Ahinkorah BO, Ameyaw EK, Aboagye RG, et al. Socioeconomic inequalities in modern contraceptive use among women in Benin: a decomposition analysis. BMC Womens Health. 2023;23(1):1-11. Doi: https://doi.org/10.1186/s12905-023-02654-z PMid:37726784 PMCid:PMC10510191

Adebowale SA, Adedini SA, Ibisomi LD, Palamuleni ME. Differential effect of wealth quintile on modern contraceptive use and fertility: Evidence from Malawian women. BMC Womens Health [Internet]. 2014 Mar 7 [cited 2024 Apr 11];14(1):1-13. Doi: https://doi.org/10.1186/1472-6874-14-40 PMid:24602452 PMCid:PMC3973841

Singh P, Singh KK, Singh P. Factors explaining the dominion status of female sterilization in India over the past two decades (1992-2016): A multilevel study. PLoS One [Internet]. 2021;16(3 March):1-18. Doi: https://doi.org/10.1371/journal.pone.0246530 PMid:33690636 PMCid:PMC7946198

Dioubaté N, Manet H, Bangoura C, Sidibé S, Kouyaté M, Kolie D, et al. Barriers to Contraceptive Use Among Urban Adolescents and Youth in Conakry, in 2019, Guinea. Front Glob Women's Heal. 2021;2(July):1-11. Doi: https://doi.org/10.3389/fgwh.2021.655929 PMid:34816212 PMCid:PMC8593956

News Desk. Lok Sabha campaign heats up in Andhra Pradesh as condoms with YSRCP, TDP symbols go viral | India News - Times of India. Times of India [Internet]. 2024 Feb 22 [cited 2024 Apr 14];1. Available from: https://timesofindia.indiatimes.com/india/lok-sabha-campaign-heats-up-in-andhra-pradesh-as-condoms-with-ysrcp-tdp-symbols-go-viral/articleshow/107919980.cms

Krishnan A, Varma RP, Kamala R, Anju R, Vijayakumar K, Sadanandan R, et al. Re-engineering primary healthcare in Kerala. Public Heal Action [Internet]. 2023 [cited 2024 Jan 27];13(1):19-25. Doi: https://doi.org/10.5588/pha.22.0033 PMid:36949746 PMCid:PMC9983803

Nair MR, Varma RP. Availability, Distribution and Utilisation of Health Care Services in Kerala [Internet]. 2021. Available from: https://spb.kerala.gov.in/sites/default/files/inline-files/AvailDistribUtilisationHSKerala.pdf

Prusty RK. Use of contraceptives and unmet need for family planning among tribal women in India and selected hilly states. J Heal Popul Nutr. 2014;32(2):342-55.

Kumar V, Nagar AK, Meena V, Jain M, Dubey DK, Shukla US. Knowledge, attitude and practices regarding family planning among the currently married men in a rural area of Jhalawar district, Rajasthan. Natl J Community Med [Internet]. 2018;9(11):803-8. Available from: https://njcmindia.com/index.php/file/article/view/822

Published

2024-07-01

How to Cite

1.
Gopan A, B J BK. Understanding Contraceptive Utilisation Patterns in Kerala: Insights from NFHS-5. Natl J Community Med [Internet]. 2024 Jul. 1 [cited 2024 Jul. 21];15(07):511-8. Available from: https://njcmindia.com/index.php/file/article/view/4039

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Section

Original Research Articles