Cross-Sectional Analyses of Social Determinants of Contraceptive Use among Eligible Couples, Rural Ujjain, Madhya Pradesh

Authors

  • Shikha Sharma RD Gardi Medical College, Ujjain
  • Badri Mishra National Institute of Malaria Research, ICMR, Delhi
  • Abhinav Sinha National Institute of Malaria Research, ICMR, Delhi

Keywords:

Contraceptive, Eligible couple, married, family planning, child preference

Abstract

Objectives: The present study was conducted to estimate point prevalence of contraceptive use among eligible couples & find out its association with social determinants of eligible couples of rural Ujjain.

Methods: Descriptive cross-sectional study conducted from September 2013 to October 2015 on all the eligible couples from 3 selected blocks under Demographic Survey Site of rural field practice area of R.D. Gardi Medical College. Inclusion &exclusion criteria were all consenting eligible couples and couples who were not available at time of interview & sterilized couples.

Results: Out of the 263 eligible couples, 136 (52%) couples (male 61% and female 39%) were found to be contraceptive users. Socio-demographic factors significantly associated with current contraceptive use were age (21-25 years) (χ2=8.228, p-value=0.042), sex (males) (χ2=8.925, p-value= 0.003), education (literate) (χ2= 9.226, p-value= 0.026), family planning knowledge (χ2= 5.069,  p-value=0.024) and no male child preference (χ2= 7.912, p-value= 0.005). On further regression analysis, sex (p-value= 0.047) and male child preference (p-value= 0.035) were found to be significantly associated.

Conclusion: The point prevalence of contraceptive was 52% and determinants of contraceptive use were male gender (O.R. 0.650, C.I. 0.424-0.995) and no male child preference (O.R. 2.074, C.I. 1.054-4.082).

 

References

Ghabbour S. United Nations International Conference on Population and Development (ICPD), held in the Interna-tional Conference Centre, Cairo, Egypt, during 5–13 Sep-tember 1994. Envir Conserv. 1994;21(03):283.

Mboane R, Bhatta M. Influence of a husband’s healthcare decision making role on a woman’s intention to use contra-ceptives among Mozambican women. Reproductive Health. 2015;12(1).

National Family Health Survey -3 (NFHS-3) [Internet]. Key indicators for India. Available from: http://www.nfhs in-dia.org/pdf/India.pd.

Kishore J. A dictionary of public health. New Delhi: Centu-ry Publications; 2002.

International Institute for Population Sciences (IIPS), District Level Household and Facility Survey (DLHS-3), 2007–08: India, IIPS, Mumbai, India, 2010.

Ghike S, Joshi S, Bhalerao A, Kawthalkar A. Awareness and Contraception Practices among Women-An Indian Rural Experience. JSAFOG. 2010;:19-21.

Bhasin SK, Pant M, Metha M, Kumar S; Prevalence of usage of different contraceptive methods in East-Delhi- A cross-sectional study; IJCM; 2005;30(2); 53-55.

Saluja N, Sharma S, Choudhary S, Gaur D, Pandey S; Con-traceptive Knowledge, Attitude and Practice Among Eligi-ble Couples of Rural Haryana. The Internet Journal of Health. 2009;12(1).

Bisoi S, Haldar A, Baur B, Mishra R, Dasgupta U, Banerjee L. Contraceptive practice: An experience from rural West Bengal, India. Int J Basic Appl Med Sci. 2012;2:174–8.

Bhattacharjya H, Reang T. Family planning: its practice and determinants among eligible couples in an urban slum of Tripura. Int J Res Med Sci. 2014;2(1):75-79.

Anjum S, Durgawale P.M.,Shinde M. Knowledge of contra-ceptive methods and appraisal of health education among married women. Intl J Science and Research (IJSR) 2014;2319-7064:584-590..

Azmat S, Ali M, Ishaque M, Mustafa G, Hameed W, Khan O et al. Assessing predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey. Reproductive Health. 2015;12(1).

Achana F, Bawah A, Jackson E, Welaga P, Awine T, Asuo-Mante E et al. Spatial and socio-demographic determinants of contraceptive use in the Upper East region of Ghana. Re-productive Health. 2015;12(1).

Alkema L, Kantorova V, Menozzi C, Biddlecom A. Nation-al, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. The Lancet. 2013;381(9878):1642-1652.

World contraceptive use report- fertility and family plan-ning section; UN department of economic and social affairs, population division; 2015.

Development and research in human reproduction (HRP) highlights - human reproductive programme; deptt. Of re-productive health and research (RHR) including the UNDP/UNFPA/UNICEF/WHO/World Bank; 2014.

New Delhi: Ministry of Health and Family Welfare, Gov-ernment of India; 2002. Government of India. National Health Policy 2002.

Guidelines on reproductive health; United Nations Popula-tion Information (POPIN) UN population division; depart-ment of economic and social affairs, with support from UN population fund (UNFPA); United nations population fund task force on ICPD implementation; New York; available from pierce@unfpa.org ; last accessed on 12th September 2015.

Rio Political Declaration on Social Determinants of Health; Rio De Janerio; pg 1-7; 2011; 19-21st October; World confer-ence on social determinants of health; Brazil.

Gipson J, Koenig M, Hindin M. The Effects of Unintended Pregnancy on Infant, Child, and Parental Health: A Review of the Literature. Studies in Family Planning. 2008;39(1):18-38.

Park K. Demography and Family planning. 23rd ed. Jabal-pur: Banarasidas Bhanot Publishers; 2014. Park's textbook of preventive and social medicine; p. 478, 454, 457.

Stokes J, Noren J, Shindell S. Definition of terms and con-cepts applicable to clinical preventive medicine. Journal of Community Health. 1982;8(1):33-41.

Developing sexual health programmes :A framework for action; 2010 [internet]; World Health Organization; Availa-ble from whqlibdoc. who.int/hq/ 2010/ WHO_ RHR_ HRP_10.22_eng.pdf.

Ram F, Shekar C and Chowdhary B; Use of traditional con-traceptive methods in India and its socio-demographic de-terminants; Indian J Med Res 140 (supplement); 2014;17-28.

Dixit P, Ram F, Dwivedi L. Determinants of unwanted pregnancies in India using matched case-control designs. BMC Pregnancy Childbirth. 2012;12(1):84.

Kumar M, Jyoti M, Aruna P, Poddar A, Dhariwal V, Shailendra K. Unintended Pregnancy Among Low Income Urban Married Women in India. J Obstet Gynecol India. 2012;62(1):52-56.

Misganu Endriyas, Akine Eshete , Emebet Mekonnen , Te-beje Misganaw , Mekonnen Shiferaw and Sinafikish Ayele. Contraceptive utilization and associated factors among women of reproductive age group in Southern Nations Na-tionalities and Peoples’ Region, Ethiopia: crosssectional survey, mixed-methods. Contraception and Reproductive Medicine (2017) 2:10.

Vivin Vincent , Suganthi Selvarajan. Family planning prac-tices among the eligible couples in a rural area of Chidam-baram. J. Evid. Based Med. Healthc.( 2016) 3:47

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Published

2017-06-30

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1.
Sharma S, Mishra B, Sinha A. Cross-Sectional Analyses of Social Determinants of Contraceptive Use among Eligible Couples, Rural Ujjain, Madhya Pradesh. Natl J Community Med [Internet]. 2017 Jun. 30 [cited 2024 Dec. 22];8(06):283-7. Available from: https://njcmindia.com/index.php/file/article/view/923

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