Determinants of contraceptive switching behavior in rural Sri Lanka

Abstract

This study examines the influence of a selected set of determinants of contraceptive method switching in rural Sri Lanka. Of interest is the question of how change in contraceptive practice at the individual level can account for patterns observed at the aggregate level. Based on calendar data on contraceptive use over a 3-year period, collected for more than 3,000 married women in a 1986 survey, the multivariate analysis shows that women who attain all or a significant proportion of their desired fertility tend to switch to more effective methods. Women who experience method failure tend to switch methods, usually to a type that is more effective. The woman's background determinants of age and education have small but significant effects on method switching, whereas the effect of household economic well-being is not significant. There is strong indication that rural couples are practicing contraception in a nonrandom fashion, switching methods in accordance with changes in their fertility motivations and contraceptive experience.

analysing the relationship between family planning workers’ contact and contraceptive switching in rural bangladesh using multilevel modelling

“…In order to generate switching rates, regression models have, as mentioned, also been applied to available databases. To estimate the probability of a woman switching to different methods, Hamill et al (1990) extended the descriptive analysis conducted by Tsui et al (1989) by using a multinomial logistic regression model. The data used included information on contraceptive use for three years prior to the survey.…”

Socio-Economic Differentials in Contraceptive Discontinuation in India

“…The non-method-related reasons are desire to get pregnant, lack of access/availability, wanted more effective method, cost, inconvenient to use, did not like method, lack of sexual satisfaction, lack of privacy for use, husband disapproved, fatalistic, and other reasons (Bradley et al, 2009). Literature suggests that age at the time of discontinuation, family size, fertility preferences, the prior use of a method, contraceptive method chosen, and prior experience with the method were significant predictors of discontinuation (Ali & Cleland, 1999;Arifin, 2003;Bradley et al, 2009;Curtis & Blanc, 1997;Fathonah, 1996;Hamill, Tsui, & Thapa, 1990;Mitra & Al-Sabir, 1996;Moreno, 1993;Perez & Tabije, 1996;Sambisa, 1996;Steele, Diamond, & Wang, 1996;Zhang, Tsui, & Suchindran, 1999). On the contrary, place of residence and educational attainment had little or inconsistent impact on method failure across and within countries (Curtis & Blanc, 1997).…”

Determinants of Method Switching among Social Franchise Clients Who Discontinued the Use of Intrauterine Contraceptive Device

“…Women when not satisfied with quality of care often consider method switching [ 12 ]. However, woman's age, parity, geographic location (urban versus rural), and education are the most consistent predictors of method switching [ 4 , 13 , 14 ].…”