Do family planning advice and maternal health care utilization changes course in contraception usage? A study based on Bihar, India

Kumar, Pradeep; Sharma, Himani; Mawkhlieng, Donald R.

doi:10.1016/j.cegh.2020.01.004

Cited by 4 publications

(2 citation statements)

References 18 publications

(21 reference statements)

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“…Concomitant to the national program, the state of Bihar also implemented the FP program under the guidance of Government of India. However, performance of the family planning program has been mediocre; mCPR reduced from 29% in 2005-06 to 23% in 2015-16 [6,7]. In fact, Bihar has the highest fertility among Indian states with total fertility rate of 3•4 [8].…”

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confidence: 99%

Migration and family planning in the state with highest total fertility rate in India

et al. 2020

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Background This study examined the relationship between male out-migration and family planning (FP) behaviour of women in rural Bihar. Methods Data was collected from 937 currently married women aged 15–34 years from two districts of Bihar, namely Nawada and Gopalganj. Respondents were selected through a multi-stage systematic sampling and were recruited from both low and high male out-migration blocks. Differences in FP outcomes—use of modern contraceptive methods, intention to use contraceptives in next 12 months and access to FP services—were assessed by volume of migration, husband’s migration status, frequency of return, and duration of husband’s stay at home during visits. Results Women with migrant husbands were about 50% less likely to use modern contraceptive methods. Further, the odds of using modern contraceptives was about half among women with migrant husbands if they resided in high out-migration areas (HMA) than low out-migration areas (LMA) (15% vs 29%, AOR: 0·50, p = 0·017). A higher proportion of women with migrant husbands, specifically from HMA, reported greater intention of using contraceptives in next 12 months than their counterparts (37% vs 23%, AOR: 1·83, p = 0·015). Similarly, access to FP services was negatively associated with the volume of male out-migration, specifically for women with migrant husbands. Conclusions The migratory environment as well as the migration of husbands affect contraceptive use and access to FP services among women. Given that a significant proportion of married males leave their home states for work, it is imperative that FP programs in migration affected areas plan and implement migration-centric FP implementation strategies.

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Section: Introductionmentioning

confidence: 99%

Migration and family planning in the state with highest total fertility rate in India

et al. 2020

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“…Previous studies reveal that nearly one in five women in India expressed an unmet need for family planning and has identified several pertinent socioeconomic and demographic predictors across the individual, community, and district levels [14][15][16] . Across wealth quantile categories, the overall unmet demand (11.4%) for spacing and limiting was the highest among the women belonging to the lower strata of society.…”

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confidence: 99%

Changes in discourse on unmet need for family planning among married women in India: evidence from NFHS-5 (2019–2021)

Singh,

Kashyap,

Sharma

et al. 2023

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Unmet needs for contraception in India have declined over time but the rate has not been uniform among women across geographies and socio-economic strata. Identifying the characteristics of women in communities where unmet need is still high is important to devise appropriate strategies to ensure access and uptake of modern contraceptive methods. The current study examined whether there was a national decline in unmet need over time and if regional disparities exist in unmet need. Demographic variations in unmet need based on factors such as maternal age, education, religion, caste, wealth index quintile, family size, and access to antenatal care (ANC) were also documented. Our approach was to document the prevalence of total unmet need for family planning and unmet need for spacing among married Indian women and quantify variability based on socio-economic and demographic drivers within a hierarchal framework, thus providing both macro and micro perspectives. We used data from the fourth and fifth rounds of the National Family Health Survey (NFHS) collected from all the States and Union Territories (UTs) in India. Quantile regression analysis and multilevel regression techniques were used to understand the predictors for the total unmet need for family planning and the unmet need for spacing. Results show a considerable decline in the prevalence of unmet need for family planning in India from NFHS-4 to 5 (from 12.9 to 9.3%) in the last six6 years. The north-eastern states show a significant reduction in unmet need for family planning in Manipur (17.8%), Nagaland (13.5%), and followed by Sikkim (9.1%). The predictors such as years of schooling, place of residence, caste, religion, wealth quintile, number of antenatal care (ANC) visits, and children ever born have a significant association with unmet needs for family planning and spacing among married women in India. There is a significant association between years of schooling with the total unmet needs for family planning at (q25) quantiles and the unmet need for spacing at (q25, q50) quantiles. Results reveal that the demand for unmet need for spacing and limiting was the highest among the women in the age categories 15–19 (17.8%) and 20–24 (17.3%). The demand for limiting was the highest (6.8%) among Muslim women. Across wealth quantile categories, the overall unmet demand (11.4%) for spacing and limiting was the highest among the women in the lowest socioeconomic groups. We conclude that greater access to frontline health workers among young wives, and significant investment in education in general, will continue to reduce the unmet needs for family planning in India.

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Issues Evolving Around Maternal Health Care in West Bengal

Sinha

Basu

2022

Social Morphology, Human Welfare, and Sustainability

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Do family planning advice and maternal health care utilization changes course in contraception usage? A study based on Bihar, India

Cited by 4 publications

References 18 publications

Migration and family planning in the state with highest total fertility rate in India

Migration and family planning in the state with highest total fertility rate in India

Changes in discourse on unmet need for family planning among married women in India: evidence from NFHS-5 (2019–2021)

Issues Evolving Around Maternal Health Care in West Bengal

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