Factors affecting modern contraceptive use among fecund young women in Bangladesh: does couples’ joint participation in household decision making matter?

Abstract

ObjectivesThe purpose of the study was to explore the association between couples’ joint participation in household decision making and modern contraceptive use (MCU) among fecund (physically able to bear child) young women in Bangladesh.MethodsThis study utilized a cross-sectional data (n = 3507) extracted from the Bangladesh Demographic and Health Survey (BDHS) 2011. Differences in the utilization of modern contraceptives (MC) by socio-demographic characteristics were assessed by χ2 analyses. Binary logistic regression was used to identify the associated factors of usingMC, and the odds ratio with a 95% CI was computed to assess the strength of association. Multicollinearity was also checked by examining the standard errors in the fitted model.ResultsDesire for a child after two years go by and no child at all contributed the most to increasing MCU followed by receiving family planning (FP) methods from FP workers. Couples’ joint decision making power on women’s health care, child’s health care and visiting family members or relatives emerged as the third most influential factor that might be associated with MCU.ConclusionsSince spousal joint decision making increases the likelihood of using MC, government should include strategic interventions in FP programs to elevate women’s status through creating educational and employment opportunities and encouraging more visible involvement in household decision making.

Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

“…This study also revealed geographical region where a woman lived was found to be an important predictor of modern contraceptive utilization. This supported by study done in Malawi (36), Bangladesh (37) and Uganda(7). This might be due to the fact that attributable to the tendency of some region to have higher fertility compared to others .Additional reason may be family planning services ,cultural and religious reason (55).…”

“…It was higher than study done in Malawi (36). But it was low when compared to study done in Bangladesh (37), Ghana (5). The possible explanation for this variation might be due to the involvement of health extension workers in awareness creation activity, difference in provision of health service including in school through different club related to reproductive health programmers, availability of youth friendly health service or difference of study population (38)(39)(40).…”

Socio-demographic factors Influencing Postpartum care joint decision making and use of Family Planning among the young population in South-West, Nigeria

“…In Nigeria, the Maternal Mortality Ratio (MMR) is still on the high side of 576 per 100,000 live births 3 . Evidences has shown that obstetric deaths could be reduced by 20 percent through the correct adoption of family planning (FP) 4,5 , statistics also showed that an increase of 15 to 17 percent of contraceptives utilization decreases population growth by one birth per woman 6 .…”

“…Family planning (FP) low utilization is one of the signi cant issues in many developing countries with poor access to maternal and child health care services. 6,7 There is an unmet need for family planning among estimated 215 million women in these countries and 82 percent of unintended pregnancies could be a could be attributed to the FP unmet need. 9 Inaccessibility to effective FP is particularly high in the postpartum period 10,11 .…”

“…Decisions about adopting appropriate FP such as using contraceptives for either spacing or liming childbirth are often strongly shaped by spousal relationships. 6 Surveys from sub-Saharan Africa show that most women would be willing for their male partners to participate in maternal health care 13 . Studies in the past tend to argue that concordant joint decision making is favorable for better maternal health outcomes than male-dominated or women-dominated decision making.…”