Family Planning in Pakistan: Unraveling the complexities

Ataullahjan, Anushka

doi:10.7939/r3b854065

Cited by 1 publication

(1 citation statement)

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“…Najmi et al [ 12 ] proved that birth control usage increased from 11.9% in 1990 to 35% in 2013 with the fertility rate declining from 5.4 births per woman in 1990 to 3.7 in 2019. They argued that previous contraceptive use has prevented an estimated 43.8 maternal deaths per 100,000 live births yearly, amounting to 260,000 reductions in maternal deaths yearly [ 9 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Sociocultural Factors on Contraceptive Use: A Case Study of Pakistan

Khan

Qureshi

Daniyal

et al. 2022

BioMed Research International

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Background. The use of birth control methods is influenced by complex and competing socioeconomic and demographic factors. Regardless of the complexity of the behavioral approach of women, the utility of contraceptive methods in providing the opportunity of choice is well paired. This study examined the factors driving the usage of contraception and the impact of contraceptive practices on population growth in Pakistan. We also perused the quantification of sociocultural contraceptive use. Methodology. The Pakistan Demographic and Health Survey (PDHS, 2017-18) dataset collected by the National Institute of Population Study (NIPS) was used for all analyses. We applied the frequentist logistic regression model and multinomial logistic regression model in assessing factors impacting contraceptive practices. Bayesian logistic and multinomial regression models were also implemented to compare estimates. The regions and provinces in Pakistan were considered as different clusters, thereby introducing hierarchical structures in the regression model. Results. The study revealed a distinctive highly significant negative effect on contraceptive use and women’s age. The odds ratio (OR) for women aged 25-34, 35-44, and above 44 was 1.242, 1.155, and 0.638, respectively, which shows that the OR of contraceptive use decreases in women aged 25-44. Our study showed the superior performance of the Bayesian model in highlighting disparities among the various cultural streams existing in the country. Estimates of the Bayesian analysis of competing models indicated that the Bayesian models provide powerful estimates compared to the classical models. Conclusion. Our results indicated that contraceptive use is almost relevant to sociodemographic factors (education, age, language, partner, work, etc.). Women with no formal education living in rural areas were not aware of the use of contraception, thereby not using it. Contraceptive use and methods are most probably influenced by the age and the number of children of women. We recommend that high-quality education, counseling, and widespread access to contraceptives should be prioritized in family planning healthcare in all areas of the country, especially rural areas.

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Section: Introductionmentioning

confidence: 99%