India's Family Planning Programme

Visaria, Leela; Ved, Rajani

doi:10.4324/9781315652498

Cited by 24 publications

(4 citation statements)

References 31 publications

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“…In India, a history of using incentives for both women and providers to promote contraceptive use and population control, 2–4 combined with decades of reports of unsafe conditions especially in sterilisation camps, 3 4 makes a focus on quality in family planning care particularly critical. Around 47.8% of married couples are current users of some method of modern contraception.…”

Section: Introductionmentioning

confidence: 99%

Understanding quality of contraceptive services from women’s perspectives in Gujarat, India: a focus group study

et al. 2021

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ObjectivesUnderstanding quality of contraceptive care from clients’ perspectives is critical to ensuring acceptable and non-harmful services, yet little qualitative research has been dedicated to this topic. India’s history of using incentives to promote contraceptive use, combined with reports of unsafe conditions in sterilisation camps, make a focus on quality important. The study objective was to understand women’s experiences with and preferences for contraceptive counselling and care in the public sector in India.DesignQualitative study using eight focus group discussions (FGDs). FGDs were thematically analysed using a framework approach.SettingRural and urban areas in one district in Gujarat.Participants31 sterilisation and 42 reversible contraceptive users who were married and represented different backgrounds. Inclusion criteria were: (1) female, (2) at least 18 years and (3) receipt of contraception services in the last 6 months from public health services.ResultsProviders motivate married women to use contraception and guide women to specific methods based on how many children they have. Participants found this common practice acceptable. Participants also discussed the lack of counselling about reversible and permanent options and expressed a need for more information on side effects of reversible methods. There were mixed opinions about whether compensation received for accepting long-term methods affects contraceptive decision making. While many women were satisfied with their experiences, we identified minor themes related to provider coercion towards provider-controlled methods and disrespectful and abusive treatment during sterilisation care, both of which require concerted efforts to address systemic factors enabling such experiences.ConclusionsFindings illuminate opportunities for quality improvement as we identified several gaps between how women experience contraceptive care and their preferences, and with ideals of quality and rights frameworks. Findings informed adaptation of the Quality of Contraceptive Counselling Scale for India, and have implications for centring quality and rights in global efforts.

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Section: Introductionmentioning

confidence: 99%

Understanding quality of contraceptive services from women’s perspectives in Gujarat, India: a focus group study

et al. 2021

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Section: Introductionmentioning

confidence: 99%

“…India launched its family planning (FP) program in 1952 [ 1 – 3 ], starting with birth control programs and later expanding to include mother and child health, nutrition and family welfare. Since then, several modifications have been made to the program to minimize the growth rate of the ever-increasing population [ 1 ]. However, even after more than 60 years of the program, its impact remains non-uniform, and India is yet to achieve the replacement level fertility, and unmet need for contraception remain high [ 3 , 4 ].…”

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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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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“…The situation in India is especially urgent due to longstanding difficulties in increasing the uptake of family planning methods, the persistence of early marriages, and failures of other methods of controlling population growth 1 . Despite Prime Minister Modi’s efforts to encourage smaller families 2 , and both internal interventions 3 and those from a variety of NGOs 4 , progress has been slow 5 . Furthermore, gaps in current survey methods (i.e.…”

Section: Introductionmentioning

confidence: 99%

Collecting family planning intentions and providing reproductive health information using a tablet-based video game in India

et al. 2018

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Background: In response to a Grand Challenges in Global Health call for action to collect data about family planning intentions and increase the uptake of family planning methods in India, our team designed, developed, and piloted the My Future Family video game in Karnataka Province. The game educates adolescents about human sexuality and reproduction while asking players when they would like to achieve five important family planning milestones. Participants were also asked to report who influences them the most when making family planning decisions. Methods: Focus groups were conducted and the resulting data used to design the game which was iteratively tested and then piloted in 11 schools in rural and urban areas of southern India. Data was collected throughout gameplay and cross-checked with paper questionnaires. Results: In August 2018, we successfully piloted the game with 382 adolescents and validated its efficacy both as an educational tool and as an innovative means of accurate data collection. Conclusion: It has historically been problematic to gather accurate data about adolescents in India on this culturally sensitive topic for a variety of reasons. These include difficulties obtaining consent, developing appropriate survey methods, and framing questions in language that young people can understand. Our game met these challenges by working within a single school system with approval from senior administration, delivering information via a game environment, which freed players from societal constraints, and communicating information via images and audio in addition to text in both English and Kannada (the local language).

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India's Family Planning Programme

Cited by 24 publications

References 31 publications

Understanding quality of contraceptive services from women’s perspectives in Gujarat, India: a focus group study

Understanding quality of contraceptive services from women’s perspectives in Gujarat, India: a focus group study

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

Collecting family planning intentions and providing reproductive health information using a tablet-based video game in India

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