Regional variations of contraceptive use in Bangladesh: A disaggregate analysis by place of residence

Islam, Kamrul; Haque, Rabiul; Hema, Prianka Sultana

doi:10.1371/journal.pone.0230143

Cited by 29 publications

(30 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding may be contextual and may be more likely in countries with more family planning use, unlike Nigeria where use remains relatively low. However, studies that looked at use overall without disaggregating into covert and overt use generally report more use in urban than rural communities [27,28], even though this may not reach statistical significance at the multivariable level [29].…”

Section: Plos Onementioning

confidence: 99%

From non-use to covert and overt use of contraception: Identifying community and individual factors informing Nigerian women’s degree of contraceptive empowerment

OlaOlorun

Anglewicz

2020

PLoS ONE

View full text Add to dashboard Cite

Objective In Nigeria, unmet need for contraception is high despite improved access to modern contraception. To identify factors that support Nigerian women’s contraceptive decisions to achieve their reproductive goals, in the presence or absence of their partner’s support, we seek to identify individual/couple and community level determinants of a spectrum of contraceptive practices, from non-use to covert and overt use of contraception. Methods Data were drawn from a national probability survey conducted by Performance Monitoring and Accountability 2020 in Nigeria in 2017–2018. A sample of 12,948 women 15–49 years was included, 6433 of whom were in need of contraception at the time of the survey. We conducted bivariate and multivariate analysis to identify individual/couple and community level factors associated with covert use relative to non-use and to overt use of contraception. Results Altogether, 58.0% of women in need of contraception were non-users, 4.5% were covert users and 37.5% used contraception overtly. Covert users were more educated and wealthier than non-users, but less educated and less wealthy than overt users. Covert users were less likely to cohabitate with their partner compared to non-users [AOR = 4.60 (95%CI: 3.06–6.93)] and overt users [AOR = 5.01 (95%CI: 3.24–7.76)] and more likely to reside in urban areas. At the community level, covert users were more likely to live in communities with higher contraceptive prevalence and higher levels of female education relative to non-users. They were also more likely to live in communities with higher female employment [AOR = 1.62, (95%CI: 0.96–2.73)] compared to overt users. Conclusion By identifying individual and community level factors associated with the spectrum from non-use to covert use and overt use of contraception, this study highlights the importance of integrating individual and community interventions to support women’s realization of their reproductive goals.

show abstract

Section: Plos Onementioning

confidence: 99%

From non-use to covert and overt use of contraception: Identifying community and individual factors informing Nigerian women’s degree of contraceptive empowerment

OlaOlorun

Anglewicz

2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…As the woman moved towards her end of reproductive age, her chances of using contraception had decreased (0.59; 0.49-0.70) further. Compared with women's age (15)(16)(17)(18)(19)(20)(21)(22)(23)(24), the odds of using contraceptives (0.82; 0.71-0.96) were significantly lower for women with age (25)(26)(27)(28)(29)(30)(31)(32)(33)(34). Higher odds for contraceptive use for educated women was observed (1.69; 1.51-1.89) than the uneducated women.…”

Section: Results/findings Descriptive Analysismentioning

confidence: 98%

“…Therefore, efforts should be made to enhance women's empowerment and other structural drivers of contraceptive use (Prata et al, 2017). Women's empowerment played a significant role in lowering fertility, reduce unintended pregnancies, and longer birth intervals (Upadhyay et al, 2014;Islam et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

Kamal

Malik

Batool

et al. 2021

HSSR

View full text Add to dashboard Cite

Purpose of the study: This research aims to investigate the impact of mass media exposure and women's autonomy on the use of contraceptives, along with other potential determinants at the individual level and community level among women in Pakistan. Methodology: Data was extracted from Pakistan Demographic & Health Surveys 2017-18. The sample size included 10,461 non-pregnant and married women from a total of 15,068 ever-married women. The analysis was done using two-level mixed-effects logistic regression for the binary outcome variable, i.e., current contraceptive use (yes/no). Main Findings: Significant factors positively associated with contraceptive use at the individual level were women's education, wealth index, parity, age at first cohabitation, child mortality experience, and mass media exposure. Community attributes like region (Sindh, KPK, Balochistan as compared to Punjab), residence (rural as compared to urban) had an inverse relationship with contraceptive use. At the same time, women's education and an ideal number of children were the significant positive associates. Women's empowerment has though insignificant, but it has a positive impact on the use of contraceptives at both individual and community levels. Applications of this study: Family planning programs can be extended by focusing on women residing in rural settings or in high fertility intentions communities, less educated and unprivileged younger women who had reduced the uptake of contraceptives. An increase in women's access to education, media exposure, employment, and women's empowerment can help attain Pakistan's contraceptive prevalence targets. Novelty/Originality of this study: The current study's effect of individual and community-level factors was investigated using National-level data, mainly focusing on the role of mass media and women's autonomy.

show abstract

“…(Bishwajit et al, 2017) Adolescents and youth (aged 15-24 years) comprise around 20% of the total population in Bangladesh (total population of Bangladesh is about 165.57 million, estimated as of January 2019) and almost half of them are young males (BBS, 2019). Data of the Government of Bangladesh (GoB) from 2019 revealed that almost 38% of couples used oral pills as a form of family planning, whereas condom usage among couples is only around 7.5% (Islam et al, 2020). Azim et al (2008) found that negative societal views of unmarried men buying condoms are seen to persist in Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

Methodological Challenges in Conducting Sexual and Reproductive Health Research Among Young Males in Bangladesh: Reflections From a Nationwide Mixed Methods Study

Biswas

Nasar

Nowshin

et al. 2022

International Journal of Qualitative Methods

View full text Add to dashboard Cite

Applied mixed methods research for sexual and reproductive health (SRH) issues involves multiple researchers and presents numerous responsibilities as well as unforeseen challenges. These challenges together with the often ignored and under-researched area of male sexual and reproductive health and rights (SRHR) in Bangladesh require researchers to navigate cultural stigmas associated with SRH and hostile political situations across the country. We conducted a nationwide mixed methods research study to explore the SRHR of male youth. This study is the first of its kind in the context of Bangladesh. The aim of this paper is to describe the challenges experienced and mitigation strategies undertaken to conduct research on the SRHR of young males in Bangladesh. A group of experts, practitioners, service delivery staff and researchers were consulted during the tool development stage. However, challenges in obtaining permission from community members, explanation of SRH-specific topics, and establishing respondents’ trust persisted throughout the study. Mitigation strategies included spending time outside of scheduled interview hours and making repeated visits to respondents to establish trust. These strategies allowed for honest discussions over time and served to assure our study respondents that the confidentiality of their data would be protected. In addition to sourcing letters from official authorities, we had conversations with community influential people such as religious leaders and political representatives about the nature of our study and explained to them the implications of the study for the future of young men’s health. Moreover, we highlight the political issues of the time and shed light on the ad hoc measures taken to overcome the challenges we faced. These reflections can provide valuable insights for researchers conducting SRHR-related studies in similar social and political settings.

show abstract

Regional variations of contraceptive use in Bangladesh: A disaggregate analysis by place of residence

Cited by 29 publications

References 42 publications

From non-use to covert and overt use of contraception: Identifying community and individual factors informing Nigerian women’s degree of contraceptive empowerment

From non-use to covert and overt use of contraception: Identifying community and individual factors informing Nigerian women’s degree of contraceptive empowerment

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

Methodological Challenges in Conducting Sexual and Reproductive Health Research Among Young Males in Bangladesh: Reflections From a Nationwide Mixed Methods Study

Contact Info

Product

Resources

About