Characteristics of Consumers of Family Planning Services in Eastern Nepal (original) (raw)
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The MedS Alliance journal of medicine and medical sciences, 2022
INTRODUCTION: The use of modern family planning methods varies by province in Nepal from a low of 37% in Province 4 to a high of 49% in Province 3 There is no previous study has documented on the factors associated with utilization of modern family planning methods among married women of Tharu community in Bardiya district of Nepal, so this study is expected to provide information on influencing factors and hindering factors for utilization of family planning methods and its prevalence. MATERIALS AND METHODS: A Community based cross-sectional to find out factors associated with utilization of modern family planning method among married women of Tharu community of Madhuwan Municipality in Bardiya district of Nepal. Multistage cluster sampling was adopted. Sample size was calculated as 383. Face-to-face interview technique was adopted to collect data. Chi-square test was applied. A p-value of < 0.05 was considered statistically significant. RESULTS: Among all respondents (n=383), the current users of modern family planning methods were 72.3%. More than one fourth (28.7%) of the respondents were currently using sterilization family planning method. DMPA, OCP, Implant, Condom and IUCD current users were 17%, 10.7%, 8.6%, 4.4% and 2.9% respectively. CONCLUSIONS: Finding showed that most of the respondents were using female sterilization FP method which was only available at hospital or camp setting. So, the government should manage such an environment for family planning so that it is easily accessible to every desired couple.
Kathmandu University medical journal (KUMJ)
The unmet need for family planning is defined as the discrepancy between individual's contraceptive behaviors and their stated fertility preferences--The extent of which is very high in developing countries like Nepal. This study explores the unmet need and its determinants. Among the teaching district of B.P. Koirala institute of Health Sciences, in the Eastern Region of Nepal, a district was selected randomly to conduct a cross-sectional study. A total of 1079 women were selected using systematic random sampling. We compared different demographic variables and sex-ration to unmet need by using means, percentage and applied chi-squared test where applicable. The extent of unmet need is 25 percent with 9.5 percent for spacing and 15.5 percent for limiting. The mean age at marriage is 16(+/-3.2) years. A strong association of gender preferences towards male child and unmet need exist, which is highly significant. Unmet need is high despite extensive family planning program in Nep...
The Status of Family Planning Methods among Married Women of Kavre District in Nepal
Journal of population and development, 2020
This study examines the information of family planning methods among currently married women of reproductive age group at Kavre District of Nepal. The main objective of the study is to find out the actual situation of family planning methods and the specific objective of the study are to identify the demographic determinants of currently use of family planning methods and to assess the reason for usage and non-usage of family planning methods in the study area. Moreover, this study also attempts to find out the actual sources of information of contraceptive devices in the study area. The study usages 200 respondenps from the three words of Ugratara VDC of the Kavre District of Nepal The main occupation of the respondents are agriculture and services. Among currently married women, 91 percent of the respondents are found to be familiaPr with at least one family planning method. Likewise, the major source of contraceptive devices of the respondents is found family planning clinics in the study area. The central purpose for using family planning methods is found for limiting the births. There are positive relationships between use of family planning methods and demographic variables.
Family Planning In Nepal: Trends And Pattern
International Journal of Arts Humanities and Social Sciences Studies, 2020
ABASRACT: Family planning is the central to all the other components of reproductive health as well as considered as a means to achieve the family wellbeing. It plays a central role in sexual and reproductive health care, because it allows planning couple to have healthy reproductive lives. The greatest contribution of family planning program lies in avoiding unwanted pregnancies and there by unplanned birth and making sure that all birth are planned. Knowledge of at least one contraceptive method is nearly universal in Nepal among currently married women. Contraceptive use has increased dramatically (16 fold increase) in the past 30 years. Contraceptive prevalence rate (CPR) has risen from 2.9 percent in 1976 to 48 percent in 2006, with consistent increases in every five year period (MOHP, 2007). The NDHS 2016 revealed that among to married women of reproductive age (53 percent) of currently married women are using any kinds of family planning methods. Overall, 24 percent of married women in Nepal have an unmet need for family planning (8% for spacing and 16% for limiting birth) but are not currently using contraception
Journal of Chitwan Medical College, 2021
Background: Family planning allows individuals and couples to anticipate and attain their desired number of children, spacing and timing of their births. It is achieved through use of contraceptive methods. A man's perspective on the family planning methods and services is essential on his family health. The study aimed to know about knowledge, attitude and practice of family planning methods in male (Rickshaw puller) of Eastern Nepal and to know their reasons for not using the family planning. Methods: A descriptive cross-sectional study was done in Inaruwa municipality. Total of 400 male rickshaw puller samples were taken. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5software to obtain frequencies and percentages. Results: Out of 400 interviewed, 366 were interviewed with 92% response rate, the mean age was 36.54 years, and 92.7% said they heard about Family planning method. Health worker was the main Source of family planning information. Regarding the attitude of the Male respondents, 83.1% supported the concept of family planning; only 33.9% said they had used a male contraceptive, 46.7% of the respondents said the males didn't practice the family planning methods on themselves because of the work load. Conclusions: Majority of the respondents knew about family planning methods but only a few agreed to have used them. The main reason for men lagging behind could be that the burden of work due to which contraception in a family is taken up by females.
Female Sterilization in Nepal: A Comparison of Two Types of Service Delivery
International Family Planning Perspectives, 1998
Context: During the last 30 years, outreach camps have played an increasingly important role in Nepal's family planning program, by bringing sterilization services to mostly rural areas where they otherwise would not have been available. However, some concerns have been raised about differences in the social and demographic characteristics and quality of care between permanent and seasonal or mobile service delivery sites.
Emerging challenges in family planning programme in Nepal
DOAJ (DOAJ: Directory of Open Access Journals), 2012
Family planning is a priority program of the Government of Nepal. Despite political instability in the last two decades, Nepal has achieved remarkable progress in the overall status of reproductive health, including family planning. Married women of reproductive age have been increasingly using contraceptive from 1980s to2006. However, Nepal Demographic Health Survey 2011 has shown unexpected results on contraceptive prevalence rate. There had been a notable decline in the prevalence rate between 2006 and 2011, creating concerns among various stakeholders working in family planning programs. This paper analyzes this situation and identifies possible reasons for the stagnated contraceptive prevalence rate in Nepal. High proportion of spousal separation, an increased use of traditional methods, abortion, emergency contraception, and a lack of innovative approaches to cater services to difficult-to-reach or special subgroups are possible reasons. To improve the contraceptive prevalence, the family planning program should be implemented more strategically. Further data analysis, initiation of best practices to fulfill family planning needs of special groups, functional integration of family planning services into general health services, effective counseling and behavior change communication to prevent unwanted pregnancies, and increased access to modern family planning methods could be the stepping stones to improve contraceptive prevalence rate and the overall FP program in Nepal.
Janaki Medical College Journal of Medical Science, 2022
Background and objectives: Family planning not only improves women'shealth but also promotes gender equality, better child health, and education, including poverty reduction. Therefore, the objective of this study was to assess the utilization of family planning methods and associated factors in Sunsari, Nepal. Materials and methods: A cross-sectional analytical study was conducted among women of the reproductive age group (15-49 years) in Sunsari in 2020. Non-probability purposive sampling was used to collect information from 212 respondents through face-to-face interviews using a Semi-structured interview schedule from ward no 1 of Barju rural municipality. Descriptive and inferential analysis (binary logistic regression)were used to find the association of utilization of family planning methods with selected demographic variables. All the variables with a p-value <0.1 in bivariate analysis were included in multivariate analysis. A p-value of <0.05 was considered to indicate statistical significance at a level of significance of 5%. Results: This study showed that the mean age and standard deviation of the respondents was 26±7.03 and 91.5 % of respondents' age at marriage was less than 20 years. Likewise, 67.5% of respondents use any methods of family planning and 55.2% of respondents use family planning services from the government health facility. Furthermore, education ((AOR 1.579, CI 1.013-2.462)., husband's occupation (AOR1.095,CI 0.744-1.610), type of family ((AOR 2.741, CI 1.210-6.210), and no of the living son ((AOR 0.259, CI 0.077-0.872)are the factors associated with the utilization of family planning methods. Conclusion: This study concludes that two-thirds of the reproductive age women utilize family planning methods. Furthermore, education, husband's occupation, type of family, and no of living son are the factors associated with the utilization of family planning methods. This reflects that awareness through mass media including behavioral communication is needed to increase the utilization of family planning methods.
Journal of Chitwan Medical College, 2014
Nepal, having a predominance of patriarchal society, contraceptive is used by of the females in most cases. Utilization of the family planning services is vital for reduce maternal and neonatal morbidity and mortality in an underdeveloped country like ours. The objective of the study was to assess the awareness and practices of various modes of family planning methods present among the mothers in Belhara VDC of Dhankuta district. A descriptive cross sectional study was carried out among 291 mothers with door to door visit using random sampling. 92% of the participants were aware about the use of family planning methods but only 87% of them were current family planning users and Depo (92.6%) was found to be the most popular mode of contraception among users. Despite vigorous social marketing about family planning methods, about 8% of the women weren't aware about it and Depo (92.6%) was found to be the most popular mode of contraception with husband's desire (84.7%) being the main reason behind the uptake of the service.