Unmet Need for Contraception and its Associated Factors among Married Women of Reproductive Age in Simichaur VDC of Gulmi District (original) (raw)

Predictors of Use of Contraception among Married Women of Reproductive Age in a Rural Area of Nepal

2017

Background : Universal access to family planning is a human right, central to gender equality and women’s empowerment, and a key factor in reducing poverty. Use of contraception can prevent pregnancies related complication, helps in improving the health of mother and children and improve quality of life. Objective: to find out the predictors of use of contraception among married women of reproductive age (15-49 years). Methods: A descriptive cross-sectional study was adopted to find out the predictors of use of contraception among married women in Morang District. Cluster Random Sampling technique was used and sample size was 281. Data was collected by face to face interview technique by pretested questionnaire. Chisquare, bivariate, multivariable logistic regression model was used, and statistical significance was determined with a 95 % confidence level. Results: Mean age of the respondents was 29.52±5.64 years. Current contraceptive prevalence rate was 39.9%. The significant predi...

Factors Associated with Non-Use of Contraceptives among Married Women in Nepal

Journal of Health Promotion, 2019

Most of the family planning services are being provided free of cost in Nepal however the rate of service utilization appearsunsatisfactory. This paper aims to assess the factors that are associated with non-useof family planning servicesamong currently married women of reproductive age.The data for this paper are extracted from theNepal Demographic and Health Survey (NDHS), 2016.Altogether 9875 currently married women of reproductive age wereincluded in this analysis. Bivariate and multivariate analysis were performed to explore the association of socio-demographic characteristics with non-use of contraceptives. Almost a half of the sampled currently married women (47%) were non-users of contraception. Married women aged below25 years(aOR=2.07, 95% CI 1.75-2.44) and aged 25 to 34 year (aOR=1.15, 95% CI 1.02-1.29)were more likely to not to use contraceptives compared to women aged 35 or above years. Janajati were less likely to be non-user of contraception compared to Brahmin/Chhetri (aOR=0.73, 95% CI 0.64-0.83). Muslim women were less likely to use contraception (aOR= 2.45, 95% CI 1.9-3.2) compared to Hindu women.Likewise, women who did not work currently were more likely to not use contraceptives compared to currently working women (aOR=1.47, 95% CI 1.32-1.63).Similarly, poor women were less likely to not use contraception compared to rich women (aOR=1.15, 95% CI 1.01-1.32).Similarly, women who had no autonomy were more likely to be non-user of contraceptive (aOR=1.16, 95%CI 1.01-1.32) than those how had high autonomy. Women who had not heard family planning message from TV in last few months were more likely to not use contraceptives (aOR=1.16, 95%CI 1.02-1.31) than those who had heardafter controlling other socioeconomic variables. Women aged less than 25 years, Muslim women, currently not working and having poor wealth status, having no autonomy in household decision making, who did not watch FP message in TVwere more likely to not use contraceptive methods compared to their counterparts.Thus, family-planning-related interventions need to be more focused among younger aged women, women having no or less autonomy in decision making, poor and jobless women and Muslim women. Furthermore, women empowerment initiatives (employment opportunities) tied up with family planning programs would be beneficial to increase contraceptive uptake among married women of reproductive age.

Trends and Determinants of Unmet Need For Contraception among Married Female Youth in Nepal

Tribhuvan University Journal

The unmet need for contraception continues to be high among married female youth in Nepal even though the accessibility of contraceptive methods and people's consciousness has been enhanced significantly. This study intends to identify the trends of unmet need for contraception for 15 years and its determinants. Because the trends of unmet need for contraception and its influencing factors among female youth are not exclusively studied in Nepal. The main data sources for the study are Nepal Demographic and Health Surveys (NDHS) 2001, 2006, 2011 and 2016. The sample sizes from the NDHSs are 2,573 in 2,001; 2,389 in2006; 2,552 in 2011; and 2,287 in 2016. Logistic regression analysis is applied to examine the factors that affect the unmet needs. During 15 years, the unmet need for contraception has decreased marginally in Nepal but is quite high (32%) among married female youth especially adolescents. There is only a nominal percentage (2.1) point decline from 34.1 in 2001 to 32.2 ...

Factors affecting the use of most preferred method of modern contraceptives among married women in the district of Dang , Nepal

2018

Background: Improving reproductive health is central to achieving sustainable development goals on improving maternal health, reducing child mortality and eradicating extreme poverty. This requires access of the women to safe and effective methods of fertility control. Objective: To identify the factors that affect the preferred use of modern contraceptives Methods: A cross-sectional study was conducted in Ghorahi, District Dang, Nepal in 2015 among 176 married women of reproductive age currently on a modern contractive method. Simple random sampling method was used for recruiting the sample. Data were collected on the characteristics of women, their most preferred modern contraceptive method, and the currently used contraceptive method including its mode of supply and decision making status, using a semi-structured interviewer-administered questionnaire. Results: Among 176 women in the sample, 30.1% were of 25-30 years in age while 79% were literate. Around 57% had adequate knowled...

A Descriptive Study On Contraceptive Practices Among Mothers In Belhara Vdc Of Dhankuta District, Nepal

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.

Use of Contraceptive Methods among Young Married Women in Nepal

Tribhuvan University Journal

Nepal has a fairly high adolescent fertility rate and low use of contraception. Lack of contraceptive use is a major contributor to the high rates of unintended pregnancies amongst youth. There is also lack of specific studies dealing with contraceptive behavior among young married women. This study examines the use and determinants of contraceptive methods over the time period of 15 years (2001-2016) among young women in Nepal. Trend and bi-vatiate analysis of this study is based on the Nepal Demographic and Health Survey (NDHS), 2001, 2006, 2011 and 2016 data. The multivariate analysis is based on NDHS 2016 data of 2059 currently married non-pregnant young women aged 15-24 years. Logistic regression is used to assess the net effect of independent variables on dependent variable. The study shows that the contraceptive prevalence rate of young women is only 34 percent. Number of living children, spousal separation, husband education, women, occupation, wealth status, caste/ethnic af...

Prevalence and determinants of unmet need for family planning in a district of eastern region of Nepal

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...

Determinants of the Use of Modern Contraceptives by Women in Nepal

Nida Development Journal วารสารพัฒนบริหารศาสตร์, 2014

This study, using the data from Nepal Demographic and Health Survey 2006, has run a logistic regression model to identify the determinants of the use of modern contraceptives by women in Nepal. The study has found that women's age, religion, social group (caste/ethnicity), the husband's occupation, total number of children, the decision maker regarding the use of contraceptives, the frequency of talking to the husband about family planning, the husband's approval in using contraceptives, and the role in the f inal decisions on health-related issues of women have a signif icant association with the use of modern contraceptives by currently-married women in Nepal. However, other likely factors such as place of residence, women's literacy, the husband's education, wealth index, the working status of women, the women's occupation, the earning level of women, fertility preference, the desire of children, and the media were not found to have such a signif icant

Unmet need for contraception among married women in an urban area of Puducherry, India

The Indian journal of medical research, 2015

Unmet need for contraception remains a national problem. The study was conducted in an urban area of Puducherry, India, among the eligible couples to assess the unmet need for contraception and to determine the awareness and pattern of use of contraceptives along with the socio-demographic factors associated with the unmet needs for contraception. This cross-sectional study included eligible couples with married women in age group of 15-45 yr as the study population (n=267). Probability proportional to size sampling followed by systematic random sampling was used. A pre-tested questionnaire was administered to collect data from the respondents. Double data entry and validation of data was done. Unmet need for contraception was 27.3 per cent (95% CI: 22.3-33); unmet need for spacing and limiting was 4.9 and 22.5 per cent, respectively. Among those with unmet need (n=73), 50 per cent reported client related factors (lack of knowledge, shyness, etc.); and 37 per cent reported contracep...

Unmet Need for Family Planning among Currently Married Young Women in Nepal

Journal of Development and Administrative Studies

A high level of unmet need for contraception persists among currently married young women in Nepal. Evidences about unmet need for family planning and associated factors are not fully analyzed in the Nepalese context. Therefore, this study investigates the prevalence and determinants of unmet need for family planning among currently married young women in Nepal. This is an analytical cross-sectional study through secondary data analysis of the 2011 Nepal Demographic and Health Survey women data-file. The analysis is based on 2,552 currently married young women aged 15-24 years. Logistic regression is used to assess the net effect of independent variables on dependent variable. Women’s current age, number of living children, education level, occupation, women empowerment, caste/ethnic affiliation, and residence are independent predictors of unmet need. The odds of unmet need are significantly higher among the adolescents, rural, not empowered and not working young women. There is a n...