Utilization and comparison of family planning services through national family health survey in Uttarakhand, India (original) (raw)

Utilization of Health and Family Planning Services and Women’s Reproductive Health: A Case Study of Sewapuri Block, Varanasi, Uttar Pradesh, India

Tij S Research Journal of Social Science Management Rjssm, 2014

Better health of women and child is pre requisite for any family which being the core of the society decides the fate of overall socioeconomic development of the Nation at large. The poor condition of women and children in the developing world is reflected in high IMR and MMR. The condition is worse in the rural areas. Adoption of better health facilities supplemented with family planning services and awareness of the people can help the poor society to come out of the vicious cycle of poverty. In the present research paper, the author has tried to analyze the primary data collected in a community development block (Sewapuri) of rural India. In the present study Reproductive Health Index (RHI) has been computed with the help of the frequency tables of the relevant variables or parameters of reproductive health. Further hypothesis testing (through χ2 test statistic) has been performed to show the extent of influence of utilization of health and family planning services on women's reproductive health. Findings of the study suggest that utilization of health and family planning services influences reproductive health status of women. But apart from this there are some non medical causes or factors that exert a direct influence on women's reproductive health irrespective of utilization of health and family planning services which requires further investigation.

Modern Contraceptive Prevalence, Unmet Need, and Met Demand for Family Planning for All 75 Districts of Uttar Pradesh State in India: A District Level Analysis with the Family Planning Estimation Tool

Scientific Research Publication, 2021

Background: Empowering women to choose timing and number of children is the key to improve her reproductive and overall health. This requires availability of basket of contraceptives to choose from, improving access to contraceptive methods to women for acceptance of long term and short-term family planning methods. To date, efforts to assess progress on this front have been largely limited to the estimation and projection of family planning indicators at the national and state level but they are much needed at the district level, particularly for the most populous state in India with large demographic diversity like Uttar Pradesh. Methods: We have used a statistical model that can generate estimates and projections of rates and trends in indicators related to access to reproductive health at the national and subnational levels. For this, Avenir Health has packaged this model in the form of a user-friendly web application, the Family Planning Estimation Tool (FPET), which can be operated by local stakeholders with little external support. We present annual estimates and projections of rates and trends in the modern contraceptive prevalence rate, unmet need, and met demand for modern family planning methods for Uttar Pradesh state and all its 75 districts from 1991 to 2025 produced with FPET. Findings: There is a large amount of heterogeneity between the districts; only six districts have high modern contraceptive prevalence rate *Key Message: It is hoped that the analysis presented here will be helpful to planners and implementers of family planning program in Uttar Pradesh, India.

Assessment of Family planning services utilization among women of Union Council Bangoin (Rawalakot) Azad Jammu and Kashmir

Journal of Bahria University Medical and Dental College

Objectives: To determine the percentage of women in Union Council Bangoin (Rawalakot) Azad Jammu and Kashmir who use family planning services, and to determine the relationship between demographic characteristics and family planning service use (AJ&K). Study design and setting: A cross-sectional study was conducted in UC Bangoin (Rawalakot) Azad Jammu and Kashmir over the duration of 6 months, from 5 January to 5 July 2021. Methodology: A sample of 344 married women with the age range 18 to 45 was obtained. The study's assessment instrument was developed from an existing assessment tool (Reproductive health knowledge and services utilization among rural adolescence in Ethiopia 2014). It included 14 questions on demographics and 13 questions about the use of family planning services. Results: High utilization was 52% (n=179) while low utilization was 48% (n=165). Most of them had fear of side effects of using contraception (n=170, 48.9%). Chi-square test showed significant associ...

Determine the unmet need for family planning in a hilly area in a state of North India

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: The utilization of family planning services has improved over the decade, but still the SDG’s health target to ensure universal access to sexual and reproductive health care services is yet to be achieved, unmet need being one of the imperative component.Methods: A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to June 2019. Total sample size calculated was 316. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymous interview schedule was administered after taking consent.Results: The mean age of the participants was 30.2±6.1 years. The modern contraceptive prevalence rate (mCPR) was found to be 67.7% among women of reproductive age group (15-49 years). Male condom (36%), followed by female sterilisation (30%) were the most common methods preferred. Unmet need of family plan...

Family Planning Performance in Selected States and Union Territories of India: Evidence from NFHS 2019-20

2020

This paper uses a new composite index to measure family planning performance in 22 states/Union Territories of India for which latest data on family planning use are available from NFHS 2019-2020. The analysis reveals that family planning performance in meeting the family planning needs of the people remains poor and there are significant inter-state/Union Territory variation in the performance. The paper calls for reinvigorating family planning efforts by treating family planning as a development strategy.

A STUDY TO ASSESS THE UNMET NEEDS OF FAMILY PLANNING IN GWALIOR DISTRICT AND TO STUDY THE FACTORS THAT HELPS IN DETERMINING IT

National Journal of Community Medicine, 2011

While real progress has been made in improving access to family planning globally, the unmet needs continue to grow. So the present study was designed to determine the percentage of unmet needs of family planning in Gwalior district and to study the various co-relative factors responsible for the unmet need for family planning. The present study was a Cross Sectional Descriptive study carried out from Jan 2007 to July 2007. 520 married women were interviewed using a pre designed, pre tested structured proforma. The district was divided into urban and rural areas. The rural area was further divided into four blocks. From each block one PHC and five Sub Centers under the respective PHC were selected randomly. From each Sub Centre 11 married women were selected. The Urban area was divided into four divisions and from each division five wards were selected randomly. From each ward 20 married women were selected. Proportion, Chi square test and ODDs ratio were applied to interpret the result. The unmet need of family planning in Gwalior district was 21.70%. It was higher in rural area and women of the age group of 15-19 years. The unmet needs were also higher among women who did not have any media exposure or did not discuss about family planning with their husbands. The present study concludes that Family Planning services should be specifically directed toward the married women of the age group of 20 years or less.

Assessment of unmet need for family planning and its determinants in a rural block of Haryana

International Journal of Community Medicine and Public Health, 2018

Unmet need for family planning is a valuable concept that is widely used for advocacy, development of family planning policies, implementation and monitoring of family planning programmes worldwide. Women with unmet need are those who are fecund and sexually active but are not using any method of contraception, and report not wanting any more children or wanting to delay the next child. Once derived, the figure of unmet need for family planning can be broken down into unmet need for spacing (women who want a child after two or more years) and unmet need for limiting (women who want no more children).

Correlates of Use of Family Planning Methods Among Married Women of Reproductive Age Group in Bareilly, India

Background: In India more than 75% of pregnancies are unplanned and a quarter of them are undesired. In spite of availability of many contraceptive techniques, the couple protection rate (41%) continues to be inadequate. Most couples in India do not want to use a contraceptive method on a long-term basis for the fear of side-effects. Hence, unwanted and unplanned pregnancies are quite common. With this background the present study was carried out to assess the pattern of utilization of family planning services provided to married women of reproductive age group in Bareilly. Materials and methods: The cross sectional, community based study involved a survey amongst married women of reproductive age group residing in rural and urban areas of Bareilly district. A structured pretested schedule was used. Chi-square test and ANOVA were used to analyze data. Results: A total of 62.9 % females were currently using family planning methods. A higher proportion of them had undergone sterilization (30.5%) and used condoms (28.2%). The most common reason found for not using any method was lack of awareness (18.3%). 28.7% of females had obtained the family planning method at last use from a private institute. Contraceptive use was significantly higher among the females aged 24 years and above, those who were illiterate, parity 3 or more and belonged to joint families. Conclusion: Only 62.9 % females were currently using family planning methods. Awareness programs regarding the use of family planning methods to avoid unwanted pregnancies need to be strengthened.

Impact Evaluation of Maternal-Child Health and Family Planning Services Utilization in Rural Uttar Pradesh ( India )

2013

Does utilization of antenatal care services influence the use of succeeding institutional delivery, post natal care services and modern contraceptive use among women in rural Uttar Pradesh? And if so, to what extent MCH services as a package influence the use of modern methods of family planning. The answers to these questions have important implications for reproductive health programme which assumes a strong association between its two domains. If propensity for adopting modern contraception were to be related to the coverage of MCH services, the pace of improvement in contraceptive prevalence might be accelerated through increasing the population coverage and intensity of MCH services.