Factors affecting use of contraception in Matlab, Bangladesh (original) (raw)
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Determinants of Contraceptive Use in Rural Bangladesh
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Effective implementation of family planning plays a major role in reducing the total fertility rate in Bangladesh. The desired level of fertility could be achieved in near future if the contraceptive prevalence rate can be raised. Using the nationally representative data of Bangladesh Demographic and Health Survey 2011, this study focuses on the determinants of contraceptive use among the currently married women in rural Bangladesh. A series of multivariate logistic regression analyses were performed to assess the effect of fertility preference, women empowerment, exposure to family planning messages and programmatic interventions on contraceptive use in rural setting, after controlling for socio-demographic characteristics of the respondents. Multivariate logistic regression analyses suggest that desire to have more children reduces the likelihood of using contraception, while exposure to family planning messages significantly elevates the likelihood of the same, after adjusting fo...
Medicine Science , 2017
Contraceptive use among married women of reproductive age has showed a substantial progress over the last few decades in Bangladesh. This study explores the sociodemographic factors associated with contraceptive use among ever-married women of reproductive age in Bangladesh by utilizing the information extracted from three of the Bangladesh Demographic and Health Surveys (BDHSs) in 1993-1994, 2004 and 2014. Bivariate analysis was conducted by performing chi-squared test of independence to explore the relationship between selected sociodemographic factors and dependent variables. To know the adjusted effects of covariates, a popular binary logistic regression model was considered. Respondents' current age, place residence, division religion, education, age at first marriage, family planning (FP) media exposure, ideal number of children and fertility preferences are the significant determinants according to the most recent survey, BDHS 2014. However, wealth index and a respondent's current working status were found to be significant factors only in BDHS 2004. The results of the study strongly recommend efforts to increase the education level among poor people, particularly among women in Bangladesh. Program interventions, including health behavior education and family planning services and counselling, are especially needed for some categories of the population, including those living in rural areas, Sylhet, Chittagong and Dhaka divisions, as well as illiterate and Muslim ever-married women.
2016
Bangladesh has highest Contraceptive Prevalence Rate (CPR) after Sri Lanka and Bhutan in South Asia but still lagged behind with the developed countries. This paper uses data from Bangladesh Demographic and Health Survey 2011 to examine different socio-economic and demographic factors which are correlates to current contraception use among currently married women in urban and rural areas in Bangladesh. Bivariate and multivariate logistic regression analyses have been used to estimate the factors affected on contraception use in city and countryside of Bangladesh. The results show that current age of respondent, number of living children, respondent currently working, fertility preference, visited by FP field worker, marital duration and region have most significant effect on current contraception use in urban and rural areas by both cross-tabulation and logistic regression analyses. Moreover, respondent’s education and husband’s occupation have been found significant association wit...
Determinants of Contraceptive Use in Bangladesh
Ibrahim Medical College Journal, 2016
Background: Bangladesh is experiencing a plateau phase in fertility decline after its dramatic reduction in early nineties. Aspects of contraceptive use dynamics have important influences on fertility. Methods: This study used data from the 2004 Bangladesh Demographic and Health Survey and applied Multinomial Logistic Regression model to examine the determinants of use of modern methods of contraception. Results: The results showed that individual level characteristics had strong influence on contraceptive use. These variables included educational level of the couples, autonomy of woman, male child preference, woman's membership with an NGO, visit by family planning worker, region and type of residence. Conclusion: The analysis indicated that further increase of contraceptive prevalence rate to achieve decline in fertility level depended on the improvement of educational status of couples and as well as increase in societal value of girl child. It was evident that household visit by a family planning worker was a significant factor in contraceptive use. Influences of Muslim religion were found to be declining in the case of several methods of contraception use. NGOs could take this opportunity to advocate condom use among their credit clients, which would also benefit the country as a policy against sexually transmitted diseases and AIDS.
Factors affecting contraceptive use among married women of reproductive age in Bangladesh
Background: Contraceptive prevalence rate is low in Bangladesh. It needs to increase contraceptive prevalence rate in order to achieve the health related targets of Sustainable Development Goals (SDGs) by reducing pregnancy and pregnancy related outcomes. Aim of this study is to observe the factors which affect contraceptive use among Bangladeshi women. The hypothesis is that contextual factors along with individual and fertility related factors contribute to the use of contraceptives. Materials and Methods: Bangladesh Demographic and Health Survey (BDHS) of 2014 is the seventh DHS undertaken from June to December, 2014. 18,245 ever-married women were identified and 17,863 were interviewed. Finally, 12,042 women were eligible for analysis after excluding pregnant women, women who were not married, with hysterectomy, postpartum amenorrheic, infertile or subfecund and sexually inactive. Main outcome measure was current use of contraception by married non-pregnant women. Results: Contraceptive prevalence rate was 81.27%. Logistic regression was applied to calculate odds ratios (OR), 95% confidence interval (CI) and P value. Contraceptive use was affected by contextual factors along with individual and fertility related factors. Visits by a family planning worker (FPW) within the previous six months had the biggest impact on contraceptive use (the adjusted OR, 2.06; 95% CI, 1.61-2.64; p<0.001). Education level (adjusted OR, 1.67; 95% CI, 1.10-2.37; p<0.05 in the group with higher education) and number of children who are alive were also positively associated with contraceptive use (p<0.001). Contraceptive use was lower among Muslims (adjusted OR, non-Muslims vs. Muslims, 1.68; 95% CI, 1.27-2.22; p<0.001), desire for a son (adjusted OR, 0.69; 95% CI, 0.59-0.79; p<0.001), living in rural area (adjusted OR of rural vs. urban, 0.7; 95% CI, 0.59-0.84; p<0.001) and Sylhet Division (adjusted OR of Sylhet vs. Barisal, 0.54; 95% CI, 0.40-0.71; p<0.001). Conclusion: Providing service through FPW, increasing the education level of women, intervention in rural areas and in Sylhet division, targeting Muslim population and women with higher age could increase the use of contraceptives among Bangladeshi women.
A Study on the Factors Affecting the Use of Contraception in Bangladesh
2011
Adolescents represent approximately one-fourth of the Bangladesh population. This large group is not adequate prepare for reproductive and sexual life, since its members lack basics information about their bodies, sexuality, contraception and sexually transmitted infections including HIV/AIDS. So, the main purpose of this study is to identify the social, economic and demographic characteristics which are responsible for the selection of contraception methods. To do so, required data have been used from Bangladesh Demographic and Health Survey, 2004. The statistical techniques, Chi-square test has been used to find the association among the variables and logistic regression analysis has been used to identify among those factors which are responsible for the use of contraception among ever-married women in their reproductive age. The study results reveal that most of the women (57.40%) used contraception, and the administrative areas, educational level, visits of health workers, religion, place of residence, number of living children, age, and employment status have significant effects on the use of contraception.
Unmet Need of Family Planning Among Rural Women in Bangladesh
Journal of Dhaka Medical College, 2010
Objective: This study aims to find out the unmet need of family planning among the rural women. To explore the obstacles to use family planning methods and to estimate the prevalence of contraceptive use. Study design: Cross-sectional type of descriptive study. Settings: The study was conducted at Sreepur upazila under Gazipur district. Subjects: All the married women of reproductive age, residing in a selected village of Sreepur upazila, were selected as the study subject. Results: The study revealed that unmet need was (22.4%). Most of the respondents (72.1%) were using contraceptive methods. Among those who used contraceptives, OCP was the most commonly used method (61.7%). About 28% were not using any method. The main reason was fear of side effects (46.1%). Conclusion: The study concluded that a nationwide contraceptive prevalence study may be carried out to explore the problem in detail. Key words: Unmet need; family planning; contraceptive prevalence rate. DOI: 10.3329/jdmc.v...