Unmet need for contraception among urban women: a cross sectional study in Puducherry
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20171570Keywords:
Unmet needs, Contraception, Prevalence, Urban areaAbstract
Background: Providing universal family planning services is an important strategy to reduce maternal morbidity and to control population growth. Worldwide, when contraception is used properly and effectively to avoid unwanted pregnancy it can reduce 25–35% of maternal deaths. The present study aimed at measuring the proportion of married women with unmet need for family planning in an urban area of Puducherry.
Methods: A cross sectional study was conducted among 235 married women in the urban field practice area of Sri Venkateshwara Medical College Hospital & Research Centre, Puducherry. Participants were selected based on predetermined eligibility criteria using systematic random sampling method. SPSS version 23.0 was used for statistical analysis. Proportion, Mean, Standard deviation and Logistic regression were applied to interpret the results.
Results: Mean age of the participants was 33.3 ±6 years, Nearly 77 %( 181) of the participants reported having used any method of contraceptive at least once and 34.5 %( 81) were found to have unmet need for family planning. The most common reason for unmet need for contraception was fear of side effects (39.5%) and others were infrequent sex (12.3%),insisted by family members (12.3%) and religious reasons (12.3%).
Conclusions: Unmet need for family planning was found to be fairly high in our study population. Health care personnel, preferably field staff should be trained to give an informed choice of contraception to the eligible couples to reduce the unmet need for contraception.
References
Haub C. World population trends 2012. World population data sheet 2012, Population reference Bureau, USA. Available at: http://www.prb.org/ publications/Datasheets/2012/world-population-data-sheet/fact-sheets.aspx. Accessed on 10 Jan 10 2017.
Ryerson W. Population: An underlying theme in addressing some of the world’s most challenging problems. Population media center. Available at http://www.population media.org/. Accessed on 12 February 2017.
Gribble JN. Unmet need for family planning. World population data sheet 2012, Population reference bureau, USA. Available at: http:///www.prb.org/ publications/Datasheets/2012/ world-population-data-sheet/fact-sheet-unmet-need.aspx. Accessed on 16 March 2017.
Census of India. Provisional population total, India Census, 2011. Available at: http://www. censusindia.gov.in. Accessed on 17 March 2017.
Marston C, Cleland J. Relationships between contraception and abortion: are views of the evidence. Int Fam Plan Perspect. 2003;29(1):6-13.
NFHS III National Reports. Available at: http:// www.rchiips.org/nfhs/nfhs3_ national_ report.shtml. Accessed on 5 December 2017.
Park K. Park's textbook of preventive and social medicine. 23rd ed. Jabalpur: Banarsidas Bhanot; 2015.
NFHS IV National Reports. Available at http:// www. rchiips. Org/ nfhs/ nfhs4_ national_ reports. html. Accessed on 8 February 2017.
Sulthana B, Shewade HD, Sunderamurthy B, Manoharan K, Subramanian M. Unmet need for contraception among married women in an urban area of Puducherry, India. Indian J Med Res. 2015;141(1):115-8.
Bendhari M, Korade R, Haralkar S. Contraceptive prevalence and usage of different contraceptive methods and its correlates in an urban slum area of Western Maharashtra–A cross sectional study. Indian J Maternal Child Health. 2015;17:1-10.
Kanna A, Pala VK. A profile of knowledge, attitude and practice of contraception among educated working women of South India. J of Evol of Med. Dent Sci. 2015;4(63):10896-906.
Balgir RS, Singh S, Kaur P, Verma G, Kaur S. Contraceptive practices adopted by women attending an urban health centre in Punjab, India. Int J Res Dev Health. 2013;1(3):115-9.
Manna N, Basu G. Contraceptive methods in a rural area of West Bengal, India. Sudanese Journal of Public Health. 2011;6(4):164-9.
Bandhi G, Bhawnani D, Verma N, Soni GP. Assessment of contraceptive knowledge and practices among reproductive age group of women in urban slums of Raipur city, Chhattisgarh, India.Natl J Community Med. 2014;5(4):349-54.
Makade KG, Padhyegurjar M, Padhyegurjar SB, Kulkarni R. Study of contraceptive use among married women in a slum in Mumbai. Natl J Community Med. 2012;3(1):40-3.
Begum S, Nair S, Donta B, Prakasam C. Prevalence of unmet need for contraception in urban slum communities, Mumbai. Int J Reprod Contracept Obstet Gynecol. 2014;3(3):627-30.
Solanki HM, Chavan CMK, Velhal Gajanan D, Parmar MT. A comparative study between met & unmet need groups of contraception in rural area of Maharashtra, India. Global J Med Public Health. 2013;2(1):1-7.
Patil SS, Durgawale M, Patil S. Epidemiological correlates of unmet need for contraception in urban slum population. Al Ameen J Med Sci. 2010;3(4):312-6.
Pal A, Mohan U, Idris M, Masood J. Factors affecting unmet need for family planning in married women of reproductive age group in urban slums of Lucknow. Ind J Comm Health. 2014;26(1):44-9.
Speizer IS, Nanda P, Achyut P, Pillai G, Guilkey DK. Family planning use among urban poor women from six cities of Uttar Pradesh, India. Journal of Urban Health. 2012;89:639-58.
Yadav K, Singh B, Goswami K. Agreement and concordance regarding reproductive intentions and contraception between husbands and wives in rural Ballabgarh, India. Ind J Community Med. 2010;35(1):19.
Relwani NR, Saoji AV, Kulkarni M, Kasturwar N, Zade R, Wadke R. Revealing unmet need for contraception among married women in an urban slum of Nagpur. Int J Med Sci and Public Health. 2015;4(8):1136-40.
Wasnik V, Jawarkar A, Dhumale D. Study of family planning practices with special reference to unmet need among married women in rural area of Amravati district of Maharashtra. Ind J Comm Health. 2013;2(4):348-53.
Khan S, Verma R, Mahmood SE. Correlates of use of family planning methods among married women of reproductive age group in Bareilly, India. Community Med. 2012;3(4):623-6.
Patel SV, Patel DN, Pandit NB, Patel MV. A cross sectional study of contraceptive uses and unmet need for family planning among rural population of Vadodara. Int J Bio Adv Res. 2015;6(11):765-7.
Sajid A, Malik S. Knowledge, attitude and practice of contraception among multiparous women at Lady Aitchison Hospital, Lahore. Annals of King Edward Medical University. 2010;16(1):266-9.