Evaluation of husband–wife communication regarding family planning among the couple of reproductive age group in the field practice area of Prathima Institute of Medical Sciences, Karimnagar

Dasari Gayathry, M. Ramsagar Reddy, B. V. Rammana


Background: Fertility decisions occur within specific social contexts and social norms therefore restrict individual decisions on fertility and behaviors related to family planning such as spacing and limiting of births and using contraception which reflects the importance of effect of inter-spousal communication on the contraceptive method choice and future intention of method use. Hence the objective of present study is to evaluate the husband wife communication and contraceptive use, method choice and timing of initiation of discussion among couples in study area.

Methods: A cross - sectional study was conducted during February 2013 - January 2014 among couples residing in the field practice study areas. A semi-structured questionnaire consisting of socio-demographic characteristics, questions related to awareness, sources and decision making towards family planning was administered to 406 couples of study area.

Results: It has been observed that regarding decision making, about 39.4% of the men had taken a decision on the use of contraceptive methods, and only 21.7% wives had autonomy of using contraception of their choice. Around 67.5% of the men had discussion with their wives about the family planning and more than half (57%) of the time the discussion was initiated by men.

Conclusions: Husband was the decision maker in nearly half of the couples and family planning was discussed among majority of respondents. Family planning education should be encouraged through effective IEC programs and strategies for promoting husband wife communication should be considered inorder to increase family planning adoption.


Husband–wife communication, Family planning, Rural, Urban

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Acharya A, Sureender S. Inter-spouse communication, contraceptive use and family size: relationship examined in Bihar and Tamil Nadu. J Fam Welfare. 1996;42(4):5-11.

Link CF. Spousal Communication and Contraceptive Use in Rural Nepal: An event history analysis. Stud Fam Plann. 2011;42(2):83-92.

Ogunjuyigbe PO, Ojofeitimi EO, Liasu A. Spousal communication, changes in partner attitude, and contraceptive use among the Yorubas of Southwest Nigeria. Ind J Comm Med. 2009;34(2):112-6.

Islam MA. Male involvement in reproductive health in Bangladesh: A multilevel analysis. VDM Publishing House Ltd, Germany.

Kamal N. The influence of husbands on contraceptive use by Bangladeshi women. Health Policy Plann. 2000;15(1):43-51.

Kamal SMM. Interspousal Communication on Family Planning and Its Effect on Contraceptive Adoption in Bangladesh. Asia Pac J Public Health, 2011.

Gebreselassie, Tesfayi, Mishra V. Spousal Agreement on Family Planning in Sub-Saharan Africa. DHS Analytical Studies No. 11. Calverton, Maryland: Macro International, 2007.

Sharma V, Mohan U, Das V, Awasthi S. Socio demographic determinants and knowledge, attitude, practice: Survey of family planning. J Fam Med Primary Care. 2012;1:43-7

Shafei MN, Shah MS, Tengku Ismail TA. Knowledge and Attitude towards Family Planning Practice and Prevalence of Short Birth Spacing Among Residents of Suburban Area in Terengganu, Malaysia. J Community Med Health Educ. 2012;2:180.

Obisesan KA, Adeyemo AA, Fakokunde BO. Awareness and use of family planning methods among married women in Ibadan, Nigeria. East Afr Med J. 1998;75(3):135-8.

Rao PD, Babu MS. Knowledge, Attitude and use of contraceptive among Racha Koyas of Andhra Pradesh. J Biological Anthropol. 2005;7(2):115-9.

Kaushal SK, Saxena SC, Srivastava VK, Gupta SC, Nigam S. KAP study on contraceptive methods in Kanpur District of Utter Pradesh. Indian J Community Health. 2010;21(2):33-8.

Rajesh Reddy S, Premarajan KC, Narayan KA, Mishra AK. Rapid appraisal of knowledge, attitude and practices related to family planning methods among men within 5 years of married life. Indian J Prev Soc Med. 2003;34;62-7.

Prachi R, Gupta S, Barua A, Jaju S, Khati B. A study of knowledge, attitude and practice of family planning among the women of reproductive age group in Sikkim. J Obstet Gynecol India. 2008:58;63-6.

Srivastava R, Srivastava DK, Jina R, et al. Contraceptive knowledge attitude and practice (KAP) survey. J Obstet Gynecol India. 2005;55:546-50.

National family health survey-3(NFHS-3), 2005-06, volume-1, international institute for population sciences, Deonar, Mumbai, Minstry of Health and Family Welfare, GOI.

Jayalakshmi MS, Ambwani K, Prabhakar PK, Swain P. A study of male involvement in family planning. Health Population Perspectives Issues. 2002;25:113-23.

Khan ME, Patel BC. Male involvement in family planning: A KABP study of Agra district, Indian. 2005.