DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20190200

Socio-demographic determinants and modern family planning usage pattern-an analysis of National Family Health Survey-IV data

Ajit Kumar Dey

Abstract


Background: India, which accounts for world's 17.5 percent population, is the second most populous country in the world next only to China (19.4%). The major objective of the NFHS surveys has been to strengthen India’s demographic and health database, to anticipate and meet the country’s needs for data on emerging health and family welfare issues. The objectives of the study were to study the different background characteristics of women adopting different family planning methods and to analyze the associated socio-demographic factors..

Methods: Secondary data analysis of NFHS 4 datasets obtained from DHS program portal. Appropriate statistical testing of associated socio-demographic variables done and interpreted accordingly.

Results: Out of total 63696 couples, 99.2% women and 98.6% men knew modern method of contraception, 48.6% were currently using modern method of contraception and 7.4% traditional method. The majority (34%) women adopted female sterilization as current method of contraception. There is interstate variation in the contraceptive prevalence rate highest (80.60%) in Chandigarh compared to least (26.64%) in Goa. There is significant association observed between place of residence, religion, wealth index, women education, education of husband towards current contraceptive use.

Conclusions: About 45% of population increase is contributed by births above two children per family. The adoption of appropriate method of contraception by couples made available through quality family planning services and empowering women by proper behavior change communication will help improve the present contraceptive prevalence rate especially among the vulnerable groups.


Keywords


NFHS, Contraceptive methods, India

Full Text:

PDF

References


Government of India, MOHFW (2011) Family welfare statistics in India, 2011.

Santhya KG. Changing Family planning scenario in India: An overview of recent evidences. Regional Working papers. 2003:17: Population Council, New Delhi, India, 2003.

Ministry of Health and Family Welfare (MOHFW). 2000. National Population Policy 2000. New Delhi: MOHFW, Government of India. 2000.

World health organization. Evaluation of family Planning in Health Services, Report of a WHO Expert Committee, WHO Technical Report Series No.569, WHO, Geneva, 1975.

International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-4), 2015–16. Supervisor Manual: India: Mumbai: IIPS, 2014.

ICF International. Sampling and house listing Manual. Demographic and Health Survey. Calverton, Maryland USA, September 2012.

Rutstein SO, Rojas G. Guide to DHS Statistics. Demographic and health surveys methodology. ORC Macro, Calverton, Maryland, 2006.

Chandhick N, Dhillon BS, Kambo I, Saxena NC. Contraceptive knowledge, practices and utilization of services in the rural areas of India (an ICMR task force study). Indian J Med Sci. 2003;57:303.

United Nations, Update for the MDG Database: Contraceptive Prevalence, Department of Economic and Social Affairs, Population Division, New York, NY, USA, 2012.

International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS. 2007.

Kerketta S, Kumar A. Knowledge of family planning and current use of contraceptive methods among currently married women in Uttar Pradesh, India. Int J Community Med Public Health. 2015;2:449-55.

Chaurasia AR. Contraceptive Use in India: A Data Mining Approach. Int J Population Res. 2014;821436:1-11.