DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20204750

An epidemiological study to assess unmet needs for family planning among married women in an urban slum area of Mumbai

Shalini Rawat, Ashwini Yadav, Meraj Gohar

Abstract


Background: Unmet need is useful tool for monitoring family planning program and maternal health. Thus, reducing maternal mortality, unintended pregnancies and abortions. Use of modern contraceptives in 2017 prevented an estimated 308 million unintended pregnancies.

Methods: A cross-sectional study was done among reproductive age (15-44 years) women attending general OPD in Urban health Training centre for a period of one month. Simple random sampling was used and sample size of 375 was taken. Data was analysed using SPSS software version 23.

Results: Out of 375 women 85 (22.66%) were using contraceptives while 290 (77.34%) of women were not using any type of contraception. Total unmet need for spacing birth was 69 (18.4%) while for limiting birth was 98 (26.13%). Unmet need for spacing birth was highest 27 (26.21%) in age group of 20-25 years and unmet need for limiting birth was highest 10 (12.04%) in the age group of 30-35years. Educational status and socio-economic status of the women were found to be significantly associated with the unmet need. (50%) of women with no child and 24 (55.81%) women having one child had more need for spacing birth while women who had 2 children 26 (24.29%) had need for spacing and 41 (38.31%) had need for limiting births.

Conclusions: The unmet need for contraception was found to be 44.53% which is much higher than the NFHS-4 data for urban Maharashtra i.e.11%. Appropriate measures should be taken for motivating couples to adopt the family planning methods specially among younger age women and economically backward groups


Keywords


Married women, Unmet need, Urban slum

Full Text:

PDF

References


World Health Organisation: Reproductive Health Research 2019. Available at https://www.who.int/reproductivehealth/publications/financing-uhc-for-sexual-reproductive-health-evidence-brief/en/ Last accessed on 2020 August 3.

IPS. National family health survey (NFHS-4), 2015-16. Mumbai: International Institute for Population Studies. Available from: http://www.mohfw.nic.in/nfhs4/index.htm. Last accessed on 2020 August 1.

District Level Household and Facility Survey 4, 2012-13(DLHS III). Ministry of health and family welfare, Government of India. Available from www.rchiips.org/pdf/ INDIA_REPORT_DLHS-4. Last accessed on 2020 August 2.

Government of India. National population policy 2000. New Delhi: Ministry of health and family welfare, Government of India. Available from www//mohfw.nic.in .Last accessed on 13 August 2020.

World Health Organisation. Sexual and Reproductive Health. Available at https://www.who.int/reproductivehealth/topics/family_planning/unmet_need_fp/en/ Last accessed on 2020 July 23.

Malwenna LI, Jayawardana PL, Balasuriya A. Effectiveness of a community based health educational intervention in reducing unmet need for modern methods of family planning among ever married reproductive age women in the Kalutara District Siri Lanka. Int J Collabarative Res Intern Med Public Health. 2012;4:1097-114.

Rosenfield A, Schwartz K. Improving the health of women in developing countries: the time is now. J Midwifery Womens Health. 2005;50(4):272-4.

Lekshmi A. Ret al Ansuya & Manjula . A study to assess the factors influencing unmet need of family planning among married women in selected villages of Udupi district, Karnataka Nitte University Journal of Health Science March 2014; ISSN 2249-7110.

Puri A, Garg S, Mehra M . Assesment of unmet need for contraception in an urban slum of Delhi. Ind J Com Medic. 2004;29(3):139-40.

Shukla M, Agarwal M, Yadav K. Determinants of unmet need for family planning in slums of lucknow. J Evidence based Medic Healthcare. 2015;2(30):4364-71.

Devi DR, Rastogi SR, Retherford RD. Unmet Need for Family Planning in Uttar Pradesh. National Family Health Survey Subject Reports Number 1. 1996:1-27.

Mohanan P, Kamath A, Sajjan BS, Fertility pattern and family planning practices in rural area in dakshina Kannada, Ind J Com Medic. 2003;28:15-8.

Anupama M, Iyengar K, Rajesh SS, Jayaram A, Venkatesh P. A study to assess the unmet need for contraception among married women in the urban field practice area of a medical college. Int J Community Med Public Health. 2019;6:2583-8.

Chakraborty N, Kaviraj RS, Mandal AK. Use of Family Planning Methods And Unmet Need Of Contraception Among Married Women In A Rural Area Of West Bengal: A Cross-Sectional Study. J Dent Med Sci. (IOSR-JDMS) 2016;15(2):24-9.

Kashyap R, Vidya GS, Dhar R. A Study on Unmet Need of Contraception Among Married Women in Urban Field Practice Area of JJM Medical College, Davangere, Karnataka. Natl J Community Med 2017;8(4):203-7.

Raveendran R, Vijayakumar B. Unmet need for family planning in South India. International Journal of Biomedical and Advance Research. 2017;8(03):82-6.

Begum S, Nair S, Donta B, Prakasam CP. Prevalence of unmet need for contraception in urban slum communities, Mumbai. Int J Reprod Contracept Obstet Gynecol. 2014;3:627 -30.

Akanksha J, Nandkeshav AR, Kalpana KM ,Domple Vijay K, Doibale Mohan K. Unmet need for family planning among the married women of reproductive age group in a rural area. Int J Health Sci Res. 2014;4(12):62-9.

Patel BH, Gandha KM, Koringa HT, Mehta JP, Parmar DP, Yadav SB, A Community Based Cross-Sectional Study To Assess The Unmet Need Of Family Planning In Urban Slums And Its Determinants In Western Part Of India. National journal of medical research. 2014;4(1):7-9.

Lata K, Barman SK, Ram R, Mukherjee S, Ram AK. Prevalence and determinants of unmet need for family planning in Kishanganj district, Bihar, India. Global J Med Publ Health. 2012;4:29-33.

Nayak A, Patel V, Koria B, Kotecha I, Trivedi A, Singh M.P. Unmet Needs For Family Planning in UHTC Area of Government Medical College Bhavnagar. NJIRM. 2013;4(5):86-9.