Prevalence of unmet need for contraception in urban slum communities, Mumbai

Shahina Begum, Saritha Nair, Balaiah Donta, C. P. Prakasam

Abstract


Background: Unmet need for family planning is a tool to monitor the family planning program. Hence, the objective of study is to examine the prevalence of unmet need for family planning among women living in urban slum communities, Mumbai.

Methods: The cross-sectional survey was conducted among currently married women aged 18-39 years and having at least one child. A total of 2797 women were selected using systematic random sampling. Information on demographic characteristics, their contraceptive behaviour and fertility intention were collected by face to face interview using structured questionnaire. Chi square test was applied and p <0.05 was considered as significant.  

Results: About 59.4% were currently using family planning methods and 40.6% have reported unmet need for family planning. Awareness of contraceptive methods among women with unmet need for family planning was universal. The prevalence of unmet need for family planning significantly decreased as the age and number of children increased. The prevalence of unmet need was significantly higher than met need for family planning among women having one child as compared to women having 2 or more children.

Conclusions: A significant gap was observed between met and unmet need for family planning among younger women and having one child. The study emphasises the need for family planning programs to focus on younger couples having one child. 


Keywords


Barriers, Contraception, Family size, Unmet need, Younger couples

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References


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.

International Institute for Population Sciences (IIPS) and Macro International. National family health survey (NFHS-3), 2005-06, India. In: IIPS, eds. IIPS Survey. Mumbai: IIPS; 2007: 1-24.

Calhoun LM, Speizer IS, Rimal R, Sripad P, Chatterjee N, Achyut P, et al. Provider imposed restrictions to clients’ access to family planning in urban Uttar Pradesh, India: a mixed methods study. BMC Health Serv Res. 2013;13:532.

Yerpude PN, Jogdand KS, Jogdand MS. A study on determinants of unmet need for family planning among married women in urban slum area. Int J Recent Trends Sci Technol. 2013;8(2):122-4.

Khan S, Bradley S, Fishel J, Mishra V. Unmet need and the demand for family planning in Uganda: further analysis of the Uganda demographic and health surveys, 1995-2006. In: Khan S, Bradley S, Fishel J, Mishra V, eds. Uganda Further Analysis. Calverton, MD: Macro International Inc; 2008: 1-29.

Chacko E. Women’s use of contraception in rural India: a village level study. Health Place. 2001;7(3):197-208.

Fathizadeh N, Salemi P, Ehsanpour S. Dissatisfaction with contraceptive methods. Iran J Nurs Midwifery Res. 2011;16(1):79-82.

Patil SS, Rashid AK, Narayan KA. Unmet needs for contraception in married women in a tribal area of India. Malaysian J Publ Health Med. 2010;10(2):44-51.

Balaiah D, Naik DD, Parida RC, Ghule M, Hazari KT, Juneja HS. Contraceptive knowledge, attitude and practices of men in rural Maharashtra. Adv Contracept. 1999;15(3):217-34.

Nalwadda G, Tumwesigye NM, Faxelid E, Byamugisha J, Mirembe F. Quality of Care in Contraceptive services provided to young people in two Ugandan districts: a simulated client study. PLoS One. 2011;6(11):e27908.

Ali AAA and Okud A. Factors affecting unmet need for family planning in Eastern Sudan. BMC Publ Health. 2013;13:102.

Sengupta R, Das A. Contraceptive practices and unmet need among young currently married rural women in empowered action group (EAG) states of India. J Fam Welf. 2012;58(1):1-14.

Roy KP, Halder P, Bisoi S, Guha RT, Choudhuri R, Sarkar TK, et al. Bridging the unmet need in contraceptive practice with natural methods: a study from Kolkkata, India. The Health. 2011;2(3):78-81.

Woldemicael G, Beaujot R. Currently married women with an unmet need for contraception in Eritrea: profile and determinants. Canadian Stud Popul. 2011;38(1-2):61-81.

Hari AR, Pathak RS, Dottel BR, Pant PD. A comparative analysis of unmet need in nepal: further analysis of the 2006 Nepal demographic and health survey. In: Hari AR, Pathak RS, Dottel BR, Pant PD, eds. Nepal Further Analysis. Calverton, Maryland, USA: Macro International Inc; 2008: 1-18.

Stuart Basten, Mamta Rajbhar. Regional analysis of one child family ideation and reality in India as a possible determinant of future fertility trends, 2013. Available at: http://www.iussp.org/en/event/17/programme/paper/2592.

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.

Puri A, Garg S, Mehra M. Assessment of unmet need for contraception in an urban slum of Delhi. Indian J Comm Med. 2004;29(3):139-40.

Ali AA, Rayis DA, Mamoun M, Adam I. Use of family planning methods in Kassala. Eastern Sudan. BMC Res Notes. 2011;4(1):43.

Shukla M, Qureshi S, Chandrawati. Post-placental intrauterine device insertion: a five year experience at a tertiary care centre in north India. Indian J Med Res. 2012;136:432-5.

Bhandari GK, Jha PN, Yadav B, Paudel I, Nagesh S. Prevalence and determinants of unmet need for family planning in a district of eastern region of Nepal. Kathmandu Univ Med J. 2006;4(2):203-10.

Kasthuri A, Mohana KK, Suganya A. Cross-sectional study of unmet need for spacing and limiting method of contraception among rural married women. Nat J Res Com Med. 2012;1(4):178-241.

Indu D. Unmet needs for family planning in urban slums of Trivandrum corporation area: a cross sectional study. Calicut Med J. 2011;9(2):e5.

Speizer I, Hotchkiss DR, Magnani RJ, Hubbard B, Nelson K. Do service providers in Tanzania unnecessarily restrict clients' access to contraceptive methods? Int Family Planning Persp. 2000;26(1):13-20.