A prospective study of demographic and socioeconomic factors responsible for non-acceptance of family planning methods at tertiary care teaching hospital, Gujarat, Indiaal, Gujarat, India
Keywords:Contraceptive methods, Reproductive health, Non-acceptance
Background: Population explosion has been major challenge for India since Independence. The adoption of contraceptive methods remains the best solution to this problem. The objective of this study was to determine the factors for non-acceptance of different contraceptive methods among married women of postnatal ward in tertiary care hospital, Ahmedabad, Gujarat, India. The aim of the study was to analyse about the level of awareness and attitude towards different methods of contraception among married women of reproductive age groups.
Methods: It was a prospective observational study carried out in the department of obstetrics and gynaecology, B. J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India, a tertiary care teaching hospital from June 2019 to November 2020. 200 patients meeting inclusion criteria were included. Case sheets were analysed to obtain data regarding reasons for non-acceptance of contraceptive methods.
Results: In our study, we found that among study population 64% women use family planning methods, which was still low as compared to developed countries. 36% women were non-users in study population. The main reason of non-acceptance of contraceptive method were desire for male child, non-allowance by religion/custom, the myth regarding price of contraceptive method, desire of more children and worry about side effects.
Conclusions: To increase the use of contraceptive among women, we can increase awareness about different family planning method with counselling about various available contraceptives. It is also important to increase participation of husbands as they often influence the decision regarding reproductive health of women.
Chaurasia AR, Gulati SC. India: The State of Population 2007. New Delhi, India: National Population Commission and Oxford University Press; 2008.
International Institute for Population Sciences. District Level Household and Facility Survey 200708, 2010. Available at: http://rchiips.org/pdf/indiareportdlhs-3.pdf. Accessed on 01 May 2021.
United Nations. World Contraceptive Patterns, 2013. Available at: https://www.un.org/en/development/desa/populatiopublications/pdf/family/worldContraceptivePatternsWallChart2013.pdf. Accessed on 01 May 2021.
Ministry of Health and Family Welfare. National Family Health Survey (NFHS-4) 201516, 2018. Available at: http://rchiips.org/nfhs/nfhs-4Reports/India.pdf. Accessed on 01 May 2021.
Ministry of Health and Family Welfare. National Family Health Survey (NFHS-3), 2017. Available at: http://www.rchiips.org/nfhs/NFHS3%20Data/VOL1/India_volume_I_corrected17oct08.pdf. Accessed on 01 May 2021.
Manna N, Basu G. Contraceptive methods in rural area of West Bengal, India. Sudanese J Public Health. 2011;6:164-9.
Sharma AK, Grover V, Agrawal OP, Dubey KK, Sharma S. Patterns of contraceptive use by residents of a village in South Delhi. Indian J Public Health. 1997;41:75-8.
Shobha J. Fertility and child survival: A study of selected slums of Hyderabad. Indian J Soc Work. 1990;1:134-40.
Gupta A, Roy TK, Sarker G, Banerjee B, Ghosh S, Pal R. Determinants of contraceptive practices among eligible couples of urban slum in Bankura District, west Bengal. J Family Med Prime Care. 2014;3(4):388-92.
Anil AP. Knowledge and practices of contraception among married females of rural Tamil Nadu. Asian J Biomed Pharm Sci. 2015;5(42):1-4.
Haldar A, Baur B, Mishra R, Dasgupta U, Banerjee L. Contraceptive practice: An experience from rural West Bengal, India. Int J Basic Appl Med Sci. 2012;2:174-8.
Bisoi S, Haldar A, Baur B, Mishra R, Dasgupta U, Banerjee L. Contraceptive practice: An experience from rural West Bengal, India. Int J Basic Appl Med Sci. 2012;2:174-8.
Rangamuthia M, Kim CM, Fred A, Roy TK. Son Preference and Its effects on Fertility in India. National Family Health Survey Subject Reports. Number 3, 1997. Available at: http://rchiips.org/nfhs/research1.html. Accessed on 01 May 2021.
Rama R, Ghosh MN, Bhattacharya S. Study of unmet need for family planning among married women of reproductive age attending immunization clinic in a medical college of Calcutta. Indian J Community Med. 2000;25910:22-5.
Das R, Amir A, Nath P. Utilisation and coverage of services by women of Jawan Block in Aligarh. Indian J Comm Med. 2001;26(2):92-100.
Patro BK, Kant S, Baridalyne N, Goswamy AK. Contraceptive Practice among married women in a resettlement colony of Delhi. Health Pop Perspec Iss. 2005;28(1):9-16.
Murarkar SK, Soundale SG. Epidemiological correlates of contraceptive prevalence in married women of reproductive age group in rural area. Natl J Community Med. 2011;2(1):78-81.
Ghosh S, Samanta A, Mukherjee S. Knowledge and practice of family planning in married women of reproductive age group in a slum of Kolkata. Al Ameen J Med Sci. 2013;6(1):34-9.