DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20161311

Correlates of contraceptive use among couples in slums of Chandigarh, India

Dinesh Kumar, Navpreet Singh, Munesh K. Sharma, Naveen K. Goel, Anupama Dhiman

Abstract


Background: Population explosion in developing countries is the major problem which neutralizes all the gains and developments achieved in the country. In India, in spite of availability of many contraceptive techniques, the couple protection rate continues to be inadequate. The objective of the study was to compare the fertility behavior of men and women in terms of awareness, preferred and intended use of contraceptives.

Methods: Community-based longitudinal study was conducted among 667 couples in four randomly selected slum areas of Chandigarh using a two-stage systematic sample design. Data was collected using a predesigned and pretested semi-structured interview schedule conducting house-to-house survey. Impact of interventions in the form of health education was assessed at the end of follow-up.

Results: There were 193 (28.9%) female respondents married before attaining 18 years of age. Medium ages at marriage for women were found to be 18 years. Majority, 91 (13.6%) women delivered first baby prior to 18 years of age. Age wise contraceptive prevalence rate was found to be maximum (66.2%) among women aged 36-49 years. Contraceptive use was more common in case of nuclear families (60.4%) and in case of improvident maternity (65.3%). Overall awareness of contraceptives among couples was found to be among 545 (81.7%) couples whereas, only 382 (57.3) were using contraceptives currently.

Conclusions: Migratory couples, having at least one female child, and with history of still births were more likely to use contraceptives. Interventions in the form of health education have some positive role in increasing contraceptive awareness and current as well as intended uses of contraception.


Keywords


Contraceptive use, Couples, Improvident maternity, India

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References


Ministry of Health and family Welfare. Government of India. Annual report. 1996-97.

Park K. Test Book of Preventive and Social Medicine. 23rd ed. Jabalpur: Banarasidas Bhanot Publishers 2015: 487.

Census of India. Ministry of Home Affairs, Government of India. New Delhi, India. http://www.census2011.co.in/census/state/chandigarh.html. (Accessed 5 Oct 2015).

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

Sharma AK,Grover V, Agrawal OP, et al. Pattern of contraceptive use by residents of a village in South Delhi. Indian J Public Health. 1997;41(3):75-8.

Puri S, Bhatia V, Sehgal A, Mangat C. Imparting knowledge of Emergency Contraception to College going students. Is it dangerous? The Internet Journal of Epidemiology. 2008;6:1-10.

Encouragement of male participation is a promising strategy for addressing some of the world’s most pressing reproductive health problems. Population Reports. New perspectives on Men’s participation. 1993;46:3-7.

International Institute for Population Sciences (IIPS) and Macro International. 2001. National Family Health Survey (NFHS-2), 1998-99: Mumbai, India.

Kansal A, Chandra R, Kandpal SD, Negi KS. Epidemiological Correlates of Contraceptive Prevalence in Rural Population of Dehradun District. Indian J Community Med. 2005;30(2):60-2.

Sharma RS, Rajalakshmi M, Sharma RS, Jeyaraj DA. Current status of fertility control methods in India. J Biosci. 2001;26(4 Suppl):391-405.

Bhasin SK, Pant M, Metha M, Kumar S. Prevalence of Usage of Difference Contraceptive Methods in East Delhi-A Cross Sectional Study. Indian J Community Med. 2005;30(2):53-5.

Kirkkola AL, Mattila K, Virjo I. Problems with condoms – a population based study among Finnish men and women. Eur J Contracept Rreprod Health Care. 2005;10(2):87-92.

Wegner M, Landry E, Wilkinson D, Tzanis J. Men as partners in reproductive Health: From issues to action. International Family Planning Perspectives. 1998;24(1):1-13.

Andurkar SP, Yadav VB, SD Dalvi. Study of unmet need for family planning among married women of reproductive age in urban health central field practice area of Govt. Medical College, Aurangabad. Indian J Public Health. 2006;50:45-6.

Daniel EE, Masilamani R, Rahman M. The effect of community-based reproductive health communication interventions on contraceptive use among young married couples in Bihar, India. International Family Planning Perspectives. 2008;34(4):189-97.

Abdulrazaq AG, Kabir S, Mohammad NS, Suleiman IH. The effect of educational intervention on family planning knowledge, attitudes, and practices among married women in a military barrack in northern Nigeria. Afr J Reprod Health. 2014;18(1):93-101.

Qian X, Smith H, Huang W, Zhang J, Huang Y, Garner P. Promoting contraceptive use among unmarried female migrants in one factory in Shanghai: a pilot workplace intervention. BMC Health Serv Res. 2007;7:77.

Little P, Griffin S, Kelly J, Dickson N, Sadler C. Effect of educational leaflets and questions on knowledge of contraception in women taking the combined contraceptive pill: randomised controlled trial. BMJ. 1998;316(7149):1948-52.

Soliman MH. Impact of antenatal counselling on couples' knowledge and practice of contraception in Mansoura, Egypt. East Mediterr Health J. 1999;5(5):1002-13.