Navigating family planning: unveiling rural-urban disparities among women in India: insights from Indian demographic health survey-5
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20232856Keywords:
Contraception, Urban, Rural, Female sterilisation, NFHS -5Abstract
Background: Over the past few years, there has been an increase in the usage of family planning methods. Female sterilization remains the most commonly used method of contraception. However, there are still disparities in the use of family planning methods between urban and rural areas in India, which can be attributed to differences in education levels, cultural factors, and socio-economic factors. The study aimed to evaluate contraceptive prevalence and urban-rural disparities among married women in India.
Methods: The study was based on the data collected under the National family health survey 2019-21. The NFHS-5 covered 5,12,408 currently married women (women in the age group 15-49). Descriptive and analytical analyses were used. The chi-square test and Bivariate logistic regression model were used to find the association between background characteristics and contraception use.
Results: The study showed that 65.7% of the participants were using contraception, with female contraception being the most common method of contraception. The use of contraception in urban and rural settings was 67.9% and 65% respectively.
Conclusions: The use of contraception has increased, with woman’s age, religion, caste, educational level, wealth index, place of residence and other factors such as total children living, total children ever born, exposure to mass media, son preference and ideal number of children being significant determinants.
Metrics
References
Vinoda TJ. Contraceptive use and preferences of young married women in Kerala, India. J Contracept. 2018;9:1-10.
Family Planning : National Health Mission. Available at: https://nhm.gov.in/index1.php?lang=1&level=2& sublinkid=821&lid=222. Accessed on 20 February 2023.
Gupta R, Singh P, Gupta R, Akhtar N, Gupta C, Sharma P. Contraceptive use: Its prevalence, awareness, practices and determinants in a rural population of Northern India. Int J Med Sci Public Health. 2017;6(10):1.
Ewerling F, McDougal L, Raj A, Ferreira LZ, Blumenberg C, Parmar D, et al. Modern contraceptive use among women in need of family planning in India: an analysis of the inequalities related to the mix of methods used. Reprod Health. 2021;18(1):43-8.
Blumenberg C, Hellwig F, Ewerling F, Barros AJD. Socio-demographic and economic inequalities in modern contraception in 11 low- and middle-income countries: an analysis of the PMA2020 surveys. Reprod Health. 2020;17(1):23-9.
Contraception. Available at: http://main.mohfw. gov.in/sites/default/files/06Chapter.pdf. Accessed on 20 February 2023.
Ram F, Shekhar C, Chowdhury B. Use of traditional contraceptive methods in India & its socio-demographic determinants. Indian J Med Res. 2014; 140(1):S17.
India and family planning: An overview. Available at: https://web.archive.org/web/20091221114019/http://www.searo.who.int/LinkFiles/Family_Planning_Fact_Sheets_india.pdf. Accessed on 20 February 2023.
Pradhan MR, Mondal S. Contraceptive method use among women in India: Does the family type matter? Biodemography Soc Biol. 2022;67(2):122-32.
Dey AK. Socio-demographic determinants and modern family planning usage pattern-an analysis of National Family Health Survey-IV data. Int J Community Med Public Health. 2019;6(2):738.
Gore S, Katkuri S. A study to assess contraceptive use among married women in urban and rural areas: a comparative study. Int J Reprod Contracept Obstet Gynecol. 2016;5(9):2978-82.
Koringa H, Joshi K, Mehta J. A study on various factors affecting family planning practices among eligible couples in urban slums of municipal corporation area in Jamnagar, Gujarat, India. Int J Med Sci Public Health. 2015;4(12):1675.
Rm S, Osborn J, Karthikeyan S, Ravishankar SL. A study on contraceptive prevalence rate and factors influencing it in a rural area of Coimbatore, South India. J Family Med Prim Care. 2021;10(6):2246.
Pandey A, Singh KK. Contraceptive use before first pregnancy by women in India (2005–2006): determinants and differentials. BMC Public Health. 2015;15(1):54-7.
Modern contraceptives. Available at: https://www.Determinants_of_Modern_Contraceptive_Use_Among_Young_Married_Women_in_Five_ High_Fertility_States_of_India. Accessed on 20 February 2023.