Factors influencing the acceptance and awareness of permanent method of family planning

Nishita Shettian, Disha Ajila


Background: Among developing countries, India holds the second place in being the most populated country accounting to 1.3 billion. This addresses the need for effective population control by implementing various family planning and contraceptive services thereby improving the quality of life. Our study aims at assessing the factors influencing the awareness and acceptance of permanent method of family planning.

Methods: This is a questionnaire based cross sectional study carried out in A.J. institute of Medical Sciences on 300 postpartum women who have undergone two or more child births.

Results: 77.3% of women were aware of family planning services out of which 64.3% had knowledge about permanent method of sterilization. 73% preferred to undergo tubectomy whereas only 13.7% were willing for vasectomy with the main reason for refusal being fear of surgery (25.9%). 32.6% of women wanted their husbands to undergo vasectomy rather than having a tubectomy themselves. Desire for more children (39%) was the main reason given by most women who refused to undergo tubectomy.

Conclusions: Though women were aware of contraceptive practices, proper knowledge about permanent methods of family planning was still inadequate especially regarding vasectomy. Our study showed that lack of awareness and knowledge, fear of adverse effects, fear of sexual dysfunction, culture and religious beliefs, opposition from the male partner and health concerns were the factors influencing tubectomy acceptance over vasectomy as a permanent method of sterilization.


Family planning, Permanent sterilization, Tubectomy, Vasectomy

Full Text:



Nayak AU, Ramakrishnan KG, Venkateswar KN, Vijayshree M. Assessing the knowledge, attitude and practice of contraception in rural India: a necessary step in achieving population control. Int J Reprod Contracept Obstet Gynecol. 2017;6:3328-31.

Srivastav A, Khan MS, Chauhan CR. Knowledge, attitude and practices about contraceptive among married reproductive females. Int J Sci Study. 2014;1(5):2-4.

Lakshmi SG, Chandrasekhran PA, Radharani G. A study on factors influencing the choice of permanent method of family planning. IOSR-JDMS. 2015;14:16-22.

Cunningham GF, Leveno KJ. Section 6. Sterilization. William’s obstetrics. 23rd ed. New York7 McGraw-Hill. 2010:698-704

Chaudhuri SK. Practice of Fertility Control. 7th ed. Elsevier;2008:178-226.

Anjum S, Durgawale PM, Shinde M. Knowledge of contraceptives methods and appraisal of health education among married woman. Int J Sci Res. 2014;3(3):584-90.

Khan A, Hashmi HA, Naqvi Z. Awareness and practice of contraception among child bearing age women. J Surg Pak. 2011;16(4):179-82.

Nair A, Devi S. Knowledge and attitude of puerperal women towards family planning practices in a tertiary care hospital. J Evid Based Med Healthc. 2017;4(5):212-6.

Deka N, Sarma AK, Borthakur S. Awareness and knowledge of contraception among parous women and contraceptive usage by them. Int J Health Res Med Legal Prac. 2017; 3:27-9.

Bhargava S, Hooja N, Nawal R, Kumawat B, Sharma A, Manish R. Knowledge and behaviour regarding birth prevention of healthcare providers. J Obstet Gynecol Ind. 2017;67:282-5.

Malik ZI, Habib SA, Rehman MZ, Maqbool A. Contraceptive knowledge, attitude and practice among parous women attending gynae outdoor of Shaikh Zayed Hospital, Rahim Yar Khan. Pak J Med Health Sci. 2015 Jan;9(1):80-3.

Getachew M, Enquselassie F, Gezahegn T, Agumasie S. prevalence and factors affecting use of long acting and permanent contraceptive methods in Jinka Town, Southern Ethiopia: a cross sectional study. Pan Afr Med J. 2014;18:98.

Renjhen P, Kumar A, Pattanshetty S, Sagir A, Samarasinghe CM. A study on knowledge, attitude and practice of contraception among college students in Sikkim, India. J Turkish German Gynecol Assoc. 2010;11:78-81.