DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20190874

Perceptions and practices of rural Indian women in contraception, abortion, and sexual health: a cross sectional study

Amenda Ann Davis

Abstract


Background: Maternal mortality is an important target of health care policies, especially in India. While numerical indicators of maternal health improve, this can only be sustained with change in the knowledge, attitudes, and practices of women. Gender empowerment is a neglected aspect of health care policy, and there is a need to assess the perceptions of Indian women, the true torch-bearers of change.

Methods: This was a hospital based cross sectional quasi-quantitative study in a sub-district hospital in the town of Ballabgarh, Haryana, India. Married women attending the outpatient clinic, antenatal clinic, labor ward, and primary health centres in the age group of 20 to 40 years were interviewed using a semi-structured questionnaire with both closed and open-ended questions. Health concerns were concurrently addressed.

Results: Author interviewed 956 women. No form of modern contraception had ever been used by 58.36% of the women. Intra-uterine contraceptive devices were discontinued by 76.12% of the women who had used them. Emergency contraception was a concept known to 49.89% of the women, but fraught with misconceptions. Induced abortions was being used as a form of family planning, with nearly 90% of the women having taken over-the-counter abortifacients. Women were receptive to contraception, and many expressed an interest in long acting contraceptives other than IUCDs.

Conclusions: This study provides insight into the thinking of Indian women regarding family planning. This may help guide family planning policies.


Keywords


Abortion, Contraception, Indian women, IUCD, KAP, Rural sexual perceptions, Sexual health, Vaginal discharge

Full Text:

PDF

References


United Nations, Department of Economic and Social Affairs, Population Division (2017). World Population Prospects: The 2017 Revision.

Report of Registrar General of India - Sample Registration System (RGI-SRS) 2011-13.

Say L et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health 2014;2(6):e323-33.

Census Meta Data, Census of India, 2011.Available at http://www.censusindia.gov.in/2011census/HLO/Metadata_Census_2011.pdf

Family Planning Annual Report 2015-16. Available from: http://nhm.gov.in/images/pdf/programmes/family-planing/annual-report/annual-report-fp-division-2015-16.pdf

De Oliveira IT, Dias JG, Padmadas SS. Dominance of sterilization and alternative choices of contraception in India: An appraisal of the socioeconomic impact. PLoS One. 2014;9(1) e86654.

Chaurasia AR, Chaurasia AR, Chaurasia, Ranjan A. Contraceptive Use in India: A Data Mining Approach. Int J Popul Res. 2014;2014:1-11.

WHO. Medical Eligibility criteria for Contraceptive Use. 2015;1–276. Available at: www.who.int/reproductive health.

Achyut P, Mishra A, Montana L, Sengupta R, Calhoun LM, Nanda P. Integration of family planning with maternal health services: An opportunity to increase postpartum modern contraceptive use in urban Uttar Pradesh, India. J Fam Plan Reprod Heal Care. 2016;42(2):107-15.

Bhatnagar I, Khan ME, Hazra A. Young Couples in India : How to Meet Their Contraceptive Needs to Space Births ? Data Res Meth. 2013;1-13.

Sebastian MP, Khan ME, Kumari K, Idnani R. Increasing postpartum contraception in rural India: Evaluation of a community-based behavior change communication intervention. Int Perspect Sex Reproduct Hea. 2012;38(2):68-77.

Zavier AJF, Padmadas SS. Postabortion contraceptive use and method continuation in India. Int J Gynecol Obstet. 2012;118(1):65-70.

Trollope-Kumar K. Cultural and biomedical meanings of the complaint of leukorrhea in South Asian women. Trop Med Int Heal. 2001;6(4):260-6.

El Beltagy NS, Darwish EA, Kasem MS, Hefila NM. Comparison between Cupper T380 IUD and Multiload 375 IUD in early post-partum insertion. Middle East Fertil Soc J. 2011;16(2):143-8.

Dixit A, Khan M, Bhatnagar I. Mainstreaming of emergency contraception pill in India: Challenges and opportunities. Indian J Community Med. 2015;40(1):49.

Ghike S, Joshi S, Bhalerao A, Kawthalkar A. Awareness and Contraception Practices among Women-An Indian Rural Experience. J south asian Fed Obstet Gynaecol. 2010;2(1):19-21.

Mittal S. Emergency contraception in India. Presented on 3 May 2011 at the consultation on Mainstreaming ECP in the National Family Welfare Program in Mumbai, India.