Knowledge, attitude and practice of family planning among women of reproductive age group attending outpatient department in a tertiary centre of Northern India

Authors

  • Mahvish Qazi Department of Gynecology and Obstetrics, Government Medical College, Doda, Jammu, Jammu and Kashmir, India
  • Najmus Saqib Department of Paediatrics, Government Medical College, Jammu, Jammu and Kashmir, India
  • Sachin Gupta Department of Community Medicine, MM Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20191531

Keywords:

Attitude, Contraception, Family planning, Knowledge, Practice

Abstract

Background: India with 1.35 billion people is the second most populated country in the world next to China. Total fertility rate of India is 2.2 and the current total fertility rate of Jammu and Kashmir is 1.7 which is still lagging behind various states. This study was conducted to investigate the knowledge, attitude and practices of contraception in women of reproductive age in this set up.

Methods: The present cross-sectional study was carried out in patients attending OPD (outpatient department) of Obstetrics and Gynecology at ASCOMS, Jammu, Jammu and Kashmir, India from 1st September 2017 to 31st August 2018. 200 married women aged between 18-49 years were included in this study. Socio-demographic characteristics of the women, their knowledge, attitude and practices on contraception were evaluated with the help of predesigned questionnaire.

Results: Out of 200 women, maximum respondents belong to age group of 21-25 years (75.6%). Most of the contraceptive non-users belongs to age below 20 years (62.5%). Majority of respondents were Hindu (70.37%), maximum studied up to secondary level education (84.61%), 70.30% were housewives and 56.58% belongs to middle class. In 45% of respondents, media was the main source of information. Preferred spacing method was condom in 85% of cases. 68% women had knowledge of female sterilization. According to most women, family planning methods are meant for limitations of birth (43%) and 36% meant for spacing of birth. 80% women had positive attitude towards contraceptive usage. 50% experienced side effects with the use of contraceptives. The most common side effect was menstrual irregularities in 25% of cases. Most common reason for not using contraceptive methods among non-respondents were lack of knowledge in 50% of cases.

Conclusions: The study showed that inspite of having good knowledge, utilization of contraceptives were less because of large family norm, religious myth, cultural and political barriers. Ignorance regarding use and side effects of various contraceptive methods is another reason for inadequate practice of family planning methods.

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References

Park K. Demography and family planning. Text book of preventive and social medicine, 21st Ed: Jabalpur, M/s Banarsidas Bhanot Publishers; 2011:443,445,447,454.

Patil MG, Mahyavanshi DK, Kartha G. A cross sectional study on KAP regarding spacing methods among married women of the reproductive age group in the field practice area of UHTC in Surrendranagar district, Healthline. 2011;2(2):31-5.

Population Reference Bureau. World Population Data Sheet, 2010. Available at: http://www.prb.org/pdf10/10wpds_eng.pdf.

Rai SK, Dasgupta R, Das MK, Singh S, Devi R, Arora NK. Determinants of utilization of services under MMJSSA scheme in Jharkhand ‘client perspective’s: a qualitative study in a low performing state of India. Ind J Pub Health. 2011;55:252-9.

Weldegerima B, Denekew A. Women's knowledge, preferences, and practices of modern contraceptive methods in Woreta, Ethiopia. Res Social Administrative Pharmacy. 2008;4(3):302-7.

Bhasin K, Pant M, Mehta M, Kumar S. Prevalence of usage of different contraceptive methods in East Delhi- a cross sectional study. Indian J Comm Med. 2005;30:52-5.

Mahawar P, Anand S, Raghunath D, Dixit S. Contraceptive knowledge, attitude and practices in mothers of infant: a cross-sectional study. Natl J Community Med. 2011;2:105-7.

Singh S. Hospital admissions resulting from unsafe abortion: estimates from 13 developing countries. Lancet. 2006;368(9550):1887-92.

Maharana B. Correlates of Spontaneous and Induced Abortion in India: an investigation using a nationwide large scale survey data. Int Inst Popul Sci. 2011.

MOHFW. A handbook for the state investment programme managers & ECTA facilitators & consultants. In: MOHFW, eds. Sector Investment Programme (supported by EC). New Delhi: Ministry of Health & Family Welfare. Government of India and European Commission; 2000.

Alkema L, Kantorova V, Menozzi C, Biddlecom A. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. Lancet. 2013;381(9878):1642-52.

Sarella LK, Prasanna NS. A study on contraceptive knowledge, attitude and practice among reproductive age group women in a tertiary institute. Int J Heal Sci Res. 2014 Apr;10(2):577-80.

Inamullah H, Sarwar M, Khan N, Hifazatullah NM, Hussain I. Attitude of Religious Class toward contemporary female higher education. Inter Business Economic Res J. 2010;9:11-6.

Tuladhar H, Marahatta R. Awareness and practice of family planning methods in women attending gyne OPD at Nepal Medical College Teaching Hospital. Nepal Med Coll J. 2008;10(3):184-91.

Jahan U, Verma, Gupta S, Gupta R, Mahour S, Kirti N et al. Awareness, attitude and practices of family planning methods in a tertiary care hospital. Uttar Pradesh, India, Int. J Report Contracept Obstet Gynecol. 2017;6:500-6.

Mustafa R, Afreen U, Hashmi HA. Contraceptive knowledge, attitude and practice among rural women. J Coll Physicians Surg Pak. 2008;18(9):542-5.

Obisesan KA, Adeyemo AA, Fakokunde BO. Awareness and use of family planning methods among married women in Ibadan, Nigeria. East African Med J. 1998;75(3):135-8.

Srivastava R, Srivastava DK, Jina R, Srivastava K, Sharma N, Sana S. Contraceptive knowledge, attitude and practice (KAP Survey). J Obstet Gynecol India. 2005;55(6):546-0.

Manjeera LM, Neetha SR. Contraceptive practices among reproductive age group of women in Justice KS Hegde Medical College Hospital, Mangalore. Int J Reprod Contracept Obstet Gynecol. 2013;2(1):39-46.

National family health survey-3(NFHS-3), 2005-06, volume-1, international institute for population sciences, Deonar, Mumbai, Ministry of Health And Family Welfare, GOI.

Takkar N, Goel P, Saha PK, Dua D. Contraceptive practices and awareness of emergency contraception in educated working women. Ind J Med Sci. 2005;59(4):143-9.

Abasiattai AM, Etukumana E, Utuk NM, Umoiyoho A. Awareness and practice of contraception among antenatal attendees in a tertiary hospital in south-south Nigeria. TAF Preventive Medicine Bulletin. 2011;10(1):29-34.

Al Sheeha M. Awareness and use of contraceptives among saudi women attending primary care centers in Al-qassim, saudi arabia. Int J Heal Sci. 2010;4(1):11.

Mahadeen AI, Khalil AO, Hamdan-Mansour AM, Sato T and Imoto A. Knowledge, attitudes and practices towards family planning among women in the rural southern region of Jordan. Eastern Mediterranean Heal J. 2012;18:567-72.

Patil SS, Durgawale MP, Patil SR. Epidemiological correlates of unmet need for contraception in urban slum population. Al Ameen J Med Sci. 2010;3(4):312-6.

Prateek SS, Saurabh RS. Contraceptive practices adopted by women attending an urban health centre. African Heal Sci. 2012;12(4):416-21.

Park HJ, Chung KK. Differential Effects of Communication Media on Family Planning Behavior. Korean J Preventive Med. 1975;8(1):37-52.

Mohanan P, Kamath A, Sajjan BS. Fertility pattern and family planning practices in a rural area in Dakshina Kannada. Ind J Comm Med. 2003;28(1):15.

Gautam AC, Seth PK. Appraisal of the Knowledge, Attitude and Practices (KAP) of Family Control Devices Among Rural Rajputs and Scheduled Caste of Hatwar Area of Bilaspur District, Himachal Pradesh, India. Anthropol. 2002;4(4):289-92.

Lasee A, Mccormic JB. Demographic and socio-economic determinants of contraceptive use in a low income community of Karachi. J Pakistan Med Assoc. 1996;46:228-31.

Ali S, Rozi S, Mahmood MA. Prevalence and factors associated with practice of modern contraceptive methods among currently married women in District Naushahro Feroze. J. Pak Med Assoc. 2004;54(9):461.

Saxena S, Oakeshott P, Hilton S. Contraceptive use among South Asian women attending general practices in southwest London. Br J Gen Pract. 2002;52(478):392-4.

Khan T, Ali Khan RE. Fertility behaviour of women and their household characteristics: A case study of Punjab, Pakistan. J Human Ecol. 2010;30(1):11-7.

Ibrahim MT, Sadiq AU. Knowledge, attitude, practices and beliefs about family planning among women attending primary health care clinics in Sokoto, Nigeria. Niger J Med. 1999;8(4):154-8.

Gupta V, Mohapatra D, Kumar V. Family planning knowledge, attitude, and practices among the currently married women (aged 15-45 years) in an urban area of Rohtak district, Haryana. Int J Med Sci Pub Heal. 2016;5(4):627-33.

Jabeen M, Gul F, Wazir F, Javed N. Knowledge, attitude and practices of contraception in women of reproductive age. Gomal J Med Sci. 2011;9(2):223.

Lata K, Barman SK, Ram R, Mukherjee S, Ram AK. Prevalence and determinants of unmet need for family planning in Kishanganj district, Bihar, India. GJMEDPH. 2012;1(4):29-32.

Gupta V, Mohapatra D, Kumar V. Family planning knowledge, attitude, and practices among the currently married women (aged 15-45 years) in an urban area of Rohtak district, Haryana. Int J Med Sci Pub Heal. 2016;5:627-632.

Nazir S, Mittal A, Anand BK, Goel RKD, Singh J, Rashid A. Determinants of unmet need for family planning in a developing country: an observational cross-sectional study. Natl J Community Med. 2015; 6(1):86-91.

Renjhen P, Gupta SD, Barua A. A study of knowledge, attitute and practice of family planning among the women of reproductive age group in Sikkim. J Obstet Gynecol India. 2008;58:63-7.

Ebrahim S, Muhammed N. Knowledge, Attitude and Practice of family planning among women in Basrah city South of Iraq. MBU. 2011;29:(1,2):70-6.

Grossman D, Fernandez L, Hopkins K, Amastae J, Potter JE. Perceptions of the safety of oral contraceptives among Latin population. Contraception. 2010;81:254-60.

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Published

2019-04-29

How to Cite

Qazi, M., Saqib, N., & Gupta, S. (2019). Knowledge, attitude and practice of family planning among women of reproductive age group attending outpatient department in a tertiary centre of Northern India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 8(5), 1775–1783. https://doi.org/10.18203/2320-1770.ijrcog20191531

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Original Research Articles