Knowledge-utilization gap regarding modern methods of contraception among rural women attending an outreach health centre in North Delhi


  • Shyambhavee Behera Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India
  • Kartikey Yadav Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India



Contraception, Knowledge, Practice, Rural women, Utilization,


Background: Even with nearly five decades of launch of the programme, only half of the eligible couples in the country are using any modern method of contraception and 12% still have an unmet need for family planning, as per National Family Health Survey 4 (NFHS 4). The current study aims to estimate the knowledge and use of the contraceptive practices and its socio-demographic determinants among women (15-49 years) attending Health Centre in a rural village of North Delhi.

Methods: A cross sectional study was conducted in July, 2018 at outreach Rural Health Training Centre (RHTC) in North Delhi. Hundred currently married women in the reproductive age group (15-45 years) coming to outreach centre participated in the study. The study participants were interviewed using pretested, semi structured questionnaire.

Results: Although 96% of the study participants had knowledge regarding any of the modern method of contraception, only 57% were using them (including condom, OCP, IUCD and sterilization). Reasons for not using any kind of contraceptive included poor reliability, lack of proper knowledge regarding availability and use, partner opposition and willingness to have a child.

Conclusions: Although knowledge about contraceptives was good, the utilization was very low. Even in presence of established and ever-expanding services available, the current study reported a remarkable gap in the individual contraceptive knowledge and utilization. Thus, providing correct knowledge to the couple as a single unit and its reiteration at regular interval becomes the pivot in filling this knowledge-utilization gap.


National Health Portal. National Programme for Family Planning. NHP, India. Available at Accessed on 20 June 2020.

Indian Institute for Population Sciences (IIPS) and Ministry of Health anf Family Welfare (MoHFW). National Family Health Survey-4, India Fact Sheet. 2020. Available at http:// NFHS /pdf/NFHS4/India.pdf. Accessed on 20 June 2020.

Park K. Textbook of Preventive and Social Medicine, 25th edition. M/S Banarsidas Bhanot Publications. 2019:544.

UN Department of Economic Affairs. Goal 3 Ensure health lives and promote well-being for all at all ages. United Nations. Available form: Accessed on 1 July 2020.

Singh S, Shekhar C, Acharya R, Moore AM, Stillman M, Pradhan MR, et al. The incidence of abortion and unintended pregnancy in India, 2015. The Lancet Global Health. 2018;6(1):e111-20.

Indian Institute for Population Sciences (IIPS) and Ministry of Health and Family Welfare (MoHFW). National Family Health Survey-4, State FactSheet NCT Delhi. 2020. Available at http:// Accessed on 1 July 2020.

National Health Mission. RMNCH+A, Family Palnning. Ministry of Health and Family Welfare, India. Available at https:// nhm. gov. in/index1. php?lang=1&level=2&sublinkid=821&lid=222. Accessed on 1 August 2020.

Gaikwad S, Sirohi S, Rokade R, Raja RS, Deshmankar B, Banzal S. A study on contraceptive knowledge, attitude and practice (KAP) among women attending family planning clinic of a private hospital of western India. Int J Recent Trends Sci Technol. 2015;13(3):585-8.

Relwani N, Saoji A, Kasturwar NB, Nayse J, Junaid M, Dhatrak P. Emergency contraception: exploring the knowledge, attitude and practices of engineering college girls in Nagpur district of central India. National J Community Med. 2012;3(1):14-9.

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

Kaushal SK, Saxena SC, Srivastava VK, Gupta SC, Nigam S. KAP study on contraceptive methods in Kanpur district of UP. Indian J Comm Health. 2010;22(1):33-8.

Singh A, Singh KK, Verma P. Knowledge, attitude and practice GAP in family planning usage: an analysis of selected cities of Uttar Pradesh. Contracep Repro Med. 2016;1(1):20.

Quereishi MJ, Mathew AK, Sinha A. Knowledge, attitude and practice of family planning methods among the rural females of Bagbahara block Mahasamund district in Chhattishgarh State, India. Glob J Med Public Heal. 2017;6(2):1-7.

Gupta RK, Singh P, Gupta C, Kumari R, Langer B, Gupta R. Emergency contraception: knowledge, attitude and practices among recently married females in a rural area of North India. Int J Res Med Sci. 2017;5(10):4450-4.

Anusuya S, Patil S. Contraceptive methods: knowledge, practice and their attitude among the women of rural population in and around Bangaluru City of Karnataka State, India. Indian J Public Health Res Dev. 2019;10(7):257-60.

Agarwal M, Samanta S, Bhusan D, Anant M. Assessing knowledge, attitude, and practice of contraception: a cross- sectional study among patients in a semi-urban tertiary hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6(2):720-4.

Sahu M, Chhabra P, Gautam V. Knowledge and parity: Perspectives of usage of emergency contraceptive pills among women of a rural area of Delhi. Nigerian Med J. 2019;60(3):117-21.

Phoibe K, Frederic TM, Ntaganira J. Assessment of knowledge, attitudes, and practice on contraceptive use among women attending family planning services in some health centers of muhima district hospital, Rwanda. Open Sci J. 2017;2(3):1-17.






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