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Utilization Pattern of Family Planning Devices among Married Women in a Selected Tea Community of Assam


Affiliations
1 Regional College of Nursing, Guwahati, Assam, India
2 Guwahati Medical College, India
3 B.Sc. Nursing College, Dibrugarh, Assam, India
 

Introduction: Family planning is one and only device to reduce the incidence of unwanted pregnancy and unsafe abortion, which is one of the leading causes of maternal death. Tea community is one of those communities where accessibility and availability of various health related programs still to be improved. Purpose: The purpose of the study is to find out the utilization pattern of family planning devices and factors affecting utilization pattern among married women belonging to tea community. Method: Semi-structured interview schedule was applied to 100 married women selected by simple random sampling and data were analyzed by using inferential statistic. Results: Majority of the married women (66%) were not using family planning devices. The most common factors of non-utilization were unwillingness of their husband (40.90%) and lack of awareness about the family planning devices (39.39%). Commonly used practices were oral contraceptive pill (50%) and tubectomy (44.12%). Leading factor identified for utilization of family planning devices was advices given by the health care provider (38.23%). Conclusion: Scaling up key intervention like increasing involvement of health care personal, providing access to family planning devices and increasing awareness for community participation could sharply increase utilization and contribute to reduce the maternal death due to abortion which will contribute to achieve MDG 4 and 5.

Keywords

Family Planning, Utilization Pattern, Married Women, Tea-Community.
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  • Dutta DC. Textbook of Obstetrics (6th Edition). Calcutta: New Central Book Agency (P)Ltd: 2004. P. 530-539.
  • Patton GC, Viner RM, Linh LC, Ameratunga S, Fatusi AO, et al. (2010) Mapping a global agenda for adolescent health. Journal of Adolescent Health 47(5): 427–432.
  • Santhya KG, Ram U, Acharya R, Jejeebhoy SJ, Ram F, et al. (2010) Associations between early marriage and young women’s marital and reproductive health outcomes: evidence from India. International Perspectives on Sexual and Reproductive Health 36(3): 132–139.
  • Government of India (2011) Maternal Mortality in India 2007–09: Special Bulletin. Sample Registration System, Office of the Registrar General, Ministry of Home Affairs, New Delhi.
  • Reynolds HW, Wong EL, Tucker H (2006) Adolescents use of maternal and child health services in developing countries. International Family Planning Perspectives 32(1): 6–16.
  • World Health Organisation (2008) Adolescent Pregnancy. Geneva, Switzerland.
  • United Nations (2009) UN Millennium Development Goals. Available: http://www.un.org/Millennium Goals. Accessed 2010 June 18.
  • Raj A, Saggurti N, Balaiah D, Silverman JG (2009) Prevalence of child marriage and its effect on fertility and fertility-control outcomes of young women in India: a crosssectional, observational study. The Lancet 373(9678): 1883–1889.
  • Thaddeus S, Maine D (1994) Too far to walk: maternal mortality in context. Social Science and Medicine 38(8): 1091–1110.
  • Legrand TK, Mbacke CSM (1993) Teenage pregnancy and child health in urban Sahel. Studies in Family Planning 24(3): 137–149.
  • Filippi V, Ronsmans C, Campbell OM, Graham WJ, Mills A, et al. (2006) Maternal health in poor countries: the broader context and a call for action. The Lancet 368(9546): 1535–1541.
  • Sunil TS, Rajaram S, Zottarelli LK (2006) Do individual and program factors matter in the utilization of maternal care services in rural India? a theoretical approach. Social Science and Medicine 62(8): 1943–1957.
  • Navaneetham K, Dharmalingam A (2002) Utilization of maternal health care services in southern India. Social Science and Medicine 55(10): 1849–1869.
  • Gage AJ, Calixte MG (2006) Effects of the physical accessibility of maternal health services on their use in rural Haiti. Population Studies 60(3): 271–288.
  • Ram F, Singh A (2006) Is antenatal care effective in improving maternal health in rural Uttar Pradesh: evidence from a district level household survey. Journal of Biosocial Science 38(4): 433–448.
  • Singh L, Rai RK, Singh PK (2012) Assessing the utilization of maternal and child health care among married adolescent women: evidence from India. Journal of Biosocial Science 44(1): 1–26.
  • Saikia N, Singh A (2009) Does type of household affect maternal health? evidence from India. Journal of Biosocial Science 41(3): 329–353.
  • Pathak PK, Singh A, Subramanian SV (2010) Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India, 1992–2006. PLoS ONE 5(10): e13593.
  • Kandel DB, Kiros GE, Schaffran C, Hu MC (2004) Racial/ethnic differences in cigarette smoking initiation and progression to daily smoking: a multilevel analysis. American Journal of Public Health 94(1): 128–135.
  • Stephenson R, Tsui AO (2002) Contextual influences on reproductive health service use in Uttar Pradesh, India. Studies in Family Planning 33(4): 309–3
  • Wagle R, Sabroe S, Nielsen BB (2004) Socio-economic and physical distance to the maternity hospital as predictors for place of delivery: an observation study from Nepal. BMC Pregnancy and Childbirth 4(1): 8–20.
  • 21.Mohanty SK, Pathak PK (2009) Rich–poor gap in utilization of reproductive and child health services in India, 1992–2005. Journal of Biosocial Science 41(3): 381–398.
  • Rosenfield A, Charo RA, Chavkin W (2008) Moving forward on reproductive health. The New England Journal of Medicine 359(18): 1869–1871.
  • Park K. Text book of Preventive and Social Medicine. (18th Edition). Jabalpur: Banarasidas Bhanot Publishers; 2005. P. 361-374.
  • Kumar A, Bhardwaj P, Srivastava JP, GuptaP (2011). A study on family planning practices and methods among women of urban slums of lucknow city. Indian Association of Preventive and Social Medicine State Chapter. 23(2); 2011.
  • Laya K.S.Prevalence and Determinants of Unmet Need for Family Planning among Women in India Research and Social practices in Social Sciences. 7 (2) 59-70.
  • Mustafa R, Afreen U and Hashmi H.A. Contraceptive Knowledge, Attitude and Practice Among Rural Women Journal of the College of Physicians and Surgeons Pakistan 2008, Vol. 18 (9): 542-545.

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  • Utilization Pattern of Family Planning Devices among Married Women in a Selected Tea Community of Assam

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Authors

Hemeswari Bhuyan
Regional College of Nursing, Guwahati, Assam, India
Talukdar Kunjalal
Guwahati Medical College, India
Borah Kobita
B.Sc. Nursing College, Dibrugarh, Assam, India

Abstract


Introduction: Family planning is one and only device to reduce the incidence of unwanted pregnancy and unsafe abortion, which is one of the leading causes of maternal death. Tea community is one of those communities where accessibility and availability of various health related programs still to be improved. Purpose: The purpose of the study is to find out the utilization pattern of family planning devices and factors affecting utilization pattern among married women belonging to tea community. Method: Semi-structured interview schedule was applied to 100 married women selected by simple random sampling and data were analyzed by using inferential statistic. Results: Majority of the married women (66%) were not using family planning devices. The most common factors of non-utilization were unwillingness of their husband (40.90%) and lack of awareness about the family planning devices (39.39%). Commonly used practices were oral contraceptive pill (50%) and tubectomy (44.12%). Leading factor identified for utilization of family planning devices was advices given by the health care provider (38.23%). Conclusion: Scaling up key intervention like increasing involvement of health care personal, providing access to family planning devices and increasing awareness for community participation could sharply increase utilization and contribute to reduce the maternal death due to abortion which will contribute to achieve MDG 4 and 5.

Keywords


Family Planning, Utilization Pattern, Married Women, Tea-Community.

References