Mr Nihar


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Mr Nihar

  1. 1. A Model Initiative to Ensure Quality Family Planning Services among Eligible Couples in Uttarakhand: A Baseline Survey<br />XIII Annual IAPSM Conference UP and UK CHAPTER 2010<br />October 30, 2010<br />HIHT, Dehradun<br />
  2. 2. Baseline Objectives<br />To measure the awareness about different types of contraceptive methods<br />To assess the use of family planning methods among eligible couples.<br />To estimate the contraceptive practice by parity <br />To estimate the future intention to use contraception.<br />To examine the quality of service provided through client’s satisfaction.<br />
  3. 3. Methodology<br />Both quantitative and qualitative research techniques were used.<br />A total of 810 currently married women(15-49 years) from 5198 households spread across 20 villages were covered.<br />Houselisting exercise was carried out to assess the target group.<br />Multistage stratified sampling design was adopted <br />
  4. 4. Key Findings<br />
  5. 5. Background Characteristics<br />Religion: Hindu(93.7 %),Muslim(3.2 %) and others(3.1 %)<br />Ethnicity: SC(25.3 %),ST(2.6 %),OBC(21.7 %),Others(50.4 %)<br />BPL: Yes(13.6 %), No(86.4 %)<br />Type of Family: Joint(36.2 %), Nuclear(63.8 %)<br />
  6. 6. Age at Marriage & Age at <br />1st Child Birth<br />
  7. 7. Number of Living Children<br />
  8. 8. Awareness about FP Methods<br />
  9. 9. Current Use of Family Planning Methods<br />
  10. 10. Use of Family Planning Methodsby Parity<br />
  11. 11. Duration of Use of Family Planning Methods (N=417)<br />
  12. 12. Reason for Discontinuation of FP Services<br />
  13. 13. Future intention to use FP methods<br />
  14. 14. Summary of Findings<br />Among the permanent methods the use of female sterilization (19 %) was substantially higher than the male sterilization (2 %).<br /> Majority adopted spacing methods i.e., condom (42 %), followed by sterilization (40 %) OCP (14 %) and copper-T (3 %). <br />Female sterilization accounts for one-thirds of total contraceptive use. <br />
  15. 15. Contd..<br />Contraceptive Prevalence Rate (CPR) also increases with age, peaks at 62 % in the age group 35-39 years, and decreases thereafter.<br />The highest use of modern spacing methods (42 %) is among women age 25-29 years. <br />More than 36 percent of currently married women are using any contraceptive since last 6months. Among them 75 percent are using modern spacing methods like condoms, OCP and IUD. <br />
  16. 16. Quality of Care<br />Majority of respondents said that the waiting time to receive services was approximately 30 minutes. <br />Satisfaction with the time the staff spent with the woman was higher for women visiting a private-sector facility than for women visiting a public-sector facility.<br />Most of the women who received services in a private-sector facility said that the staff talked to them nicely as compared with women who received services in a public-sector facility.<br />In the project area, most of the women mentioned that they were not informed about possible side effects or problems associated with their current method at the time of adopting the method. <br />
  17. 17. Contd..<br />Users also rated the private health sector much more positively than the public health sector on all the other indicators of quality<br />Among women who said they needed privacy during their visit, only a few were satisfied that the staff respected their need for privacy.<br />Almost all the women who visited sub centres, PHC/CHC mentioned that the facility was not so good.<br />Almost half of the women who were using any modern methods other than sterilization did not receive any follow-up services from any source.<br />
  18. 18. THANK YOU<br />