Fertility preferences,contraceptive uses and knowledge among married reproductive
Fertility Preferences , Contraceptive Use and Knowledgeamong married women of reproductive age group ofBelhara V.D.C, Dhankuta.Rayamajhi R.B , Ghimire A, Niraula S.R, Budhathoki S.S, Pokharel P.K.School of Public Health and Community Medicine.B.P.Koirala Institute of Health Sciences.
INTRODUCTION: WHO defines FAMILY PLANNING as :“a way of thinking and living that is adopted voluntarily upon the basis ofknowledge, attitude and responsible decisions by the individuals and couplesin order to promote health and welfare to the family group and thuscontribute effectively to the social development of the country.” Contraceptive prevalence rate of Nepal in 2008/9 is 40.53%, out of whichmale involvement is only 10.2%. As per the report published by the District Development Committee of theDhankuta-2066, only 31.08% (i.e. 9,081 of 29,222) of the couples haveadopted the means of the FP measures. It needs to be recognized that women, particularly in developing nations, areoften economically and emotionally dependent on their male partners .
Objectives: To assess the level of awareness and attitude regarding familyplanning among the married reproductive aged women. To study the different family planning adopted for family planning. To assess the reason behind not practicing or discontinuing the use offamily planning measures.
Material and Methodology:: Descriptive study was carried out in Belhara VDC, Dhankuta on 15th– 27th May, 2011 as a part of Epidemiological Skills for HealthManagement Posting. Convenience sampling was carried among the MRW residing in thatVDC with a sample size of 291. Semi structured questionnaire were used to collect the data by face toface interview after a verbal consent. Frequency expressed in terms of percentage Pie-chart, Bar-diagramused to represent data .
FIG.1: DISTRIBUTION OF AGE AMONG RESPONDENTS. (N=291)AGE DISTRIBUTION OF RESPONDENTS:38.76%46.04%17.18%0.00%5.00%10.00%15.00%20.00%25.00%30.00%35.00%40.00%45.00%50.00%15-25 YEARS 16-35 YEARS 36-49 YEARS
FIG.2: DIVERSITY OF ETHNICITY AMONG MARRIED REPRODUCTIVE AGED WOMEN (N=291)ETHNICITY DISTRIBUTION:23%23%21.60%15.10%6.30%11%BHRAMINCHETTRIRAITAMANGLIMBUOTHERS
FIG.3: EDUCATIONAL STATUS AMONG MARRIED REPRODUCTIVE AGED WOMEN(N=291)EDUCATIONAL STATUS OF RESPONDENTS :38.40%4.80%36.80%20%ILLITERATEINFORMAL<SLC>SLC
OCCUPATIONAL STATUS OF RESPONDENTS:67.82%22.15%9.40%0.63%0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%HOUSEWIFE DAILY WAGEWORKERFOREIGN WORKER OFFICE WORKERFIG 4: OCUPATIONAL STATUS AMONG MRW. (N=291)
KNOWLEDGE ABOUT FP METHODS AMONG RESPONDENTS:91.70%8.30%0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%100.00%yes noFIG.5: KNOWLEDGE ABOUT ANY OF THE FP METHODS AMONG MRW. (N=291)
KNOWLEDGE REGARDING PLACES WHERE FP METHODS ARE AVAILABLE:198179 17215612876 6912050100150200250FIG .6: PLACES WHERE FAMILY PLANNING METHODS ARE AVAILABLE.(MULTIPLE ANSWERS).
DECISION REGARDING USE OF FP METHODS:34.60%31.63%21.82%6%4%1.95%0.00%5.00%10.00%15.00%20.00%25.00%30.00%35.00%40.00%HUSBAND BOTH HERSELF IN-LAWS PEERS OTHERSFIG.7: DECISION REGARDING USE OF FP MEASURES. (N=291)
KNOWLEDGE REGARDING FREE AVAILABILITY OF CONTRACEPTIONS:79.03%20.96%YESNOFIG.8: KNOWLEDGE AMONG MRW REGARDING FREE AVAILABILITY OF CONTRACEPTIONS. (N=291)
CONSULTATION WITH HUSBANDABOUT FP METHODS :58.26%41.74% YESNO72.87%27.13%00YESNOFIG.9: CONSULTATION WITH HUSBAND BY MRW REGARDING USE OF FP METHODS. (N=291).FIG.10 CONSULTATION WITH HEALTHCVARE PROFESSIONALS ABOUT FP METHODS. (N=291)CONSULTATION WITH HEALTHVCAREPROFESSIONALS ABOUT FP METHODS:
CURRENT USE OF ANY FP METHODS:60.14%39.86%YESNOFIG.11: CURRENT USE OF FP METHODS AMONG MRW. (N=291)
INTEREST TO KNOW MORE ABOUT FP METHODS:81.20%18.20%YESNOFIG.12: INTEREST AMONG FP NONUSERS MRW ABOUT FPMETHODS.(N=116)
PREFERRED FP METHOD AMONG MRW:51.50%23.50%13.50%6% 4.00% 1.50% 0% 0%0.00%10.00%20.00%30.00%40.00%50.00%60.00%FIG.13: FP PREFERRED AMONG MRW. (N=291)
REASONS FOR NOT USING FP METHODS:28%26%23%12%10%1%0%5%10%15%20%25%30%FIG. 14: REASONS FOR NOT USING FP MEASURES AMONG NONUSERS MRW.
SEX PREFERENCES AMONG RESPONDENTS:77%13%BOYGIRLFIG. 15: SEX PREFERENCES AMONG RESPONDENTS. (N=291)
Conclusion: 91.7% of the MRW has knowledge regarding FP methods even then only60.14% are using FP methods. 39.86% of the respondents aren’t using FP methods even then 81.2%showed interest to know more about it. Depo was the most popular FP method among MRW. Majority of the MRW don’t consult with the healthcare professionalsregarding the use of FP methods so good rapport build up and propercounseling to the consumers should be promoted. Despite then, it’s good tosee that they do consult with their husband.
My sincere acknowledgement to Prof. Dr. Paras Kumar Pokharel, Chief(SPH and CM ), Associate Prof. Dr. Anup Ghimire, Associate Prof. Dr.Surya Raj Niraula, Dr. Shyam Sundar Budhathoki and all the studentsinvolved in this study.