DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20221932

Contraceptive trends in an industrial belt of central India: a study in ESIC Model hospital over three years

Shubhra Mukherjee, Somen Bhattacharjee, Hemlata Sodhiya

Abstract


Background: India was the first country to adopt a population policy and launch family planning program in 1952. Contraceptive usage has tripled in last 40 years. Although the national fertility rate has dropped significantly, the total fertility rate of MP  is still at 2.0. The unmet need of contraception was evaluated at 9 % (NHFS 4), dropped down to 5.2 % in urban areas (NHFS 5, phase 1). The focus is mainly on birth limitation.

Methods: The study was conducted in department of obstetrics and gynecology in ESIC Model hospital, Indore. Period of study was from January 2019 to December 2021. Study population comprised of 300 married non-pregnant women. Data was divided into three categories-traditional methods, temporary modern methods and terminal methods. Study population was divided into five groups-number of living children, religion, education, residence, income.

Results: 48% of study population had two or more living children. Maximum women belonged to Hinduism (62.5%) followed by Islam (26.3%). Majority of women belonged to urban residence (55.33%). Traditional method of contraception usage was overall low (5-6.7%). The most popular method was the terminal method (69-75 %) followed by temporary method (20-23%). No male sterilization done in this period.

Conclusions: Female sterilization accounts for two thirds of all contraceptive use. The usage of modern methods is limited. Male sterilization is soon going to be a thing of past. The burden of contraception still falls on women. The focus should shift from birth limitation to birth spacing.


Keywords


Contraception, Sterilizations, Unmet need

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References


Chaudhry MD. Population and Environment. Springer. 1989;11(2):101-21.

2005-2009 Yearly NA Office of the Registrar General and Census Commissioner, India.

Population of India - Statisticstimes.com Source: Ministry of Statistics and programme implementation UN (World Population Prospects 2019); 2021.

National Family Health Survey [Internet]. Rchiips.org. 2015–16 [cited 18 March 2017]. Available from: http://rchiips.org/NFHS/factsheet_NFHS-4.shtml.

Ram, Faujdar. “Use of traditional contraceptive methods in India and its socio-demographic determinants.” Indian J Med Res. 2014;140(1):S17-28.

Underwood C. Islamic precepts and family planning: The perceptions of Jordanian religious leaders and their constituents. Int Family Planning Perspectives. 2000;1:110-36.

De Oliveira IT, Dias JG, Padmadas SS. Dominance of sterilization and alternative choices of contraception in India: an appraisal of the socioeconomic impact. PLoS One. 2014;9(1):e86654.

Ewerling F, McDougal L, Raj A. Modern contraceptive use among women in need of family planning in India: an analysis of the inequalities related to the mix of methods used. Reprod Health. 2021;18:173.

Ochako R, Mbondo M, Aloo S. Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study. BMC Public Health. 2015;15:118.

Singh P, Singh KK, Singh P. Factors explaining the dominion status of female sterilization in India over the past two decades (1992-2016): A multilevel study. PLoS ONE. 2021;16(3):e0246530.

Prusty R, Begum S. Missing men in family planning. Understanding the socio-spatial differentials in male sterilization and male spacing methods of contraception in India. J Biosocial Sci. 2021;1-15.

Kavanaugh ML, Jerman J. Contraceptive method use in the United States: trends and characteristics between 2008, 2012 and 2014. Contraception. 2018;97(1):14-21.