Perceptual analysis of women on tubectomy and other family planning services: a qualitative study

Ruchi Kalra, Sameer Phadnis, Ankur Joshi


Background: In our country India, Population explosion has become a major concern to all. As per NHFS 3 report, in MP 44.3%, adopted the female sterilization other methods like male sterilization 1.3%, Intrauterine devices 0.7% and pills users were 1.7%, condom 4.8%. The study probed into the reasons of female sterilization as the method of choice and to know ideas of other temporary contraceptives and male sterilization.  

Methods: In the study qualitative technique was adopted to understand the perception of participants. FGD’s and in-depth interviews were conducted with residents of Ratua village between Nov 2011 - April 2012 to explore the gaps. 52 women participated in the study. They were between 20-40 years, married and had children.

Results: The interview transcripts were thematically analysed. All the participants knew tubectomy operation either through health care workers, friends, relatives or media. They thought it as a better and safer way to prevent unwanted pregnancy as compared to temporary ways and male sterilization. Economic incentives were looked up as insufficient motivation for undergoing the procedure. The decision was combined and women had less freedom in decision making. All felt strongly need of having at least one son for the family progression and care provider to them during the old age. They were hesitant to use temporary methods as they had misconceptions about the adverse effects. The male sterilization was unacceptable to all the participant as they thought it causes weakness and would adversely affect the physical work performance of their husband 

Conclusions: Participants in the study were hesitant to use temporary contraceptive methods for the fear of adverse effects. Multiple approaches to educate and transform their misconceptions of contraceptive methods and male sterilization should be adopted. 


Tubectomy, Temporary contraception, Male sterilization

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Government of India, Ministry of Health and Family Welfare. Annual report to the people on health, December, 2011. Available at:

International Institute for Population Sciences. National family health survey report 3 (NFHS-3), 2005-2006. Available at:

Prosper M. Lutala, Jannie F. Hugo, Levi N. Luhiriri. Psychosocial implications of tubal ligation in a rural health district: a phenomenological study. Reprod Health. 2011;8:38.

Sarah H. Heil, Diann E. Gaalema, Evan S. Herrmann. Incentives to promote family planning. Prev Med. 2012 Nov;55(Suppl):S106-12.

Darney BG, Weaver MR, Sosa-Rubi SG, Walker D, Servan-Mori E, Prager S, et al. The Oportunidades conditional cash transfer program effects on pregnancy and contraceptive use among young rural women in Mexico. Int Perspect Sex Reprod Health. 2013 Dec;39(4):205-14.

Waqas Hameed, Syed Khurram Azmat, Bilal Iqbal Avan. Women’s empowerment and contraceptive use: the role of independent versus couples’ decision-making, from a lower middle income country perspective. PLos One. 2014;9(8):e104633.

Dev R. Acharya, Jacqueline S. Bell, Pramod R. Regmi. Women’s autonomy in household decision-making: a demographic study in Nepal. Reprod Health. 2010;7:15.

Jeffrey Edmeades, Rohini Prabha Pande, Tina Falle, Suneeta Krishnan. Son preference and sterilization use among young married women in two slums in Bengaluru city, India. Glob Public Health. 2011 Jun;6(4):407-20.

Bhasin Sanjiv Kumar, Saini NK, Trikha VK, Joshi ID. The disappearing girl child: possible role of sterilizations as a method of family planning. Indian J Community Med. 2007;32(3):212-4.

Isabel Tiago de Oliveira, Jose G. Dias, Sabu S. Padmadas. Dominance of sterilization and alternative choices of contraception in India: an appraisal of the socioeconomic impact. PLoS One. 2014;9(1):e86654.

Amardeep Thind. Female sterilization in rural Bihar: what are the acceptor characteristics? J Fam Plann Reprod Health Care. 2005;31:34-6.

Shih Grace, Mas Zhang Ying, Bukowski Kyle, Chen Angela. Bringing men to the table: sterilization can be for him or for her. Clin Obstet Gynaecol. 2014 Dec;57(4):731-40.

Kishori Mahat, Oranut Pacheun, Pimsurang Taechaboonsermsak. Intention to accept vasectomy among married men in Kathmandu, Nepal. Asia J Public Health. 2010;1(1):814.

Lisa Mwaikambo, Ilene S. Speizer, Fariyal Fikree. What works in family planning interventions? A systematic review of the evidence. Stud Fam Plann. 2011 Jun;42(2):67-82.