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Indian Journal of Community Medicine

Socio-demographic Profile of Married Women Using Contraceptive Methods in a Rural Area of Delhi

Author(s): S.V. Singh, G.K. Ingle, V.K. Gupta, J. Kishore Y. Tripathi

Vol. 31, No. 4 (2006-10 - 2006-12)

In this study an attempt has been made to find out the status of the contraceptive use, method of choice in relation to various socio-demographic variables and sources of motivation for adopting contraceptive methods.

This study was conducted in Barwala, a village of Delhi and Rural Field Practice Center of Maulana Azad Medical College. This village is 28 kilometers from Maulana Azad Medical College. Population of this village is about 4500 living in 620 houses. House to house survey was conducted and information was recorded after obtaining informed consent on pre-designed and pre-tested questionnaire by interviewing every alternate eligible married women in the age group 15 to 44 years. Out of total 686 married women in the age group 15 to 44 years 343 were included in the sample frame.

Data collected were tabulated, analyzed and statistically evaluated. Chi-square test was used to find out significance difference among various socio-demographic groups who were using contraceptives. For the purpose of evaluation of socio-economic status of the study population Modified B.G. Prasad classification (after multiplying by infl ation factor) was used and for the tabulation purpose groups were clubbed together. Effective Couple Protection Rate was calculated as per the protection value of Sterilization (Tubectomy/ vasectomy) 100.0%, Oral contraceptives 100.0%, IUCD 95.0% and conventional contraceptives 50.0%.4

Out of 343, 229 (66.8%) of married women currently were using one or other contraceptive method. This proportion was higher than the national level of 48.2% with 45.0% in rural area and also higher than Delhi 63.8% with 60.8% in rural area. Permanent method of contraception was most common 45.9% (including vasectomy 0.9% only), higher than the national level (34.2%)5 and a rural area of district of Ahmedabad.7 Adoption of permanent method (Tubectomy) among women aged 35-44years 60.4% (p<0.001), women having living children more than two 57.9% (p<0.001) and illiterate women 71.1% (p<0.001) was found to be statistically highly significant. This may be due to fact that most of these women might have completed their family. Other contraceptives being used were Cu T. 21.8%, Condoms 18.8% and Oral pills 9.1%, other methods 4.3%.

Contraceptive acceptance was statistically higher among women of age group 35-44 years 84.2% (p<0.001), women having 2 or more living children 79.7% (p<0.001) and women residing in nuclear families72.8% (p<0.008). Effective couple protection rate was 57.7% which is very close to target of 60.0% set to achieve replacement level in National Health Policy 1983 by the year 2000 and in NPP 2000 to achieve by the year 2010.

Most common motivation for adopting a contraceptive was self-motivation (47.6%) followed by advice of health worker (25.8%), doctor (13.9%) & family member (4.8%). Mass media was responsible for infl uence to accept contraceptives (7.9%).

It may be concluded from this study that in this rural area attitude of women has been changed to adopt small family norm by using contraceptive methods. Majority of married women using contraceptives either for spacing or limiting the family size but still there is scope to know the reasons of not reaching to the replacement level.

References

  1. Park K. Park’s text book of Preventive and Social Medicine 175th edition 2002: 327
  2. National Population Policy, 2000. Deptt. of Family Welfare, Ministry of Health and Family Welfare, Govt. India, New Delhi.
  3. Prasad BG.: Socioeconomic classification for rural area. Modified by Chandra J, Ahmad SH. (1987) Indian Pediatrics. 24, 289.
  4. J Kishore: A comprehensive review of community Medicine (Preventive and Social Medicine) MCQ and important notes on Community Medicine/ Preventive and Social Medicine. Second edition 1998. pp-37.
  5. National Family Health Survey-2 (1998-99) India. International Institute for Population Sciences. ORC New Mumbai 2000. Married Women Using Contraceptive Methods

S.V. Singh, G.K. Ingle, V.K. Gupta, J. Kishore Y. Tripathi
Deptt. of Community Medicine,
Maulana Azad Medical College, New Delhi -110002.
Received: 31.5.05

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