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ASSESSMENT OF FACTORS INFLUENCING THE CHOICE AND USE OF TEMPORARY CONTRACEPTIVE METHODS FOR BIRTH SPACING AMONG MARRIED WOMEN IN RURAL TRIVANDRUM
Introduction: There is near universal awareness of limiting (sterilization) and spacing (IUD, Pills and Condom) techniques among women in Kerala, however the practice varies. According to DLHS-3 report, there is still 7.1% unmet need for spacing and it is 21.9% for women with 1 child. This study aim...
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| Format: | Printed Book |
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Trivandrum
Achutha Menon Centre for Health Science Studies Sree Chitra Tirunal Institute for Medical Sciences and Technology
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| Online Access: | http://10.26.1.76/ks/004552.pdf |
| Summary: | Introduction: There is near universal awareness of limiting (sterilization) and spacing
(IUD, Pills and Condom) techniques among women in Kerala, however the practice
varies. According to DLHS-3 report, there is still 7.1% unmet need for spacing and it is
21.9% for women with 1 child. This study aims to find the contraceptive use among
young married women between ages 20 – 29 years and also to find the factors that
influence the choice and use of temporary contraceptives for birth spacing.
Methods: A community based cross sectional study was conducted in 3 block
panchayats in rural parts of Trivandrum district. A total of 294 women (between 20-30
years, who were currently married and not yet taken permanent methods of
contraception) were interviewed for the study. An interview schedule was created
using socio demographic and other factors which was then translated to Malayalam
which was used for data collection.
Results: Current temporary contraceptive usage was found out to be 24.1% .It is
significantly affected by greater age at marriage (p=0.001), college education
(p=0.021), employment (p=0.014), ability to choose their own employment (p=0.065),
Christian community (p=0.032). In the study, 42.5% had ever used any contraceptives.
This was affected by same factors but also others like higher socioeconomic status
(p=0.007), motivation by family members (p=0.046), desire to have more than 1 child
(p=0.057) and having only 1 child (p=0.085). By logistic regression, age at marriage
(OR-2.44, p-0.006), religion (OR-2.20, p-0.020) were found as significant factors in
deciding current contraceptive usage when adjusted for other factors.
Conclusion: Age at marriage, education and religious beliefs affects the temporary
contraceptive usage. Women who are motivated by family members and with ability to
raise opinion about themselves also have increased usage. The general awareness about
emergency contraceptives and injectable form of contraceptive is low compared to
other methods. |
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| Item Description: | Dissertation submitted in partial fulfilment of the requirements for the award of the degree of Master of Public Health |