Abstract
BACKGROUND: India was the first country in the world to launch National Family Planning Programme in 1952. Ironically, even after 60 years of its initiation, the couple protection rate is far from what is desirable although it has quadrupled from 10.4 percent in 1971 to 44 percent in 1999. The present study was therefore taken up to evaluate the utilization of FW Services at grass root level and to identify the determinants of the same. OBJECTIVES: To assess the utilization and determinants of family welfare services in rural Jammu. SETTING: Rural. DESIGN: Crosssectional. METHODS: 10 sub-centres areas, out of the existing 25 in R S Pura Block of Jammu, were randomly selected. To assess the utilization of FW services, the house-hold survey registers maintained at the selected sub centres and updated during RCH survey 2007 were thoroughly scrutinized. This was followed by home-visits of 10% of the couples enlisted in those records for studying the determinants of utilization and reasons for non utilization of these services. STATISTICAL ANALYSIS: was done using proportions, percentages and Chi Square test. RESULTS: Utilization of FW services was observed among 61.91% of the eligible couples. On further statistical analysis, this utilization was found to be significantly associated with the age of the wife and husband and the number of living children. CONCLUSIONS: There is still scope for improving the utilization of Family Welfare Services and the predictors identified in the present study for utilization/ non-utilization of the same can be thoroughly scrutinized for planning targeted interventions.
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