Sociodemographic Factors on Contraceptive Use among Ever-Married Women of Reproductive Age: Evidence from Three Demographic and Health Surveys in Bangladesh.

Iqramul Haq,Ashis Talukder,Saifullah Sakib

doi:10.3390/medsci5040031

Iqramul Haq, Ashis Talukder + Show 1 more

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https://doi.org/10.3390/medsci5040031

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Journal: Medical Sciences	Publication Date: Dec 6, 2017
Citations: 37	License type: CC BY 4.0

Affiliation: Jagannath University, Khulna University

Abstract

Contraceptive use among married women of reproductive age has showed a substantial progress over the last few decades in Bangladesh. This study explores the sociodemographic factors associated with contraceptive use among ever-married women of reproductive age in Bangladesh by utilizing the information extracted from three of the Bangladesh Demographic and Health Surveys (BDHSs) in 1993–1994, 2004 and 2014. Bivariate analysis was conducted by performing chi-squared test of independence to explore the relationship between selected sociodemographic factors and dependent variables. To know the adjusted effects of covariates, a popular binary logistic regression model was considered. Respondents’ current age, place residence, division religion, education, age at first marriage, family planning (FP) media exposure, ideal number of children and fertility preferences are the significant determinants according to the most recent survey, BDHS 2014. However, wealth index and a respondent’s current working status were found to be significant factors only in BDHS 2004. The results of the study strongly recommend efforts to increase the education level among poor people, particularly among women in Bangladesh. Program interventions, including health behavior education and family planning services and counselling, are especially needed for some categories of the population, including those living in rural areas, Sylhet, Chittagong and Dhaka divisions, as well as illiterate and Muslim ever-married women.

Highlights

A high population growth rate is one of the leading social problems experienced by the developing world
1.37,95% confidence interval (CI) = (1.17, 1.60)) and Rangpur (OR = 1.40, 95% CI = (1.20, 1.65)) divisions were more likely to use contraceptives compared to those of Barisal division. This indicated that, over time, contraceptive use rates are higher in all divisions except Chittagong and Sylhet divisions
Our study was designed to identify the major factors contributing to the changes in contraceptive use in the last two decades, by using the information extracted from the 1993–1994, 2004, and

Summary

Introduction

A high population growth rate is one of the leading social problems experienced by the developing world. It is responsible for increasing the level of poverty and for decreasing life expectancy [1–3]. Contraception proves to be an effective medical intervention for controlling the fertility rate and very helpful in developing maternal and child health [4]. Over the last 20 years, contraceptive use has shown a remarkable increase in all over the world, in developing countries. The growing use of contraceptive methods in developing countries has reduced unintended pregnancies and maternal mortality by 40% [5]. A study conducted in Bangladesh [6] provides evidence that the unintended pregnancy rate was higher (33%)

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