Low Contraceptive Prevalence Rate Research Articles

Performance of supply-oriented family planning policy in Bangladesh: An examination

Using data from four nationally representative sample surveys conducted since 1968, this paper examines the performance of the family planning program of Bangladesh, which placed emphasis on its supply component. The very low contraceptive prevalence rate and the large gap between knowledge and use of contraceptive methods indicates the poor performance of the program. After discussing the probable reasons for such performance, the paper suggests accelarating the demand for contraceptives among the married women of Bangladesh through persuasion and by improving the existing contraceptive distribution system. This is required for increasing the use of family planning methods in the country.

Vanguard Family Planning Acceptors in Senegal

This study examines contraceptive use among clients at the three clinics providing family planning services in Dakar, Senegal in early 1983. Most clients first became interested in family planning following the birth of a child, and most are interested in spacing future pregnancies, although one-third state that they want no more children. The clinic itself was found to be an important determinant of the type of contraceptive used, with only the government-operated clinic providing a balance between IUDs, oral contraceptives, and barrier methods. Nearly half of the clients interviewed said that a lack of knowledge about contraception is the reason for the low contraceptive prevalence rates among Senegalese women; another frequently cited reason was the opposition of the husband. Most clients reported the broadcast media to be the best means of providing family planning information to potential acceptors.

Socio-Cultural Determinants of Contraceptive Use among Rural Women Aged 15-29 Years from Marriage to First Live Birth

Contraceptive prevalence rate (CPR) is lower while the fertility is higher among rural married women aged 15-29 in Bangladesh. Thus, this comparative study attempted to identify the socioeconomic and cultural determinants of contraceptive use in different rural settings. In this primary data based cross sectional study, a semi-structured questionnaire was applied to women aged 15-29 years in two rural areas who had at least one live birth on/before 20 December, 2006. The study areas were identified by multi-stage random sampling technique. Results showed that CPR was slightly higher in Dariadaulat (43.4%) than that of Chardigoldi union (41.6%) while the mean duration of use was slightly higher in Chardigoldi compared to Dariadaulat (5.04 v. 4.59 mo). Regression model for Dariadaulat (38.7% with P<0.001) better explained the use of contraception than that of Chardigoldi (30.0% with P<0.001). Among the determinants in Dariadaulat the most explanatory variable was mass media exposure (15.8%) while it was desired number of children in Chardigoldi (12.6%). Among others, joint decision of using contraception, familiarity with contraceptives before marriage, desired number of children, electricity, family interference and family size were found to have significant impact in Dariadaulat. On the other hand, the other explanatory variables in Chardigoldi were joint decision of using contraception, family interference and familiarity with contraceptives before marriage and age at present. It may be concluded that the CPR is markedly low in rural communities. The lack of accessibility to mass media, lack of joint decision with husband, premarital unawareness regarding contraceptive use, lack of post-marital planning and family interference are major contributory factors for the low CPR in the study population. Ibrahim Med. Coll. J. 2008; 2(2): 49-54 Key Words: Determinants, contraceptive use, marriage, first live birth, rural women doi: 10.3329/imcj.v2i2.2937