Original Articles

Contraceptive Methods and Factors Associated with Modern Contraceptive In Use

Abstract

Objective: The world population will likely increase by 2.5 billion over the next 43 years, passing from the current 6.7 billion to 9.2 billion in 2050. Only limited information about the contraceptive practices especially modern contraceptive use is available. The aim of this study is to determine the prevalence of contraceptive methods and factors associated with modern contraceptive in use
Materials and Methods: A cross sectional study of 288 females selected through consecutive sampling was conducted in Jinnah Post graduate Medical Center family reproductive health care center Karachi, Pakistan from November 2008 to January 2009. Females of reproductive age 16-50 years using any contraceptive measures and giving informed consent were included. Those who with severe debilitating disease, having any physical and mental disability were excluded. Two trained co researchers interviewed the participants for socio demographic reasons. The main outcome variables of the study were comparing modern and traditional contraceptive methods and factors associated with modern contraceptive in use.
Results: The results showed mean age of contraceptive users was 29.49 (±6.42) years. Modern contraceptive method was used by 216 (75%) and traditional method by 72 (25%). Final multiple logistic regression showed that a few factors have influence on usage rate including: age>30 years [AOR, 0.426 95% CI0.209-0.865], addiction [AOR, 0.381 95% CI0.173-0.839], and means of information like family planning worker (FPW) [AOR, 6.315 95% CI 3.057-13.046], Television (TV) [AOR, 0.402 95% CI 0.165-0.979] and billboard (BB) [AOR, 0.207 95% CI 0.066-0.447].
Conclusion: Modern contraceptive method use is very common in our region (75%). The important means of information for modern contraceptive in use were GPs and family planning workers.

United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects 2006 [cited 2008 December 01]. Available from: http://www.un.org/esa/population/publications/wpp2006 /WPP2006_Highlights_rev.pdf

Ministry of Population Welfare. Population welfare program reports, Year book 2007–08 2008 [cited 2008 December 01]; Available from: http://www.mopw.gov.pk/reports/Year%20Book%20 2007–08.pdf

Seir F. Family planning project through NGO, public sector intervention. Pak Armed Forces Med J. 2004; 54: 239–42.

Sultana A, Hasan S, Tariq N. Family planning awareness in local population of district central Karachi. Ann Abbasi Shaheed Hosp Karachi Med Dent Coll. 2005; 10: 762–5.

Ministry of population Welfare. Contraceptives [on the internet]. 2004 [cited 2008 December 02]; Available from: http://www.mopw.gov.pk/

Kayembe PK, Fatuma AB, Mapatano MA, Mambu T. Prevalence and determinants of the use of modern contraceptive methods in Kinshasa, Democratic Republic of Congo. Contraception. 2006; 74: 400–6.

Agha SY, Rasheed BO. Family planning and unmet need among Iraqi Kurds. East Mediterr Health J. 2007; 13: 1382–91.

Ekani–Bessala MM, Carre N, Calvez T, Thonneau P. Prevalence and determinants of current contraceptive method use in a palm oil company in Cameroon. Contraception. 1998; 58: 29–34.

D'Souza RM. Factors influencing the use of contraception in an urban slum in Karachi. Pakistan Journal of Health & Population in Developing Countries [Online]. 2003 [cited 2009 October 09]. Available from: http://www.jhpdc.unc.edu.

Sadat Hashemi SM, Ghorbani R, Majdabadi HA, Farahani FK. Factors associated with contraceptive use in Tehran. Eur J Contracept Reprod Health Care. 2007; 12: 148–53.

Nagase T, Kunii O, Wakai S, Khaleel A. Obstacles to modern contraceptive use among married women in southern urban Maldives. Contraception. 2003; 68: 125–34.

Kaggwa EB, Diop N, Storey JD. The role of individual and community normative factors: a multilevel analysis of contraceptive use among women in union in Mali. Int Fam Plan Perspect. 2008; 34: 79–88.

Gakidou E, Vayena E. Use of Modern Contraception by the Poor Is Falling Behind. PLoS Med. 2007 [cited 2009 October 10] 4 (2): e3. Available from: http://doi:10.1371/journal.pmed.0040031

Ali S, White FM. Family planning practices among currently married women in Khairpur District, Sindh, Pakistan. J Coll Physicians Surg Pak. 2005; 15: 422–5.

Bibi S, Memon A, Memon Z, Bibi M. Contraceptive knowledge and practices in two districts of Sindh, Pakistan: a hospital based study. J Pak Med Assoc. 2008; 58: 254–8.

Adeyemi AS, Adekanle DA, Komolafe JO. Pattern of contraceptives choice among the married women attending the family planning clinic of a tertiary health institution. Niger J Med. 2008; 17: 67–70.

Weldegerima B, Denekew A. Women's knowledge, preferences, and practices of modern contraceptive methods in Woreta, Ethiopia. Res Social Adm Pharm. 2008; 4: 302–7.

Ibnouf AH, van den Borne HW, Maarse JA. Utilization of family planning services by married Sudanese women of reproductive age. East Mediterr Health J. 2007; 13: 1372–81.

Adeyemi AS, Adekanle DA and Komolafe JO. Pattern of contraceptives choice among the married women attending the family planning clinic of a tertiary health institution. Niger J Med. 2008; 17: 67–70.

Qazi HA, Hashmi A. Factors Promoting Tubal ligation in Females presenting to tertiary care centres. Journal of Family and Reproductive Health 2009; 3: 83–6.

Mairiga AG, Kyari O, Audu B, Lawuwa BM. Socio– clinical characteristics of modern contraceptives users at the University of Maiduguri Teaching Hospital. Niger J Clin Pract. 2007; 10: 152–5.

Alpu O, Fidan H. On the use of contraceptive methods among married women in Turkey. Eur J. Contracept Reprod Health Care 2006; 11: 228–36.

Mogilevkina I, Odlind V. Contraceptive practices and intentions of Ukrainian women. Eur J. Contracept Reprod Health Care 2003; 8: 185–96.

Ketende C, Gupta N, Bessinger R. Facility–level reproductive health interventions and contraceptive use in Uganda. Int Fam Plan Perspect 2003 ; 29:130–7.

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SectionOriginal Articles
Keywords
Contraceptive Modern contraceptive use Means of information Traditional contraceptive

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How to Cite
1.
Qazi HA, Hashmi A, Raza SA, Soomro JA, Ghauri A. Contraceptive Methods and Factors Associated with Modern Contraceptive In Use. J Family Reprod Health. 2010;4(1):41-46.