To examine the failure rate and Disruptions of contraceptive use by different spacing methods of family planning in four selected states of India
ESC Congress Library. Singh R. May 10, 2018; 208112; ESC120
Mr. Rohit Singh
Mr. Rohit Singh
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Abstract
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Objective/Hypothesis: The paper attempts to examine the failure and abandonment by different spacing methods of family planning and to know the reasons behind contraceptive failure and abandonment by method   We tested the hypothesis- Women from poor economic status tend to have higher relative risk for abandonment and Women having health related reasons more likely to discontinue family planning method. Data: The data for the present study is taken from the third round of National Family Health Survey (NFHS-3) conducted during 2005-06. The variables that have been analyzed for fulfilling the objectives of the study are use of family planning, reasons for discontinuation in family planning use and pregnancy history. In NFHS-3, the information on these aspects is also given in calendar months during Five-years preceding the survey. Cox-regression model has been used to analyze calendar data. Methods: Cross-tabulation and Cox Regression Hazard Models. Findings: The study shows that mainly fertility and health related reasons were the reasons behind discontinue for the last method. Method related reason was also having its significance in abandonment of the last method in all the selected states There was not much variation exist when reasons were distributed over the socio-economic background characteristics. Age, residence, number of children living and mass media exposure showed some variation in a few states. Pearl pregnancy index was generally lower for five years exposure period as compare to three years exposure. In general, index was higher for rhythm and withdrawal in almost all the cases.Relative risks of abandonment were calculated after combining rhythm and withdrawal. It was not possible to provide relative risks for abandonment for condom in case of Gujarat due to small sample. In all the cases, those women who had desire for additional child have higher relative risk to discontinue the method. In case of mass media exposure, women those had full exposure of mass media have shown high relative risk of abandonment of rhythm/withdrawal method. This might be due to switching to modern method of spacing method. In the limitations of this study, one can mention that to study the propensity to go for abortion in case of method failure will be able to reveal the determination of desire family size in different population segment. However, this portion of the study could not be carried out due to time constraints
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