India is the second most populous country in the world with 1.21 billion people, sustaining 16.9 percent of the world population. India was the first country in the world to start family planning program way back in 1952 to facilitate the use of family planning services as a step towards reducing the fertility rates, increasing contraceptive prevalence rate (CPR) and reducing the unmet family planning needs. Despite this, 13% of currently married women in India are not using contraception.
The urbanization and industrialization in different parts of country constitutes a major demographic issue.Study was done on the knowledge, attitude and practice of contraceptive measures among women of reproductive age group (15-49) years in an urban slum in the Dwarka Region of Delhi and data was collected.
WHAT IS THE OBJECTIVE OF THE STUDY?
The present study is aimed to assess the general awareness of contraception and contraceptive measures among married women in the reproductive age group.
Need For Family Planning
Unmet need for family planning is an important indicator for assessing the potential demand for family planning services. Currently married women who are not using any method of contraception but who do not want any more children are defined as having an unmet need for limiting and those who are not using contraception but want to wait two or more years before having another child are defined as having an unmet need for spacing. The sum of the unmet need for limiting and the unmet need for spacing is the unmet need for family planning. Current contraceptive users are said to have a met need for contraception. The total demand for family planning is the sum of unmet need and met need.
These are some of the key findings of the study
- Most women (88% of the sample studied) were familiar with male and female sterilization as well as implants, IUD and Pills as method of contraception.
- Most women surveyed were not aware of the methods to delay pregnancy
- There was lack of brand awareness of the names of the contraceptive pills
- They were rarely told by health or family planning workers about the side effects and problems they might have and how to have precautions using the various methods of contraception
In rural areas, women do not make as much use health services as in urban area’s since they are not aware of it. They also tend to be poorly educated and work as homemakers,service workers or laborers.
Studies in rural area of Dwarka region in Delhi shows that women are less healthy than women in other urban areas, in addition access to and utilization of healthcare services are lower among women.Hence,providing low income rural women with contraceptives care and educating them remains a challenge of family planning services.
In my opinion more information on human sexuality, conception and contraception should be made available early – at primary school level – to eliminate misconceptions about contraceptives.Adolescent should be empowered to take responsibility for the use of contraceptives, by enlightening them with proper and adequate information about their function, usage and methods. Women should have access to confidential counselling and quality contraceptive information and service, including emergency contraception, where appropriate. Community workshops could be provided by collaborating with different sectors in the community such as the churches, non-governmental institutions, health workers and parents to empower adolescents about sexuality and contraception. This will enhance community participation and address issues of culture. An effort should be made to promote active involvement and participation of boys in the reproductive health services. Parents could become partners in this campaign by playing an active role, rather than be stuck in a cultural quagmire. They could do this through education during initiation schools and participating in campaigns organised by the Department of Health.
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About the author
Purva Gupta is a Management Graduate in Hospital and Healthcare Management, with specialization in Healthcare Informatics from International Institute of Health Management Research, New Delhi. She is highly motivated professional who loves challenges, possesses decision making, leadership and problem solving skills. Please direct all questions and comments on this article to firstname.lastname@example.org