Research Article
Volume 11 Issue 1 - 2022
Use of Contraceptives Among Married Women of Reproductive Age in Nepal
Bidur Bastola1, Ramesh Adhikari2,3* and Santa Kumar Dangol1
1CARE, Nepal
2Tribhuvan University, Kathmandu, Nepal
3Center for Research on Education, Health and Social Science, Kathmandu, Nepal
*Corresponding Author: Ramesh Adhikari, Center for Research on Education, Health and Social Science, Kathmandu, Nepal.
Received: October 28, 2021; Published: December 15, 2021




Abstract

Background: The use of the family planning method enables people to achieve their desired number of children, helps to reduce unintended and high-risk pregnancies and unsafe abortions, which contributes to saving the lives of many women. The main objective of this study is to examine the post-intervention impact on the use of Family planning methods among married women of reproductive age in Nepal.

Methods: A cross-sectional survey with married women were conducted in the five districts of Nepal. A total of 750 married women, having at least one child, were surveyed. Univariate, Bivariate, and multivariate analyses were applied. Association with use of contraceptives and the explanatory variables was assessed in bivariate analysis using chi-square tests. The association was further examined using multivariate logistic analysis.

Results: The majority of the respondents (89%) belonged to the age group 20-34 years. More than a fifth (22%) of the respondents became married under 18 years. The contraceptive use rate among married women is 67 percent. Significantly higher (p = <0.01) proportion of women aged 35 or above (80.4%) were using family planning methods than women of other age groups. Likewise, a higher proportion of women involved in the decision to use FP (68%) were currently using FP methods more than their counterparts, and the association was statistically significant (p = <0.05). Similarly, a significantly higher proportion of the women who got married at an age 18-19 years (72%) were using FP methods than women aged 20 years or above (64%) and women aged less than 18 years (63%) (p < 0.05). Multivariate analysis found that women belonging to the age group 20-34 years were almost three times (aOR = 2.897, CI = 1.233-6.803) and >35 years seven times (aOR = 7.489, CI = 2.331-14.055) more likely to use FP methods than women aged less than 20 years. Regarding household income, women who had foreign employment as the major source of household income were significantly less likely to use FP methods (aOR = 0.175, CI = 0.95-0.322) than women having agriculture as a major household income source.

Conclusion: The study showed high usage of contraceptives in five study districts compared to national prevalence. The high prevalence may be attributed to the contribution of family planning programs through various organizations like CARE Nepal. However, the findings indicate a need for a family planning program, primarily focusing on the younger married women in the different districts of Nepal.

Keywords: Contraceptives; Married Women; Reproductive Age; Family Planning; Nepal

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Citation: Ramesh Adhikari., et al. “Use of Contraceptives Among Married Women of Reproductive Age in Nepal”. EC Gynaecology 11.1 (2022): 01-11.

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