Predictors of voluntary uptake of modern contraceptive methods in rural Sindh, Pakistan

MEMON, Zahid, MIAN, Abeer, AHMED, Wardah, JAWWAD, Muhammad, MUHAMMAD, Shah, NOORANI, Abdul Qayyum, BHUTTA, Zulfiqar and SOLTANI, Hora (2024). Predictors of voluntary uptake of modern contraceptive methods in rural Sindh, Pakistan. PLOS Global Public Health, 4 (4): e0002419.

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The use of modern contraceptive methods (MCMs) has been stagnant for the last decade in Pakistan. The second most populous province, Sindh reports 25% of MCMs use. Various factors including demographics and health services utilization are associated with the uptake of family planning services. This research aimed to identify and assess specific predictors of MCMs among women aged 15–49 in two districts of Sindh-Matiari and Badin. A cross-sectional household survey was conducted from October 2020- December 2020. In total, 1684 Married Women of Reproductive Age (MWRA) 15–49 years were interviewed. For the selection of eligible respondents, a two-stage stratified cluster sampling strategy was used. Univariate and multivariable logistic regression was used to determine the predictors for the use of MCM. Use of modern methods of contraceptive was 26.1% (n = 441). Statistically significant socio demographic predictors of MCM included: number of children 4 or more (AOR: 5.23; 95%CI: 2.78–9.84), mother having primary education (AOR: 1.73; 95% CI: 1.26–2.36), and husband having middle education (AOR: 1.69; 95% CI: 1.03–2.76). Maternal health services indicators included: postnatal care of mother (AOR: 1.46; 95% CI: 1.09–2.05); women who were visited by Lady Health Workers in their postnatal period and were counselled on family planning (AOR: 1.83; 95% CI: 1.38–2.42). Since the primary purpose of using modern contraceptive methods is for limiting pregnancies, there is a potential to promote awareness about the benefits of birth spacing as part of implementing a more integrated approach to family planning. The integration of family planning services within maternal and newborn child healthcare services effectively promote the voluntary adoption of modern contraceptive methods. The role of Lady Health Workers in family planning counseling and service provision and uptake is important in the context of Sindh and should be fostered further by opportunities for capacity building and their empowerment.

Item Type: Article
Additional Information: ** From PLOS via Jisc Publications Router ** Licence for this article: ** Acknowledgements: We extend our appreciation to the Department of Health and the Population Welfare Department of the Sindh Government for their essential partnership in project implementation. Our sincere gratitude is directed towards the study participants, whose involvement and input are highly valued. Additionally, we acknowledge the dedicated district-based personnel for their consistent assistance throughout project activities, playing a crucial role in the effective achievement of this initiative. **Journal IDs: eissn 2767-3375 **Article IDs: publisher-id: pgph-d-23-01713 **History: published_online 04-04-2024; accepted 13-03-2024; collection 2024; submitted 01-09-2023
Research Institute, Centre or Group - Does NOT include content added after October 2018: Sheffield Hallam Doctoral Theses
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SWORD Depositor: Colin Knott
Depositing User: Colin Knott
Date Deposited: 10 Apr 2024 09:33
Last Modified: 10 Apr 2024 09:45

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