Factors Affecting Couples to Adopt Family Planning Methods: A Study in Silchar Medical College & Hospital, Silchar, Assam
Authors: Firdous Barbhuiya
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Family Planning is one of the important interventions for safe motherhood and birth spacing and a fundamental pillar of reproductive health. The practice of family planning methods are influenced by a variety of interrelated factors such as level of education, socio-economic condition, age at marriage, size of the family, number of children, beliefs etc. There is a need to raise the level of acceptance of family planning methods to address issues related to maternal mortality, infant mortality, uncontrolled population growth, and many more. Objective: To find out the causal factors that prevent couples to adopt family planning methods, and to measure the awareness level about various family planning methods. Methodology: Descriptive research design was used for the study. 300 married women in the reproductive age group of 15-45 years were chosen from the Dept. of Gynaecology of Silchar Medical College & Hospital (SMCH) by using purposive sampling technique. Pre-tested semi-structured interview schedule was used to collect primary data from the Out Patient Department (OPD) and post-natal section of Gynaecology Dept., SMCH. Results: Only 7% of the study population were fully aware about several family planning methods. On the other hand, 61% were partially aware and 32% were completely ignorant about the matter. Only 7% of the study population were using some form of contraception. Oral Contraceptive Pill (OCP) was the most dominant method. Among the users of contraceptives, 68.18% were users of OCP and among the non-users, 45.5% opined to use the same in future. Husbands (87%) were observed to be the chief decision maker for contraceptive use. Contraceptive acceptance was revealed to increase significantly with the increase in age of women, literacy status and number of living children. Reasons for non-acceptance of contraceptives were lack of sufficient information (45.3%), desire for more children (24.8%), negligence (9%), misconception & superstition (6.8%), opposition from family members (6.1%), shyness & introvert nature (5.8%) and religious factors (2.2%). Conclusion: Improvement of female autonomy through increasing women’s education and by adopting modern & effective socio-economic measures has emerged as requisite for increasing knowledge and acceptance of contraceptive use.
Key Words: Family planning methods, contraceptives, couples, married women, Gynaecology, Silchar Medical College & Hospital.