family planning and quality of care...family planning and quality of care • knowledge • use •...
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FAMILY PLANNING AND QUALITY OF CARE
National Family Health SurveyNational Family Health Survey--2 2 19981998--9999
BiharBihar
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National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
![Page 3: FAMILY PLANNING AND QUALITY OF CARE...Family Planning and Quality of Care • Knowledge • Use • Source • Informed Choice and Follow-Up • Unmet Need for Family Planning National](https://reader034.vdocuments.site/reader034/viewer/2022051909/5ffd9b5e4d416f30a079a155/html5/thumbnails/3.jpg)
National Family Health Survey-2
Trends in Knowledge of Contraceptive Methods
95 95
29
99 99
40
Any method Any modern method Any traditional method
NFHS-1 NFHS-2
Currently married women
Percent
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National Family Health Survey-2
Which modern methods are most familiar to married women?
59
64
75
97
99
44
55
57
88
95
IUD
Condom
Pill
Male sterilization
Femalesterilization
NFHS-1NFHS-2
Currently married women
Percent
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National Family Health Survey-2
About 40 percent of women have heard or seen family planning messages in the past
few monthsUrban exposure:– 72% any media– 62% TV
Rural exposure:– 36% any media– 16% TV
Family Planning Messages and the Media
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National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
![Page 7: FAMILY PLANNING AND QUALITY OF CARE...Family Planning and Quality of Care • Knowledge • Use • Source • Informed Choice and Follow-Up • Unmet Need for Family Planning National](https://reader034.vdocuments.site/reader034/viewer/2022051909/5ffd9b5e4d416f30a079a155/html5/thumbnails/7.jpg)
National Family Health Survey-2
Has contraceptive use among married women increased since the last survey?
23
3
25
2
Any method Modern spacing methods
NFHS-1 NFHS-2
Share of female sterilization in contraceptive use has increased from 75% to 78% over the
six-year period.
Percent
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National Family Health Survey-2
Family Planning Methods Used
Not using any method
76%
Condom0.7%
Traditional methods
2% Pill1%
Male sterilization
1%
Female Sterilization
19%
IUD 0.5%
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National Family Health Survey-2
Urban-Rural Differencesin Contraceptive Use
39
27
7
2318
2
Any method Female sterilization Modern spacingmethods
Urban Rural
Percent
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National Family Health Survey-2
Trends In Contraceptive Useby Residence
18
16
27
28
19
17
5
4
12
15
5
6
NFHS-2
NFHS-1
RURAL
NFHS-2
NFHS-1
URBAN
NFHS-2
NFHS-1
TOTAL
Female Sterilization All Other Methods Percent
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National Family Health Survey-2
Contraceptive Use by Region and State
17
19
20
21
34
2
3
2
2
7
South Bihar Plain
BIHAR
North Bihar Plain
Jharkhand
INDIA
Female Sterilization Modern Spacing MethodsPercent
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National Family Health Survey-2
Contraceptive Use by State
20
25
28
40
44
48
52
68
Meghalaya
Bihar
Uttar Pradesh
Rajasthan
Madhya Pradesh
INDIA
Tamil Nadu
Himachal Pradesh
Percent
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National Family Health Survey-2
Does use of contraception vary by number of sons?
11
21
38
No sons 1 son 2 sons
For women with 2 children: Percent
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National Family Health Survey-2
Sterilization Facts: Bihar
• Median age at sterilization for women is about 28 years, more than two years older than the all-India figure of 26 years
• Two-thirds (68%) of sterilizations occurred before the wife was 30 years old
• Male sterilization is 3%, representing a decline from 7% in the ten years preceding the survey
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National Family Health Survey-2
Do women not currently using contraception intend to use a method
in the future?
• 57% of women not currently using contraception intend to use a method in the future
• 28% of these non-users intend to use a method within the next 12 months
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National Family Health Survey-2
Preferred method for women who intend to use contraception in the future
1
1
1
1
25
68
Male sterilization
Rhythm/Safeperiod
IUD
Condom
Pill
Femalesterilization
Percent
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National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
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National Family Health Survey-2
Where do women get their modern contraceptive methods?
Private medical sector18%
Public medical sector77%
Shop/Other4%
Don’t know/ Missing
1%
NGO/Trust0.4%
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National Family Health Survey-2
Where do users get specific contraceptive methods?
49
78
83
20
49
22
16
55
56
3
0
0
11
16
23Condom
Pill
IUD
Male sterilization
Femalesterilization
Shop/OtherPrivate medical sectorPublic medical sector
Percent
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National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
![Page 21: FAMILY PLANNING AND QUALITY OF CARE...Family Planning and Quality of Care • Knowledge • Use • Source • Informed Choice and Follow-Up • Unmet Need for Family Planning National](https://reader034.vdocuments.site/reader034/viewer/2022051909/5ffd9b5e4d416f30a079a155/html5/thumbnails/21.jpg)
National Family Health Survey-2
Do motivators tell women about other contraceptive methods?
• 15% of users motivated by someone else were told by motivator about another method of FP
• In the public medical sector, 21% of current users were informed, compared to 15% in private medical sector or by “someone else”
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National Family Health Survey-2
Are women told about side effects at the time of accepting their method?
• Only 16% of women using a modern method were told about side effects by a health worker, less than the all-India average of 22%
• 19% of urban users were similarly informed, compared to 15% of rural users
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National Family Health Survey-2
Follow-Up After Accepting Method
• 77% of users of modern methods received follow-up after accepting their method
• Follow-up was slightly higher for acceptors of sterilization (78%)
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National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
![Page 25: FAMILY PLANNING AND QUALITY OF CARE...Family Planning and Quality of Care • Knowledge • Use • Source • Informed Choice and Follow-Up • Unmet Need for Family Planning National](https://reader034.vdocuments.site/reader034/viewer/2022051909/5ffd9b5e4d416f30a079a155/html5/thumbnails/25.jpg)
National Family Health Survey-2
Defining Unmet Need for Family Planning
• Proportion of currently married women who wish to either:– have no more childrenor– wait at least two years before the next childbut– are not using contraception
These women are considered to have an unmet need for family planning
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National Family Health Survey-2
Unmet Need for Family Planning
1411
25
13 12
25
For spacing For limiting For both
NFHS-1 NFHS-2Percent
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National Family Health Survey-2
Unmet Need by Region and State
28
25
24
21
South Bihar Plain
BIHAR
North Bihar Plain
Jharkhand
Percent
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National Family Health Survey-2
Impact of Satisfying Unmet Need
• Currently, programmes are meeting only about half of the total demand for family planning
• Contraceptive prevalence would increase from current level of 25% to a new level of 49% if all unmet need for contraception were satisfied