Sukh StationsLandhi Town, Karachi

2015

Baseline Assessment

Fact Sheet

SUKH INITIATIVE

The infrastructure of reproductive health care services is dominated by TBAs. Available maternity homes and family planning services are not sufficient to cater the needs of the communities. There is a high scope for making FP services available through building linkages with government and private sector. Adequate supply and stocks of good quality contraceptive method mix will result in increased uptake, decrease in discontinuation rates and improve compliance towards use of modern contraceptive methods. This will also improve the quality of life for women, children and families.

Strategies are required to change behavior of communities towards early marriage, spacing of first birth, prevention of unplanned pregnancy, birth spacing and use of modern methods of contraception. Focus should be on young women with low parity.

Vulnerable groups such as certain ethnic and minority groups, young (15-29 years), illiterate and poor women should be provided with safety nets for provision of family planning and maternal and child health services.

Recommendations Sukh Initiative is implemented at ten stations located in four towns of Karachi, i.e. Korangi, Landhi, Bin Qasim and Malir. There are 2 stations in Landhi, 4 stations in Korangi, 3 stations in Bin Qasim and 1 station in Malir town. It is a five-year program (2013-2018), intending to increase the use of modern contraceptive methods and reducing unintended pregnancies amongst one million underserved population of Karachi, Pakistan. A total of 964 married women of reproductive age were interviewed

Socio-demographic characteristics 49% of married women are youth (15-29 years) 34% of married women have no formal educationPushto, Hindko and Balochi speaking are the most prevalent ethnic groupMore than 40% of married women have 4 or more children Teen age marriage and pregnancy exist

Figure 3 Ethnic groups, Sukh stations, Landhi Town (n = 964)

30

25

20

15

10

5

0Sindhi Urdu Punjabi Pushto Hindko Balochi Others

3.4

7.3

14.3

28.3

17.515.9

13.3

Perc

enta

ge

Figure 4 Percent of married women according to number of living children,

Sukh stations, Landhi Town (n = 880)

60

50

40

30

20

10

01 child 3 children 4 or more

children2 children

9.1

23.9

16.5

50.4

Perc

enta

ge

30

25

20

15

10

5

0

21.6

15.8

9.2

4.5

21.1

2.8

15 – 19years

Perc

enta

ge

20 – 24years

25 – 29years

30 – 34years

35 – 39years

40 – 44years

45 – 49years

25.1

Figure 1 Percent of women in reproductive age groups,

Sukh stations, Landhi Town (n = 964)

Figure 2 Level of education, Sukh stations, Landhi Town (n = 964)

� No Schooling� Primary Education� Middle� Secondary Education and above

34.6

26.8

14.2

24.4

* Others include: Sariki, Gujrati, Kachi, Potohari, Marwari, Brohi

S U K H I M P L E M E N T I N G P A R T N E R S

For further information you may contact at Aman Foundation:UAN: +92 (21) 111-111-823

Figure 5 Percent of married women with unplanned pregnancies,

Sukh stations, Landhi Town (n = 97)

20.0

19.9

19.8

19.7

19.6

19.5

19.4Landhi Station 9Station 8

19.6 19.6

20.0

Perc

enta

ge

Figure 6 Percent of women with knowledge, ever use and current use of modern

contraceptive methods at Sukh stations, Landhi Town, (n = 964)

100

80

60

40

20

0Landhi Station 9Station 8

98.4

50.7

30.8

59.3

98.3

31.4

59.4

98.1

30.2

59.3

Perc

enta

ge

� Knowledge � Ever use � Current use

MCH and FP Services (Private Sector)Maternity homes and TBAs are the main cadres of MCH and FP servicesExclusive Family Planning facilities/clinics are few in numberInjections, condoms and pills are the contraceptive methods provided by most of the health facilities Provision of long-term contraceptive methods is low

Figure 7 Percent of current modern contraceptive users by age group,

Sukh stations, Landhi Town (n = 297)

30

25

20

15

10

5

0

Perc

enta

ge

15 – 19years

20 – 24years

25 – 29years

30 – 34years

35 – 39years

40 – 44years

45 – 49years

1.7

15.1

22.1

29.5

15.4

11.1

5.0

Figure 8 Percent of current modern contraceptive users by education,

Sukh stations, Landhi Town (n = 297)

80

60

40

20

0

Perc

enta

ge

Uneducated Educated

35.4

64.6

Figure 11 Percent of current modern contraceptive user by type of method,

Sukh stations, Landhi Town (n = 964)

Figure 10 Percent of current modern contraceptive users by ethnic groups

Sukh stations, Landhi Town (n = 297)

30

25

20

15

10

5

0

Perc

enta

ge

13.8

27.1

15.3

5.4 5.94.8 4.3 4.8

3.7 3.3 2.83.7

1.6 2.21.1

1.9 2.21.6

0.6 1.10.0 0.0 0.0 0.0

Figure 13 Percent of facilities providing modern contraceptive methods by type

of methods, Sukh Stations, Landhi Town (n = 22)

40

30

20

10

0

Perc

enta

ge

IUDInjection Pill Implant FemaleSterilization

Condom MaleSterilization

36.4

31.8

27.3

18.2

4.5 4.5 4.5

Figure 12 Types of health facilities providing maternal care and family

planning services, Sukh stations, Landhi Town (n = 43)

40

30

20

10

0Hospital with maternity care

Maternityhomes

Birthinghomes

TBA home FP clinics

Health house(LHW)

Health center

Perc

enta

ge

Current Contraceptive Use Unplanned pregnancies exist in the community Knowledge of modern contraceptive methods is high but use is lowMore than 50% of married women have ever used any modern contraceptive methodMostly women in the age group of 30 years or above with four or more living children reported current use of modern contraceptive methodsCommonly used contraceptive methods are condom, female sterilization and injectionCurrent use of long-term modern contraceptive methods such as IUD and Iimplant is low

1 child 3 children 4 or more children

2 children

Figure 9 Percent of current modern contraceptive users by parity,

Sukh stations, Landhi Town (n = 297)

60

50

40

30

20

10

0

Perc

enta

ge

50.4

9.1

13.9

3.4

33.1

23.0

12.8

4.7

23.9

16.5

35

30

25

20

15

10

5

0SindhiPunjabi Pushto Balochi Hindko Others

0.0**0.0

Perc

enta

ge

* Others include: Sariki, Marwari, Potohari, Gilgiti, Gujrati, Burmi, Bangali

Condom FemaleSterilization

Injection Pill IUD ImplantLAM MaleSterilization

� Landhi � Station 8 � Station 9

39.5

27.9

20.9*

7.04.7

* Health center is general clinic providing antenatal care only.** Birthing Homes are small houses in the communities where maternal care is provided by skilled birth attendants,

such as midwives, LHVs, nurses, or doctors in their own homes.