Socio Cultural Determinants of Low Contraceptive Use and High Unmet Needs in Married Females of Urban Karachi

Authors

  • Khaula Noreen
  • Nadia Khalid
  • Imran Shaikh
  • Tahira Zamir
  • Marium Shoaib
  • Azka Shahab
  • Aisha Siddiqua
  • Osama Rehman

Keywords:

Socio- cultural determinants, Contraceptive use, Married females, Urban areas, Karachi

Abstract

Objective:To explore knowledge, attitudes and practices regarding contraceptive use in females and to determine the socio
cultural barriers that influence contraceptive uptake and contribute to significant unmet needs of family planning.
Materials and Methods:This hospital based cross sectional survey was carried out from March 2015 to September 2015 at
the Gynaecology and Obstetrics outpatient clinics (OPD) of two hospitals of Karachi, Liaquat National Hospital and PNS SHIFA
Hospital. 383 females of age 18-49 years were enrolled after taking informed written consent. Knowledge, attitude and practices
on contraception were evaluated with the help of predesigned questionnaire.
Results: Mean age of participants was 30.12+ 3.05, youngest being 18 years old, while the eldest was 49 years old. Majority
(64%) of the participants were housewives.Knowledge about contraceptive methods was found in 97.1%. Media was found
to be main source of information. Regarding contraceptive practices, 48% women were currently using some method of
contraception. Among these the most widely used method was condoms (46%). 52% women were not currently using any
method of contraception. Husband and mother in law opposition were found to be the strongest reason for not using any
contraception.
Conclusion:Inspite of having good knowledge, utilization of contraceptives were less because of preference for a large family
norm, religious myths, cultural barriers and family opposition

References

National Institute of Population Studies (NIPS) and ICF International, Pakistan Demographic and Health Survey 2012-13, National Institute of Population Studies (NIPS), Islamabad, Pakistan; ICF International, Calverton, Md, USA, 2013

Population Reference Bureau, “World Population Data Sheet,” 2013. http://www.prb.org/ publications/ Datasheets/ 2012/ world- population-data-sheet.aspx

K. Park. Chapter 9. In: K. Park, eds. Text Book of Preve- ntive & Social Medicine. 21st ed. Jabalpur: Banarsidas Bhanot; 2011:445

Khan AA, Khan A, Javed W, Hamza HB, Orakzai M, Ansari A et al. Family planning in Pakistan: applying what we have learned. Journal of the Pakistan Medical Association 2013;63:3-10

Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. The Lancet 2012;380(9837):111-25

Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished agenda. The Lancet. 2006;368(9549):1810-27

Stover J, Ross J. How increased contraceptive use has reduced maternal mortality. Maternal and Child Health Journal 2010;14(5): 687-95

Marston C, Report of WHO Technical Consultation on Birth Spacing, World Health Organization, Geneva, Swi- tzerland, 2005

Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. The Lancet 2012;380 (983 7):149-56

National Institute of Population Studies. Pakistan fertility and family planning survey 1996-1997. Islamabad: The Institute 1998

UNFPA worldwide. Population, health and socio econom- ic indicators/policy developments. Overview Pakistan: key statistics 2002. Available from: http://www.unfpa.org /profile/pakistan.cfm

USAID worldwide. Population, health and socioeconomi- cindicators/policy developments. Overview Pakistan: keystatistics 2012. Available from: http://www.uSAID.org/profile/pakistan.cfm

Hakim A, Cleland J, Bhatti M. Main Report, Pakistan fertility and family planning survey 1996 - 1997, Dec 1998

MustafaG,KhurramAS, Hameed W, Ali S, Ishaque M, Hussain W et al. Family Planning Knowledge, Attitudes, and Practices among Married Men and Women in Rural Areas of Pakistan: Findings from a Qualitative Need Assessment Study. International Journal of Reproductive Medicine2015

Ayub A, Kibria Z, Khan F. Assessment of Knowledge, Attitude and Contraceptive use in Married Women of Peshawar. Journal of Dow University of Health Sciences 2015;9(1):1-2

Mustafa R, Afreen U, Hashmi HA. Contraceptive know- ledge, attitude and practice among rural women. J Coll Physicians Surg Pak 2008;18(9):542-5

Mahmood N. Reproductive goals and family planning attitudes in Pakistan: A couple-level analysis. The Pak Develop Review 1998; 37: 19-34

Saleem S, Bobak M. Women's autonomy, education and contraception use in Pakistan: a national study. Reprodu- ctive health. 2005;2(8):1-8

Pazol K, Zapata LB, Tregear SJ, Mautone-Smith N, Ga- vin LE. Impact of contraceptive education on contrace- ptive knowledge and decision making: a systematic rev- iew. American journal of preventive medicine. 2015;49(2):46-56

Fikree FF, Khan A, Kadir MM, Sajan F, Rahbar MH. Whatinfluences contraceptive use among young women in urbansquatter settlements of Karachi, Pakistan? Int Fam Plann Perspect 2001; 27:130-6

Ali M, Ushijima H. Perceptions of men on role of relig- ious leaders in reproductive health issues in rural Pakistan. J Biosoc Sci. 2005;37(1): 115-22

Pasha O, Fikree FF, Vermund S. Determinants of unmet need for family planning in squatter settlements in Kar- achi, Pakistan. Asia-Pacific Population Journal 2001;16 (2):93-108

Kadir MM, Fikree F, KhanA,Sajan F. Do mothers-in- law matter? Family dynamics and fertility decision- making in urban squatter settlements of Karachi, Pakistan. Journal of Biosocial Science, 2003;35(4):545-58

Salem RM, Bemstein J, Sullivan T M,Lamde R. Commu- nication for Better Health. Population Reports, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md, USA, 2008

Mir AM., Shaikh, GR. Islam and family planning: chan- ging perceptions of health care providers and medical faculty in Pakistan. Global Health, Science and Practice 2013;1(2): 228-36

Nuruzzaman H. Unmet need for contraceptive: the case of married adolescent women in Bangladesh. Internatio- nal Journal of Current Research 2010; 9:29-35

Raza H, Sheraz A, Zafar R, Khan N, Ali H. Effect of Islamic perception on family planning practices. OIDA IntJ Sust Dev 2012;5(3): 85-96

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Published

2016-06-06

How to Cite

Noreen, K. ., Khalid, N. ., Shaikh, I. ., Zamir, T. ., Shoaib, M. ., Shahab, A. ., Siddiqua, A. ., & Rehman, O. . (2016). Socio Cultural Determinants of Low Contraceptive Use and High Unmet Needs in Married Females of Urban Karachi. Journal of Bahria University Medical and Dental College, 6(2), 116–120. Retrieved from https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/177

Issue

Vol. 6 No. 2 (2016): Volume 6 Issue 2

Section

Original Articles

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Copyright (c) 2016 Khaula Noreen, Nadia Khalid, Imran Shaikh, Tahira Zamir, Marium Shoaib, Azka Shahab, Aisha Siddiqua, Osama Rehman

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Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0

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