Knowledge, Practice and Effect of Contraceptive Device among Married Women

Abstract

This is a field based study which is conducted to find out the knowledge,Practice and effects of Contraceptive devices.Eighty two respondents (15-49years) Married women were selected. The mainobjectives of the study are toidentify the level of knowledgeoncontraceptive devices and to find out thecurrent condition of contraceptive devices and to find out the effects ofContraceptive devices on women. Eighty two household were selected from simple random sampling method andresearcher collected the data from interview and analyzed descriptively. At lastfinding and conclusion has been drawn and the research has recommended andsuggested the points. This thesis is structured into five parts. First part deals withthe introduction of the title and its theoretical ground. Second part reviews therelated literature of the relevant work. Third part deals with the methodology ofthe study. Forth part deals with analysis and interpretation of data. Fifth partdeals with summary, findings, conclusion and recommendations. The study revealed that 69.52 percent respondents were using contraceptivedevice where 7.01 percent respondents were familiar with sterilization, 3.50percent were familiar with IUCD, 26.31 were familiar with pills, 15.78 percentfamiliar with condom, 42.10 percent familiar with depo and 5.26 percentrespondents were familiar with implant. It was accounted that 10.97 percentrespondents were marriage at the age of 15-20 years but 46.34 percentrespondents were married at above 21 years. Most of the respondents were agree with the opinion “Family planning helps toimprove family health status and contraceptives allow women to pursue highereducation by delaying pregnancy and gain some measure of economic security”.The levels of contraceptive awareness and use were lower in study area. Thisdifference is associated with low educational levels in the study population.There is also an ongoing desire for larger families. There is a need for morecontraceptive education that does not rely on schooling. Family planning is a priority program of the Government of Nepal. Despitepolitical instability in the last two decades, Nepal has achieved remarkableprogress in the overall status of reproductive health, including family planning.Married women of reproductive age have been increasingly using contraceptivefrom 1980s to2006. However, Nepal Demographic Health Survey 2011 hasshown unexpected results on contraceptive prevalence rate. There had been anotable decline in the prevalence rate between 2006 and 2011, creating concernsamong various stakeholders working in family planning programs. This researchanalyzes this situation and identifies possible reasons for the stagnatedcontraceptive prevalence rate in the study area. High proportion of spousalseparation, an increased use of traditional methods, abortion, emergencycontraception, and a lack of innovative approaches to cater services to difficult-to-reach or special sub-groups are possible reasons. To improve thecontraceptive prevalence, the family planning program should be implementedmore strategically. Further data analysis, initiation of best practices to fulfillfamily planning needs of special groups, functional integration of familyplanning services into general health services, effective counseling and behaviorchange communication to prevent unwanted pregnancies, and increased accessto modern family planning methods could be the stepping stones to improvecontraceptive prevalence rate and the overall FP program in Nepal.