Barriers to Sustained Use of Contraception in Nepal

Quality of Care, Socioeconomic Status, and Method-Related Factors

Datos Bibliográficos

ID5958664
AutoresBina Gubhaju (UNSW Sydney, autor de correspondencia)
Año2009
Volumen55
Número1
Páginas52-70
Fecha de publicación2009-07-31
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaBiodemography and Social Biology (JOURNAL)
Identificadores de la revistaISSN: 1948-5565 • E-ISSN: 1948-5573
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/19485560903054671
PMID19835100
OpenAlexW1965264406
IdiomaEN
Citas recibidas5
Referencias citadas30

Owing to previously limited data availability, low contraceptive prevalence, and predominance of permanent method use in Nepal, there have been few studies of contraceptive-use dynamics. The aim of this article is to examine contraceptive use dynamics in Nepal in light of the country's ongoing fertility transition and change in contraceptive method-mix. Drawing on the 2003 Contraceptive Acceptance and Use Patterns Survey of Nepal and the quality-of-care framework, a proportional hazards model is used to explore contraceptive discontinuation of injections and pills. Results show that source of method from non-government services, high level of information given, one-to-one counseling, satisfaction with services, and shorter travel time to source are associated with lower odds of discontinuation. Despite the experience of side effects, women in Nepal are highly motivated to regulate their fertility. Results suggest detailed information given to users can have significant influence on continuation of methods rather than merely providing information on alternative methods and group counseling

Discontinuation · Economic growth · Economics · Environmental health · Family planning · Fertility · Pill · Population · Reproductive health · Socioeconomic status · Socioeconomics · Sociology · Gender, Labor, and Family Dynamics · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing