Meeting Contraceptive Needs

Long-Term Associations Of the PRACHAR Project with Married Women's Awareness and Behavior in Bihar

Bibliographic Data

ID19544829
AuthorsShireen J Jejeebhoy (0000-0002-0911-7729, Population Council), Jejeebhoy Jejeebhoy, Ravi Prakash (0000-0001-7299-7725), Prakash Prakash, Rajib Acharya (0000-0003-4586-0859), Acharya Acharya, Singh Singh, Santosh Kumar Singh (0000-0002-1757-2123), Daniel Daniel (0009-0003-6885-8708), Elkan E Daniel
Year2015
Volume41
Issue3
Pages115
Publication date2015-01-01
Open AccessNo
TypeARTICLE
VenueInternational Perspectives on Sexual and Reproductive Health (JOURNAL)
Journal identifiersISSN: 1944-0391 • E-ISSN: 1944-0405
PublisherGuttmacher Institute (PUBLISHER • US)
DOI10.1363/4111515
PMID26600565
OpenAlexW2279019583
LanguageEN
Citations received5
References cited1

CONTEXT: Although interventions such as the PRACHAR project in Bihar, India, have been associated with increased contraceptive knowledge and use in the short term, less is known about whether such gains are sustained years later. METHODS: Survey data, collected in 2013 from 2,846 married women aged 15-34, were used to compare contraceptive awareness and use between those who lived in areas where the PRACHAR project had been implemented in 2002-2009 and those who lived in matched comparison areas. Multivariate analyses assessed whether, after adjustment for covariates, outcomes differed between women in comparison and intervention areas, as well as between women directly exposed to the program and those who lived in intervention areas but had been only indirectly exposed. RESULTS: Compared with women in comparison areas, those in intervention areas were more likely to have method-specific knowledge of oral contraceptives, IUDs, condoms and the Standard Days Method (odds ratios, 1.4-1.7); to know that oral contraceptives and condoms are appropriate for delaying first pregnancy (2.3 for each) and IUDs and injectables are appropriate for spacing births (1.4 for each); to have ever used contraceptives (2.1) or be using a modern method (1.5); and to have initiated contraception within three months of their first birth (1.8). Levels of awareness and use were elevated not only among women directly exposed to the intervention but also, for many measures, among indirectly exposed women. CONCLUSIONS: The association of multipronged reproductive health programs like PRACHAR with contraceptive awareness and practices may last for years beyond the project's conclusion

Environmental health · Family planning · Fertility · Gynecology · Logistic regression · Odds · Population · Pregnancy · Psychological intervention · Reproductive health · Research methodology · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Reproductive Health and Contraception

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