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A Sociological Study about the Adoption of Contraception Methods and Their Effects on the Married Females’ Health in Rural Areas of Tehsil Dera Ghazi Khan-Pakistan

Muhammad Ali Tarar, Noreen Akhtar, M. Babar Akram, Saima Afzal, Muzaffar Hussain Salik, Sumaira Bano, Naseem Akhtar, Iram Khan, Khuloos Ahmad Minhas, Saira Akhtar, Zahira Batool, Sumaira Yasmin, Syed Iftikhar Hussain

Abstract


Population is growing rapidly & adoption of FP has been neglected by Govt. of Pakistan due to lack of services, awareness and education, traditional believes, employment & misconception. Mostly people think that the use of contraception methods is against the nature and Islam and is also harmful for health. So present study was designed in rural areas of Tehsil Dera Ghazi Khan in 2013 to investigate the knowledge level, adoption of contraception as well as to perceived positive and negative effects of contraception methods on the health of married females in rural community. 160 rural married females were interviewed to find out their demographic features, utilization of contraception and its side effects on their health in tehsil Dera Ghazi Khan. The data was analyzed by using Uni-variate (frequency distribution and percentage) and Bi-variate analysis (Chi square and Gamma Statistics) was carried out. Predominating age categories were <15 and 16-20 years, 45.6% were illiterate, and 55.6% had good mutual understandings. More than one fifth (26.2%) had 1-2 pregnancies, 59.4% had sometimes heard about contraceptive methods while 84.4% had favorable attitude towards adoption of contraception methods. Whereas 58.1% had sometimes used contraceptive methods, 31.9% got information about contraceptive methods from relatives. In adoption of different contraception methods during the life span, respondents reported both types i.e. modern injections (60.6%), spermicides (50.6%), and in traditional methods i.e. withdrawal (6.2%), adoption of herbs (5.7%) and 44.4% had faced positive effects while 19.4% faced negative effects whereas 36.2% of the respondents had both type of effects (positive/ negative) on their health after the adoption of FP methods during reproductive span. Bi-variate analysis showed positive relationship between desired of family size and utilization of contraception, Freedom of decision making vs utilization of contraception methods and mutual understanding of spouse vs adoption of contraception method. There was a need to bring positive change in societal attitude for the utilization of family planning.


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