Factors affecting long acting and permanent contraceptive methods (lapm) use among women of reproductive age in bangladesh: evidence from bangladesh demographic health survey

Masuda Mohsena., Nehlin Tomalika and Sadya Afroz

Population growth constitutes a primary threat to continue economic growth and development in our country. Despite increasing pattern of use of contraceptives and fertility decline, the vital population strategy is not achieving the target. As the future reduction of fertility is largely dependent on increased use of effective birth control measures, identification of specific determinants of each method is essential for planning. The current study attempted to examine the determinants of use of modern methods of contraception, with special emphasis on the LAPMs, by using data from 2011 BDHS. The study found that among 17,842 currently married women, half (51.1%) did not practice any method of contraception; permanent and long term contraceptive methods use were 5.7% and 12.3%, respectively. Use of long term methods were significantly decreased with increased husband’s education level. Being a member of an NGO was revealed as a dominant predictor; especially permanent method use was twice more likely among these women than those not belonged to an NGO. Unexpectedly, women who could take their decision were stunningly less likely to use all forms of modern contraception. Visit by FP workers was the strongest predictor of using long term method. The study concluded that improvement of couple’s education level, increase societal value of girl child and increase women’s autonomy could improve CPR to achieve decline in fertility level. Visit by FP workers should be increased in divisions where practices of family planning methods were poor. NGOs might involve sensitizing religious leaders to remove religious misconception about contraception.

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DOI: http://dx.doi.org/10.24327/23956429.ijcmpr20170213
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