Determinants of contraceptive usage among the slum dwelling migrant women in coastal Karnataka, India – A mixed methods study
Journal Title: International Journal of Medical and Health Sciences - Year 2016, Vol 5, Issue 2
Abstract
Background: The coastal districts of Karnataka, India have been attracting migrant workers for decades and majority of these labor migrants reside in slums. Limited data is available on the contraceptive behaviours of slum dwelling migrant women of this community. The current study focused on the Contraceptive Prevalence Rate (CPR), the determinants of contraceptive usage and identification of the barriers for accessing the family planning services in this cohort. Materials and Methods: Mixed methods study design was employed where quantitative data derived from a cross-sectional survey of 418 married women was triangulated with qualitative data elicited by in-depth interviews of 10 women. Frequencies and proportions were used to describe categorical variables and multivariable logistic regression analysis was used to test for significant associations. Results: The Contraceptive Prevalence Rate (CPR) was 44.3% and the most preferred method of contraception was female sterilisation (97.84%). Marital duration (p=.002) and parity (p<.001) were independently associated with contraceptive usage. The lack of family planning knowledge and opposition to its use were the main barriers, compounded by lack of autonomy due to the poor status of migrant women. Conclusion: Universal reliance on female sterilisation and non-acceptance of spacing methods could account for the low CPR. Knowledge and good attitude did not ensure contraceptive usage among these slum dwelling migrant women.
Authors and Affiliations
K. Seema Aithal, Manohar Bairy, Shreemathi Mayya
Keywords
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