Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Reproductive Health
Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Research

Factors affecting modern contraceptive use among fecund young women in Bangladesh: does couples’ joint participation in household decision making matter?

Author: Ahmed Zohirul Islam

Published in: Reproductive Health | Issue 1/2018

Login to get access

Abstract

Objectives

The purpose of the study was to explore the association between couples’ joint participation in household decision making and modern contraceptive use (MCU) among fecund (physically able to bear child) young women in Bangladesh.

Methods

This study utilized a cross-sectional data (n = 3507) extracted from the Bangladesh Demographic and Health Survey (BDHS) 2011. Differences in the utilization of modern contraceptives (MC) by socio-demographic characteristics were assessed by χ2 analyses. Binary logistic regression was used to identify the associated factors of usingMC, and the odds ratio with a 95% CI was computed to assess the strength of association. Multicollinearity was also checked by examining the standard errors in the fitted model.

Results

Desire for a child after two years go by and no child at all contributed the most to increasing MCU followed by receiving family planning (FP) methods from FP workers. Couples’ joint decision making power on women’s health care, child’s health care and visiting family members or relatives emerged as the third most influential factor that might be associated with MCU.

Conclusions

Since spousal joint decision making increases the likelihood of using MC, government should include strategic interventions in FP programs to elevate women’s status through creating educational and employment opportunities and encouraging more visible involvement in household decision making.
Literature
1.
Yigzaw M, Zakus D, Tadesse Y, Desalegn M, Fantahun M. Paving the way for universal family planning coverage in Ethiopia: an analysis of wealth related inequality. Int J Equity Health. 2015;14(1):77.CrossRefPubMedPubMedCentral
2.
Onarheim KH, Taddesse M, Norheim OF, Abdullah M, Miljeteig I. Towards universal health coverage for reproductive health services in Ethiopia: two policy recommendations. Int J Equity Health. 2015;14(1):86.CrossRefPubMedPubMedCentral
3.
Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet. 2012;380(9837):111–25.CrossRefPubMed
4.
Liu L, Becker S, Tsui A, Ahmed S. Three methods of estimating births averted nationally by contraception. Popul Stud. 2008;62(2):191–210.CrossRef
5.
Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. Lancet. 2012;380(9837):149–56.CrossRefPubMed
6.
National Institute of Population Research and Training (NIPORT). Bangladesh demographic and health survey 2014. Mitra and Associates, Dhaka, Bangladesh and ICF International, Calverton, Maryland, USA 2016.
7.
Blanc AK. The effect of power in sexual relationships on sexual and reproductive health: an examination of the evidence. Stud Fam Plan. 2001;32(3):189–213.CrossRef
8.
Bawah AA, Akweongo P, Simmons R, Phillips JF. Women's fears and men's anxieties: the impact of family planning on gender relations in northern Ghana. Stud Fam Plan. 1999;30(1):54–66.CrossRef
9.
Do M, Kurimoto N. Women's empowerment and choice of contraceptive methods in selected African countries. Int Perspect Sex Reprod Health. 2012:23–33.
10.
Bogale B, Wondafrash M, Tilahun T, Girma E. Married women's decision making power on modern contraceptive use in urban and rural southern Ethiopia. BMC Public Health. 2011;11(1):342.CrossRefPubMedPubMedCentral
11.
Bourey C, Stephenson R, Bartel D, Rubardt M. Pile sorting innovations: exploring gender norms, power and equity in sub-Saharan Africa. Global public health. 2012;7(9):995–1008.CrossRefPubMed
12.
Population Reference Bureau. World population data sheet. In: Population reference bureau Washington; 2015.
13.
Central Intelligence Agency. Country comparison to the world. In: The world Factbook; 2015.
14.
Audu B, Yahya S, Geidam A, Abdussalam H, Takai I, Kyari O. Polygamy and the use of contraceptives. Int J Gynecol Obstet. 2008;101(1):88–92.CrossRef
15.
Ekani-Besala M, Carre N, Calvez T, Thonneau P. Prevalence and determinants of current contraceptive method use in a palm oil company in Cameroon. Contraception. 1998;58:29–34.CrossRef
16.
Oye-Adeniran BA, Adewole IF, Umoh AV, Oladokun A, Gbadegesin A, Ekanem EE. Community-based study of contraceptive behaviour in Nigeria. Afr J Reprod Health. 2006;10(2):90–104.CrossRefPubMed
17.
18.
Islam A, Mondal N, Khatun L, Rahman M, Islam R. Prevalence and determinants of contraceptive use among employed and unemployed women in Bangladesh. International Journal of MCH and AIDS. 2016;5(2):92–102.CrossRefPubMedPubMedCentral
19.
Rahman M, Islam A, Islam M. Rural-urban differentials of knowledge and practice of contraception in Bangladesh. Journal of Population and Social Studies. 2010;18(2):87–110.
20.
Islam AZ, Mostofa MG, Islam MA. Factors affecting unmet need for contraception among currently married fecund young women in Bangladesh. Eur J Contracept Reprod Health Care. 2016:1–6.
21.
Islam R, Islam AZ, Rahman M. Unmet need for family planning: experience from urban and rural areas in Bangladesh. Public Health Research. 2013;3(3):37–42.
22.
Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished agenda. Lancet. 2006;368(9549):1810–27.CrossRefPubMed
23.
Nagase T, Kunii O, Wakai S, Khaleel A. Obstacles to modern contraceptive use among married women in southern urban Maldives. Contraception. 2003;68(2):125–34.CrossRefPubMed
24.
Govindasamy P, Malhotra A. Women's position and family planning in Egypt. Stud Fam Plan. 1996:328–40.
25.
Rahman M. Women’s autonomy and unintended pregnancy among currently pregnant women in Bangladesh. Matern Child Health J. 2012;16(6):1206–14.CrossRefPubMed
26.
Haque SE, Rahman M, Mostofa MG, Zahan MS. Reproductive health care utilization among young mothers in Bangladesh: does autonomy matter? Womens Health Issues. 2012;22(2):e171–80.CrossRefPubMed
27.
Hindin MJ. Women's autonomy, women's status and fertility-related behavior in Zimbabwe. Popul Res Policy Rev. 2000;19(3):255–82.CrossRef
28.
Allendorf K. Couples' reports of women's autonomy and health-care use in Nepal. Stud Fam Plan. 2007;38(1):35–46.CrossRef
29.
National Institute of Population Research and Training (NIPORT). Bangladesh demographic and health survey 2011. Mitra and Associates, Dhaka, Bangladesh and ICF International, Calverton, Maryland, USA 2013.
30.
General Assembly Resolutions, A/RES/62/126 United Nations 2008.
31.
Chatterjee S, Hadi AS. Simple linear regression. Regression Analysis by Example, Fourth Edition. 2006:21–51.
32.
Chan Y. Biostatistics 202: logistic regression analysis. Singap Med J. 2004;45(4):149–53.
33.
Hakim A, Salway S, Mumtaz Z. Womens autonomy and uptake of contraception in Pakistan. Asia-Pac Popul J. 2003;18(1):63–82.CrossRef
34.
Manaf A, Manaf M. Male participation and sharing of responsibility in strengthening family planning activities in Malaysia Malaysian Journal of Public Health Medicine. 2010; 10(1):23–27.
35.
Asiimwe JB, Ndugga P, Mushomi J, Ntozi JPM. Factors associated with modern contraceptive use among young and older women in Uganda; a comparative analysis. BMC Public Health. 2014;14(1):926.CrossRefPubMedPubMedCentral
36.
Stephenson R, Hennink M. Barriers to family planning service use among the urban poor in Pakistan. Asia-Pac Popul J. 2004;19(2):5–26.CrossRef
37.
Islam AZ, Rahman M, Mostofa MG. Association between contraceptive use and socio-demographic factors of young fecund women in Bangladesh. Sexual & Reproductive Healthcare. 2017;
38.
WHO, UNICEF, UNFPA,the World Bank. Trends in Maternal Mortality: 1990 to 2008. Estimates Developed by WHO, UNICEF, UNFPA and the World Bank. Geneva, Switzerland. 2010.
39.
OsayiOsemwenkha S. Gender issues in contraceptive use among educated women in Edo state, Nigeria. African health sciences. 2004;4(1):40–9.PubMedCentral
40.
Mensch BS, Bruce J, Greene ME. The uncharted passage: girls adolescence in the developing world. New York: Population Council; 1998.
41.
Haberland N, Chong E, Bracken H, Parker C. Early marriage and adolescent girls YouthLens on reproductive health and HIV. AIDS. 2005;15:99–119.
42.
Chowdhury A, Phillips JF. Predicting contraceptive use in Bangladesh: a logistic regression analysis. J Biosoc Sci. 1989;21(02):161–8.CrossRefPubMed
43.
United Nations. Goal 5: improving maternal health. 2012.
44.
Thou C. Factors influencing modern contraceptive use among currently married women in Cambodia: Mahidol University; 2008.
45.
Islam AZ. Association between modern contraceptive use and socio-demographic factors among fecund young women in Bangladesh. Journal of Women's Health, Issues & Care. 2017;6(5)
46.
Lwelamira J, Mnyamagola G, Msaki M. Knowledge, Attitude and Practice (KAP) towards modern contraceptives among married women of reproductive age in Mpwapwa District, Central Tanzania. Current Research Journal of Social Sciences. 2012;4(3):235–45.
47.
Ntozi J. High fertility in rural Uganda. Kampala: Fountain publishers; 1995.
48.
Tsui AO, Ochoa LH. The role of family planning programs as a fertility determinant. In: Ross JPJ, editor. Service proximity as a determinant of contraceptive behavior : evidence from cross-National Studies of survey data. London: Oxford University Press; 1992.
49.
Nielsen KK, Nielsen SM, Butler R, Lazarus JV. Key barriers to the use of modern contraceptives among women in Albania: a qualitative study. Reproductive health matters. 2012;20(40):158–65.CrossRefPubMed
50.
Stephenson R, Baschieri A, Clements S, Hennink M, Madise N. Contextual influences on modern contraceptive use in sub-Saharan Africa. Am J Public Health. 2007;97(7):1233–40.CrossRefPubMedPubMedCentral
Metadata
Title
Factors affecting modern contraceptive use among fecund young women in Bangladesh: does couples’ joint participation in household decision making matter?
Author
Ahmed Zohirul Islam
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0558-8

Other articles of this Issue 1/2018

Reproductive Health 1/2018 Go to the issue

Study protocol

A multi-center, randomized controlled clinical trial of the application of a shortened protocol of long-acting Triptorelin down-regulated prior to IVF/ICSI among patients with endometriosis: A protocol

Study protocol

Feasibility and effect of life skills building education and multiple micronutrient supplements versus the standard of care on anemia among non-pregnant adolescent and young Pakistani women (15–24 years): a prospective, population-based cluster-randomized trial

Review

Creating a positive perception of childbirth experience: systematic review and meta-analysis of prenatal and intrapartum interventions

Research

Implementation project of the non-pneumatic anti-shock garment and m-communication to enhance maternal health care in rural Tanzania

Research

Odon device for instrumental vaginal deliveries: results of a medical device pilot clinical study

Research

Knowledge and practice of exclusive breastfeeding among mothers in the tamale metropolis of Ghana