Do Indian women receive adequate information about contraception?

J Biosoc Sci. 2020 May;52(3):338-352. doi: 10.1017/S0021932019000488. Epub 2019 Jul 22.

Abstract

This study analysed the recent changes and patterns of information received about contraceptive methods by contraceptive users in India - an important indicator of quality of care in family planning services. Data were taken from the third and fourth rounds of National Family and Health Surveys (NFHS) conducted in India during 2005-06 and 2015-16. The Method Information Index (MII) was used to capture the information received by respondents on three aspects of contraceptive method use: information about the side-effects of the method, what to do if they experienced any complication from using the method and information received about other methods of contraception. A separate analysis of information received by users about the permanency of sterilization was also carried out. Logistic regression models were applied to assess the independent effects of users' background characteristics and their states and union territories of residence on method information received by them. The value of the MII nearly doubled from about 16% in 2004-05 to 31% in 2015-16, indicating a marked increase in the information received by contraceptive users in India over the period between 2005-06 and 2015-16. In addition, the percentage of sterilized women who received information about the permanency of the method also increased, from 67% to 80%, over the period. While considerable progress has been made in the last decade, there is still plenty of scope for improvement in the information received by contraceptive users to advance a voluntary approach to family planning.

Keywords: MII; Method Information; Quality of care.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Awareness*
  • Contraception / psychology*
  • Contraception / statistics & numerical data
  • Contraception Behavior / psychology*
  • Contraception Behavior / statistics & numerical data
  • Family Characteristics
  • Family Planning Services*
  • Female
  • Health Literacy*
  • Health Surveys
  • Humans
  • India
  • Logistic Models
  • Middle Aged
  • Retrospective Studies
  • Sterilization, Reproductive / psychology
  • Sterilization, Reproductive / statistics & numerical data
  • Young Adult