The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Dominance of sterilization and alternative choices of contraception in India: an appraisal of the socioeconomic impact

Dominance of sterilization and alternative choices of contraception in India: an appraisal of the socioeconomic impact
Dominance of sterilization and alternative choices of contraception in India: an appraisal of the socioeconomic impact
Background: the recent decline in fertility in India has been unprecedented especially in southern India, where fertility is almost exclusively controlled by means of permanent contraceptive methods, mainly female sterilization, which constitutes about two-thirds of overall contraceptive use. Many Indian women undergo sterilization at relatively young ages as a consequence of early marriage and childbearing in short birth intervals. This research aims to investigate the socioeconomic factors determining the choices for alternative contraceptive choices against the dominant preference for sterilization among married women in India.

Methods: data for this study are drawn from the 2005–06 National Family Health Surveys focusing on a sample of married women who reported having used a method of contraception in the five years preceding the survey. A multilevel multinomial logit regression is used to estimate the impact of socioeconomic factors on contraceptive choices, differentiating temporary modern or traditional methods versus sterilization.

Findings: religious affiliation, women's education and occupation had overarching influence on method choices amongst recent users. Muslim women were at higher odds of choosing a traditional or modern temporary method than sterilization. Higher level of women's education increased the odds of modern temporary method choices but the education effect on traditional method choices was only marginally significant. Recent users belonging to wealthier households had higher odds of choosing modern methods over sterilization. Exposure to family planning messages through radio had a positive effect on modern and traditional method choices. Community variations in method choices were highly significant.

Conclusion: the persistent dominance of sterilization in the Indian family planning programme is largely determined by socioeconomic conditions. Reproductive health programmes should address the socioeconomic barriers and consider multiple cost-effective strategies such as mass media to promote awareness of modern temporary methods
sterilisation, family planning, socioeconomic, india, national family health survey
1932-6203
e86654
Oliveira, Isabel Tiago de.
96e05161-5996-4d2f-9fab-309a462de2ed
Dias, José G.
dd241c4d-8297-4970-ae77-ed424c1b71b8
Padmadas, Sabu S.
64b6ab89-152b-48a3-838b-e9167964b508
Oliveira, Isabel Tiago de.
96e05161-5996-4d2f-9fab-309a462de2ed
Dias, José G.
dd241c4d-8297-4970-ae77-ed424c1b71b8
Padmadas, Sabu S.
64b6ab89-152b-48a3-838b-e9167964b508

Oliveira, Isabel Tiago de., Dias, José G. and Padmadas, Sabu S. (2014) Dominance of sterilization and alternative choices of contraception in India: an appraisal of the socioeconomic impact. PLoS ONE, 9 (1), e86654. (doi:10.1371/journal.pone.0086654).

Record type: Article

Abstract

Background: the recent decline in fertility in India has been unprecedented especially in southern India, where fertility is almost exclusively controlled by means of permanent contraceptive methods, mainly female sterilization, which constitutes about two-thirds of overall contraceptive use. Many Indian women undergo sterilization at relatively young ages as a consequence of early marriage and childbearing in short birth intervals. This research aims to investigate the socioeconomic factors determining the choices for alternative contraceptive choices against the dominant preference for sterilization among married women in India.

Methods: data for this study are drawn from the 2005–06 National Family Health Surveys focusing on a sample of married women who reported having used a method of contraception in the five years preceding the survey. A multilevel multinomial logit regression is used to estimate the impact of socioeconomic factors on contraceptive choices, differentiating temporary modern or traditional methods versus sterilization.

Findings: religious affiliation, women's education and occupation had overarching influence on method choices amongst recent users. Muslim women were at higher odds of choosing a traditional or modern temporary method than sterilization. Higher level of women's education increased the odds of modern temporary method choices but the education effect on traditional method choices was only marginally significant. Recent users belonging to wealthier households had higher odds of choosing modern methods over sterilization. Exposure to family planning messages through radio had a positive effect on modern and traditional method choices. Community variations in method choices were highly significant.

Conclusion: the persistent dominance of sterilization in the Indian family planning programme is largely determined by socioeconomic conditions. Reproductive health programmes should address the socioeconomic barriers and consider multiple cost-effective strategies such as mass media to promote awareness of modern temporary methods

Text
journal.pone.0086654_2014.pdf - Other
Available under License Other.
Download (679kB)

More information

Published date: 28 January 2014
Keywords: sterilisation, family planning, socioeconomic, india, national family health survey
Organisations: Social Sciences

Identifiers

Local EPrints ID: 361720
URI: http://eprints.soton.ac.uk/id/eprint/361720
ISSN: 1932-6203
PURE UUID: 97800f6a-f790-46c2-9cda-38e568892e9e
ORCID for Sabu S. Padmadas: ORCID iD orcid.org/0000-0002-6538-9374

Catalogue record

Date deposited: 31 Jan 2014 11:48
Last modified: 26 Nov 2021 02:47

Export record

Altmetrics

Contributors

Author: Isabel Tiago de. Oliveira
Author: José G. Dias

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×