A multilevel analysis of the effects of a reproductive health programme that encouraged informed choice of contraceptive method rather than use of officially preferred methods, China 2003-2005
A multilevel analysis of the effects of a reproductive health programme that encouraged informed choice of contraceptive method rather than use of officially preferred methods, China 2003-2005
Historically, the Chinese government's family planning (FP) policy has emphasized post-partum IUD use after first birth and sterilization after subsequent births. Was the influence of this policy-driven programme on women's contraceptive choices weakened by a reproductive health intervention programme based on the idea of enabling and encouraging clients to make an informed choice? Multilevel analyses of cross-sectional data from baseline (2003) and endline (2005) surveys conducted as part of the evaluation of a large-scale UNFPA RH/FP programme show significant reductions in the uptake of methods emphasized by official policy between the two surveys.
But county-level effects are highly significant, suggesting the continuation of a strong exogenous influence on women's choices. The results suggest that, while the intervention had the effect of weakening the top-down approach towards promoting methods, family planning workers continued to be influential in promoting sterilization for women at higher parities.
family planning, reproductive health, china, programme intervention, contraceptive choice, multilevel analysis
105-115
Brown, James J.
13ba046e-a946-4a7f-8e95-36283361448e
Li, Bohua
96f55bda-03ee-499a-b279-deed58716a65
Padmadas, Sabu S.
64b6ab89-152b-48a3-838b-e9167964b508
2010
Brown, James J.
13ba046e-a946-4a7f-8e95-36283361448e
Li, Bohua
96f55bda-03ee-499a-b279-deed58716a65
Padmadas, Sabu S.
64b6ab89-152b-48a3-838b-e9167964b508
Brown, James J., Li, Bohua and Padmadas, Sabu S.
(2010)
A multilevel analysis of the effects of a reproductive health programme that encouraged informed choice of contraceptive method rather than use of officially preferred methods, China 2003-2005.
Population Studies, 64 (2), .
(doi:10.1080/00324728.2010.486866).
Abstract
Historically, the Chinese government's family planning (FP) policy has emphasized post-partum IUD use after first birth and sterilization after subsequent births. Was the influence of this policy-driven programme on women's contraceptive choices weakened by a reproductive health intervention programme based on the idea of enabling and encouraging clients to make an informed choice? Multilevel analyses of cross-sectional data from baseline (2003) and endline (2005) surveys conducted as part of the evaluation of a large-scale UNFPA RH/FP programme show significant reductions in the uptake of methods emphasized by official policy between the two surveys.
But county-level effects are highly significant, suggesting the continuation of a strong exogenous influence on women's choices. The results suggest that, while the intervention had the effect of weakening the top-down approach towards promoting methods, family planning workers continued to be influential in promoting sterilization for women at higher parities.
This record has no associated files available for download.
More information
e-pub ahead of print date: 11 May 2010
Published date: 2010
Keywords:
family planning, reproductive health, china, programme intervention, contraceptive choice, multilevel analysis
Organisations:
Social Statistics
Identifiers
Local EPrints ID: 39150
URI: http://eprints.soton.ac.uk/id/eprint/39150
ISSN: 0032-4728
PURE UUID: 6cb95df9-c3f2-440e-9e5c-10fb18bf4f8d
Catalogue record
Date deposited: 26 Mar 2010
Last modified: 16 Mar 2024 03:33
Export record
Altmetrics
Contributors
Author:
James J. Brown
Author:
Bohua Li
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
