Effectiveness of Advance Care Planning with Family Carers ...
FAMILY PLANNING AND QUALITY OF CARE...Family Planning and Quality of Care • Knowledge • Use •...
Transcript of FAMILY PLANNING AND QUALITY OF CARE...Family Planning and Quality of Care • Knowledge • Use •...
FAMILY PLANNING AND QUALITY OF CARE
National Family Health SurveyNational Family Health Survey--2 2 19981998--9999
BiharBihar
National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
National Family Health Survey-2
Trends in Knowledge of Contraceptive Methods
95 95
29
99 99
40
Any method Any modern method Any traditional method
NFHS-1 NFHS-2
Currently married women
Percent
National Family Health Survey-2
Which modern methods are most familiar to married women?
59
64
75
97
99
44
55
57
88
95
IUD
Condom
Pill
Male sterilization
Femalesterilization
NFHS-1NFHS-2
Currently married women
Percent
National Family Health Survey-2
About 40 percent of women have heard or seen family planning messages in the past
few monthsUrban exposure:– 72% any media– 62% TV
Rural exposure:– 36% any media– 16% TV
Family Planning Messages and the Media
National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
National Family Health Survey-2
Has contraceptive use among married women increased since the last survey?
23
3
25
2
Any method Modern spacing methods
NFHS-1 NFHS-2
Share of female sterilization in contraceptive use has increased from 75% to 78% over the
six-year period.
Percent
National Family Health Survey-2
Family Planning Methods Used
Not using any method
76%
Condom0.7%
Traditional methods
2% Pill1%
Male sterilization
1%
Female Sterilization
19%
IUD 0.5%
National Family Health Survey-2
Urban-Rural Differencesin Contraceptive Use
39
27
7
2318
2
Any method Female sterilization Modern spacingmethods
Urban Rural
Percent
National Family Health Survey-2
Trends In Contraceptive Useby Residence
18
16
27
28
19
17
5
4
12
15
5
6
NFHS-2
NFHS-1
RURAL
NFHS-2
NFHS-1
URBAN
NFHS-2
NFHS-1
TOTAL
Female Sterilization All Other Methods Percent
National Family Health Survey-2
Contraceptive Use by Region and State
17
19
20
21
34
2
3
2
2
7
South Bihar Plain
BIHAR
North Bihar Plain
Jharkhand
INDIA
Female Sterilization Modern Spacing MethodsPercent
National Family Health Survey-2
Contraceptive Use by State
20
25
28
40
44
48
52
68
Meghalaya
Bihar
Uttar Pradesh
Rajasthan
Madhya Pradesh
INDIA
Tamil Nadu
Himachal Pradesh
Percent
National Family Health Survey-2
Does use of contraception vary by number of sons?
11
21
38
No sons 1 son 2 sons
For women with 2 children: Percent
National Family Health Survey-2
Sterilization Facts: Bihar
• Median age at sterilization for women is about 28 years, more than two years older than the all-India figure of 26 years
• Two-thirds (68%) of sterilizations occurred before the wife was 30 years old
• Male sterilization is 3%, representing a decline from 7% in the ten years preceding the survey
National Family Health Survey-2
Do women not currently using contraception intend to use a method
in the future?
• 57% of women not currently using contraception intend to use a method in the future
• 28% of these non-users intend to use a method within the next 12 months
National Family Health Survey-2
Preferred method for women who intend to use contraception in the future
1
1
1
1
25
68
Male sterilization
Rhythm/Safeperiod
IUD
Condom
Pill
Femalesterilization
Percent
National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
National Family Health Survey-2
Where do women get their modern contraceptive methods?
Private medical sector18%
Public medical sector77%
Shop/Other4%
Don’t know/ Missing
1%
NGO/Trust0.4%
National Family Health Survey-2
Where do users get specific contraceptive methods?
49
78
83
20
49
22
16
55
56
3
0
0
11
16
23Condom
Pill
IUD
Male sterilization
Femalesterilization
Shop/OtherPrivate medical sectorPublic medical sector
Percent
National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
National Family Health Survey-2
Do motivators tell women about other contraceptive methods?
• 15% of users motivated by someone else were told by motivator about another method of FP
• In the public medical sector, 21% of current users were informed, compared to 15% in private medical sector or by “someone else”
National Family Health Survey-2
Are women told about side effects at the time of accepting their method?
• Only 16% of women using a modern method were told about side effects by a health worker, less than the all-India average of 22%
• 19% of urban users were similarly informed, compared to 15% of rural users
National Family Health Survey-2
Follow-Up After Accepting Method
• 77% of users of modern methods received follow-up after accepting their method
• Follow-up was slightly higher for acceptors of sterilization (78%)
National Family Health Survey-2
Family Planning and Quality of Care
• Knowledge
• Use
• Source
• Informed Choice and Follow-Up
• Unmet Need for Family Planning
National Family Health Survey-2
Defining Unmet Need for Family Planning
• Proportion of currently married women who wish to either:– have no more childrenor– wait at least two years before the next childbut– are not using contraception
These women are considered to have an unmet need for family planning
National Family Health Survey-2
Unmet Need for Family Planning
1411
25
13 12
25
For spacing For limiting For both
NFHS-1 NFHS-2Percent
National Family Health Survey-2
Unmet Need by Region and State
28
25
24
21
South Bihar Plain
BIHAR
North Bihar Plain
Jharkhand
Percent
National Family Health Survey-2
Impact of Satisfying Unmet Need
• Currently, programmes are meeting only about half of the total demand for family planning
• Contraceptive prevalence would increase from current level of 25% to a new level of 49% if all unmet need for contraception were satisfied