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Indian Journal of Forensic and Community Medicine


Study of prevalence of different contraceptive methods feasability of DMPA among married women in urban area of Rama Medical College, Kanpur


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Author Details: Anju Gahlot, Som Nath, Pankaj Kumar, Manjusha Nath

Volume : 4

Issue : 2

Online ISSN : 2394-6776

Print ISSN : 2394-6768

Article First Page : 90

Article End Page : 94


Abstract

India's population has been steadily increasing at the rate of 16 million each year and is projected to reach 1.53 billion by the year 2050. The total contraceptive prevalence rate (CPR) in India among married woman is estimated at 56.3% as per NFHS-3 data...The family welfare programme is mainly based on a "Cafeteria approach"; where by a number of methods of contraception are offered to the eligible couples. Considering the improvement in prevalence of contraceptive users & privacy, safety and efficacy of long acting injectables, the study was undertaken to evaluate prevalence of contraceptive methods among married women of different ages in urban area of Kanpur & source of information & side effect of Injectable Contraceptive DMPA in study population.
Materials and Method: This is community based observational cross sectional study including randomly selected 350 Married women of reproductive age group( 18-49 years) residing in urban field practice of Rama Medical College hospital and research center, Kanpur. Data was collected with the help of set proforma and then analysed with SPSS software version 21 & Chi square test was applied appropriately.
Results-Prevalence of contraceptive measures among eligible subject were, condom 27.23% followed by IUCD 22.77% & OCP 20.98%, Sterilization 13.54% & DMPA 9.8%. There is statistically significant association between different age groups & types of contraceptives used (chi square) x2 = 78.451, d.f.= 30, & p =.000. Educational status of middle or higher class passed were comparatively using more contraceptives. Majority 11(55%) had Husband/family member as the source of information for injectable contraception. Amenorrhoea (68.18%) was the main side effect of DMPA in study.
Conclusion: The prevalence of contraception use (63.14.%) is improving among urban dwellers. Middle or higher classes passed were utilizing more contraceptive measures. DMPA is a safe, effective, reversible but neglected long acting injectable contraceptive. Acceptance is highest when DMPA comes into the basket of contraceptives. There is a need to develop standardized protocols for counselling, training of ASHA and ANMs and strengthening of health system.

Keywords:
Contraceptives, Injectable Depo Medroxy Progesterone Acetate, NFHS-3, Contraceptive prevalence rate