Knowledge, Attitude and Practice of Family Planning Methods among Women of Reproductive Age Group attending Primary Health Centres in North-East India

Abstract

Introduction: Warranting access to modern family planning methods constitutes a basic human right and globally around 270 million women of reproductive age group have an unmet need for contraception. The study objective was to estimate the knowledge, misconceptions and practices related to family planning methods among women of reproductive age group attending primary health centre. Method: A cross-sectional hospital-based study was conducted in four health centers from January to February 2019 among women of reproductive age group (15-49 years). Data regarding socio-demographic characteristics, knowledge, attitude and practices pertaining to family planning methods were collected using a pre-tested interview schedule. Descriptive and analytical statistical analyses like mean, proportions, Chi-square and Multivariable logistic regression were conducted. A p value of less than 0.05 was considered statistically significant. Results: In this study 348 women were enrolled, of which 39.4% had adequate knowledge regarding family planning methods. Most participants had a healthy attitude towards the use of family planning methods and considered them beneficial whereas 59% stated their religious faith and cultural beliefs restricted the use of contraceptives. Unmet need of contraceptives was 60.2% while 39.8% used any one of the modern contraceptive methods. Lower age (AOR-1.26), Primi-parous (AOR-2.76) and women having a lower monthly income (AOR-2.51) were more likely to have an unmet need of contraception. Conclusion: Despite easy accessibility and low cost of the contraceptives, their use was limited. The high proportion of unmet needs mandates the scaling up of activities to increase the awareness regarding modern contraceptives. Additionally, behavioral change communication strategies are in great need for implementation to counter the negative attitudes pertaining to family planning practices.