Contraceptive use in South and South-East Asian region: assessment of sustainable development goal 3.7 through indicator 3.7.1

Author:

Biswas Raaj Kishore123,Farzana Maysha4,Bhar Sunil5,Bhowmik Jahar6

Affiliation:

1. Transport and Road Safety (TARS) Research Centre , School of Aviation, , Sydney, 2052, Australia

2. University of New South Wales , School of Aviation, , Sydney, 2052, Australia

3. Charles Perkin Centre, School of Health Sciences, The University of Sydney , Camperdown, New South Wales 2006, Australia

4. Department of Sociology, University of Dhaka , Dhaka, 1000, Bangladesh

5. School of Health Sciences, Department of Department of Psychological Sciences, Swinburne University of Technology , 3122, Australia

6. School of Health Sciences, Department of Health Science and Biostatistics, Swinburne University of Technology , 3122, Australia

Abstract

Abstract Background Sustainable Development Goal (SDG) 3.7 concerns modern contraception use among women of reproductive ages. This study evaluated the progress of indicator 3.7.1 in 11 selected countries in South and South-East Asia and assessed the contribution of women’s education to modern contraceptive use. Methods Generalized linear models for complex surveys were fitted to Demographic and Health Survey (DHS) data from 40 surveys conducted in Afghanistan, Bangladesh, Cambodia, India, Indonesia, Maldives, Myanmar, Nepal, Pakistan, Philippines and Timor Leste between 1990 and 2017, followed by a meta-analysis through forest plots. Results Modern contraceptive coverage in most of the selected countries climbed or remained stationary over the past decades. In four countries, <50% of women used contraception. In no country was contraception used by ≥80% women. Higher education was associated with 13% higher odds of modern contraceptive use (95% confidence interval: 1.07, 1.18) among women compared to primary level or no education. Discussion Completion of primary education is insufficient to broaden the coverage of modern contraceptive use. Greater national level effort from the selected countries is needed to lift the education levels of women to meet SDG 3.7 by 2030.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

Reference84 articles.

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4. Maternal deaths averted by contraceptive use: an analysis of 172 countries;Ahmed;The Lancet,2012

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