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Obstacles to contraceptive use in Pakistan: a study in Punjab
J B Casterline1, Z A Sathar, M ul Haque
1Policy Research Division, Population Council, New York, USA. jcasterline@popcouncil.org
Studies in Family Planning
|July 14, 2001
Summary
Understanding contraceptive use in Pakistan requires examining perceived costs. Key barriers include spousal disagreement on family planning and social unacceptability, highlighting the need for detailed cost measurement in research.
Area of Science:
- Sociology
- Public Health
- Demography
Background:
- Contraceptive use is crucial for reproductive health and family planning.
- Understanding barriers to contraceptive uptake is essential for effective public health interventions in Pakistan.
Purpose of the Study:
- To assess the strength of hypothesized obstacles to practicing contraception in Pakistan.
- To analyze the impact of perceived costs and fertility motivation on contraceptive use.
Main Methods:
- Analysis of survey data collected in Punjab province, Pakistan, in 1996.
- Structural equation modeling to estimate the net effects of six major obstacles on the intention to practice contraception.
- Latent variable modeling of perceived contraceptive costs and fertility motivation.
Main Results:
- The primary obstacles to contraceptive use are perceived spousal conflict regarding fertility preferences and family planning attitudes.
- Social and cultural unacceptability of contraception emerged as a significant barrier.
- Detailed measurement of perceived contraceptive costs is valuable for empirical research.
Conclusions:
- Addressing spousal communication and cultural norms is vital for promoting contraceptive use in Pakistan.
- Empirical research should prioritize the measurement of perceived contraceptive costs to inform family planning strategies.
- Interventions should consider the multifaceted nature of contraceptive decision-making.
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