ROLE OF COMMUNITY AND CONTEXT IN CONTRACEPTIVE BEHAVIOUR IN RURAL WEST BENGAL, INDIA: A MULTILEVEL MULTINOMIAL
Saswata Ghosh1, Md Zakaria Siddiqui2
1*Institute of Development Studies Kolkata (IDSK),Kolkata,India.
Journal of Biosocial Science
|April 19, 2016
Summary
Community-level factors significantly influence contraceptive choices in rural India. Supply-side interventions are crucial for increasing reversible contraceptive use and improving maternal and child health.
Area of Science:
- Reproductive Health
- Public Health
- Sociology
Background:
- Contraceptive method choice in rural India is influenced by complex community and individual factors.
- Previous studies show mixed results regarding the impact of community-level interactions and supply-side factors.
- Sterilization remains predominant, impacting birth spacing and maternal/child health outcomes.
Purpose of the Study:
- To investigate the influence of community-level interactions and supply-side factors on contraceptive choices in rural West Bengal.
- To control for socio-demographic and individual-level socioeconomic factors in the analysis.
- To identify strategies for enhancing the adoption of modern reversible contraceptives.
Main Methods:
- Utilized small-scale survey data from 1348 women in rural West Bengal.
- Employed multilevel multinomial logit models for statistical analysis.
- Controlled for socio-demographic and individual-level socioeconomic variables.
Main Results:
- Supply-side interventions addressing outreach, advocacy, and socio-religious needs are vital.
- These interventions are prerequisites for shifting from sterilization dominance.
- Enhanced adoption of modern reversible contraceptives was observed.
Conclusions:
- Community-level supply-side strategies are essential for diversifying contraceptive method-mix.
- Improving access to and information about reversible contraceptives can enhance birth spacing.
- This approach is crucial for improving maternal and child health outcomes in rural India.
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