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Examining contraceptive utilization behavior in Pakistani women.

Lubna Naz1, Umema Amin Siddiqui1, Shyamkumar Sriram2

  • 1School of Economics and Social Sciences, Institute of Business Administration (IBA), 75270 University Road, Karachi, Pakistan.

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Women

Keywords:
Contraceptive knowledgeReproductive healthSociocultural normsSpousal age differenceWomen’s intra-household bargaining power

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Area of Science:

  • Reproductive Health
  • Sociology
  • Demography

Background:

  • Limited research exists on couple characteristics influencing contraceptive use in developing nations.
  • This study investigates women's bargaining power and spousal age differences in Pakistan.

Purpose of the Study:

  • To analyze the association between women's intra-household bargaining power and spousal age differentials with contraceptive utilization in Pakistan.
  • To identify key couple characteristics impacting contraceptive behavior.

Main Methods:

  • Cross-sectional analysis of 13,331 married women (aged 15-49) from the Pakistan Demographic and Health Survey 2017-18.
  • Binary regression models were used to assess the relationship between bargaining power, age difference, and contraceptive use.
  • Exploratory analysis examined contraceptive knowledge, utilization patterns, and future intentions.

Main Results:

  • Only 33% of women currently use contraceptives, with 30% intending to use them in the future.
  • Higher odds of contraceptive use were found in couples with significant age differences (husband ≥20 years older or younger).
  • Increased spousal age difference correlated with a higher intention to use contraceptives; women's bargaining power significantly predicted current use and future intentions.

Conclusions:

  • Couple characteristics, specifically women's bargaining power and spousal age gaps, are crucial for reproductive healthcare programming.
  • Empowering women and reducing age disparities within couples can improve contraceptive utilization and reproductive health outcomes.