Knowledge, Attitude and Practice of Modern Contraceptives (especially Spacing Methods) in Acceptors and Non-acceptors of Tubectomy

Abstract

Context: From National Health Policy 1983 to NHP 2017, three demographic goals are constantly persuaded: to reduce CBR (Crude Birth Rate) to 21, NRR (Net Reproduction Rate) to 1 and raise the CPR (Couple Protection Rate) to at least 60%, which are not yet reached and could be achieved by promoting spacing contraceptive methods. NFHS-4 reveals that, the contribution of all five spacing methods to all modern contraceptives was only 11.5%. Objectives: This study was intended to assess and compare the knowledge, attitude and practice of modern contraceptives, especially spacing methods, amongst acceptors and non acceptors of tubectomy. Methodology: An observational, analytical, case-control study design was used. The data on acceptors and non-acceptors of tubectomy, 137 each, were collected by trained staff and analyzed by using ‘epi-info’, and ‘WIN-PEPI’ soft ware. Results: The proportions of acceptors and non-acceptors with adequate knowledge of contraception were 77% and 81% respectively and that with favorable attitude, were 96% and 87% respectively, but only 45% acceptors and 43% non acceptors used some temporary contraception. Conclusions: Number and sex of children is the significant determinant for use of contraception. Proportions of acceptors and non acceptors of tubectomy with unfavorable attitude towards contraceptives were 4% and 13% respectively and this difference was statistically highly significant.

Keywords

• Tubectomy
• acceptor
• non-acceptor
• knowledge
• attitude
• practice