Barriers to contraceptive use in adult women attending a tertiary referral hospital
Author(s): Saumya Nanda, Ranjita Ojha and Soumyadarshan Nayak
Abstract: The purpose of this study was to recognise the barriers to unprotected intercourse in adult married women who were not keen for pregnancy. Focus Group discussion in groups of 8-10 women were held among women attending OPD of Obstetrics and Gynaecology Department of SCB Medical College, Cuttack. We interviewed 1840 adult married women out of which 1000 (54%) did not adopt any contraceptive measure. These women were included in Focus Group Discussion over a period of 6 months, aged between 18 to 45 years who were not desirous of pregnancy, to explore the possible reasons for unprotected intercourse. Women were grouped on the basis of the following characteristics: Age, Parity status, literacy, Place of residence-Rural/Urban, Religion and Socio-economic status (using Modified Kuppuswamy score). Women on an average gave 5 reasons for non-adherence to contraception. The reasons were further categorised at Personal, Interpersonal and Social levels. Common personal reasons cited were fear of complications or side-effects associated with contraception either established or self-perceived, and assumed low risk of pregnancy. The spectrum of barriers for unprotected intercourse are varied. Educational status of the woman as well as of the spouse plays a significant influence on a woman’s contraception usage, hence, in addition to a personalised counselling approach of the couple, shared decision making should be encouraged.
Saumya Nanda, Ranjita Ojha, Soumyadarshan Nayak. Barriers to contraceptive use in adult women attending a tertiary referral hospital. Int J Adv Res Med 2020;2(1):46-49. DOI: 10.22271/27069567.2020.v2.i1a.75