Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.

BACKGROUND:Several developing countries like Pakistan step into Sustainable Development Goals period with crucial maternal and child health needs that need to be addressed for improving health outcomes among people. We aim to explore existent socio-economic disparities in use of family planning meth...

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Main Authors: Syeda Kanwal Aslam, Sidra Zaheer, Muhammad Sameer Qureshi, Syeda Nisma Aslam, Kashif Shafique
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4824490?pdf=render
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author Syeda Kanwal Aslam
Sidra Zaheer
Muhammad Sameer Qureshi
Syeda Nisma Aslam
Kashif Shafique
author_facet Syeda Kanwal Aslam
Sidra Zaheer
Muhammad Sameer Qureshi
Syeda Nisma Aslam
Kashif Shafique
author_sort Syeda Kanwal Aslam
collection DOAJ
description BACKGROUND:Several developing countries like Pakistan step into Sustainable Development Goals period with crucial maternal and child health needs that need to be addressed for improving health outcomes among people. We aim to explore existent socio-economic disparities in use of family planning methods (FPM) among Pakistani women, and compare any such inequalities between the years 2006 and 2013. SETTING:Pakistan Demographic and Health Surveys (PDHS) 2006-7 (n = 9177) and the most recent 2012-13(n = 13558) data were used to conduct secondary analysis. Participants were ever married women aged between 15 and 49 years. Socio-economic status was assessed by the education level and wealth index. Inequalities were measured through Odds Ratio (OR), Relative Index of inequality (RII), and Slope index of inequality (SII) on non-use of FPM. RESULTS:Although the prevalence of FPM use has increased over time (28% in 2006 versus 54% in 2013), the socio-economic inequalities persistently exist. Comparing results of PDHS 2006 with PDHS 2013, education related absolute inequalities among urban dwellers increased from -0.41 (95% CI -0.67, -0.13, p-value < 0.01) to -0.83 (95% CI -1.02, -0.63, p-value < 0.01); and increased from -0.93 (95% CI -1.21, -0.64, p-value < 0.01) to -0.98 (95% CI -1.20, -0.76, p-value < 0.01) among rural dwellers. Similarly wealth related absolute inequalities are also existent. CONCLUSIONS:Although the FPM use has increased over time, but it is important to note that socio-economic gap in use of FPM persists. Such differences have disadvantaged the poor and the illiterate. Family planning programs may target the disadvantaged subgroups for ensuring well-being of women and children in Pakistan.
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spelling doaj.art-9aa888bd11614c9cbc6522e966203bcb2022-12-22T03:43:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01114e015331310.1371/journal.pone.0153313Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.Syeda Kanwal AslamSidra ZaheerMuhammad Sameer QureshiSyeda Nisma AslamKashif ShafiqueBACKGROUND:Several developing countries like Pakistan step into Sustainable Development Goals period with crucial maternal and child health needs that need to be addressed for improving health outcomes among people. We aim to explore existent socio-economic disparities in use of family planning methods (FPM) among Pakistani women, and compare any such inequalities between the years 2006 and 2013. SETTING:Pakistan Demographic and Health Surveys (PDHS) 2006-7 (n = 9177) and the most recent 2012-13(n = 13558) data were used to conduct secondary analysis. Participants were ever married women aged between 15 and 49 years. Socio-economic status was assessed by the education level and wealth index. Inequalities were measured through Odds Ratio (OR), Relative Index of inequality (RII), and Slope index of inequality (SII) on non-use of FPM. RESULTS:Although the prevalence of FPM use has increased over time (28% in 2006 versus 54% in 2013), the socio-economic inequalities persistently exist. Comparing results of PDHS 2006 with PDHS 2013, education related absolute inequalities among urban dwellers increased from -0.41 (95% CI -0.67, -0.13, p-value < 0.01) to -0.83 (95% CI -1.02, -0.63, p-value < 0.01); and increased from -0.93 (95% CI -1.21, -0.64, p-value < 0.01) to -0.98 (95% CI -1.20, -0.76, p-value < 0.01) among rural dwellers. Similarly wealth related absolute inequalities are also existent. CONCLUSIONS:Although the FPM use has increased over time, but it is important to note that socio-economic gap in use of FPM persists. Such differences have disadvantaged the poor and the illiterate. Family planning programs may target the disadvantaged subgroups for ensuring well-being of women and children in Pakistan.http://europepmc.org/articles/PMC4824490?pdf=render
spellingShingle Syeda Kanwal Aslam
Sidra Zaheer
Muhammad Sameer Qureshi
Syeda Nisma Aslam
Kashif Shafique
Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.
PLoS ONE
title Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.
title_full Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.
title_fullStr Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.
title_full_unstemmed Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.
title_short Socio-Economic Disparities in Use of Family Planning Methods among Pakistani Women: Findings from Pakistan Demographic and Health Surveys.
title_sort socio economic disparities in use of family planning methods among pakistani women findings from pakistan demographic and health surveys
url http://europepmc.org/articles/PMC4824490?pdf=render
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AT syedanismaaslam socioeconomicdisparitiesinuseoffamilyplanningmethodsamongpakistaniwomenfindingsfrompakistandemographicandhealthsurveys
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