Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal

There is wide variation of family planning services use among ethnic groups in Nepal. Despite three decades of implementation the need for family planning services is substantially unmet (25Š), and there have been no systematic studies evaluating the impact of the family planning program....

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Main Authors: Sharad Kumar Sharma, Dhruba Raj Ghimire, Naresh Pratap
Format: Article
Language:English
Published: Max Planck Institute for Demographic Research 2011-12-01
Series:Demographic Research
Subjects:
Online Access:http://www.demographic-research.org/volumes/vol25/27/
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author Sharad Kumar Sharma
Dhruba Raj Ghimire
Naresh Pratap
author_facet Sharad Kumar Sharma
Dhruba Raj Ghimire
Naresh Pratap
author_sort Sharad Kumar Sharma
collection DOAJ
description There is wide variation of family planning services use among ethnic groups in Nepal. Despite three decades of implementation the need for family planning services is substantially unmet (25Š), and there have been no systematic studies evaluating the impact of the family planning program. This study pooled data from nationally representative surveys conducted in 1996, 2001, and 2006. Multilevel logistic regression analysis of 23,381 married women of reproductive age nested within 764 clusters indicated that Muslims, Janjatis, and Dalits were significantly less likely to use contraceptives than Brahmins and Chhetries (OR=0.27, 0.88 and 0.82 respectively). The odds of using contraceptives by the Newar were higher than the odds for Brahmins and Chhetries, although it was not significant. Exposure of women to family planning messages through health facilities, family planning workers, radio, and television increased the odds of using modern contraceptives. However, the impact of family planning information on contraceptive use varied according to ethnicity. We also found that modern contraceptive use varied significantly across the clusters, and the cluster-level indicators, such as mean age at marriage, mean household asset score, percentage of women with secondary education, and percentage of women working away from home, were important in explaining this.
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spelling doaj.art-a38fdf85674146f1b28f080a848d99482022-12-21T19:45:28ZengMax Planck Institute for Demographic ResearchDemographic Research1435-98712011-12-012527Ethnic differentials of the impact of Family Planning Program on contraceptive use in NepalSharad Kumar SharmaDhruba Raj GhimireNaresh PratapThere is wide variation of family planning services use among ethnic groups in Nepal. Despite three decades of implementation the need for family planning services is substantially unmet (25Š), and there have been no systematic studies evaluating the impact of the family planning program. This study pooled data from nationally representative surveys conducted in 1996, 2001, and 2006. Multilevel logistic regression analysis of 23,381 married women of reproductive age nested within 764 clusters indicated that Muslims, Janjatis, and Dalits were significantly less likely to use contraceptives than Brahmins and Chhetries (OR=0.27, 0.88 and 0.82 respectively). The odds of using contraceptives by the Newar were higher than the odds for Brahmins and Chhetries, although it was not significant. Exposure of women to family planning messages through health facilities, family planning workers, radio, and television increased the odds of using modern contraceptives. However, the impact of family planning information on contraceptive use varied according to ethnicity. We also found that modern contraceptive use varied significantly across the clusters, and the cluster-level indicators, such as mean age at marriage, mean household asset score, percentage of women with secondary education, and percentage of women working away from home, were important in explaining this.http://www.demographic-research.org/volumes/vol25/27/ethnic differentialsfamily planningfamily planning programsNepal
spellingShingle Sharad Kumar Sharma
Dhruba Raj Ghimire
Naresh Pratap
Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal
Demographic Research
ethnic differentials
family planning
family planning programs
Nepal
title Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal
title_full Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal
title_fullStr Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal
title_full_unstemmed Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal
title_short Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal
title_sort ethnic differentials of the impact of family planning program on contraceptive use in nepal
topic ethnic differentials
family planning
family planning programs
Nepal
url http://www.demographic-research.org/volumes/vol25/27/
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AT dhrubarajghimire ethnicdifferentialsoftheimpactoffamilyplanningprogramoncontraceptiveuseinnepal
AT nareshpratap ethnicdifferentialsoftheimpactoffamilyplanningprogramoncontraceptiveuseinnepal