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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Format: | Article |
Language: | English |
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Max Planck Institute for Demographic Research
2011-12-01
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Series: | Demographic Research |
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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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language | English |
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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/ |
work_keys_str_mv | AT sharadkumarsharma ethnicdifferentialsoftheimpactoffamilyplanningprogramoncontraceptiveuseinnepal AT dhrubarajghimire ethnicdifferentialsoftheimpactoffamilyplanningprogramoncontraceptiveuseinnepal AT nareshpratap ethnicdifferentialsoftheimpactoffamilyplanningprogramoncontraceptiveuseinnepal |