Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis

Women’s fertility decision is quite difficult in male-dominant rural culture due to their poor reproductive autonomy. A cross-sectional survey was conducted in rural community of Bangladesh between November 2017 and February 2018 among 1285 respondents selected by multi-stage stratified sa...

Full description

Bibliographic Details
Main Authors: Muhammed Ashraful Alam, Kanittha Chamroonsawasdi, Natkamol Chansatitporn, Chokchai Munsawaengsub, Md Shafiqul Islam
Format: Article
Language:English
Published: MDPI AG 2018-07-01
Series:Behavioral Sciences
Subjects:
Online Access:http://www.mdpi.com/2076-328X/8/8/68
_version_ 1818134401719992320
author Muhammed Ashraful Alam
Kanittha Chamroonsawasdi
Natkamol Chansatitporn
Chokchai Munsawaengsub
Md Shafiqul Islam
author_facet Muhammed Ashraful Alam
Kanittha Chamroonsawasdi
Natkamol Chansatitporn
Chokchai Munsawaengsub
Md Shafiqul Islam
author_sort Muhammed Ashraful Alam
collection DOAJ
description Women’s fertility decision is quite difficult in male-dominant rural culture due to their poor reproductive autonomy. A cross-sectional survey was conducted in rural community of Bangladesh between November 2017 and February 2018 among 1285 respondents selected by multi-stage stratified sampling to explore regional variations of rural women’s fertility control behavior and its determinants using hierarchical and other inferential statistics. Data collection was done by face-to-face interview using questionnaire. Average parity was 2.5 per woman and 41% respondents had three or more children. About 60% of them used modern contraceptives (MCs) and oral contraceptive pill (OCP) was their first choice. Male participation in contraceptive use was less than 5%. Regional variation, women’s empowerment, fertility control knowledge, family planning (FP) attitude, social influence, perceived behavioral control (PBC) and fertility intention were significant predictors of fertility control behavior (p < 0.05). Significant regional variations were determined in fertility control behavior of rural women (p < 0.05). Almost all of its predictors explained by Theory of Planned Behavior (TPB) also showed significant regional variations (p < 0.05). Current fertility control policy should be strengthened more not only to improve fertility behavior of rural women but also to establish regional equity in fertility control by improving their reproductive decision-making in a rational way.
first_indexed 2024-12-11T09:08:02Z
format Article
id doaj.art-acf601d6ab0648fc8e482dd0eb55a20e
institution Directory Open Access Journal
issn 2076-328X
language English
last_indexed 2024-12-11T09:08:02Z
publishDate 2018-07-01
publisher MDPI AG
record_format Article
series Behavioral Sciences
spelling doaj.art-acf601d6ab0648fc8e482dd0eb55a20e2022-12-22T01:13:35ZengMDPI AGBehavioral Sciences2076-328X2018-07-01886810.3390/bs8080068bs8080068Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical AnalysisMuhammed Ashraful Alam0Kanittha Chamroonsawasdi1Natkamol Chansatitporn2Chokchai Munsawaengsub3Md Shafiqul Islam4Doctoral Candidate in Doctor of Public Health Program, Department of Family Health, Faculty of Public Health, Mahidol University, Bangkok 10400, ThailandDepartment of Family Health, Faculty of Public Health, Mahidol University, Bangkok 10400, ThailandDepartment of Biostatistics, Faculty of Public Health, Mahidol University, Bangkok 10400, ThailandDepartment of Family Health, Faculty of Public Health, Mahidol University, Bangkok 10400, ThailandNational Institute of Preventive and Social Medicine (NIPSOM), Dhaka 1212, BangladeshWomen’s fertility decision is quite difficult in male-dominant rural culture due to their poor reproductive autonomy. A cross-sectional survey was conducted in rural community of Bangladesh between November 2017 and February 2018 among 1285 respondents selected by multi-stage stratified sampling to explore regional variations of rural women’s fertility control behavior and its determinants using hierarchical and other inferential statistics. Data collection was done by face-to-face interview using questionnaire. Average parity was 2.5 per woman and 41% respondents had three or more children. About 60% of them used modern contraceptives (MCs) and oral contraceptive pill (OCP) was their first choice. Male participation in contraceptive use was less than 5%. Regional variation, women’s empowerment, fertility control knowledge, family planning (FP) attitude, social influence, perceived behavioral control (PBC) and fertility intention were significant predictors of fertility control behavior (p < 0.05). Significant regional variations were determined in fertility control behavior of rural women (p < 0.05). Almost all of its predictors explained by Theory of Planned Behavior (TPB) also showed significant regional variations (p < 0.05). Current fertility control policy should be strengthened more not only to improve fertility behavior of rural women but also to establish regional equity in fertility control by improving their reproductive decision-making in a rational way.http://www.mdpi.com/2076-328X/8/8/68regional variationfertility controlhierarchical analysisBangladesh
spellingShingle Muhammed Ashraful Alam
Kanittha Chamroonsawasdi
Natkamol Chansatitporn
Chokchai Munsawaengsub
Md Shafiqul Islam
Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
Behavioral Sciences
regional variation
fertility control
hierarchical analysis
Bangladesh
title Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_full Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_fullStr Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_full_unstemmed Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_short Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_sort regional variations of fertility control behavior among rural reproductive women in bangladesh a hierarchical analysis
topic regional variation
fertility control
hierarchical analysis
Bangladesh
url http://www.mdpi.com/2076-328X/8/8/68
work_keys_str_mv AT muhammedashrafulalam regionalvariationsoffertilitycontrolbehavioramongruralreproductivewomeninbangladeshahierarchicalanalysis
AT kanitthachamroonsawasdi regionalvariationsoffertilitycontrolbehavioramongruralreproductivewomeninbangladeshahierarchicalanalysis
AT natkamolchansatitporn regionalvariationsoffertilitycontrolbehavioramongruralreproductivewomeninbangladeshahierarchicalanalysis
AT chokchaimunsawaengsub regionalvariationsoffertilitycontrolbehavioramongruralreproductivewomeninbangladeshahierarchicalanalysis
AT mdshafiqulislam regionalvariationsoffertilitycontrolbehavioramongruralreproductivewomeninbangladeshahierarchicalanalysis