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The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India

Background: Reproductive choice is one of the rights of any woman, but women are often ambivalent towards fertility desires and choice of contraception. Our study explores how the change in fertility desires influence the change in use of modern contraception over time in six cities of Uttar Pradesh...

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Autores principales: Srivastava, Ujjaval, Singh, Anjali, Verma, Prashant, Singh, Kaushalendra Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545522/
https://www.ncbi.nlm.nih.gov/pubmed/31172052
http://dx.doi.org/10.12688/gatesopenres.12956.2
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author Srivastava, Ujjaval
Singh, Anjali
Verma, Prashant
Singh, Kaushalendra Kumar
author_facet Srivastava, Ujjaval
Singh, Anjali
Verma, Prashant
Singh, Kaushalendra Kumar
author_sort Srivastava, Ujjaval
collection PubMed
description Background: Reproductive choice is one of the rights of any woman, but women are often ambivalent towards fertility desires and choice of contraception. Our study explores how the change in fertility desires influence the change in use of modern contraception over time in six cities of Uttar Pradesh, India. Methods : Data for this study comes from the Measurement, Learning and Evaluation (MLE) Project for Urban Health Initiative in six cities of Uttar Pradesh. Our study sample consists of 8735 women (weighted n=8655) who were fertile, non-sterilized and non-pregnant at the time of baseline survey. Potential bias due to lost to follow up was addressed using inverse probability weighing and then generalized estimating equations were applied to get odds for change in use of modern contraceptives.  Results: Contraceptive use increased by different magnitudes from baseline to endline across all six cities. At baseline and endline, women who desired no more children reported a higher use of modern contraception than those who desired more children over time. Women from all cities who desired no more children at baseline had higher odds of modern contraceptive use than that of women who desired more children. The tempo of change in use of modern contraception over time among women with different fertility desires differed across the considered cities. Conclusion : Although there were city-wise differences observed, women’s fertility intentions have an impact on their use of modern contraceptives over the time period between baseline to endline. To obtain greater insight into city-level differences, mixed method studies will be more effective.
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spelling pubmed-65455222019-06-06 The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India Srivastava, Ujjaval Singh, Anjali Verma, Prashant Singh, Kaushalendra Kumar Gates Open Res Research Article Background: Reproductive choice is one of the rights of any woman, but women are often ambivalent towards fertility desires and choice of contraception. Our study explores how the change in fertility desires influence the change in use of modern contraception over time in six cities of Uttar Pradesh, India. Methods : Data for this study comes from the Measurement, Learning and Evaluation (MLE) Project for Urban Health Initiative in six cities of Uttar Pradesh. Our study sample consists of 8735 women (weighted n=8655) who were fertile, non-sterilized and non-pregnant at the time of baseline survey. Potential bias due to lost to follow up was addressed using inverse probability weighing and then generalized estimating equations were applied to get odds for change in use of modern contraceptives.  Results: Contraceptive use increased by different magnitudes from baseline to endline across all six cities. At baseline and endline, women who desired no more children reported a higher use of modern contraception than those who desired more children over time. Women from all cities who desired no more children at baseline had higher odds of modern contraceptive use than that of women who desired more children. The tempo of change in use of modern contraception over time among women with different fertility desires differed across the considered cities. Conclusion : Although there were city-wise differences observed, women’s fertility intentions have an impact on their use of modern contraceptives over the time period between baseline to endline. To obtain greater insight into city-level differences, mixed method studies will be more effective. F1000 Research Limited 2019-06-18 /pmc/articles/PMC6545522/ /pubmed/31172052 http://dx.doi.org/10.12688/gatesopenres.12956.2 Text en Copyright: © 2019 Srivastava U et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Srivastava, Ujjaval
Singh, Anjali
Verma, Prashant
Singh, Kaushalendra Kumar
The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India
title The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India
title_full The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India
title_fullStr The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India
title_full_unstemmed The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India
title_short The role of change in fertility desire on change in family planning use: A longitudinal investigation in urban Uttar Pradesh, India
title_sort role of change in fertility desire on change in family planning use: a longitudinal investigation in urban uttar pradesh, india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545522/
https://www.ncbi.nlm.nih.gov/pubmed/31172052
http://dx.doi.org/10.12688/gatesopenres.12956.2
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