• Muhammad Adeel Alam Ayub Medical College
  • Junaid Zeb Department of Surgery, Ayub Teaching Hospital
  • Zainab Manan Department of Surgery, Ayub Teaching Hospital
  • Asfandyar Qureshi
  • Mukarram Mustajab Mardan Medical Complex, Mardan
  • Muhammad Junaid Mardan Medical Complex, Mardan
  • Muhammad Aimal Khan Mardan Medical Complex, Mardan


Background: Family planning is of great importance in population dynamics as unregulated fertility negatively affects the economic stabilization of the country. Family planning is considered an effective way for the improvement of child and maternal health and reduces the maternal and perinatal morality. Total contraceptive prevalence rate (CPR) in Pakistan is 29% even of the fact that 97% Pakistani women know only one method of contraception. This study compares the contraceptive usage among  LHW covered and LHW uncovered areas. Methods: This was a comparative cross-sectional study which was conducted in LHW covered and un covered areas in tehsil Takht Bai of district Mardan from August to December 2016. A sample of 102 families were selected randomly. All those females who were married, in reproductive ages (15–49 years) and were not pregnant were included in the study. Results: Out of total 102 females 44 (43.1%) were from LHW covered areas while 58 (56.9%) were from LHW uncovered areas. Overall knowledge about various birth control methods was more in uncovered areas, i.e., 71.4% than the covered ones which was 28.6%, p=0.67 and most ladies knew only about the contraceptive pills as compared to  other methods. No statistical difference p=0.86 was found in usage of contraceptive methods among couples living in LHW covered and uncovered areas. Conclusion: This study highlights contraceptive usage and role of national program for family planning and primary health care in promotion of contraception. A lot more has to be done for the improvement of family planning services in the community.Keyword: contraception; family planning; LHW

Author Biographies

Muhammad Adeel Alam, Ayub Medical College

Assistant Professor, Department of Pharmacology, Ayub Medical College, Abbottabad

Mukarram Mustajab, Mardan Medical Complex, Mardan

Mardan Medical Complex, Mardan

Muhammad Junaid, Mardan Medical Complex, Mardan

Mardan Medical Complex, Mardan

Muhammad Aimal Khan, Mardan Medical Complex, Mardan

Mardan Medical Complex, Mardan


Sarah P. The attack on planned parenthood: A historical analysis. UCLA Womens Law J 2012;19:165–211.

Family planning. Populating council. [Internet]. [cited 2017 Apr 25]. Available from:

Overcoming Pakistan's population challenge. Washington: Woodrow Wilson, International Centre for Scholars; 2010.

Population Action International. Pakistan's daunting and deteriorating demographic challenge updated 2010. [Internet]. [cited 2017 Apr 25]. Available from: pakistans-dauntingand-deterior.html

Kazi K. A study of knowledge, attitude and practice KAP of family planning among the women of rural Karachi [thesis]. Karachi: University of Karachi; 2009.

Tsui AO, McDonald-Mosley R, Burke AE. Family planning and the burden of unintended pregnancies. Epidemiol Rev 2010;32:152–74.

Pakistan Demographic and Health Survey 2006-07. Family planning key findings. Islamabad: National Institute of Population Studies; 2008.

Pakistan Population Situation Analysis Major Findings 2006-07.

Hafeez A, Mohamud BK, Shiekh MR, Shah SA, Jooma R. Lady health worker programme in Pakistan: challenges, achievements and the way forward. J Pak Med Assoc 2011;61(3):210–14.

Al Sheeha M. Awareness and use of contraceptives among Saudi women attending primary care centers in Al-Qassim, Saudi Arabia. Int J Health Sci (Qassim) 2010;4(1):11–21.

Arbab AA, Bener A, Abdulmalik M. Prevalence, awareness and determinants of contraceptive use in Qatari women. East Mediterr Health J 2011;17(1):11–8.

United Nations Department of Economic and Social Affairs. World contraceptive patterns 2013. [Internet]. [cited 2017 Apr 25]. Available from:

El Hamri N. Approaches to family planning in Muslim communities. J Fam Plann Reprod Health Care 2010;36(1):27–31.

Naqvi S, Hashim N, Zareen N, Hassan Fatima H. Knowledge, Attitude and Practice of Parous Women Regarding Contraception. J Coll Physicians Surg Pak 2011;21(2):103–5.

Murarkar SK, Soundale SG. Epidemiological correlates of contraceptive prevalence in married women of reproductive age group in rural area. Natl J Community Med 2011;2(1):78–81.

Pushpa S, Venkatesh R, Shivaswamy MS. Study of fertility pattern and contraceptive practices in a rural area: A cross-sectional study. Indian J Sci Technol 2011;4(4):429–31.

Chudasama R, Godara N, Moitra M. Women’s position and their behavior towards family planning. Internet J Fam Pract 2008;7:1–5.

Kanwal N, Muttappallymyalil J, Al-Sharbatti S, Ismail I. Contraceptive Utilisation Among Mothers of Reproductive Age in Ajman, United Arab Emirates. Sultan Qaboos Univ Med J 2017;17(1):e50–8.

Dehlendorf C, Levy K, Ruskin R, Steinauer J. Health care providers' knowedge about contraceptive evidence: a barrier to quality care. Contraception 2010;81(4):292–8.

Azmat SK, Mustafa G, Hameed W, Ali M, Ahmed A, Bilgrami M. Barriers and perceptions regarding different contraceptives and family planning practices amongst men and women of reproductive age in rural Pakistan: a qualitative study. Pak J Public Health 2012;2(1):17–23.

National Institute of Population Studies, MEASURE DHS, ICF International, Calverton, Maryland, USA. PAKISTAN Demographic and Health Survey 2012-13. Islamabad, Pakistan: National Institute of Population Studies, 2013; p.42.



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