IMPACT OF LADY HEALTH WORKERS ON THE CONTRACEPTIVE PREVALENCE RATE IN DISTRICT MARDAN
AbstractBackground: Pakistan being the 6th populous country with a population of 207,774,520, and a growth rate of 2.6%, if left unchecked can reach 335 million by 2050. The total demand of family planning in Pakistan is 55% while the contraceptive prevalence rate is 35% with an unmet need for family planning is 20%. Methods: The contraceptive prevalence rate and frequently used contraceptive method in an area with Lady Health Worker services versus an area without Lady Health Worker services of union council Pat Baba were compared over a period of 6 months. 322 households were selected, 161 from LHW covered and 161 from LHW uncovered area of union council Pat Baba District Mardan. Results: The knowledge of contraceptive methods was 98.1% in the women of covered area and this knowledge was 90.1% in the uncovered area in union council Pat Baba. The source of information for the women in the covered area was mostly LHWs 87% and in uncovered area 25.5% of the women were informed by the LHWs, followed by elderly family members 7.5% in the covered, and 37.9% of the women in uncovered area. The contraceptive prevalence rate was 59% in covered areas and in uncovered areas it was 51.6%. The most frequently used contraceptive method in covered area was condom 16.8% and in the uncovered area it was withdrawal method 26.1%. Conclusions: There was a significant association between the LHWs presence on knowledge scores and contraceptive prevalence rate.Keywords: Contraceptive; Lady Health Worker; Family planning
NIPS. Status of women reproductive health and family planning survey: Main report. National Institute of population Studies Islamabad Pakistan 2007. [Internet]. [cited 2015 Feb 1]. https://www.nips.org.pk/abstract_files/Status%20Report%20F.pdf
Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, et al. Maternal mortality for 181 countries, 1980-2008: systematic analysis of progress towards Millennium Development goal 5. Lancet 2010;375(9726):1609–23.
Ali SA, Ali SA. Unmet need for contraception and unintended pregnancies among women of reproductive age group: A situation analysis. Elect Med J 2014;2(3):259–65.
Ministry of health, Government of Pakistan.P-1 document of National Programme for family planning and Primary health care (FP and PHC). Islamabad, Pakistan. Ministry of health, Government of Pakistan;2003
WHO, UNICEF, UN, Department of Economic and Social Affairs, Population Division, World Bank. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division [Internet]. 2015 [cited 2018 Apr 3]. Available from: https://www.afro.who.int/sites/default/files/2017-05/trends-in-maternal-mortality-1990-to-2015.pdf
Azmat SK, Ali M, Ishaque M, Mustafa G, Hameed W, Khan OF, et al. Assessing predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey. Reprod Health 2015;12:25.
SajidA, Malik S. Knowledge, attitude and practice of contraception among multiparous women at lady aitchison Hospital, Lahore. Ann King Edward Med Univ 2010;16(4):266–9.
Ayub A, Kibria Z, Khan F. Assessment of knowledge, attitude and contraceptive use in married women of Peshawar. J Dow Univ Health Sci 2015;9(1):89–93.
Jabeen R, Rauf B, Akhtar R, Siddique I. Factors affecting contraceptive practices of women in gynae & obs unit of tertiary care Hospital in KPK. KJMS 2014;7(1):37–8.
Saluja N, Sharma S, Choudhary S, Gaur D, Pandey S. Contraceptive Knowledge, Attitude and Practice Among Eligible Couples of Rural Haryana. Internet J Health 2011;12(1):25–9.
Mustafa R, Uzma A, Hashmi HA. Contraceptive Knowledge Attitude and Practice among rural women. J Coll Physician Surg Pak 2008;18(9):542–5.
Zaidi B, Hussain S. Reasons for low modern contraceptive use-insight from Pakistan and neighboring countries, population council, [Internet]. [cited 2015 Jan]. Available from: http://www.popcouncil.org
Ali S, White FM. Family Planning practice among currently married women in Khairpur District Sindh, Pakistan. J Coll Physician Surgeon Pak 2005;15(7):422–5.
Alagh V, Banerjee A. Acceptance of spacing method of contraception in Municipal Corporation of Dehli. Health Popul Perspect Issues 1995;18(2):56–2.
Khan AW, Amjad CM, Hafiz A, Sharif R. Perceived individual and community barriers in the provision of family planning services by lady health workers in Tehsil Gujar Khan. J Pak Med Assoc 2012;62(12):1318–22.
Amin R. Choice of contraceptive method among females attending family planning center in Hayatabad Medical Complex, Peshawar. J Pak Med Assoc 2012;6 2(10):1023–8.
National Institute of Population Studies (NIPS) and ICF International, Pakistan Demographic and Health Survey 2012-13, National Institute of Population Studies (NIPS), Islamabad, Pakistan; ICF International, Calverton, Md, USA, 2013.
Rahman MA, Rahman MM, Huq S, Hossain SM. Contraceptive Practice of Married Women: Experience from a Rural Community of Bangladesh. Anwer Khan Mod Med Coll J 2014;5(1):14–8.
Saeed GA, Fakhar S, Rahim F, Tabassum S. Change in the trend of contraceptive uptake, the effects of educational leaflets and counselling. Contraception 2008;77(5):377–81.