ArticleContraception and reproductive medicine2025
Voices unveiled: a mixed-methods exploration of family planning education, access, and Sociocultural determinants for enhancing contraceptive decision-making in western Gujarat, India.
Article in Contraception and reproductive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Understanding men's perspective on women's contraceptive use in Tanzania: insights from the 2022 Demographic and Health Survey.Contraception and reproductive medicine · 2025Article
- Translating policy into health outcomes: a mixed-methods health impact assessment of the family physician program in Bonab County, Iran.BMC public health · 2025Article
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Abstract
backgroundContraceptive use plays a crucial role in achieving desired fertility levels and improving maternal and child health outcomes. This study aimed to estimate the prevalence and determinants of contraceptive use among married women in Western Gujarat, India, using a mixed methods approach.
methodsA community-based mixed-method study was conducted. A multistage stratified cluster sampling technique was used to recruit 840 married women aged 18-49 years for the quantitative component. Bivariate and multivariate logistic regression analyses were performed to identify factors associated with contraceptive use. Additionally, 20 in-depth interviews and 4 focus group discussions were conducted to explore qualitative aspects of contraceptive use, using a purposive sampling technique.
resultsThe contraceptive prevalence rate was 60.4%, with 46.7% using modern methods and 13.7% using traditional methods. Multivariate analysis revealed that higher education levels of women (graduation: aOR = 4.1, 95% CI: 1.4-12.0) and their husbands (graduation: aOR = 2.6, 95% CI: 1.0-6.9), women's employment status (not working: aOR = 0.6, 95% CI: 0.3-1.0), having 1-2 children (aOR = 3.6, 95% CI: 2.2-6.0), and joint decision-making was positively associated with contraceptive use. Age above 40 years (aOR = 0.2, 95% CI: 0.1-0.7) and contraceptive decisions made by other family members (aOR = 0.3, 95% CI: 0.1-0.8) were negatively associated with contraceptive use. Qualitative findings highlighted sociocultural barriers, such as community norms, religious beliefs, and gender power dynamics, as significant influences on contraceptive use.
conclusionsThis study provides a comprehensive understanding of the factors influencing contraceptive use in Western Gujarat. The findings underscore the need for multifaceted interventions that address individual, interpersonal, and sociocultural factors to improve contraceptive uptake and reproductive health outcomes. Interventions should focus on enhancing family planning education, improving access to services, promoting women's empowerment, and addressing sociocultural barriers.
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