Knowledge and Adoption of Reversible Contraception Methods in Gujarat: A Situational Analysis

Aim In the condition of socio-economical deprivation and limited access to Information, Education and Communication (IEC) tools, there remains risk of unintended pregnancy in rural population. Secondly, despite of research, there is limited knowledge about urban perspective regarding contraception. The present study aimed to assess extent of adoption of reversible contraceptive measures. Methods 300 women from rural area attending obstetrics and gynaecology clinic of a tertiary care hospital were interviewed after ascertaining their match with inclusion criteria. Patients who had undergone surgical intervention for permanent contraception (tubal ligation or vasectomy) were excluded. Information regarding natural contraceptive methods, male condom, IUDs and the use of oral contraceptive pills was gathered along with reasons for their under/non utilization. Results Despite 87 % overall awareness regarding reversible contraception options, only 37 % of participants reported practice of the same. The common reason for no use of natural method (withdrawal method) and condom was lesser physical satisfaction. Social taboos, side effects and compliance issues were the common causes of abstinence from oral contraceptive pills and IUCD. Conclusion Increased engagement of Frontline Health Workers is needed for convincing the eligible couples for accepting the reversible contraceptive methods. Moreover, advocacy programmes with focus on facts about effectiveness and removal of social taboos are recommended.