CONTRACEPTIVE ADAPTATION AMONG LACTATING MOTHERS: A CASE STUDY OF RAJA KA PURWA SLUM IN KANPUR
DOI:
https://doi.org/10.29121/shodhkosh.v5.i5.2024.5311Keywords:
Contraceptive Methods, Lactating Mothers and Raja Ka Purwa SlumAbstract [English]
In today's expanding globe, family planning is becoming increasingly popular among young married couples living in urban or rural areas. The sustainable use of modern contraceptive methods is considered the most efficient means to control family sizes. It helps young married couples plan their family sizes by facilitating the efficient use of birth control. Lactating mothers are at greater risk of getting an unexpected and unwanted pregnancy because of inadequate age differences between the children. It may further increase the dire need to embrace family planning among women. Contemporary birth control methods give opportunities to young married couples to regulate their fertility, which further helps them plan their family sizes. The authors used a qualitative research approach to explore the extent and limitations of contraceptive usage among lactating mothers. Purposive sampling was employed to choose 50 lactating mothers in the Raja Ka Purwa slum in Kanpur, India. Data is gathered through Focused Group Discussion and interpreted through Thematic Analysis. The findings reveal that lactating mothers in the Raja Ka Purwa slum do not have any desire to regulate their family sizes. These women often avoid using contemporary birth control techniques due to ignorance, several health concerns, misbeliefs, and family discouragement. The study concluded that there is an urgent need to implement grassroots initiatives with the help of community healthcare workers, including AWWs, ASHAs, and ANMs, to promote reproductive health literacy to motivate women to have better autonomy in their reproductive health, particularly those living in slum areas, to utilize family planning.
References
Speizer IS, Nanda P, Achyut P, Pillai G, Guilkey DK. Family planning use among urban poor women from six cities of Uttar Pradesh, India. J Urban Heal. 2012;89(4):639–58. DOI: https://doi.org/10.1007/s11524-011-9667-1
Guttmacher Institute. Unintended Pregnancy and Abortion. Issues Br. 2022;(March):1–2.
World Health Organization. World Health Organization. 2021. p. 4 Abortion.
Bhilwar M, Lal P, Sharma N, Bhalla P, Kumar A. Prevalence of induced abortions and contraceptive use among married women in an urban slum of Delhi, India. Int J Gynecol Obstet. 2016;136(1):29–32. DOI: https://doi.org/10.1002/ijgo.12011
NFHS-5 (2019-2021). Compendium of Fact Sheets, National Family Health Survey 5. Compend Fact Sheets, Natl Fam Heal Surv Natl Fam Heal Surv 2019-21 [Internet]. 2022;1–116. Available from: https://main.mohfw.gov.in/basicpage-14 (2022).
Rai RK. Decline in contraceptive use in India: A call for action. Sex Reprod Healthc. 2017 Dec;14:13–6. DOI: https://doi.org/10.1016/j.srhc.2017.08.006
Andersen RM. Revisiting the Behavioral Model and Access to Medical Care : Does it Matter ? Published by : American Sociological Association Stable URL : https://www.jstor.org/stable/2137284 Revisiting the Behavioral Model and Access to Medical Care : Does It Matter ?*. J Health Soc Behav [Internet]. 1995;36(1):1–10. Available from: https://www-jstor-org.vu-nl.idm.oclc.org/stable/2137284 DOI: https://doi.org/10.2307/2137284
Parsekar SS, Hoogar P, Dhyani VS, Yadav UN. The voice of Indian women on family planning: A qualitative systematic review. Clin Epidemiol Glob Heal [Internet]. 2021;12(June):100906. Available from: https://doi.org/10.1016/j.cegh.2021.100906 DOI: https://doi.org/10.1016/j.cegh.2021.100906
Mustafa G, Azmat SK, Hameed W, Ali S, Ishaque M, Hussain W, et al. Family Planning Knowledge, Attitude and Practices Among Married Men and Women in Rural Areas of Pakistan. Internatoinal J Reprod Med. 2015;2015(190520):8. DOI: https://doi.org/10.1155/2015/190520
Namasivayam A, Schluter PJ, Namutamba S, Lovell S. Understanding the contextual and cultural influences on women’s modern contraceptive use in East Uganda: A qualitative study. PLOS Glob Public Heal [Internet]. 2022;2(8):1–16. Available from: http://dx.doi.org/10.1371/journal.pgph.0000545 DOI: https://doi.org/10.1371/journal.pgph.0000545
Ngum Chi Watts MC, Liamputtong P, McMichael C. Early motherhood: A qualitative study exploring the experiences of African Australian teenage mothers in greater Melbourne, Australia. BMC Public Health [Internet]. 2015;15(1):1–11. Available from: http://dx.doi.org/10.1186/s12889-015-2215-2 DOI: https://doi.org/10.1186/s12889-015-2215-2
Mardi A, Ebadi A, Shahbazi S, Esmaelzade Saeieh S, Behboodi Moghadam Z. Factors influencing the use of contraceptives through the lens of teenage women: A qualitative study in Iran. BMC Public Health. 2018;18(1):1–8. DOI: https://doi.org/10.1186/s12889-018-5116-3
Pazol K, Zapata L, Tregear S, Mautone-Smith N, Gavin L. Impact of Contraceptive Education on Contraceptive Knowledge and Decision Making. Am J Prev Med. 2015;49(201):S46–56. DOI: https://doi.org/10.1016/j.amepre.2015.03.031
Challa S, Shakya HB, Carter N, Boyce SC, Brooks MI, Aliou S, et al. Associations of spousal communication with contraceptive method use among adolescent wives and their husbands in Niger. PLoS One [Internet]. 2020;15(8 July):1–13. Available from: http://dx.doi.org/10.1371/journal.pone.0237512 DOI: https://doi.org/10.1371/journal.pone.0237512
Ontiri S, Mutea L, Naanyu V, Kabue M, Biesma R, Stekelenburg J. A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya. Reprod Health [Internet]. 2021;18(1):1–10. Available from: https://doi.org/10.1186/s12978-021-01094-y DOI: https://doi.org/10.1186/s12978-021-01094-y
Ghule M et. al. Barriers to use contraceptive methods among rural young married couples in Maharashtra, India: Qualitative findings. Asian J Res Soc Sci ence Humanit [Internet]. 2017;176(12):139–48. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802376/pdf/nihms914509.pdf
Panda M, Pathak R, Rasheed N, Shaikh Z, Islam F. Unmet need and nonacceptance of usage of contraceptive devices in a Rural Area of Delhi: An exploration of facts. Niger Med J. 2018;59(4):39. DOI: https://doi.org/10.4103/nmj.NMJ_9_17
Kashyap P, Prasad S. Assessing the Knowledge, Attitude and Practice of Contraception in Semi-Urban Area in India: A Qualitative Assessment of Contraceptive Usage. Int J Med Res Heal Sci [Internet]. 2018;7(10):150–4. Available from: www.ijmrhs.com
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