Does Ethnicity Matter in Family Planning Services? Evidence from Nepal Demography Health Survey (NDHS) 2006

Mukesh Kumar Mishra*
*Department of Social Science, NIMS College, Lalitpur, Nepal.
Periodicity:May - July'2011
DOI : https://doi.org/10.26634/jnur.1.2.1478

Abstract

Regardless of three decades of implementation of family planning program in Nepal, need of family planning services is largely unmet. Systematic studies evaluating the impact of family program on several ethnic groups of Nepal has not been carried out in large scale. This study sheds light on the investigation of, whether the use of contraceptives varies among different ethnic groups in Nepal and what are the predictors of contraceptive variance in ethnic groups in Nepal. The study is based on data collected from Nepal Demographic Health Survey 2006. Multilevel logistic regression analyses of 10793 married women of reproductive age nested within 264 clusters from the surveys were considered as the sample size. Individual, household, and program variables were set and a multilevel logistic regression model was fitted to analyze the variables, using GLLAMM command in STATA-9. Multilevel logistic regression analysis indicated that Muslims, Dalits and Terai madheshi women were significantly less likely to use modern contraceptives compared to the Brahmins and Chhetries (Higher Castes). Women who were exposed to family planning information in radio were more likely to use modern contraceptives than women not exposed to radio information (OR=1.22, P> 0.01). An odd of using contraceptives by Newar was (OR 1.09, P>0.05), the highest among all ethnic groups. Exposure of women to family planning messages through health facilities, family planning workers, and means of communication, increased the odds of using modern contraceptives. However, impact of the family planning information on contraceptive use varied among ethnicity. Special attention need to be paid, in particular to the ethnicity ,  while formulating family planning policies in Nepal, for better success rate of family planning intervention programs.

Keywords

Modern Contraceptives, Family planning, Nepal, Ethnic Groups, DHS, Odd Ratio.

How to Cite this Article?

Mishra, M.K. (2012). Does Ethnicity Matter in Family Planning Services? Evidence from Nepal Demography Health Survey (NDHS) 2006. i-manager’s Journal on Nursing, 1(2), 34-40. https://doi.org/10.26634/jnur.1.2.1478

References

[1]. Addai I. Ethnicity and contraceptive use in sub-Saharan Africa: the case of Ghana. Journal of Biosocial Science, 1999, 31(1):105-20.
[2]. Amin S, Basu AM, Stephenson R. Spatial variation in contraceptive use in Bangladesh: Looking beyond the borders. Demography 2002, 39(2): 251-268.
[3]. Aryal RH, Pathak RS, Dottel BR, Pant PD. A comparative analysis of unmeet need in Nepal: further analysis of the 2006 Nepal Demographic and Health Survey. Calverton Maryland USA:, Macro International Inc.2008.
[4]. Bennett L, Dahal DR. Caste/ethnic and regional identity dimensions of the Nepal 2006, Demographic and Health Survey, 2008, Calverton, Mar yland, USA: Macro International Inc.
[5]. Bertrand JT, Seiber E Escudero G.. Contraceptive dynamics in Guatemala: 1978-1998. International Family Planning Perspectives 2001, 27(3): 112-118.
[6]. Christman SK, Zawacki T. Understanding ethnic disparities in Contraceptive Use: The mediating role of attitudes. Under Graduate Research Journal for the Human Science, 2009. University of Texas at San Antonio , 2009.
[7]. Emens A. Perceived fertility regulation costs and contraceptive use in Nepal. Population Studies Center Research Report, 2008. 08-644, Michigan University, 2008.
[8]. Gupta N, Katende C, Bessinger, R.. Association of mass media exposure with family planning attitudes and practices in Uganda. Studies in Family Planning 2003 34(1):19-31.
[9]. Karki YB GC, RK. Factors responsible for the rapid decline of fertility in Nepal-an interpretation: Analysis of the 2006 Nepal Demographic and Health Survey. 2008 Calverton, Maryland, USA: Macro International Inc.
[10]. Katende C, Gupta N, Bessinger R.. Facility-level reproductive health interventions and contraceptive use in Uganda. International Family Planning Perspectives 2003 29(3):130-137.
[11]. Lindstrom M, Sundquist J, Ostergren PO.. Ethnic differences in self-reported health in Malmo in Southern Sweden. J Epidemiol Community Health. 2001 , 55: 97- 103.
[12]. Ministry of Health and Population (MoHP) [Nepal], New Era, and Macro International Inc. Nepal Demographic and Health Survey 2006. Kathmandu, Nepal.
[13]. Raine, T, Harper C, Paukku M, Darney P. Race, adolescent contraceptive choice, and pregnancy at presentation to a family Planning clinic. Obstetrics and Gynecology 2002, 99(2): 241-247.
[14]. Wiking E, Joshansson S, Sundquist J. Ethnicity, acculturation, and self reported health. a population based study among immigrants from Poland, Turkey, and Iran. Sweden Journal of Epidemiol Community Health 2003, 58:574-582.
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