National Family Health Survey-2 1998-99

Bihar
FAMILY PLANNING AND QUALITY OF CARE

Family Planning and Quality of Care

Knowledge
Use

Source
Informed Choice and Follow-Up

Unmet Need for Family Planning

National Family Health Survey-2

Trends in Knowledge of Contraceptive Methods

95 99 95 99

Percent

40 29

Any method

Any modern method

NFHS-1 NFHS-2

Any traditional method

National Family Health Survey-2

Currently married women

Which modern methods are most familiar to married women?

Female sterilization Male sterilization Pill Condom IUD

95 99 88 57 55 44 97

75 64
NFHS-1 NFHS-2

59

Percent
National Family Health Survey-2

Currently married women

Family Planning Messages and the Media

About 40 percent of women have heard or seen family planning messages in the past few months
Urban exposure: 72% any media 62% TV

Rural exposure: 36% any media 16% TV

National Family Health Survey-2

Family Planning and Quality of Care

Knowledge
Use

Source
Informed Choice and Follow-Up

Unmet Need for Family Planning

National Family Health Survey-2

Has contraceptive use among married women increased since the last survey?
Percent

Share of female sterilization in contraceptive use has increased from 75% to 78% over the six-year period.

23

25
NFHS-1 NFHS-2

3
Any method
National Family Health Survey-2

Modern spacing methods

Family Planning Methods Used

Not using any method 76% Female Sterilization 19%

Traditional methods 2% Pill 1% IUD 0.5% Condom 0.7%

Male sterilization 1%

National Family Health Survey-2

Urban-Rural Differences in Contraceptive Use

39 27 18 7 2
Any method Female sterilization
Urban Rural

Percent

23

Modern spacing methods

National Family Health Survey-2

Trends In Contraceptive Use by Residence

Female Sterilization TOTAL NFHS-1 NFHS-2 URBAN NFHS-1 NFHS-2 RURAL NFHS-1 NFHS-2 All Other Methods

Percent

17 19 28 27 16 18 4

6 5 15 12

National Family Health Survey-2

Contraceptive Use by Region and State

INDIA Jharkhand North Bihar Plain BIHAR South Bihar Plain

34 21 20 19 17 2 2 2 3

Female Sterilization
National Family Health Survey-2

Modern Spacing Methods

Percent

Contraceptive Use by State

Himachal Pradesh Tamil Nadu INDIA Madhya Pradesh Rajasthan Uttar Pradesh Bihar Meghalaya

68 52 48 44 40 28 25 20
Percent

National Family Health Survey-2

Does use of contraception vary by number of sons?

For women with 2 children:
Percent

38 21 11

No sons
National Family Health Survey-2

1 son

2 sons

Sterilization Facts: Bihar

Median age at sterilization for women is about 28 years, more than two years older than the all-India figure of 26 years
Two-thirds (68%) of sterilizations occurred before the wife was 30 years old Male sterilization is 3%, representing a decline from 7% in the ten years preceding the survey
National Family Health Survey-2

Do women not currently using contraception intend to use a method in the future?
57% of women not currently using contraception intend to use a method in the future 28% of these nonusers intend to use a method within the next 12 months
National Family Health Survey-2

Preferred method for women who intend to use contraception in the future
Female sterilization Pill Condom IUD Rhythm/Safe period Male sterilization

68 25 1 1 1 1
Percent

National Family Health Survey-2

Family Planning and Quality of Care

Knowledge
Use

Source
Informed Choice and Follow-Up

Unmet Need for Family Planning

National Family Health Survey-2

Where do women get their modern contraceptive methods?

Public medical sector 77% Private medical sector 18%

Shop/Other 4%
Dont know/ Missing 1%

NGO/Trust 0.4%

National Family Health Survey-2

Where do users get specific contraceptive methods?

Female sterilization Male sterilization IUD Pill Condom 0 0 3

Percent
16 22 49 49 20 16 11 23 56 55
Shop/Other Private medical sector Public medical sector

83 78

National Family Health Survey-2

Family Planning and Quality of Care

Knowledge
Use

Source
Informed Choice and Follow-Up

Unmet Need for Family Planning

National Family Health Survey-2

Do motivators tell women about other contraceptive methods?

15% of users motivated by someone else were told by motivator about another method of FP
In the public medical sector, 21% of current users were informed, compared to 15% in private medical sector or by someone else
National Family Health Survey-2

Are women told about side effects at the time of accepting their method?

Only 16% of women using a modern method were told about side effects by a health worker, less than the all-India average of 22% 19% of urban users were similarly informed, compared to 15% of rural users

National Family Health Survey-2

Follow-Up After Accepting Method

77% of users of modern methods received follow-up after accepting their method Follow-up was slightly higher for acceptors of sterilization (78%)
National Family Health Survey-2

Family Planning and Quality of Care

Knowledge
Use

Source
Informed Choice and Follow-Up

Unmet Need for Family Planning

National Family Health Survey-2

Defining Unmet Need for Family Planning

Proportion of currently married women who wish to either:
have no more children or wait at least two years before the next child but are not using contraception These women are considered to have an unmet need for family planning
National Family Health Survey-2

Unmet Need for Family Planning

Percent
NFHS-1 NFHS-2

25

25

14

13

11

12

For spacing

For limiting

For both

National Family Health Survey-2

Unmet Need by Region and State

Jharkhand

21

North Bihar Plain

24

BIHAR

25

South Bihar Plain

28
Percent

National Family Health Survey-2

Impact of Satisfying Unmet Need

Currently, programmes are meeting only about half of the total demand for family planning

Contraceptive prevalence would increase from current level of 25% to a new level of 49% if all unmet need for contraception were satisfied

National Family Health Survey-2