has special significance for family planning programs. These data indicate the proportion of the populationhaving exposure to contraceptive use at least once. Therefore, data on ever use reveal the success of programsin promoting use of family planning among eligible couples. In addition, data on ever use, together with dataon current use are valuable for studying couples who discontinue using a method.While almost all currently married women reported knowing at least one method (particularly a modemmethod), only 66 percent of women report ever having used any method <strong>and</strong> 59 percent report having useda modem method (Table 4.4). This gap between knowledge <strong>and</strong> use may be due in part to the fact that onlythe most rudimentary aspects of knowledge were assessed in the B<strong>DHS</strong>; many women may lack the moredetailed familiarity with methods that might lead to use. On the other h<strong>and</strong>, some women are either pregnant,or trying to get pregnant <strong>and</strong> thus have not yet had the need to use family planning.Table 4.4 Ever use of contraceptionAmong ever-married women <strong>and</strong> currently married women age 10-49, the percentage who have everused a contraceptive method, by specific method <strong>and</strong> age, <strong>Bangladesh</strong> <strong>1993</strong>-94Modern methodTraditional methodAnyFemale Malemodem steri- steti- Any Periodic W~th- NumberAny meth- In jet- Con- liza- ILl.a- trad. absti- draw- ofAge method od PIlL IUD tion dora lion t£on method hence al Other wcnnenEVER-MARRIED WOMEN10-14 32.8 22.5 17.9 0.0 1,1 6.0 0,0 0,0 16.2 10,5 9,9 0,0 14515-19 42.0 35.3 28,0 2.8 4.6 11.0 0.1 0.4 14.6 9.8 7,0 0,5 127120-24 63.4 57.0 47.4 6.0 9.9 17.7 2.0 0.6 22,3 16.0 9.5 1,9 203325-29 72.6 67,2 53,9 10.9 15.8 16.7 6.5 1.2 27.4 18,3 12.5 3,6 201230-34 72 8 67,2 47.3 9.4 14.7 15.5 11.9 2.3 27.5 18.0 12,6 5 4 145635-39 72.6 66.0 43.0 9.4 13.1 13.4 17.6 2.0 27.9 18.3 10,8 5.7 119740-44 60.5 51,8 32.1 6.3 9.4 8.9 15.7 2.3 26.8 20.0 8.9 4.5 87145-49 44.6 34,8 20.0 3,7 5.0 5.7 11.5 2.4 20 7 15 1 5 3 3 9 655Total 63.1 56 4 42 0 7,3 11.0 13.9 7.9 1.4 24 0 16 5 10.1 3 4 9640CURRENq'LY MARRIED WOMEN10-14 33.9 23,3 18.5 0.0 1.1 6.2 0.0 0.0 16.8 10.9 10.2 0.0 14015-19 43.3 36.3 28.7 2.9 4.8 11.3 0.1 0.4 15.1 10,1 7.2 0.5 122420-24 64.7 58.3 48.5 6.2 10.1 18.2 2,0 0,6 22.7 16.3 9,8 1.9 196425-29 74.5 69.1 55.6 11.4 16.4 17.2 6.6 1.3 28.3 18.8 13.0 37 191130-34 76.2 70.8 50.0 9.9 15.5 16.3 12.4 2.4 28.5 18 7 13 2 5 8 135335-39 76.5 69.6 45.7 I0.0 14.2 14.1 18,4 2.0 29.6 192 11.7 6.1 107940-44 65,7 56.8 35.9 6.8 10,4 10,1 16,6 2,4 29,3 21,7 9.7 5,2 76745-49 49,3 38,4 22.9 4.1 5 4 6.3 12.0 2,6 23.3 16,6 6.0 4,7 541Total 65.7 59,0 44.1 7.7 11,6 14,7 8.1 1,4 25.1 17.1 106 3.6 8980One outst<strong>and</strong>ing feature of the data on ever use is the large proportion of currently married women (44percent) who have ever used the pill. Experience with this method far exceeds that with any other method.Periodic abstinence is the second most widely used method, having been used by 17 percent of currentlymarried women. One possible future research priority is to find out exactly how this method is used by<strong>Bangladesh</strong>i women <strong>and</strong> the extent of its success in preventing pregnancies. Fifteen percent of marriedwomen have used condoms at some time, <strong>and</strong> 12 percent have used injection. The level of use of malesterilization is relatively low; only 1 percent of women reported that their husb<strong>and</strong>s had had an operation toavoid having any more children.42
Ever-use rates vary with the age of women. Everuse is lowest among the youngest women. However,the fact that one-third of currently married women age 10-14 have used a contraceptive method at least once<strong>and</strong> one-quarter have used a modem method indicates that women in <strong>Bangladesh</strong> are now willing to trymethods early in their reproductive lives. The level of ever use rises to a high of 77 percent for those age 35-39, then declines, reaching 49 percent among those who are age 45-49. Ever use of any modem methodfollows a similar pattern by age of women.There has been a steady increase in the level of ever use of family planning over the past 15-20 yearsin <strong>Bangladesh</strong>. In 1975, only 14 percent of ever-married women of reproductive age had ever used a familyplanning method, compared to 63 percent in <strong>1993</strong>-94 (Table 4.5). For use of any modem method, theincrease has been even steeper. Although ever use of all methods has increased over time, ever use of the pillhas increased the most rapidly. Ever use of both female <strong>and</strong> male sterilization, as well as of periodicabstinence <strong>and</strong> withdrawal, appears to have either reached a plateau or declined in recent years.Table 4.5 Trends in ever use of family planning methodsPercentage of ever-married women age 10-49 who have ever used specific family planning methods,selected sources, <strong>Bangladesh</strong>, 1975-<strong>1994</strong>1975 1983 1985 1989 1989 1991 <strong>1993</strong>-94Method BFS CPS CPS CP8 BFS 1 CPS B<strong>DHS</strong>Any method 13,6 33.4 32.5 44.2 45.0 59.0 63.1Any modern method U 23.8 25.9 37.5 U 49.2 56.4Pill 5.0 14.1 14.3 23.3 22.0 34.1 42.0IUD 0.9 2.2 2.7 4.6 4.0 6.2 7.3Injection U 1.2 1.3 2.8 2.0 6.6 I 1.0Vaginal methods 0.5 2.2 1.6 2.4 1.0 2.9 UCondom 4.8 7.1 5.7 9.3 6.0 13.4 13.9Female sterilization 0.3 5.8 7.4 8.7 9.0 8.0 7.9Male sterilization 0.4 1.4 1.6 1.6 1.0 1.4 1.4Any traditional method U 17.3 11.9 15.3 U 29.6 24.0Periodic abstinence 4.5 11.0 7.8 9.7 13.0 21.5 •6.5Withdrawal 2.6 5.3 2.9 3.6 7.0 ll.l 10.1Number of women 6515 8523 8541 10293 11907 10573 9640U = Unknown (no information)1Published data were presented in whole numbers; the decimal was added to balance the table.Source: 1975 BFS (MHPC, 1978:A275); 1983 CPS (Mitra <strong>and</strong> Kamal, 1985:117, 122); 1985 CPS (Mitra,1987:108, 112); 1989 CPS (Mitra et al., 1990:88, 92); 1989 BFS (Huq <strong>and</strong> Clel<strong>and</strong>, 1990:61); 1991 CPS(Mitra et al., <strong>1993</strong>:52)4.3 Current Use of ContraceptionCurrent use of contraception is defined as the proportion of women who reported they were using afamily planning method at the time of interview. In the B<strong>DHS</strong>, only women who were married at the timeof the survey were asked questions about current use of family planning. Table 4.6 shows the percentdistribution of currently married women by current contraceptive use status, according to age group.The findings show that 45 percent of married women age 10-49 are currently using contraception.Many more women are using modem methods (36 percent) than traditional methods (8 percent). Thus,modem methods account for 80 percent of overall use.43
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Demographicand Health Survey1993-19
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This report summarizes the findings
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4.7 Reasons for Selecting Family Pl
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TABLESPageTable 1.1Table 2.1Table 2
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PageTable 5.5Table 5.6Table 5.7Tabl
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FIGURESPageFigure2.1Hguro2.2~gure2.
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Secretary,Ministry of Health & Fami
- Page 19: 1993-94 BDHS TECHNICAL REVIEW COMMI
- Page 23 and 24: SUMMARY OF FINDINGSThe 1993-94 Bang
- Page 25 and 26: almost universal in Bangladesh for
- Page 27 and 28: fully vaccinated, a vast improvemen
- Page 29 and 30: CHAPTER 1INTRODUCTION1.1 Geography
- Page 31 and 32: Fertility in Bangladesh is declinin
- Page 33 and 34: Factors for Program SuccessNumerous
- Page 35 and 36: Foundation, the Bangladesh Bureau o
- Page 37 and 38: CHAPTER 2CHARACTERISTICS OF HOUSEHO
- Page 39 and 40: Figure 2.2Distribution of De Facto
- Page 41 and 42: EducationEducation is a key determi
- Page 43 and 44: with no education and more men than
- Page 45 and 46: The majority (69 percent) of househ
- Page 47 and 48: ~l'able 2.9 Background characterist
- Page 49: Access to MediaWomen were asked if
- Page 52 and 53: for the whole country is 29 births
- Page 54 and 55: Table 3.2 Fertility by background c
- Page 56 and 57: Births per 1,000 Women3oo250 s ~Fig
- Page 58 and 59: Figure 3.5Trends in the Total Ferti
- Page 61 and 62: Table 3.9 Children ever born and li
- Page 63 and 64: The data show that birth intervals
- Page 65 and 66: Table 3.14 shows the percentage of
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- Page 75 and 76: Table 4.8 Current use of fJ~,nily p
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- Page 79 and 80: Overall, 41 percent of respondents
- Page 81 and 82: Use of Social Marketing BrandsBangl
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- Page 85 and 86: Table 4.19 Use of condom brandsPerc
- Page 87 and 88: Table4.21 StedlizationregretPercent
- Page 89 and 90: The source a woman uses to obtain c
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- Page 93 and 94: Table 4.26 Reasons for not using co
- Page 95 and 96: Respondents were further asked whet
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- Page 103 and 104: Table 5.4 Age at furst marriagePerc
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Table 7.1 Infant and child mortalit
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Matlab area of Bangladesh. Infant m
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Table 7.4 Infant and child mortalit
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Column 3 of Table 7.5 shows the pro
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Table 8.1 Antenatal carePercent dis
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Pregnant women who seek antenatal c
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Table 8.4 Place of deliveryPercent
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5 percent were assisted by doctors,
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59 percent of children 12-23 months
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Trends in Vaccination CoverageA gen
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Overall, just over one-quarter (28
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Figure 8.4Percentage of Children un
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Prevalence of BreastfeedlngTable 8.
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The results shown in Table 8.13 ind
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The median duration of breastfeedin
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Table 9.2 Age differences between s
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When data on current contraceptive
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The data indicate that when husband
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There is a high degree of agreement
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Table 10.1 Distance to public servi
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All but a tiny fraction of family p
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MarriageA review of the role of the
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Unmet Need for Family PlanningThe f
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Family Planning Outreach/Satellite
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should be organized on a priority b
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REFERENCESArnold, Fred. 1990. Asses
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APPENDIX ASAMPLE IMPLEMENTATION
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APPENDIX BESTIMATES OF SAMPLING ERR
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The Jacknife repeated replication m
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Table B.2 Sampling errors - Nationa
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Table B.4 Sampling errors - Rural s
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Table B.6 Sampling errors - Chittag
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Table B.8 Sampling errors - Khuhaa,
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APPENDIX CDATA QUALITY
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Table C.1 Household age distributio
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C.2 FertilityThe low level of ferti
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Figure C.1Births by Calendar Year,
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This cursory inspection of the qual
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APPENDIX DQUESTIONNAIRES
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HOUSEHOLD SCHEDULENow we uoutd like
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NO.GUESTIONS AND FILTERS19 What is
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182
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SECTION 1.RESPONDEHTBS BACKGROUNDSK
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NO.QUESTIONS AND FILTERSCOOING CATE
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211 Now I would like to talk to you
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221CONPARE 208 WITH NIJI4BER OF BIR
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SECTION 3:COBTRACEPTION301 I No~ (
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NO.315 QhJch method are you using?3
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NO.J320B IQUESTIONS AND FILTERSSHOW
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NO.QUESTIONS AND FILTERSCODING CATE
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331 I would like to ask some questi
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SECTION 4A.PREGNANCY AND BREASTFEED
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430 Are you still braastfeedingCNAM
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442H442I442JAmong the I~rsons with
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BANELA~ BIRYHNEXT-TO'LAST BIRTHNAME
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RO. J501 JOUESTIORS AND FILTERSSECT
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NO.QUESTIONS AND FILTERSCOOING CATE
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SECTION 7.HUSBAND'S BACKGROUND, RES
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INTERVIEWER'S OBSERVATIONS(To be fi
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218
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SECTION 1.RESPONGENT'S BACKGROUND10
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~[CT|ON 2.REPROOUCTIOMNo. I 043ESTI
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SKIPRo. I QUESTIONS AND FILTERS I C
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NO. IQUESTIONS AND FILTERSCODING CA
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NO.QUESTIONS AND FILTERSCOOING CATE
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NO,502CHECK ]15:SECTION 5.FERTILITY
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INTERVIEWER'S OBSERVATIONS(To be fi
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i. GENERAL DESCRIPTIONNO.OUESTIONS
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HO.QUEST lOllSL19 t~hat services do
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NO.QUESTIONS CCOING CATEGORIES SKIP
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iO.9QUESTIONS COOING CATEGORIES SXI