Bangladesh 1993-1994 Demographic and Health ... - Measure DHS
Bangladesh 1993-1994 Demographic and Health ... - Measure DHS
Bangladesh 1993-1994 Demographic and Health ... - Measure DHS
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Overall, 41 percent of respondents said that they <strong>and</strong> their husb<strong>and</strong>s had equal influence in the decisionto use family planning for the first time, while 30 percent said that they had more influence, <strong>and</strong> 22 percentsaid their husb<strong>and</strong>s did. Younger women are more likely than older women to say that their husb<strong>and</strong>s hadmore influence in the decision. Differences by urban-rural residence <strong>and</strong> by division are small, except thatcouples in Rajshahi Division appear to be more egalitarian than most, with a larger proportion of womenreporting equal influence. Interestingly, a larger proportion of uneducated than educated women say that theyhad more influence in the decision to use family planning, while those with more education are likely toreport equal influence of husb<strong>and</strong> <strong>and</strong> wife in family planning decisionmaking.4.6 Problems with Current Method of Family PlanningAn underst<strong>and</strong>ing of the problems that users experience is important in efforts to improve familyplanning service delivery in <strong>Bangladesh</strong>. Table 4.12 presents information from the B<strong>DHS</strong> on the mainproblems reported by women who were currently using family planning methods. A sizeable proportion ofwomen using injection, female sterilization, the IUD, <strong>and</strong> the pill reported having health problems with theirmethods, Commoncomplaints were feelingweakortired <strong>and</strong>havingheadaches. The mostcommonproblemreported by injection users is amenorrhea (no menstruation), while IUD users complain of excessive bleeding.<strong>Health</strong> problems were rare or nonexistent among users of condoms, male sterilization, periodic abstinence,<strong>and</strong> withdrawal, presumably because all of these methods are either used by men or, in the case of periodicabstinence, by mutual consent of the couple. Non-health problems were rarely reported for any method.Table 4.12 Problems with current method of family planningPercentage of current users of family planning who are having problems with their method, by specific method <strong>and</strong> type ofproblem, <strong>Bangladesh</strong> <strong>1993</strong>-94Contraceptive methodFemale Malestefili- sterili- Periodic With-Pioblem Pill IUD Injection Condom zation zation abstinence drawa/ Other TotalAny health problem 32.7 35.9 47.7 4.3 47.2 14.5 0.0 1.2 13.0 29. iWeight gain 1.4 0.6 0.6 0.0 1.0 0.0 0.0 0.0 0.0 0.8Weight loss 2.7 5.3 3.5 0.0 12.8 2.0 0.0 0.3 3.6 4.2Excessive bleeding 2.0 13.1 4.2 0.0 6.6 0.0 0.0 0.0 4.4 3.2Hypertension 0.3 2.2 1.3 0.0 1.4 0.0 0.0 0.0 1.0 0.7Headache 21.6 8.8 15.4 0.0 15.7 1.9 0.0 0.4 2.9 13.4Nausea 6.3 1.0 1.5 0.0 1.8 0.0 0.0 0.0 0.0 3.0No menstruation 1.0 1.I 23.6 0.4 2.9 0.0 0.0 0.0 0.0 3.4Weak/tired 15.7 15.7 18.9 0.4 29.3 9,9 0.0 0.4 5.5 14.7DizzinessOtl~r4.57.31.215.85.910.60.83.110.420,50.09.00.00.00.00.92.45.44.59.1Non-health problem 1.2 2.1 1.2 1.7 2.4 6.1 0.6 0.0 1.3 1.5Number of users 1560 196 404 269 766 98 434 220 96 40454.7 Reasons for Selecting Family Planning MethodsIt is useful to underst<strong>and</strong> why couples choose to use a particular method as opposed to another. Is itbecause they have little knowledge about methods or limited access to them? This question is of particularimportance in <strong>Bangladesh</strong>, where women have at least heard about most of the methods (see Table 4.3) <strong>and</strong>thus are more able to make informed choices. It is also useful to underst<strong>and</strong> why the pill has become thepredominant method in recent years. Table 4.13 shows the distribution of current users of specific methodsby the main reason they decided to use that method.51