Family Planning in Asia and the Pacific - International Council on ...

Family Planning in Asia and the Pacific - International Council on ... Family Planning in Asia and the Pacific - International Council on ...

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per cent of women reported usong>inong>g condoms. Fong>inong>ally, ong>theong>use of implants ong>inong>creased from 0.4 per cent ong>inong> 1996 to 0.8per cent ong>inong> 2006.Reasons for non-use of contraceptionAccordong>inong>g to recent NDHS data, nearly two-thirdsof women who were not usong>inong>g or did not ong>inong>tend to usecontraception gave fertility-related reasons: ong>inong>frequentsex, menopause, sub-fecundity/ong>inong>-fecundity ong>andong> desirefor more children. Additionally, ong>theong> proportion of nonusersreportong>inong>g fertility-related reasons ong>inong>creased from2001 to 2006. The second major reason for not usong>inong>gcontraception was method-related reasons (17%): healthconcerns, fear of side effects, lack of access ong>andong> ong>inong>convenientto use. The third major reason related to non-use wasopposition to use: respondent opposed, husbong>andong> opposed,religious prohibition ong>andong> fatalistic view (see Table 5). Keystakeholder ong>inong>terviews reflected ong>theong>se reasons for nonuse.Oong>theong>r reasons for not usong>inong>g contraception given bykey stakeholders ong>inong>cluded ong>theong> cultural value of conceivong>inong>gsoon after marriage, shortage of human resources, lack ofadequate family plannong>inong>g counsellong>inong>g, shortage of suppliesof certaong>inong> methods ong>inong> certaong>inong> areas ong>andong> lack of ong>inong>tegrationof family plannong>inong>g ong>inong>to every aspect of health care. In termsof reasons for not usong>inong>g short-term methods, such as pillsong>andong> condoms, key stakeholders suggested that takong>inong>g pillsevery day is cumbersome or tedious, ong>andong> women may nothave ong>theong> time or transportation to keep gettong>inong>g refills, plus176

FigureFigure1Percentage of married women currently usong>inong>g modern contraception, by method, Nepal, 1976-20065045ImplantsPercent of currently married woman( age 15 -49 )40353025201510501976 1981 1986 1991 1996 2001 2006Male steril.Female steril.CondomIUDInjectionsPillYearSource: MoH, 2002 ong>andong> MoHP, 2007.TableTable4TableTable5storage ong>andong> disposal of condoms can be an issue. Anoong>theong>rreason mentioned was ong>inong>adequate counsellong>inong>g, such as onong>theong> advantages ong>andong> disadvantages of each method ong>andong> ong>theong>benefits of usong>inong>g family plannong>inong>g.Accordong>inong>g to ong>theong> report entitled Repositionong>inong>g ong>Familyong>ong>Plannong>inong>gong>: Strategic Review of ong>theong> Nepal National ong>Familyong>ong>Plannong>inong>gong> Program (MoHP et al., 2006), one barrier toong>theong> use of long-actong>inong>g reversible contraception (LARC)177

FigureFigure1Percentage of married women currently us<str<strong>on</strong>g>in</str<strong>on</strong>g>g modern c<strong>on</strong>tracepti<strong>on</strong>, by method, Nepal, 1976-20065045ImplantsPercent of currently married woman( age 15 -49 )40353025201510501976 1981 1986 1991 1996 2001 2006Male steril.Female steril.C<strong>on</strong>domIUDInjecti<strong>on</strong>sPillYearSource: MoH, 2002 <str<strong>on</strong>g>and</str<strong>on</strong>g> MoHP, 2007.TableTable4TableTable5storage <str<strong>on</strong>g>and</str<strong>on</strong>g> disposal of c<strong>on</strong>doms can be an issue. Ano<str<strong>on</strong>g>the</str<strong>on</strong>g>rreas<strong>on</strong> menti<strong>on</strong>ed was <str<strong>on</strong>g>in</str<strong>on</strong>g>adequate counsell<str<strong>on</strong>g>in</str<strong>on</strong>g>g, such as <strong>on</strong><str<strong>on</strong>g>the</str<strong>on</strong>g> advantages <str<strong>on</strong>g>and</str<strong>on</strong>g> disadvantages of each method <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>benefits of us<str<strong>on</strong>g>in</str<strong>on</strong>g>g family plann<str<strong>on</strong>g>in</str<strong>on</strong>g>g.Accord<str<strong>on</strong>g>in</str<strong>on</strong>g>g to <str<strong>on</strong>g>the</str<strong>on</strong>g> report entitled Repositi<strong>on</strong><str<strong>on</strong>g>in</str<strong>on</strong>g>g <str<strong>on</strong>g>Family</str<strong>on</strong>g><str<strong>on</strong>g>Plann<str<strong>on</strong>g>in</str<strong>on</strong>g>g</str<strong>on</strong>g>: Strategic Review of <str<strong>on</strong>g>the</str<strong>on</strong>g> Nepal Nati<strong>on</strong>al <str<strong>on</strong>g>Family</str<strong>on</strong>g><str<strong>on</strong>g>Plann<str<strong>on</strong>g>in</str<strong>on</strong>g>g</str<strong>on</strong>g> Program (MoHP et al., 2006), <strong>on</strong>e barrier to<str<strong>on</strong>g>the</str<strong>on</strong>g> use of l<strong>on</strong>g-act<str<strong>on</strong>g>in</str<strong>on</strong>g>g reversible c<strong>on</strong>tracepti<strong>on</strong> (LARC)177

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