Assessing the Impact of Family Planning Advice during Maternal-Child Care Service Utilisation on Contraceptive Use in Rural Uttar Pradesh, India
Diwakar Yadav, FHI 360
The study attempts to assess the impact of advice on family planning (FP) during Maternal-Child health care (MCH) services on contraceptive use and unmet need for FP by adopting propensity score matching method and using data from District Level Household Survey (2007-08) that covered 76,147 currently married women aged 15-44 years in Uttar Pradesh State of India. Results show that MCH service utilisation (Antenatal care (ANC), institutional delivery, Postnatal care (PNC)), advice on FP during ANC, and PNC visit has led to increase current use of contraception by 3.7% (p<.01), 7.3% (p<.01), and 6.8% (p<.01) respectively; however, these services have not motivated to reduce unmet need in that pace. MCH service utilisation including counselling on FP is more effective to increase current use of spacing than use of limiting method. Findings support the need for “effective advice or counselling on FP” interventions to reduce unintended births and unmet need for FP.