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Determinants of oral contraceptive pills use and its discontinuation among rural women of Bangladesh

Zafar Ullah, AN and Humble, M (2006) Determinants of oral contraceptive pills use and its discontinuation among rural women of Bangladesh. Reproductive Medicine and Biology, 5 (2). 111 - 121 (11). ISSN 1447-0578


Oral contraceptive pills (OCP) contribute a major share in the current method-mix in Bangladesh. However, multiple studies show high discontinuation rates of OCP. The present study examines the behavior and attitude towards OCP use, and investigates the determinants of its discontinuation among the rural married women of Bangladesh. The present study is based on critical analyses of the data from 24 focus group discussions and 135 in-depth-interviews with women, their husbands and key informants conducted over the period of 1 year. The present study shows that more than two-thirds of married women have at one time or another used OCP as a method of family planning. However, many women did not take the pills regularly and about one-quarter of ever users had taken, at one stage or another, a ‘short break’ from OCP use. Although nearly half of them took a break because of side effects, interestingly, 16% took a break as the result of fear of health problems that were related to ‘folk stories’ and other misconceptions. The individual assessment by users of the national family planning service delivery, perceived side effects, misconceptions about continuous use of pills, quality of counseling and information, and contraceptive behavior of the OCP users considerably influenced the decisions on contraceptive use or non-use.

Item Type: Article
Keywords: Bangladesh, discontinuation, family planning, oral contraceptive pills, pills use
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Nuffield Centre for International Health and Development (Leeds)
Depositing User: Symplectic Publications
Date Deposited: 24 Oct 2011 08:34
Last Modified: 15 Sep 2014 03:51
Published Version: http://dx.doi.org/10.1111/j.1447-0578.2006.00132.x
Status: Published
Publisher: Springer verlag
Identification Number: 10.1111/j.1447-0578.2006.00132.x
Related URLs:
URI: http://eprints.whiterose.ac.uk/id/eprint/43349

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