Kap Study Of Contraception In Married Women And Role Of Males In Decision Making

• ORIGINAL ARTICLE | ISSUE DETAILS: VOL NO.1 | ISSUE NO. 1

Abstract

The economy, services, and society of Pakistan are all being crushed by the country’s explosive population increase. In 2012, there were 178.9 million people living in Pakistan, up from 45.9 million in 1960—a change of 290% in the previous 50 years. Given that Pakistan has 2.56 percent of the world’s population, it is reasonable to assume that one in every 39 persons on the earth calls Pakistan home.1Beginning in the middle of the 1960s, Pakistan’s family planning programs have attempted several programs and projects. However, the contraceptive prevalence rate (CPR) is now at 30%, showing an average yearly growth of 0.5% since the beginning of family planning programs in 1964.

About 30% of women say they use family planning in some way. 8% employ a conventional strategy, whereas 22% use a contemporary approach. As a result, among the over 24 million married women of reproductive age (MWRA)1 in this country, around 5 million utilize contemporary methods, close to 2 million use traditional methods, and an astounding 17 million use no family planning at all! Of these 17 million, around 6 million women have unmet family planning needs because they would want to utilize FP but don’t currently do so. Family planning is a historical category that, in its most basic sense, refers to a multitude of techniques and treatments designed to affect the frequency and spacing of births.3 Appropriate policies are needed to guarantee a continuous and quick fall in fertility, as well as improvements in youth education and skill levels and job development. 4  In the 1960s, President Ayub Khan launched a robust family planning program that was widely hailed as a role model for other Islamic nations. In addition to financial incentives for customers and service providers, it largely depended on the intrauterine device. It lost credibility when Ayub Khan lost his position of authority. Family planning was given little attention over the next 20 years. Various strategies were explored throughout this time, however they weren’t implemented well. Zia-ul-Haq was hesitant to openly advocate for family planning since he received a large portion of his political support from conservative religious groups.6

The advancement of social marketing of contraceptives, efforts to involve private medical practitioners more closely in service delivery, and the use of specially trained literate women to provide contraceptive information and basic services in their own villages and those nearby are all examples of how successive regimes have consistently supported family planning. Numerous worldwide studies have been conducted to promote the use of contraceptives 7, 8, and Pakistan’s small-scale programs have shown encouraging results 9. This strategy has been especially successful in Bangladesh, where it is believed to be substantially to blame for the country’s surprisingly huge decrease in fertility. 10