Browsing by Author "Das, R"
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Publication Knowledge, Attitude and Level of Involvement of Married Males in Family Planning(Kathmandu University, 2022) Bag, NI; Sahu, M; Paul, B; Das, R; Bandyopadhyay, L; Bhattacharyya, M; Maity, SABSTRACT Background There is an age-old notion that family planning is women’s responsibility disregarding the fact that men have equal responsibility in fertility regulation. Although male involvement is getting more recognition, studies on men’s role in family planning are very few in the number in this part of the world. Objective To assess the knowledge, attitude and level of male involvement in family planning and to find out the factors associated with male involvement by contraceptive usage. Method A community based cross-sectional study was done from May to July 2021 among 165 currently married male, who had at least one child, living in Singur district of West Bengal. Cluster sampling method was done to select study participants and data were collected by pre-designed pretested questionnaire. Descriptive statistics, multivariable logistic regression was applied and data were analysed applying SPSS software. Result Only 36.4% participants were directly involved in family planning either by using condom or by withdrawal method but 65.5% participants were indirectly involved in family planning through spousal communication either by approving contraceptive use to their spouse or by decision making regarding family planning. Moreover, barrier of contraceptives usage were side effect (27%) and fear of impotence (25.5%). Male involvement was significantly associated with participant’s education [AOR (95% CI= 3.63 (1.45-9.05)], caste [AOR (95% CI= 7.06 (2.55-19.51)], number of living children [AOR (95%CI= 5.01(1.95-12.87)], desire for more child [AOR (95% CI=0.34 (.13-.87)] and attitude on family planning [AOR (95% CI= 3.55 (1.41-8.94)]. Conclusion This study identified the prevailing gender norms in rural areas. Advocacy for male involvement in family planning by health personnel during counselling of eligible couples should help in increasing contraceptive coverage in the long run. KEY WORDS Contraception, Decision making, Family planning, Male involvement, Rural community, Spousal communicationPublication Utilization of intrauterine contraceptive device in a District of West Bengal, India(Institute of Medicine, 2011) Haldar, A; Baur, B; Bhattacharya, SK; Das, R; Mundle, M; Saha, TKAbstract Introduction: Lack of knowledge of contraceptive methods or source of supply, cost and poor access are the barriers that exist in developing countries and present study was conducted to assess the current intrauterine contraceptive device (IUCD) utilization by eligible couple in Howrah District of West Bengal. Methods: A community based cross sectional study using stratified multistage random sampling technique to obtain a sample size of 1600 using couple protection rate of West Bengal as 50%. So 12 villages and 4 urban wards were selected, with 125 sampled eligible couples in each village/ward to get 2000 eligible couples. Results: Contraceptive practice by any method was 63.3% and couple protection rate by modern method was 54.3%. IUCD use rate was 3%, oral contraceptive pill (OCP) use 25.4%, ligation 18.4%, condom 7.4%, and vasectomy 0.1%. Ever use rate of IUCD (Cu-T/Loop) was 6.3%, which increased significantly with advancement of maternal age, but was not associated with maternal literacy. Lack of motivation (43.4%), misconception (24.9%), unawareness (18.7%), unwillingness (10.9%) and religious/cultural barrier (4%) were the major reasons for underutilization of IUCD. Conclusions: IUCD acceptance is very low and different initiatives should be taken to improve it. Keywords: Acceptance, eligible couple, intra uterine contraceptive device