Effect of The Challenge Initiative’s Family Planning Program on intention to use Contraceptives among non-user women in selected cities of India

Deepti Mathur, Population Services International, India
Hitesh Sahni, Deputy Chief of Party, TCIHC India
Mukesh Sharma, Population Services International, India
Emily Das, Population Services International, India
Samarendra Behera, Deputy Director
Kate Graham, Senior Program Officer

Intention to use contraceptives appears to be an important predictor of actual contraceptive practice than the unmet need. We examined coverage of The Challenge Initiative for Healthy Cities (TCIHC) program on family planning (FP) and its effect on the intention to use contraceptives among non-user women in selected cities of India. This study analysed output tracking survey (OTS) data of 8,319 currently married women aged 15-49 years. Bivariate analysis and multivariate logistic regression analysis were applied to examine the coverage of FP program and intention to use contraceptives. Among the current non-users, one-tenth of them intended to use a modern contraceptive method in the next 12 months. Results of the multivariable logistics regression analysis showed that exposure to the FP program through a health worker (AOR:1.65; CI:1.24-2.21), exposure through a visit to a health service delivery point (AOR:2.17; CI:1.68-2.81) as well as both (AOR=1.88; CI:1.31–2.71] had a significant positive effect on the intention to use modern contraceptives. TCIHC program has positive effect on the intention to use contraceptives among non-user women, making this program important particularly for the ongoing family planning program in India to prepare the health systems making the family planning services more available and accessible to women.

Keywords: Family Planning and Contraception, Population and Development, Mixed methods research, Sexual and Reproductive Health and Rights

See paper.