National Family Health Survey-2 1998-99
Bihar
FAMILY PLANNING AND QUALITY OF CARE
Family Planning and Quality of Care
Knowledge
Use
Source
Informed Choice and Follow-Up
Unmet Need for Family Planning
National Family Health Survey-2
Trends in Knowledge of Contraceptive Methods
95 99 95 99
Percent
40 29
Any method
Any modern method
NFHS-1 NFHS-2
Any traditional method
National Family Health Survey-2
Currently married women
Which modern methods are most familiar to married women?
Female sterilization Male sterilization Pill Condom IUD
95 99 88 57 55 44 97
75 64
NFHS-1 NFHS-2
59
Percent
National Family Health Survey-2
Currently married women
Family Planning Messages and the Media
About 40 percent of women have heard or seen family planning messages in the past few months
Urban exposure: 72% any media 62% TV
Rural exposure: 36% any media 16% TV
National Family Health Survey-2
Family Planning and Quality of Care
Knowledge
Use
Source
Informed Choice and Follow-Up
Unmet Need for Family Planning
National Family Health Survey-2
Has contraceptive use among married women increased since the last survey?
Percent
Share of female sterilization in contraceptive use has increased from 75% to 78% over the six-year period.
23
25
NFHS-1 NFHS-2
3
Any method
National Family Health Survey-2
Modern spacing methods
Family Planning Methods Used
Not using any method 76% Female Sterilization 19%
Traditional methods 2% Pill 1% IUD 0.5% Condom 0.7%
Male sterilization 1%
National Family Health Survey-2
Urban-Rural Differences in Contraceptive Use
39 27 18 7 2
Any method Female sterilization
Urban Rural
Percent
23
Modern spacing methods
National Family Health Survey-2
Trends In Contraceptive Use by Residence
Female Sterilization TOTAL NFHS-1 NFHS-2 URBAN NFHS-1 NFHS-2 RURAL NFHS-1 NFHS-2 All Other Methods
Percent
17 19 28 27 16 18 4
6 5 15 12
National Family Health Survey-2
Contraceptive Use by Region and State
INDIA Jharkhand North Bihar Plain BIHAR South Bihar Plain
34 21 20 19 17 2 2 2 3
Female Sterilization
National Family Health Survey-2
Modern Spacing Methods
Percent
Contraceptive Use by State
Himachal Pradesh Tamil Nadu INDIA Madhya Pradesh Rajasthan Uttar Pradesh Bihar Meghalaya
68 52 48 44 40 28 25 20
Percent
National Family Health Survey-2
Does use of contraception vary by number of sons?
For women with 2 children:
Percent
38 21 11
No sons
National Family Health Survey-2
1 son
2 sons
Sterilization Facts: Bihar
Median age at sterilization for women is about 28 years, more than two years older than the all-India figure of 26 years
Two-thirds (68%) of sterilizations occurred before the wife was 30 years old Male sterilization is 3%, representing a decline from 7% in the ten years preceding the survey
National Family Health Survey-2
Do women not currently using contraception intend to use a method in the future?
57% of women not currently using contraception intend to use a method in the future 28% of these nonusers intend to use a method within the next 12 months
National Family Health Survey-2
Preferred method for women who intend to use contraception in the future
Female sterilization Pill Condom IUD Rhythm/Safe period Male sterilization
68 25 1 1 1 1
Percent
National Family Health Survey-2
Family Planning and Quality of Care
Knowledge
Use
Source
Informed Choice and Follow-Up
Unmet Need for Family Planning
National Family Health Survey-2
Where do women get their modern contraceptive methods?
Public medical sector 77% Private medical sector 18%
Shop/Other 4%
Dont know/ Missing 1%
NGO/Trust 0.4%
National Family Health Survey-2
Where do users get specific contraceptive methods?
Female sterilization Male sterilization IUD Pill Condom 0 0 3
Percent
16 22 49 49 20 16 11 23 56 55
Shop/Other Private medical sector Public medical sector
83 78
National Family Health Survey-2
Family Planning and Quality of Care
Knowledge
Use
Source
Informed Choice and Follow-Up
Unmet Need for Family Planning
National Family Health Survey-2
Do motivators tell women about other contraceptive methods?
15% of users motivated by someone else were told by motivator about another method of FP
In the public medical sector, 21% of current users were informed, compared to 15% in private medical sector or by someone else
National Family Health Survey-2
Are women told about side effects at the time of accepting their method?
Only 16% of women using a modern method were told about side effects by a health worker, less than the all-India average of 22% 19% of urban users were similarly informed, compared to 15% of rural users
National Family Health Survey-2
Follow-Up After Accepting Method
77% of users of modern methods received follow-up after accepting their method Follow-up was slightly higher for acceptors of sterilization (78%)
National Family Health Survey-2
Family Planning and Quality of Care
Knowledge
Use
Source
Informed Choice and Follow-Up
Unmet Need for Family Planning
National Family Health Survey-2
Defining Unmet Need for Family Planning
Proportion of currently married women who wish to either:
have no more children or wait at least two years before the next child but are not using contraception These women are considered to have an unmet need for family planning
National Family Health Survey-2
Unmet Need for Family Planning
Percent
NFHS-1 NFHS-2
25
25
14
13
11
12
For spacing
For limiting
For both
National Family Health Survey-2
Unmet Need by Region and State
Jharkhand
21
North Bihar Plain
24
BIHAR
25
South Bihar Plain
28
Percent
National Family Health Survey-2
Impact of Satisfying Unmet Need
Currently, programmes are meeting only about half of the total demand for family planning
Contraceptive prevalence would increase from current level of 25% to a new level of 49% if all unmet need for contraception were satisfied
National Family Health Survey-2
