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Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal

Author

Listed:
  • Sharad Kumar Sharma

    (Ipas Nepal)

  • Naresh Pratap

    (Department of Health Services, Kathmandu)

  • Dhruba Raj Ghimire

    (Department of Health Services, Kathmandu)

Abstract

There is wide variation of family planning services use among ethnic groups in Nepal. Despite three decades of implementation the need for family planning services is substantially unmet (25%), and there have been no systematic studies evaluating the impact of the family planning program. This study pooled data from nationally representative surveys conducted in 1996, 2001, and 2006. Multilevel logistic regression analysis of 23,381 married women of reproductive age nested within 764 clusters indicated that Muslims, Janjatis, and Dalits were significantly less likely to use contraceptives than Brahmins and Chhetries (OR=0.27, 0.88 and 0.82 respectively). The odds of using contraceptives by the Newar were higher than the odds for Brahmins and Chhetries, although it was not significant. Exposure of women to family planning messages through health facilities, family planning workers, radio, and television increased the odds of using modern contraceptives. However, the impact of family planning information on contraceptive use varied according to ethnicity. We also found that modern contraceptive use varied significantly across the clusters, and the cluster-level indicators, such as mean age at marriage, mean household asset score, percentage of women with secondary education, and percentage of women working away from home, were important in explaining this.

Suggested Citation

  • Sharad Kumar Sharma & Naresh Pratap & Dhruba Raj Ghimire, 2011. "Ethnic differentials of the impact of Family Planning Program on contraceptive use in Nepal," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 25(27), pages 837-868.
    • Handle: RePEc:dem:demres:v:25:y:2011:i:27
    DOI: 10.4054/DemRes.2011.25.27
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    References listed on IDEAS

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    1. Stephenson, R. & Baschieri, A. & Clements, S. & Hennink, M. & Madise, N., 2007. "Contextual influences on modern contraceptive use in sub-Saharan Africa," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1233-1240.
    2. Jaikishan Desai & Alessandro Tarozzi, 2011. "Microcredit, Family Planning Programs, and Contraceptive Behavior: Evidence From a Field Experiment in Ethiopia," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 749-782, May.
    3. Sajeda Amin & Alaka Basu & Rob Stephenson, 2002. "Spatial variation in contraceptive use in Bangladesh: Looking Beyond the borders," Demography, Springer;Population Association of America (PAA), vol. 39(2), pages 251-267, May.
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    Cited by:

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    More about this item

    Keywords

    family planning; Nepal; family planning programs; ethnic differentials;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

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