220064 Impact of Socioeconomic Status and Place of Residence on Type of Contraceptive Method Use among Urban Women in Bangladesh

Tuesday, November 9, 2010 : 11:24 AM - 11:42 AM

Laili Irani, MD, MPH , Department of Maternal and Child Health, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC
Ilene S. Speizer, PhD, MHS , SPH - Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Peter Lance, PhD , University of North Carolina at Chapel Hill, Carolina Population Center, Chapel Hill, NC
Gustavo Angeles, PhD, MA , Department of Maternal and Child Health, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC
Currently, 50% of the world's population resides in urban areas. Over the next three decades, virtually all population growth will occur in urban regions, particularly urban slums, due to continued high fertility and rural-to-urban migration. Bangladesh will follow similar trends. A better understanding of the health circumstances of the urban slum population will enable policy makers to identify healthcare priorities for this population. Effective family planning (FP) will be essential to addressing unmet need for FP, and reducing maternal mortality. The 2006 Bangladesh Urban Health Survey is unique in that it includes a representative urban sample stratified into slums and non-slums, and a sample of non-urban District Municipalities (DM), for comparison. Almost 14,200 women were interviewed from 12,750 households. The total fertility rate is highest in slums (2.46) compared to non-slums (1.85) and DM (2.07). Prevalence of modern contraceptive use is 58% in slums, with wide variation across slums, compared to 63% in non-slums. Slum dwellers rely on the public sector more for FP than non-slum and DM residents. This study describes the prevalence of FP as well as the method mix based on area of residence (slum, non-slum, and DM) after adjusting for individual, household, and neighborhood factors. Other factors explored include distance from a service provider and type of health service availability. The analysis reveals factors affecting non-use among women with an unmet need. Recommendations from these findings will help suggest strategies to improve FP access and further target urban dwellers with an unmet need.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Provision of health care to the public
Public health or related research

Learning Objectives:
- Describe the impact of socioeconomic status and type of residence on type of family planning method used among urban residents in Bangladesh; - Identify barriers to family planning use among urban residents in Bangladesh; - Name and recommend approaches to improving family planning services in urban settings.

Keywords: Family Planning, Urban Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently a doctoral student in the Department of Maternal and Child Health at the University of North Carolina. Further, I will analyze the data and prepare the presentation for the conference, along with the co-authors.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.