268192 City specific interventions needed to improve contraceptive prevalence in India

Monday, October 29, 2012

Mukesh Sharma, MBA, Masters in Rural Development, Masters in population science (pursuing) , Family Health International, UHI, Aligarh, India
Rashmi Gupta, Post Graduation, Human Resource Management , Foundation for Research in Health System (FRHS), Urban Health Initiative (UHI)-India, Aligarh, India
Rahul Kulshreshtha, Msters in arts , Department of Health, Government of UP, India, Government District Hospital, Aligarh, Aligarh, India
Shikha Singhal, Post Gaduate in Nutrition science , CARE International, Urban Health Initiative (UHI), India, Aligarh, India
Dalbir Singh, Post Graduate in mass communication , John Hopkins University Center for communication program (JHUCCP), Urban Health Initiative, (UHI), India, Aligarh, India
Chayan Roy Choudhary, M Phil, PhD (pursuing) , Foundation for Research in Health System, Urban Health Initiative, (UHI), India, Lucknow, India
Prem Prakash Dwivedi, MBA , Hindustan Latex Family Planning Promotion Truct (HLFPPT), Urban Health Initiative, UHI, India, Aligarh, India
Meenakshi Jain, MBBS, MD, MPH , Family Health International, Urban Health Initiative (UHI)-India, Lucknow, India
Gita Pillai, MPH , Family Health International, India, Urban Health Initiative (UHI)-India, New Delhi, India
Introduction: Low contraceptive prevalence combined with rapid urbanization requires new focus on meeting family planning needs of the urban poor. Survey results and intervention lessons from the Urban Health Initiative in India demonstrated the needs of context specific strategies to meet unmet need, increase contraceptive prevalence and contribute to larger family planning and health goals.

Objective: To demonstrate how to systematically design and implement specific strategies that are responsive to the needs of each population segment.

Method: A baseline survey sampled 30,929 people including 3000 married women in each of six cities of Uttar Pradesh India. Women and men questionnaires were administered. Analysis was done by age, parity and wealth quintile to best understand the need of various population segments.

Results: Contraceptive Prevalence Rate in lowest and highest wealth quintile in Aligarh is 27% and 50% and for Allahabad it is 46% and 50% respectively. Unmet need in lowest and highest wealth quintile in Aligarh is 28.6% and 8.2% and for Allahabad it is 16.4% and 6.4%. Responsive to findings, program strategies were designed to place needed emphasis in reaching the urban poor.

Conclusion: Comprehensive family planning program with specific interventions based on city's profile as well as specific interventions to reach different population groups is required to achieve city wide improvements in CPR. Successful city specific approach with a focus on urban poor helps decision makers to expedite implementation of services that increases CPR and reduces unmet need.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Assessment of individual and community needs for health education
Program planning
Public health or related education
Public health or related research

Learning Objectives:
1. Explain the contraceptive prevalence among different wealth quintiles of urban slum population 2. Compare the status of different population segments among different cities in terms of contraceptive prevalence

Keywords: Contraception, Urban Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a Technical Officer monitoring of a consortium Urban Health Initiative, a project funded by BMGF. Working to increase contraceptive Prevalance Rate in the most populous state Uttar Pradesh in South Asian country India. Among my scientific interests has been the demonstaration of strategies to imporve access to family planning services.
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.

Back to: 3198.0: PRSH Posters: Contraception