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  • Title: Some aspects of practice of family planning as revealed in the NSS survey.
    Author: Das NC.
    Journal: Sarvekshana; 1979 Jan; 2(3):119-28. PubMed ID: 12265165.
    Abstract:
    This paper examines the family planning practice differential at the all India level as revealed in the survey conducted in the 28th round of the National Sample Survey (NSS). The current practice rate of IUD was estimated at 0.03%, 0.09%, 0.22%, 0.30%, 0.48%, 0.30%, and 0.39% for rural couples with wife aged 15-19 years, 20-24, 25-29, 30-34, 35-39, 40-44, and 45-49 years respectively and at 0.04%, 0.26%, 0.66%, 0.93%, 1.13%, 0.63%, and 0.45% for urban couples with wives in the same age categories as given for the rural wives. The low rate of the practice of IUD use among the rural couples may be attributed to the lack of facility of IUD insertion available in rural areas. The corresponding low rate among the urban couples may be explained by the prevalence of an attitude of nonacceptance of the method. Both in rural and urban areas more than 50% of couples who began family planning practice with IUDs with a wife aged 30-34 years commenced after at least the 4th child birth, and couples with wife aged 35 years and older were mostly couples of high parity and as such they began practice with an IUD at high parity. The currently practicing young couples (wife aged 20-29 years) would be primarily motivated towards the spacing of births. Many of them may use such methods as spermicide and rhythm and withdrawal which are not highly efficient. Currently practicing middle aged couples (wife 30-39 years) would be motivated towards controlling family size. Most of them would practice highly efficient methods such as oral contraception (OC), condom, and sterilization. The level of current practice among rural couples was low. Among the practicing couples the proportion adopting sterilization was high. The study revealed that the practice of methods with high failure rate declines with increasing age of wife. Among practicing young and middle aged couples, the proportion practicing any method with high failure rate declined with increasing number of surviving children and also over wife's age group while the proportion practicing the efficient methods rises with increasing number of surviving children and also over wife's age group. The level of current practice among urban couples was fairly high as was the proportion practicing methods other than sterilization. The study revealed that the movement to control fertility has been in the present direction. The present task of the authorities is to raise the level of practice of family planning in India.
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