Page 112 - 5th APA Conference Program Book Final

Abstract

The study aims to identify the association of maternal and child health care (MCH) service utilization on the timing
of initiation of contraceptive use within 12 months post-delivery for the most recent child. The data was extracted
from the National Family Health Survey- 4, which provided the 5-year reproductive history of women. The analysis
was based on 1,38,068 women who had delivered recent live birth for 5 years prior to the survey. A discrete-time
complementary log-log multilevel model was applied to examine the impact of MCH service utilization on the
timing of initiation of contraceptive use after the delivery. Utilization of MCH care was constructed using the factor
score of ANC visits (At least 2), Post-natal check-ups of the mother (within 41 days after the delivery), Tetanus
injection during pregnancy (at least 2), DPT-3 immunization, Institutional delivery, 100+ Iron Folic Tablets. The study
indicated that 38% of women succeeded in initiating the contraceptive within 12 months post-delivery. Result also
shows that after controlling for the socio-economic variables, 1.11 (95% CI- 1.09 1.13) times women were likely to
early initiate contraceptives. This suggests that the promotion of MCH care can be regarded as a mechanism to
promote postpartum family planning use.

429 Son Preference in India: Do Family Composition Drive Future Fertility Desire and
Contraceptive Use?

Vineet Kumar, Kaushalendra K Singh

Dept. of Statistics, Institute of Science, Banaras Hindu University, Varanasi, India

Categories

3. Fertility, Fecundity, Reproductive Health and Reproductive Rights

Abstract

Son preference refers to an attitude founded on the belief that girls are inadequate and of lesser value than boys.
We explore whether the desire for another child and family planning use vary by parity and sex composition of
surviving children.

Data from India’s 2015 – 2016 National Family Health Survey of married, non-pregnant, fecund women aged 15-49
who had at least one child were used for this study. Descriptive analysis and logistic regression analysis were
performed separately by parity.

The results indicate that family sex composition is associated with fertility desires & contraceptive use. Analyzing
the data for each parity by family sex composition, we found that women without any son were more likely to want
another child than women without any daughter and the tendency to use contraceptives was found to be
decreasing when they had only daughters compared to when they had only sons.

These findings confirm that sex composition affects fertility behavior and family planning usage and also reveals
that preference for son persists in India. These results accentuate the importance of programs and policies
regarding family size and family planning use.

Keywords: Family sex composition, Fertility desire, Family planning use, Logistic regression.

358 Maternal health care service utilization among young married women in India,
1992–2016: trends and determinants

Pooja Singh, Kaushalendra K Singh

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