Page 95 - 5th APA Conference Program Book Final

Abstract

Contraceptive discontinuation rate has been increasing over the past decade. Using the data from 2017
Performance and Accountability Survey of Population, Family Planning and Family Development Program, the study
examines the reasons of contraceptive discontinuation and identifies its associated factors among eligible women
who ever used contraception in the 12 months preceding the survey and they were 1,121 women. Reasons of
contraceptive discontinuation were classified into biological, psychological and access. Multinomial logistic
regression analysis was used to determine the effect of factors on the dependent variables. Results suggest that
more than half of women discontinue contraceptive due to biological reasons, about one fourth of the
psychological reasons and less than one fifth of the access reasons. The reasons of contraceptive discontinuation
were significantly associated with place of residence, wealth status, employment status, educational attainment, the
number of living children, knowledge of modern contraceptive methods, time usage of contraceptive, method of
contraception discontinued, family planning decision, and age (P values <0.05). Psychological reason for
contraception discontinuation were associated with wealth status, family planning decision, insurance coverage
and age. Access reason for contraception discontinuation were associated with knowledge of modern
contraceptive methods, recent method used, family planning decision, insurance coverage and age.

404 Achievement of Desired Fertility in Malaysia and Association with Socio-
Demographic Characteristics

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1
Najihah Ismail , Irwan Nadzif Mahpul , Nur Ashikin Mohammad Fuzi , Nor Azah Samat
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1 National Population and Family Development Board (NPFDB), Kuala Lumpur, Malaysia. University of Sultan Idris
Education, Perak, Malaysia
Categories

3. Fertility, Fecundity, Reproductive Health and Reproductive Rights

Abstract

This paper provides the patterns of desired fertility achievement and the differences in desired fertility achievement
according to socio-demographic characteristics among married women interviewed in the Malaysian Population
and Family Survey 2014. Out of 6,879 women in the survey, about 57 percent of the women in the survey who are
assumed completed their reproductive career constituted as the study sample of this study. The response variable
desired fertility achievement was calculated by subtracting the number of desired children from the number of
children ever born. Those who are having number of children ever born fewer than desired were categorized as
did not achieve their desired fertility. The results from the descriptive analysis showed that about one-third of the
women have achieved their desired fertility. Also, women with lower levels of education and Chinese ethnicity were
at a higher proportion of met desired fertility compared to other categories. The bi variate analysis also indicated
that there were significant differences in terms of achievement of desired fertility with age group, region, ethnicity,
and educational attainment.The study suggested that in addressing the disjoint between desired and actual family
size, policy and programs need various strategies as the women are facing different challenges and socio-
demographics.

359 Factors explaining the dominion status of female sterilization in India over the
past two decades (1992-2016): A multilevel study

Pragya Singh, K.K Singh

Banaras Hindu University, varanasi, India

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