PMID- 32605622
OWN - NLM
STAT- MEDLINE
DCOM- 20200702
LR  - 20200703
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 20
IP  - 1
DP  - 2020 Jun 30
TI  - Health workers' outreach and intention to use contraceptives among married women 
      in India.
PG  - 1041
LID - 10.1186/s12889-020-09061-1 [doi]
LID - 1041
AB  - BACKGROUND: The influence of health workers on uptake of maternal healthcare 
      services is well documented; however, their outreach for family planning (FP) 
      services and influence on the intention to use contraceptives is less explored in 
      the Indian context. This study examined the extent of health worker outreach for 
      FP service and its effects on intention to use contraceptives among currently 
      married women aged 15-49 years. METHODS: This study used data from two rounds of 
      the National Family Health Survey (NFHS) of India, conducted during 2005-06 and 
      2015-16 respectively. Bivariate analysis and multivariate logistic regression 
      were used to understand the level of and change in health worker outreach for FP 
      services over time, and its association with intention to use contraceptives 
      among currently married women. RESULTS: In the past 10 years, health workers' 
      outreach for FP service has significantly increased by about 10 percentage 
      points, although the level is not optimal and only 28% of non-users were reached 
      by health workers in 2015-16. Increase in the outreach to younger and low parity 
      women was higher than their respective counterparts. Intention to use 
      contraceptive among women who were not using any method was 41% when health 
      workers contacted and discussed FP, compared to only 20% when there was no such 
      contact with health workers. Multivariable analysis suggests that contact with 
      health workers has significant positive effects on intention to use contraceptive 
      (AOR = 3.05; p < 0.001; 95% CI 2.85-3.27). CONCLUSION: Increased scope of 
      outreach of frontline health workers to provide FP communication and services 
      will not only help in building knowledge of contraceptive methods but will also 
      increase women's intention to use a method. For India, this may be the most 
      promising way to achieve the Sustainable Development Goals 3.7, which calls for 
      universal access to reproductive health services.
FAU - Kumar, Abhishek
AU  - Kumar A
AUID- ORCID: 0000-0002-2705-9147
AD  - India Habitat Centre, Population Council, India Office, Zone 5A, Ground Floor, 
      Lodi Road, New Delhi, Delhi, 110003, India. akumar@popcouncil.org.
FAU - Jain, Anrudh K
AU  - Jain AK
AD  - Former distinguished Scholar, Population Council, New York, USA.
FAU - Ram, Faujdar
AU  - Ram F
AD  - Former Director, International Institute for Population Sciences, Mumbai, India.
FAU - Acharya, Rajib
AU  - Acharya R
AD  - India Habitat Centre, Population Council, India Office, Zone 5A, Ground Floor, 
      Lodi Road, New Delhi, Delhi, 110003, India.
FAU - Shukla, Ankita
AU  - Shukla A
AD  - India Habitat Centre, Population Council, India Office, Zone 5A, Ground Floor, 
      Lodi Road, New Delhi, Delhi, 110003, India.
FAU - Mozumdar, Arupendra
AU  - Mozumdar A
AD  - India Habitat Centre, Population Council, India Office, Zone 5A, Ground Floor, 
      Lodi Road, New Delhi, Delhi, 110003, India.
FAU - Saggurti, Niranjan
AU  - Saggurti N
AD  - India Habitat Centre, Population Council, India Office, Zone 5A, Ground Floor, 
      Lodi Road, New Delhi, Delhi, 110003, India.
LA  - eng
PT  - Journal Article
DEP - 20200630
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Community-Institutional Relations
MH  - Contraception Behavior/*psychology
MH  - Cross-Sectional Studies
MH  - Family Planning Services/*organization & administration
MH  - Female
MH  - Health Personnel/*psychology/statistics & numerical data
MH  - Humans
MH  - India
MH  - *Intention
MH  - Marriage/*statistics & numerical data
MH  - Middle Aged
MH  - Pregnancy
MH  - Young Adult
PMC - PMC7329531
OTO - NOTNLM
OT  - Health workers
OT  - India
OT  - Intention to use contraceptive
OT  - Outreach for family planning
OT  - Pooled multivariate analysis
COIS- The authors declare that they have no competing interests.
EDAT- 2020/07/02 06:00
MHDA- 2020/07/03 06:00
PMCR- 2020/06/30
CRDT- 2020/07/02 06:00
PHST- 2019/09/06 00:00 [received]
PHST- 2020/06/05 00:00 [accepted]
PHST- 2020/07/02 06:00 [entrez]
PHST- 2020/07/02 06:00 [pubmed]
PHST- 2020/07/03 06:00 [medline]
PHST- 2020/06/30 00:00 [pmc-release]
AID - 10.1186/s12889-020-09061-1 [pii]
AID - 9061 [pii]
AID - 10.1186/s12889-020-09061-1 [doi]
PST - epublish
SO  - BMC Public Health. 2020 Jun 30;20(1):1041. doi: 10.1186/s12889-020-09061-1.