Namratha Kulkarni, Saurabh Kumar, Pavan P Havaldar
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引用次数: 0
摘要
背景：计划生育（FP）服务是评估一个国家医疗保健效率的关键。尽管印度在推广计划生育服务方面取得了长足进步，但其利用率仍存在差距。本研究利用全国家庭健康调查（NFHS）第四轮和第五轮分析了卡纳塔克邦的计划生育趋势，并将其指标与全国平均水平进行了比较：方法：采用基于回顾性记录的描述性研究设计。使用 MS Excel 365 分析了 NFHS-4（2015-16 年）和 NFHS-5（2019-21 年）的数据。主要变量包括结婚年龄、总和生育率（TFR）和各种避孕方法：卡纳塔克邦女性早婚率保持稳定，25-29 岁男性早婚率有所下降。卡纳塔克邦的总和生育率略有下降，避孕药具的使用率有所上升，现代避孕方法显著增加。然而，男性绝育率仍然很低。卫生工作者在与未使用避孕药具的女性接触以及提供避孕药具副作用信息方面有所改进：尽管卡纳塔克邦在计划生育方面取得了进展，但早婚等挑战依然存在。在印度，加强整合、利用技术和赋予妇女权力对于提供全面的计划生育服务至关重要。
From data to decisions: Exploring family planning services utilization in Karnataka and India through the prism of NFHS-4 and NFHS-5.
Background: Family planning (FP) services are pivotal in assessing a country's healthcare efficacy. Despite India's strides in FP promotion, disparities persist in its utilization rates. This study analyzes Karnataka's FP trends by using National Family Health Survey (NFHS) rounds 4 and 5, comparing its indicators with national averages.
Methods: A retrospective record review-based descriptive study design was employed. Data from NFHS-4 (2015-16) and NFHS-5 (2019-21) were analyzed using MS Excel 365. Key variables included age at marriage, total fertility rate (TFR), and various contraceptive methods.
Results: Karnataka exhibited a stable rate of early marriages for women and a decline among men aged 25-29 years. TFR in Karnataka slightly decreased, with increased contraceptive usage and significant growth in modern contraceptive methods. However, male sterilization rates remained low. There was an improvement in health workers' engagement with female non-users and in providing information on contraceptive side effects.
Conclusion: While Karnataka has progressed in FP, challenges such as early marriages persist. Enhancing integration, leveraging technology, and empowering women are essential for comprehensive FP services in India.
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