Toirov, Farrukh, 1977-. Effects of contraception knowledge and childbearing motivation on the contraceptive method choice of married women in Tajikistan . Master's Degree(Population and Reproductive Health Research). Mahidol University. : Mahidol University, 2004.
Effects of contraception knowledge and childbearing motivation on the contraceptive method choice of married women in Tajikistan
Abstract:
The objectives of this study are to investigate the effects of contraceptive
knowledge and childbearing motivation on contraceptive method choice (including
nonuse) of married women in Tajikistan and to explore the socio-demographic factors
affecting married women’s contraceptive method choice through their knowledge on
contraceptives and their childbearing motivation. Data from the Tajikistan
Demographic and Health Survey 2002 are used, with a total of 2,008 married women
of reproductive age selected for this study.
The results show that the pattern of contraception method choice varies little
by ethnicity, rural/urban residence and employment. The two major ethnic groups
residing in the country, Tajik and Uzbek, have only small differences in their use of
contraception and this is probably due to the cultural similarities, religion and lifestyle
in shared communities. Rural urban residence and employment status could not
significantly predict method choice most likely because of the dominance of the longterm
methods, particularly the IUD, which are widely available in both rural and
urban areas. Women’s education level is generally high in Tajikistan and their
knowledge of the methods is also high, but there was found to be a very small number
of women who switched between various methods. A single method can not meet the
requirements of every woman and the promotion of only one method might stimulate
women who are not satisfied with it to seek abortion as a means of family planning.
The geographic division was found to be a strong predictor of method choice.
Compared to other areas, women in Khatlon province were found to have the lowest
level of using either long-term or temporary contraceptive methods. This highlights a
disturbing situation in Khatlon in terms of family planning that requires a targeted
approach by the family planning program. The overall results of multivariate
analyses suggest that most of the effects of the background variables on method
choice operate through mechanisms other than childbearing motivation and
contraceptive knowledge