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- Title
Migration and family planning in the state with highest total fertility rate in India.
- Authors
Mahapatra, Bidhubhusan; Saggurti, Niranjan; Mishra, Raman; Walia, Monika; Mukherjee, Saradiya
- Abstract
<bold>Background: </bold>This study examined the relationship between male out-migration and family planning (FP) behaviour of women in rural Bihar.<bold>Methods: </bold>Data was collected from 937 currently married women aged 15-34 years from two districts of Bihar, namely Nawada and Gopalganj. Respondents were selected through a multi-stage systematic sampling and were recruited from both low and high male out-migration blocks. Differences in FP outcomes-use of modern contraceptive methods, intention to use contraceptives in next 12 months and access to FP services-were assessed by volume of migration, husband's migration status, frequency of return, and duration of husband's stay at home during visits.<bold>Results: </bold>Women with migrant husbands were about 50% less likely to use modern contraceptive methods. Further, the odds of using modern contraceptives was about half among women with migrant husbands if they resided in high out-migration areas (HMA) than low out-migration areas (LMA) (15% vs 29%, AOR: 0·50, p = 0·017). A higher proportion of women with migrant husbands, specifically from HMA, reported greater intention of using contraceptives in next 12 months than their counterparts (37% vs 23%, AOR: 1·83, p = 0·015). Similarly, access to FP services was negatively associated with the volume of male out-migration, specifically for women with migrant husbands.<bold>Conclusions: </bold>The migratory environment as well as the migration of husbands affect contraceptive use and access to FP services among women. Given that a significant proportion of married males leave their home states for work, it is imperative that FP programs in migration affected areas plan and implement migration-centric FP implementation strategies.
- Subjects
FAMILY planning; MARRIED womens' attitudes; HUMAN fertility; EMIGRATION &; immigration; INDIAN women (Asians)
- Publication
BMC Public Health, 2020, Vol 20, Issue 1, p1
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/s12889-020-09906-9