CONTRACEPTIVE USAGE BETWEEN PUBLIC AND PRIVATE HEALTH FACILITIES IN RURAL AREAS OF DISTRICT CHINIOT

Abstract

OBJECTIVE: The purpose of this study was to evaluate contraceptive usage between public and private health facilities in rural areas of district Chiniot.

Study Design: Comparative cross-sectional Study Design.

Place and duration of study: Lahore School of Nursing, University of Lahore, from August 2022 – August 2023.

Patients and Methods:  The study included 640 individuals 320 from rural area and 320 from urban population. Multistage cluster sampling technique was used to select rural areas with same characteristics. In first stage, the rural areas of three tehsils of district Chiniot were purposively selected. In second stage, DKT health facility served villages and adjacent public health facility villages with same demographic characteristics were selected and marked as a cluster. These are 14 clusters of private and 14 clusters of public health facility. In third stage, convenient sampling technique was used to select sample from each cluster. Structured questionnaire adopted from Pakistan Demographic Health Survey (2017-18) instrument to obtain information from the Study participants. The questionnaire comprises on three sections, the first section document the basic demographics of the respondents, including age, level of education, religion, occupation, duration of marriage, number of children, type of family and monthly husband income. The second section evaluates the knowledge and usage of contraception amongst the study participants. The third section assesses the availability of family planning services whether the study participants they received.

Results:  Results showed that in rural population illiterate 92, Primary 52, Middle 87, Matriculation 54, Intermediate 23, Bachelor were 11. The Urban Population included illiterate 18, Primary 24, Middle 30, Matriculation 90, Intermediate 68, Bachelor were 90. Result demonstrated that in rural population 18-25 years old subjects were 89, 26-33 years were 123, 34-41 years were 61 and 47 subjects were 42-49 years old. In Urban population 18-25 years old subjects were 70, 26-33 were 120, 34-41 years were 85 and 45 subjects were 42-49 years old. In Rural Areas the Muslim were 267 and Christian were 53, when we compare it with Urban than Muslim were 219 and Christian Were 101. That 290 subjects have ever received health education and 289 subjects from urban population received health education about family planning. 30 subjects in rural area and 31 subjects in urban population have never received health education about Family Planning. The majority in rural area 220 subjects and in urban population majority 252 subjects get currently using family planning method and consultation from Private DKT-Facility.

Conclusion: This study demonstrates the need to support DKT all private health facilities with policies and supplies to expand access to all FP services, especially for adolescents in rural and urban population.