| บทคัดย่อ(English) |
Bangladeshs population has tripled in the last six decades, increasing from 42 million to about 130 million, making the nation the ninth most densely populated country in the world. Despite the many successes and achievements of family planning, the population growth rate still remains high, about 1.48 per annum, and TFR remains at 3.3 births per woman. At present CPR is 54 per cent and increasing 1.5 percentage points per year, and if this rate continues, Bangladesh will reach a CPR consistent with replacement fertility (70 to 75 per cent CPR) in about a decade from now. To reach the Government of Bangladeshs goal of achieving replacement level of fertility by the year 2005, a further increase in the CPR (72%) is necessary. This study analysed how the demographic, socio-economic and programmatic influential factors impact on family planning programe performance on contraceptive use among the currently married women of reproductive age (10-49 years) in Bangladesh. Overall 54 per cent of currently married women are using a contraceptive method in contrast to 46 per cent who are not using any family planning method. Modern methods are much preferred (43 per cent) by the women over traditional methods (10 per cent). On the other hand, women who have ever used any family planning methods in past but are not currently using any family planning method accounted for 24 per cent. The rate for never used any family planning method is 22 per cent. The results show that modern contraceptive use is positively associated with womens education, occupation, number of and desire for additional children, husbands approval of family planning, belonging to an NGO, Giving in urban areas, and provision of sanitation and a concrete floor in the household. At the programme level findings show that exposure to the family planning television programmes and green umbrella logo are significantly associated with modern contracpetive use, while outreach centres in the community, and exposure to the family planning radio programmes did not show any significant effect on modern contraceptive use. The family planning programme is a part of the; social structure. Therefore, the results implicate that the national family planning programme could be more effective if the government placed a greater priority on development in the socio-economic sector by enhacing womens status, education, employment opportunities and media access; promoted NGOs for family planning activities; and placed empahsis on adolescents and young womens health. Ever use of family planning is most challenging to the family planning programme as well. The Chittagong region is the most vulnerable among the regions. Therefore, there is a need for special internventions to expedite the family planning programme performance. On the other hand, more political and social support is required for sustainability of programme. |
