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ROLE OF COMMUNITY AND CONTEXT IN CONTRACEPTIVE BEHAVIOUR IN RURAL WEST BENGAL, INDIA: A MULTILEVEL MULTINOMIAL APPROACH

Published online by Cambridge University Press:  18 April 2016

Saswata Ghosh  and
Md. Zakaria Siddiqui
Saswata Ghosh
Affiliation:
Institute of Development Studies Kolkata (IDSK), Kolkata, India
Md. Zakaria Siddiqui*
Affiliation:
Crawford School of Public Policy, Australian National University, Canberra, Australia
*
1Corresponding author. Email: zakaria.jnu@gmail.com
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Summary

Studies examining the influence of community-level interactions and contextual/supply-side factors in determining contraceptive choices have yielded mixed results in the context of rural India. Using small-scale survey data of 1348 women from rural West Bengal and by employing multilevel multinomial logit models, this study tested the influence of these factors after controlling for various socio-demographic and individual-level socioeconomic factors. The study reveals that supply-side intervention strategies, i.e. addressing outreach and advocacy activities and socio-religious needs at the community level, are essential prerequisites to breaking away from the predominance of sterilization in the contraceptive method-mix and enhancing the adoption of modern reversible contraceptives for improved spacing of births – a crucial factor in maternal and child health outcomes.

Type
Research Article
Information
Journal of Biosocial Science , Volume 49 , Issue 1 , January 2017 , pp. 48 - 68
Copyright
Copyright © Cambridge University Press, 2016 

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