Nabamallika Dehingia|Anvita Dixit|Sarah Averbach|Vikas Choudhry|Arnab Dey|Dharmendra Chandurkar|Priya Nanda|Jay G. Silverman|Anita Raj
Family planning counseling and its associations with modern contraceptive use, initiation, and continuation in rural Uttar Pradesh, India
Center for Health and Gender Equity|University of California, San Diego|Center for Health and Gender Equity|University of California, San Diego|University of California, San Diego|Sambodhi Research and Communications|Sambodhi Research and Communications|Sambodhi Research and Communications|Center for Health and Gender Equity|University of California, San Diego|Center for Health and Gender Equity|University of California, San Diego
abstract background examine association quality family planning fp counseling received past 24 months current modern contraceptive use initiation continuation among sample women rural uttar pradesh india methods study included data longitudinal study two rounds representative household survey 2014 2016 currently married women age 1549 years analysis excluded women already using permanent method contraceptive first round survey reported discontinuation wanted pregnant n 1398 measured quality fp counseling using four items whether women informed advantages disadvantages different methods told methods appropriate whether questions answered whether perceived counseling helpful positive responses every item categorized higher quality counseling vs lower quality counseling positive response less four items outcome variables included modern contraceptive use second round survey variable categorizing women based contraceptive use behavior two rounds continuedusers newusers discontinuedusers nonusers results around 22 received fp counseling 4 received higherquality counseling received lowerquality fp counseling 242x odds reporting current use modern contraceptive method 95 ci 156376 received higher quality fp counseling 414x odds reporting modern contraceptive use 95 ci 172999 compared women reporting fp counseling women receiving higherquality counseling also higher likelihood continued use arrr 593 95 ci 1971783 well new use initiation arrr 42 95 ci 1441235 modern contraceptives receipt lowerquality counseling also showed statistically significant associations continued new use modern contraceptives effect sizes smaller higherquality counseling conclusions findings suggest value fp counseling patientcentered approach counseling continued use modern contraceptives supported among married women reproductive age unfortunately fp counseling particularly higherquality fp counseling remains rare