B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Asia Pac J Public Health. 2020 Mar-Apr;32(2-3):91-95. doi: 10.1177/1010539520912117. Epub 2020 Mar 23.
Despite the known benefits of the use of contraceptives, notably birth spacing, the use of contraceptives in Nepal has remained stagnant since 2006. The purpose of this article is to assess the knowledge and use of contraceptives, and to ascertain preceding interbirth spacing in an eastern plain district of Nepal. A cross-sectional survey was completed on 406 multiparous women aged 18 to 49 years to collect data via structured questionnaires in Jhapa district of Nepal. The majority of the participants (96.1%) had knowledge of at least one modern contraceptive: injectable and oral contraceptives were the most common. Female sterilization was the most commonly used method of contraception. The median birth spacing was 41.5 months, and the majority of participants (79.1%) had preceding interbirth spacing greater than 24 months. The average preferred birth spacing was 51.3 months, and about half of the participants said that 60 months was the appropriate birth spacing. Though knowledge of contraceptives use is almost universal in this population, the use is still low. The preferred birth spacing is longer than the actual birth spacing, signifying an unmet need of contraception.
尽管避孕药具的使用具有众所周知的益处，特别是能控制生育间隔，但尼泊尔的避孕药具使用率自 2006 年以来一直停滞不前。本文旨在评估尼泊尔东部平原地区的避孕药具知识和使用情况，并确定之前的生育间隔。在尼泊尔的贾帕地区，对 406 名 18 至 49 岁的多产妇进行了横断面调查，通过结构化问卷收集数据。大多数参与者（96.1%）至少了解一种现代避孕药具：注射和口服避孕药最常见。女性绝育是最常用的避孕方法。中位生育间隔为 41.5 个月，大多数参与者（79.1%）之前的生育间隔大于 24 个月。平均首选生育间隔为 51.3 个月，约一半的参与者表示 60 个月是合适的生育间隔。尽管该人群对避孕药具使用的认识几乎普及，但使用率仍然很低。首选生育间隔长于实际生育间隔，表明避孕需求未得到满足。
