Centre for the Study of Regional Development, Jawaharlal Nehru University, New Delhi, Delhi, India.
PLoS One. 2023 Aug 9;18(8):e0289701. doi: 10.1371/journal.pone.0289701. eCollection 2023.
The adoption of maternity services and postpartum modern contraception are the two most crucial components that help in reducing maternal and infant mortality; still, India is consistently struggling with it. This paper, therefore, aimed to examine the linkages between use of maternity services and postpartum modern contraceptive adoption.
The required reproductive calendar data were extracted from the 2015-16 and 2019-21 National Family Health Survey (NFHS) datasets. The assessment was made based on a sample of currently married women aged 15-24 years who had given most recent childbirth in five years preceding the survey. For the analysis, a time-to-event approach was applied using the Kaplan-Meier survival statistic, Log-Rank Chi-square test and Cox-Proportional Hazard (Cox-PH) models.
The results revealed that the proportion of postpartum modern contraceptive uptake among young users increased by 9%, from 33% in 2015-16 to 42% in 2019-21. The Cox-PH models revealed that, in both NFHS waves, the associations between various components of maternity services and postpartum modern contraceptive uptake were strongly significant, even after controlling for selected socio-economic and demographic correlates.
The findings of this study reinforced urgent need for implementing integrated maternal-child health and family planning programmes and for boosting effective family planning counselling by health professionals to promote and motivate young women with a desire to early adoption of modern contraception in subsequent months after a recent childbirth.
采用产妇服务和产后现代避孕措施是降低母婴死亡率的两个最关键因素，但印度在这两方面一直存在困难。因此，本文旨在探讨产妇服务利用与产后现代避孕措施采用之间的关联。
本研究从 2015-16 年和 2019-21 年国家家庭健康调查（NFHS）数据集提取所需的生殖日历数据。评估基于在调查前五年内最近分娩的 15-24 岁的当前已婚女性样本进行。为进行分析，使用 Kaplan-Meier 生存统计、Log-Rank Chi-square 检验和 Cox 比例风险（Cox-PH）模型应用了时间事件方法。
结果表明，年轻使用者中产后现代避孕措施的采用比例增加了 9%，从 2015-16 年的 33%增加到 2019-21 年的 42%。Cox-PH 模型表明，在两个 NFHS 波次中，产妇服务的各个组成部分与产后现代避孕措施的采用之间的关联均具有统计学意义，即使在控制了选定的社会经济和人口统计学相关性之后。
本研究的结果强调了迫切需要实施综合母婴健康和计划生育方案，并加强卫生专业人员的有效计划生育咨询，以促进和激励有意愿在最近分娩后几个月内尽早采用现代避孕措施的年轻女性。
