Mimu Maliha Malbika, Hossain S M Zobair, Biswas Jheelam, Mahbub Mafruha, Zabin Sabrina
Shaheed Suhrawardy Medical College Hospital Dhaka Bangladesh.
Upazila Health Complex, Bagmara Rajshahi Bangladesh.
Public Health Chall. 2025 Aug 9;4(3):e70104. doi: 10.1002/puh2.70104. eCollection 2025 Sep.
Contraceptive use patterns in rural communities are shaped by a complex interplay of social and economic factors. In Bangladesh, there is a significant disparity in birth control use between rural and urban areas. This study aims to explore the patterns, practices, and barriers to contraceptive use in a rural community, with the goal of bridging gaps and promoting sustainable development.
This study combined quantitative and qualitative methods to explore contraceptive use in a rural Bangladesh community. It involved a cross-sectional survey to assess patterns and perceptions of contraceptive use, followed by focus group discussions (FGDs) to explore practices and barriers within the community.
This study involved 100 married couples from a rural Bangladeshi community, with 69% reporting contraceptive use. Most contraceptive users (81.2%) were women, with oral pills being the most common method. Decisions regarding family size were typically made by husbands (63%). FGDs revealed that husbands are seen as the primary decision-makers, whereas wives are responsible for contraception. Barriers included lack of sex education, fear of side effects, and noncooperation from husbands, with some women feeling dependent on their husbands to obtain contraceptives. These findings highlight significant cultural and gendered factors affecting contraceptive use in rural communities.
This study highlights how social, economic, and demographic factors shape contraceptive use in rural Bangladesh. These challenges stress the need for gender-inclusive, culturally tailored interventions to improve contraceptive use and empower rural communities.
农村社区的避孕使用模式受到社会和经济因素复杂相互作用的影响。在孟加拉国，农村和城市地区在节育使用方面存在显著差异。本研究旨在探索农村社区避孕使用的模式、做法和障碍，以弥合差距并促进可持续发展。
本研究结合定量和定性方法来探索孟加拉国农村社区的避孕使用情况。它包括一项横断面调查，以评估避孕使用的模式和认知，随后进行焦点小组讨论（FGD），以探索社区内的做法和障碍。
本研究涉及来自孟加拉国农村社区的100对已婚夫妇，69%的夫妇报告使用了避孕措施。大多数避孕使用者（81.2%）为女性，口服避孕药是最常见的方法。关于家庭规模的决定通常由丈夫做出（63%）。焦点小组讨论显示，丈夫被视为主要决策者，而妻子负责避孕。障碍包括缺乏性教育、对副作用的恐惧以及丈夫的不合作，一些女性觉得获取避孕药依赖于丈夫。这些发现凸显了影响农村社区避孕使用的重要文化和性别因素。
本研究凸显了社会、经济和人口因素如何塑造孟加拉国农村地区的避孕使用情况。这些挑战强调需要采取性别包容、符合文化特点的干预措施，以改善避孕使用情况并增强农村社区的权能。
