Status of Modern Contraceptive use among Married Women in Lahore, Pakistan

Aim: To assess the status of modern contraceptive use among married women in Lahore, Pakistan Methods: A community based cross-sectional study was conducted among married women of reproductive age. Systematic random sampling technique was used to choose 851 study subjects. Before data collection, ethical clearance was obtained from the institution, and data was collected by t rained diploma nurses using pretested structured questionnaire and analyzed by SPSS, version 20. Logistic regression analysis was employed to identify the predictors of modern contraceptive use. Result: Modern contraceptive prevalence rate among married women was 46.9%. Injectable were the most frequently used type of modern contraceptive method (62.9%) followed by intrauterine device (16.8%), pills (14%), Norplant (4.3%), male condom (1.2%) and female sterilization (0.8%). Multiple logistic regression model revealed that the need to have more children(AOR 95% CI: 9.27(5.43-15.84)), husband approval (AOR 95% CI: 2.82(1.67-4.80)) and husband-wife communication about contraceptives (AOR 7.32, 95% CI 3.60-14.86) were found to be an independent predictors for the use of modern contraceptives. There were no statistical significant differences between modern contraceptive use and other socio-demographic. Conclusion: Modern Contraceptive use declined among married women in the district Lahore. The culture of publicly discussing the use of contraceptives and breaking the silence among the people demands substantial efforts.