'Long-lasting birth control should be encouraged'

Nearly two-thirds of Bangladeshi married women with one or more children want no more children, but experts say their 'inappropriate' choice of birth control methods is raising the risk of 'unwanted' pregnancies.

According to the preliminary results of 2011 Bangladesh Demographic and Health Survey (BDHS), 65 percent women do not want more children. The rate is 82 percent in couples having two children and 90 percent with three or more children.

But only 8 percent use long-term or permanent methods, effective ways of protecting pregnancies experts suggest for Bangladeshi women, most of who complete childbearing in their twenties, with two decades of reproductive life in hand.

"Long-acting and permanent methods (sterilisation, IUD –intrauterine device, and implants) can help them protect from unwanted pregnancies, but there is no specific programme to promote those," says a former director of National Institute of Population Research and Training (NIPORT) Dr Ahmed Al Sabir.

He says more women are using birth control methods now than before, but the use of long-acting and permanent methods remained 'stagnant' with only 13 percent of all contraceptive use.

The use of female sterilisation has stalled at about 5 percent since 2004 after a fall from more than 9 percent in 1991.

Population scientist Dr Peter Kim Streatfield, an ICDDR,B Director, presenting BDHS figures in April said, long-acting and permanent methods need to be increased and "it is possible as it was in the 1980s."

Analysing figures it is found that the female sterilisation rate increases with the ages of women.

It is nearly 14 percent in women between 45 to 49 years of age when the reproductive life ends.

But it is only 4.3 percent among married women between 15 and 29 years of age, the main childbearing age in Bangladesh, who comprises more than 50 percent of all women interviewed in the survey.

The long acting method of placing intrauterine device (IUDs) in the uterus has been declined from about 2 percent in 1991 to 0.9 percent in 2007 to 0.7 percent in 2011.

"It (long-acting and permanent methods) never got priority from the family planning directorate," Sabir says, "It requires trained doctors."

It is alleged that lack of coordination between the two wings of the Ministry of Health and Family Welfare –health and family planning – stood in the way of promoting clinical methods of long-acting and permanent birth control mechanism.

The family planning directorate depends 'heavily' on oral contraceptive pills as their field staff can distribute it easily.

Dr Abu Jamil Faisel, country representative of EngenderHealth that works with the family planning directorate, says those who are already mothers of two or three children are also getting oral contraceptive pills in Bangladesh.

"There should have a strategic plan to promote permanent methods to them," he said.

He, however, said with the shortages of service providers, the rate of IUDs has declined by 30 percent in the last quarter of the last fiscal while the rate of sterilisation has declined more than 50 percent compared with the first quarter.

Bangladesh celebrates World Population Day on Wednesday with officials say they are now waiting for the Bureau of Statistics report.

The preliminary reports last year showed population stood at 14.23 crore with annual growth rate of 1.34 percent.

News Source: 
BSS

Comments

davidjohn51's picture

David John

I’ve been searching for some decent stuff on the subject and haven't had any luck up until this point, You just got a new biggest fan!.. nutrisystem discount code

jakebercher4's picture

I simply want to tell you

I simply want to tell you that I am new to weblog and definitely liked this blog site. Very likely I’m going to bookmark your blog . You absolutely have wonderful stories. Cheers for sharing with us your blog. vaporizers

mobi's picture

totalprotect home warranty

It is very uncommon nowadays, lots of sites and blogs having copy pasted or rewritten info.

totalprotect home warranty
home buyer warranty
american shield home warranty review

davidjohn51's picture

David John

Your blog is simple, yet you can read most valuable and amazing information. Thank you so much for your effort writing this blog! life insurance for parents

davidjohn51's picture

David John

This is a great post. I like this topic.This site has lots of advantage.I found many interesting things from this site. It helps me in many ways.Thanks for posting this again.3 stone engagement rings

davidjohn51's picture

David John

Thanks for the post and great tips..even I also think that hard work is the most important aspect of getting success..boutique mannequins for sale

raynaa1122's picture

Awesome blog. I enjoyed

Awesome blog. I enjoyed reading your articles. This is truly a great read for me. I have bookmarked it and I am looking forward to reading new articles. Keep up the good work!
this article

raynaa1122's picture

Keep up the good work , I

Keep up the good work , I read few posts on this web site and I conceive that your blog is very interesting and has sets of fantastic information.
this article

raynaa1122's picture

I really loved reading your

I really loved reading your blog. It was very well authored and easy to undertand. Unlike additional blogs I have read which are really not tht good. I also found your posts very interesting. In fact after reading, I had to go show it to my friend and he ejoyed it as well!
see this website

raynaa1122's picture

I am unable to read articles

I am unable to read articles online very often, but I’m glad I did today. This is very well written and your points are well-expressed. Please, don’t ever stop writing.
Check This Out