'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: 


Lisa Mercury's picture

This is a sensitive topic of

This is a sensitive topic of conversation, but it's extremely important to know how to protect ourselves from an unwanted pregnancy. Even in modern hospitals that purchase hospital catering equipment and have great conditions, you won't feel too comfortable because you have to get rid of this unwanted pregnancy. Thanks for the article, the information is extremely helpful.

RoseAndrews's picture

Of course long lasting birth

Of course long lasting birth control should be encouraged. Every woman that does not want to have children anymore, should use the safest contraceptive method. Fortunately, if someday you will get sick because of them, you can go to a urgent care clinic and they can get you back on your feet as soon as possible because those complications are not very serious.

Mary Sanders's picture

This is interesting, even

This is interesting, even though it is a sensitive topic of conversation. In matters of healthcare, we shouldn't be ashamed to ask the right questions. A very open specialist is invisalign dentist North Providence that can provide his patients with all the information they need. After all, the first step to recovery is that you're aware of the fact that you're sick. And with proper help, you can surpass that.

daniell17's picture

At some point in time every

At some point in time every woman would like to start a family and have kids. Keep in mind that the use of birth control pills for a long period of time can seriously affect her fertility. Further, some women prefer to give birth with the midwives in Stayton because they are professionals and can offer a quiet, personal child birth experience.

gorila's picture

Even so, you can remain

Even so, you can remain pregnant and everything is changing for you. You should know that pregnancy is a difficult period and if you don't take care of you, many health problems can occur. This period is more difficult for a person who already has a serious medical condition. People often resort to home medical equipment, like these leg braces from Norman, to ease their pain and to speed their recovery, but anyone in your position should ask first the physician if it is recommended or not to wear a home medical equipment.

iuliancezar's picture

What it should be encouraged

What it should be encouraged is the communication between doctor and patient. There are many people that don't have trust with certain issues to discuss them with a stranger. If you visit http://www.associated-counseling.com/ you will see that there are many ways in which you can put order into your life or family. You shouldn't be ashamed of anything and you should know that there are many women and men that are in the same situation as you.

iuliancezar's picture

Maybe encouraged isn't the

Maybe encouraged isn't the correct word for this. Accepted will sound better for a situation like this. The point is that every woman should have the right to decide what to do with her body and in case of an unplanned pregnancy help she should have a place in which she can go and get advice without being judged. Birth control pills are still a taboo subject and it shouldn't be. Health should never be something of which people can't speak of.

rachel2's picture

I think it's more important

I think it's more important for these women to take care of their own health first and then worry about choosing the birth control method. Many women can suffer from Vaginismus MD and not even know it, there should be someone out there informing them about this health issue.

Martha's picture

I don't see why the women

I don't see why the women should be the only ones to go for birth control, men should also consider permanent birth control solutions. My husband went for the solution we found on http://austinmenshealth.com/our-services/no-scalpel-vasectomy/, the procedure went without any problem and we really feel like we made the right choice.