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Assessment of a new approach to family planning services in rural Pakistan

Author

Listed:
  • Sultan, M.
  • Cleland, J.G.
  • Ali, M.M.

Abstract

Objectives. In 1993, the government of Pakistan started a new approach to the delivery of contraceptive services by training literate married women to provide doorstep advice and supplies in their own and neighboring communities. This report assesses whether this community-based approach is starting to have an impact on contraceptive use in rural areas. Methods. A clustered nationally representative survey was used to collect data on contraceptive use and access to services in each cluster. Two-level logistic regression was applied to assess the effects of service access, after potential confounders were taken into account. Results. Married women living within 5 km of 2 community-based workers were significantly more likely to be using a modern, reversible method of contraception than those with no access (odds ratio = 1.74; 95% confidence interval = 1.11, 2.71). Conclusions. After decades of failure, the managers of the family planning program have designed a way of presenting modern contraceptives that is appropriate to the conditions of rural Pakistan. The new community-based approach should be steadily expanded.

Suggested Citation

  • Sultan, M. & Cleland, J.G. & Ali, M.M., 2002. "Assessment of a new approach to family planning services in rural Pakistan," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1168-1172.
    • Handle: RePEc:aph:ajpbhl:2002:92:7:1168-1172_3
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    Cited by:

    1. World Bank, 2005. "Pakistan : Country Gender Assessment, Bridging the Gender Gap, Opportunities and Challenges," World Bank Publications - Reports 8453, The World Bank Group.
    2. Ali, Ijaz & Waheed, Muhammad Shahid, 2022. "Exposure to Information, and Women's Attitudes and Practices towards Family Planning in Pakistan," MPRA Paper 116420, University Library of Munich, Germany.
    3. Khan, Qaisar & Wang, Shun, 2021. "The effect of family planning exposure on fertility choices and reproductive health care in rural Pakistan," Journal of Asian Economics, Elsevier, vol. 73(C).
    4. Hannah Tappis & Anis Kazi & Waqas Hameed & Zaib Dahar & Anayat Ali & Sohail Agha, 2015. "The Role of Quality Health Services and Discussion about Birth Spacing in Postpartum Contraceptive Use in Sindh, Pakistan: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-18, October.
    5. Ali, Ijaz & Waheed, Muhammad Shahid, 2022. "Exposure to Information, and Women's Attitudes and Practices towards Family Planning in Pakistan," MPRA Paper 116390, University Library of Munich, Germany.
    6. Ali, Ijaz & Waheed, Muhammad Shahid, 2022. "Exposure to Information, and Women's Attitudes and Practices towards Family Planning in Pakistan," MPRA Paper 116371, University Library of Munich, Germany.
    7. Mumtaz, Zubia & Salway, Sarah, 2005. "'I never go anywhere': extricating the links between women's mobility and uptake of reproductive health services in Pakistan," Social Science & Medicine, Elsevier, vol. 60(8), pages 1751-1765, April.
    8. World Bank, 2011. "Empowering Women through BISP," World Bank Publications - Reports 27367, The World Bank Group.
    9. McCarthy, Aine Seitz, 2019. "Intimate partner violence and family planning decisions: Experimental evidence from rural Tanzania," World Development, Elsevier, vol. 114(C), pages 156-174.

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