Family planning: its practice and determinants among eligible couples in an urban slum of Tripura

Himadri Bhattacharjya, Taranga Reang


Background: Contraceptive use in India is poor so this study was designed to detect the prevalence of contraceptive use and its determinants among eligible couples in an urban slum of Tripura.

Methods: Community based cross-sectional study, conducted in the urban field practice area of Agartala Government Medical College during 15th June 2010 to 14th August 2010 among 180 eligible couples chosen by systematic random sampling. Descriptive statistics and chi-square test were used.

Results: Majority were Hindu from nuclear families. 56.7% wives and 62.8% husbands studied up to secondary level. Prevalence of contraceptive use was 43.9% and 88.9% of the study couples were aware about family planning. Tubal ligation was the most adopted and condom was the least practiced method. Decision regarding family planning was mostly made by the husband and wife jointly. Public health facilities were the main source of family planning materials and most of the study couples opined family planning as essential. Commonest reason for not practicing family planning was the desire for a son and the rest were fear of adverse effects and some non-specific reasons. The affect of caste, religion, occupation, education etc. was insignificant in determining the practice of family planning.

Conclusions:Despite a high rate of desire to limit family size, less than half of the couples were currently using contraception. It was mostly due to desire for more male babies. Hence behaviour change communication for eliminating preference for male babies and measures favouring girl children may promote couple protection in this community.



Family planning, Contraceptive, Urban slum

Full Text:



Govt. of India, Ministry of Health and Family Welfare, New Delhi, Annual report. 1999-2000. Available at:

Govt. of India, Central Health Education Bureau, New Delhi, Swasth Hind, 1986; 30(12). Available at:

Govt. of India, Ministry of Health and Family Welfare, New Delhi, Annual report, 1993-94. Available at:

WHO expert committee. WHO Tech. Rep. Ser, No: 569. Geneva: WHO; 1975. Available at:

International Institute of Population Sciences Mumbai. Fact sheet Tripura. Tripura Key Indicators. District Level Household and Facility Survey-3. New Delhi: Ministry of Health & Family welfare, Government of India; 2007-2008: 3. Available at:

Roumi Deb. Knowledge, attitude and practices related to family planning methods among the Khasi tribes of East Khasi hills Meghalaya. Anthropologist 2010;12(1):41-5.

D.C. Jain. Family planning use and its determinants among Gond tribe of Madhya Pradesh: A Case Study of Gonds of Jabalpur district. Proceeding of national symposium on tribal health 2004: 285-292. Available at:'s.../NSTH06_35.DC.Jain.pdf‎.

Ravendra K. Sharma, Manju Rani. Contraceptive use among tribal women of central India: experiences among DLHS-RCH –II Survey. Research and Practice in Social Sciences 2009;5(1):44-66.

S Kartikeyan, RM Chaturvedi. Family planning: views of female non-acceptors in rural India. Journal of Post Graduate Medicine 1995;41(2):37-9.

S Sultana, M Sarwar Jahan and M Mofakharul Islam. Contraceptive acceptance among eligible couples residing in Rajshahi. The Journal of Teachers Association RMC, Rajshahi 2007;20(1):11-6.

Oyedokun Amos O. Determinants of Contraceptive Usage: Lessons from Women in Osun State. Journal of Humanities and Social sciences 2007;1(2):1-14.

W. Abraham, A. Adamu, D. Deresse. The involvement of men in family planning an application of trans-theoretical model in Wolaita Soddo town South Ethiopia. Asian Journal of Medical Sciences 2010;2(2):44-50.

R.N. Pande. Changing knowledge, attitude and practice of family planning methods in an economy under transition. Health and Population-Perspectives and Issues 2002;25(3):124-39.

Rajesh Reddy, K.C. Premarajan, K.A. Narayan, Akshaya Kumar Mishra. Rapid appraisal of knowledge, attitude and practices related to family planning methods among men within 5 years of married life. Indian Journal of Preventive and Social Medicine 2003;34(1 & 2):63-7.