Background
Methods
Study setting
Data
Outcome indicator: method choice
Predictor variables
Background characteristics of the clients
Statistical analysis
Results
Background characteristics of the clients
Background characteristics (N = 454) | % |
---|---|
Age of the client | |
Less than 25 years | 18.2 |
25–29 years | 51.7 |
30–34 years | 22.2 |
35 years or above | 8.0 |
Social groups | |
Scheduled castes/tribes | 26.9 |
Other backward classes | 57.3 |
General | 15.9 |
Client’s education status | |
No education/lower than 5th standard | 46.0 |
5th–9th standard | 33.0 |
10th standard and higher | 20.9 |
Client’s husband’s education status | |
No education/lower than 5th standard | 30.7 |
5th–9th standard | 25.8 |
10th standard and higher | 43.5 |
Parity | |
No child | 0.7 |
1 child | 9.9 |
2 children | 32.2 |
3 children | 29.1 |
4 children or more | 28.2 |
Quality of care
Quality of care indicators (N = 454) | n | % |
---|---|---|
Provider asked about preferences of client | 331 | 72.9 |
Provider told client about other methods | 295 | 65.0 |
Provider gave information without promoting any single method | 342 | 75.3 |
Provider told client about side-effects of the method | 254 | 56.0 |
Provider told client how to manage side-effects, if experienced | 248 | 54.6 |
Client was told the results of tests and examinations | 219 | 48.2 |
Provider encouraged client to ask questions | 245 | 54.0 |
Client reported receiving method of her choice | 279 | 61.5 |
Client felt respected | 395 | 87.0 |
FP method choice
Association between receipt of method choice and other QoC indicators
Quality of care indicators | Did not receive method choice | Received method choice |
---|---|---|
N = 328 | N = 126 | |
Provider told client about the side-effects of the method* | 43.9 | 87.3 |
Provider told client how to manage side-effects, if experienced* | 43.9 | 82.5 |
Provider told results of tests and examinations | 47.3 | 50.8 |
Provider encouraged client to ask questions* | 48.5 | 68.3 |
Client felt respected* | 84.5 | 93.7 |
Determinants of receipt of method choice
Model-1 | Model-2 | |||||
---|---|---|---|---|---|---|
(a) | (b) | (c) | (d) | (e) | ||
AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | |
Factors | ||||||
Facility readiness for type of methods | ||||||
Only for short-acting methods | Ref. | Ref. | ||||
Long-acting reversible and short- acting methods |
3.63 (2.10–6.24)
|
2.67 (1.48–4.83)
| ||||
Permanent method and any other method | 0.62 (0.27–1.41) | 0.55 (0.23–1.35) | ||||
Permanent, long-acting reversible and short-acting methods |
2.45 (1.08–5.55)
| 1.45 (0.62–3.42) | ||||
Provider told client about the side-effects of the method |
9.52 (5.30–17.11)
|
7.40 (3.96–13.86)
| ||||
Provider told results of tests and examinations | 1.22 (0.80–1.87) | 0.94 (0.57–1.54) | ||||
Provider encouraged client to ask questions |
2.41 (1.54–3.79)
| 1.20 (0.71–2.01) | ||||
Client felt respected |
2.58 (1.17–5.66)
| 1.78 (0.75–4.18) | ||||
Confounders | ||||||
Age groups | ||||||
Less than 25 years | 2.01 (0.66–6.12) | 1.97 (0.60–6.45) | 1.95 (0.67–5.70) | 2.37 (0.79–7.12) | 1.93 (0.66–5.64) | 1.87 (0.54–6.44) |
25–29 years | 1.67 (0.65–4.33) | 2.32 (0.85–6.30) | 2.02 (0.80–5.06) | 2.52 (0.98–6.48) | 2.04 (0.82–5.13) | 1.94 (0.69–5.48) |
30–34 years | 1.73 (0.65–4.64) | 1.75 (0.63–4.89) | 1.93 (0.75–5.01) | 2.13 (0.81–5.59) | 1.88 (0.73–4.87) | 1.46 (0.50–4.26) |
35 years or above | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Social groups | ||||||
Scheduled castes/tribes | 0.70 (0.33–1.49) | 1.09 (0.50–2.39) | 0.71 (0.34–1.47) | 0.84 (0.40–1.75) | 0.73 (0.35–1.51) | 0.99 (0.44–2.26) |
Other backward classes | 1.05 (0.54–2.02) | 1.36 (0.68–2.70) | 1.15 (0.61–2.15) | 1.24 (0.65–2.35) | 1.14 (0.60–2.14) | 1.17 (0.57–2.38) |
General | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Client’s education status | ||||||
No education/lower than 5th standard | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
5th–9th standard | 1.17 (0.71–1.94) | 1.14 (0.67–1.93) | 1.26 (0.78–2.03) | 1.19 (0.73–1.94) | 1.19 (0.74–1.91) | 1.11 (0.64–1.94) |
10th standard and higher |
0.39 (0.19–0.80)
| 0.55 (0.28–1.10) | 0.55 (0.29–1.04) | 0.56 (0.29–1.07) | 0.54 (0.28–1.02) |
0.42 (0.20–0.89)
|
Parity | ||||||
No child/1 child | 0.94 (0.36–2.48) | 0.92 (0.33–2.55) | 1.24 (0.50–3.07) | 1.12 (0.44–2.84) | 1.26 (0.51–3.14) | 0.78 (0.27–2.27) |
2 children | 0.83 (0.44–1.57) | 0.67 (0.34–1.33) | 0.90 (0.49–1.64) | 0.79 (0.43–1.46) | 0.88 (0.48–1.60) | 0.63 (0.31–1.30) |
3 children | 0.80 (0.44–1.47) | 0.63 (0.33–1.19) | 0.80 (0.45–1.43) | 0.70 (0.39–1.28) | 0.80 (0.45–1.42) | 0.62 (0.31–1.21) |
4 children or more | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |