TITLE:
Modern Contraceptive Prevalence, Unmet Need, and Met Demand for Family Planning for All 75 Districts of Uttar Pradesh State in India: A District Level Analysis with the Family Planning Estimation Tool
AUTHORS:
Yogender Pal Gupta, Naveen Kumar Roy, John Stover, Appukuttan Ayyanat Jayachandran
KEYWORDS:
FPET, mCPR, RMNCH + A, DHS, NFHS, MICS, MPV, AD
JOURNAL NAME:
Open Journal of Social Sciences,
Vol.9 No.9,
September
14,
2021
ABSTRACT: Background: Empowering women to choose timing and number of children is the key to improve her reproductive and overall
health. This requires availability of basket of contraceptives to choose
from, improving access to contraceptive methods to women for acceptance of long
term and short-term family planning methods. To date, efforts to assess
progress on this front have been largely limited to the estimation and
projection of family planning indicators at the national and state level but
they are much needed at the district level, particularly for the most populous
state in India with large demographic diversity like Uttar Pradesh. Methods: We have used a statistical model that can generate
estimates and projections of rates and trends in indicators related to access
to reproductive health at the national and subnational levels. For this, Avenir
Health has packaged this model in the form of a user-friendly web application,
the Family Planning Estimation Tool (FPET), which can be operated by local
stakeholders with little external support. We present annual estimates and projections of rates and trends in
the modern contraceptive prevalence
rate, unmet need, and met demand for modern family planning methods for Uttar
Pradesh state and all its 75 districts from 1991 to 2025 produced with FPET. Findings: There is a large amount of heterogeneity between
the districts; only six districts have high modern contraceptive prevalence rate
(mCPR > 50%) and are likely to reach met demand with a modern contraception
of more than 70 percent by 2025 whereas Uttar Pradesh will reach 57.5 percent
by 2025. Two districts out of 75 districts are likely to reach met demand with
a modern method greater than 74 percent by 2025. Indeed, based on the increase
in the modern contraceptive rate needed to achieve 74 percent or more demand satisfied with modern methods by
2025, three districts, namely, Balrampur, Basti and Shrawasti should be
prioritized as these districts are at the bottom of the table with less than 20
percent of mCPR in 2020, and need additional support to increase needed modern
contraceptive users, Uttar Pradesh demands most attention with a more than 4.5
million additional users of modern contraceptives required from 2015. Interpretation:
The identification of districts that are performing better or worse helps
decentralized planning effectively. The analysis can be generalized to
other states and districts as well as other types of population subgroups. This
can be done easily using FPET.