{nian Journal of Comenunity Macicine Vo. XXV, Not, Jan.-Mar., 2000, A STUDY OF NEVER USERS OF CONTRACEPTION FROM AN URBAN SLUM OF DELHI A. Khokhar, N. Gulati Department of Preventive and Social Medicine Maulana Azad Medical College, Delhi. Abstract: [serch ution: Wit ee fics hh ance women am nan sum Deh ao «tof conception? Once: Tostny Be oe fr ver ee of conacpay er mal women ithe poo 155 9e Sy dg Canesten Seng anand teen Dayal Upayay Marg. De Parpnes: l he0cer marie women nthe se opt 159 ye Sty vara Ly an eigon wer sai ent lor never twa tot conception Sats nae Poseamge css Rls 613 fhe sy sajers ere never es of comeepton Litas ofl pus. reon and work ats wee ‘wnt wih Gourcep ate ane ifcce was stecaly gnc 01) 73% he rad enone he ‘aunt ef se lei fone on 1.78 weeps contac 8 he al jer a | totnowicgs a sy meno a cone a Key Words: Never users, Contraception, Side effects, Knowledge about contraception, Slum dewellers. Introduction: the present study was undertaken amongst slum dwellers to Since the launch of the nationwide family planning fEVeal the various factors which have a bearing on use of programme in 1951 attempts have been made from time to contraception. time to encourage the women to accept and adopt contraception. Insite of efforts of the programmers there are women who have never used a method of family planning throughout their reproductive life and there are than who are likely to follow thir footsteps. Reports from '0eatedat Deen Dayal Upadhyay Marg, Delhi, The area has Other pats ofthe workd te. Guatemala, Mali Senegal, 2 ‘3! population of approximately 3.500 and consists Nigeria and Pakistan have shown that more than 80% of teal of migrants from neighbouring states of UP, Bihar women with unmet need have never used contraception’, a4 HP. Allthe 440 ever married women in the reproductive The reasons for never use of contraception may be multiple age group of 15-49 years were included. It was acommunity Which iF studied im detail can help the programmers to based eross sestional study conducted during 199697. A devise specific strategies to overcome these barriers and preested prestructured proforma was used to collect the help in better implementation ofthe programme. Therefore, information from the target population laterial and Methods: ‘The present study was conducted in an urban slum 2Indian Journal of Community Medicine Vol. XXV, No.1, Jan -Mar., 2000 Results: ‘Table I: Distribution of study subjects by socio demographic factors Ever users ‘Never users No. (%) No. () 170(38.64%) 270(61.36%) Literacy Self Literate 44(55) 3645) 80 Wiverate 126035) 23465) 360 Husband Literate 88(66.66) 44(33.33) 132 Miterate 82(26.62) 2673.37) 308 Religion Hindw 109(45.99) 128154) 237 Muslim 61(30.04) 142(69.95) 203 Work status of sel” Employed 48(63.16) 28(36.84) 76 Unemployed 122(33.52) 242(66.48) 364 Type of family Nuclear 80(39.6) 122(60.4) 202 Joint 9037.8) 148(62.18) 238 Income Upper lower 114(40.14) 170(59.86) 284 Lower 56(35.89) 100(64.1) 156 Out of a total 440 ever married women 170(38.64%) use and the difference was statistically significant were ever users of contraceptives and 270(61.36%) were _(p<0.001). Religion and work status of the study subjects never users. Literacy status ofthe study subjects and that of also showed an ass their spouses showed an association with the contraceptive which was staistically significant (p<0.001), ‘Table I: Never users of contraception by reasons. “ation with the contraceptive use Reasons for never use of contraception” No. % Scared of side effects 204 7555 Ignorance (about use) ng 43.70 Religion 86 3185 No knowledge 70 25.92 Opposition from other family members 38 1407 Opposition from husband 24 8.88 Toul 540" Never users n=270; “Multiple responses "Never users of contraception in urban slum of Delhi a Khothar A. oto!Indian Journal of Community Medicine Vol. XXV, No.1, Jan-Mar, 2000 ‘Asmany as 204(75.55%) women mentioned the main effects. 62(22.9%) women felt opposition from their reason for never use of contraception to be fear of side husband or other family members. Table III: Proportion of never users of contraceptive method by their reason for never use of these methods Contraceptive method ‘Contraceptive method ( Oral contraceptive pills No. % (Gil) Copper-T No. % (n=204) ‘Menstrual disturbance 3215.69 Increased bleeding ne 549 ‘Weakness Is 735 Backache 94 46.08 Headache/nausea 10 491 Displaces into abdomen 64 3137 Weight gain of 196 Fear of pregnancy 28 13.72 Pain abdomen 4 11.76 Falls 23 M27 Total 6 Total 345 (ii) Condom No. % (iv) Sterilization No. % Pregnancy 26 12.75 Loss of wages 470.59 Pain 14 6.86 Pain abdomen 141 69.12 Dis-satisfaction 7 343 ‘Scared of the 862.75 Burst 4 1.96 procedure/anaesthesia 116 56.86 Inconvenience 3 147 Weakness 9 24.02 Menstrual disturbance 28 13.72 Prognancy Total 34 Total 606 ut of total of 204 women who had cited fear of side insertion was an important factor. With condom use far of effects to be the reason for never use of contraception as ‘many as 144(70.58%) of them mentioned loss of wages to be the reason for non adoption of sterilization, 112(54.95) Somtraceptives menstrual disturbance was mentioned by revealed that increased bleeding associated with CuT 15.699 ofthe subjecs pregnancy was cited as the main reason while for oral "Never users of contraception in urban sium of Delhi 2 Khothar A. at a