Fertility-limiting behavior and contraceptive choice among men in Nepal

Type Journal Article - International Family Planning Perspectives
Title Fertility-limiting behavior and contraceptive choice among men in Nepal
Volume 34
Issue 1
Publication (Day/Month/Year) 2008
Page numbers 6-14
URL http://guttmacherinstitute.net/pubs/journals/3400608.pdf
CONTEXT: Contraceptive choices amongmen who want nomore children have been little explored in South Asia, particularly inNepal,where fertility rates have remained high overthe lastfew decades. METHODS: Using the 2001NepalDemographic andHealth Survey couple data set,multinomial logistic regression analyses were conducted for 1,041marriedmen aged 20 or older who had atleast one living child and wanted no more children.Regressionmodels examined relationships between selected characteristics andmen’sreported contraceptive use,and predicted probabilities were estimated to assessinteractions between ecological zone,family composition andmethod choice.The primary goal wasto determine whetherthe number and sex of living children influenced contraceptive use. RESULTS: Twenty-four percent ofmen who wanted nomore children were not using any contraceptivemethod atthe time ofthe survey,30%reported thattheir wives were sterilized,12%had had a vasectomy,7%were using condoms and 27%used othertemporarymethods.The probability ofrelying on permanentmethods was highest amongmen who had atleasttwo living sons and lowest among those who had only daughters,while the probability of using no method was highest among those who had only daughters. CONCLUSION: InNepal,men who report a desire to have nomore children are likely to choose permanentmethods only afterthey have two living sons.

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