More than half of married women in Rajasthan use modern contraceptive methods like pills, male condoms, female condoms, female sterilization, male sterilization, injectables, emergency contraception and IUDs. About 56.2 percent of married women in the state are using these methods.
PMA2020 project is being implemented in Rajasthan by the IIHMR University with overall direction and support of the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health, U.S.A. It uses innovative mobile technology to routinely gather rapid-turnaround, cost-effective population data on family planning and water, sanitation, and hygiene.
It has been found by PMA2020 that female sterilization remains the most common form of contraception in Rajasthan with 65 percent of married modern method users are sterilized.
While female sterilization remains the most common method, some women are opting to use short-acting forms of contraception, such as birth control pills and male condoms. Of married women who use modern contraception, 9.9 percent report use birth control pills and 19.3 percent report use male condoms. Long-acting methods that are reversible are not widely used. While many public service delivery points have supplies for IUD insertion and removal, the acceptance is still low, and only about three percent of married women use a modern method have an IUD. Injectable use has increased slightly, most likely due to its recent expansion in the state.
Dr Anoop Khanna said, “Despite these gains, disparities remain between the wealthiest and poorest women in Rajasthan, with unmet need highest among the poorest women (16.9 percent). Additionally, access to long-acting methods continues to be a challenge, with few public and private health facilities (SDPs) offering sterilization and IUDs”.
As far as equity and gender parity in matters of contraception choice is concerned, it has been found that a large proportion of women choose a method of contraception with a partner. Of the 85.6 percent of women using contraception who chose the method either themselves or with their partner, 58.6 percent are choosing their method jointly with their partner and 19.5 percent of women using contraception chose the method themselves. Based on the survey results, poorest women are more likely to choose a method alone (26.0 percent) compared to the richest women (19.4 percent) although in general choosing a method alone is less common than a joint decision.
More than 87 percent of public facilities offer at least three modern contraceptive methods among public facilities surveyed, and 35 percent offer five or more modern contraceptive methods. About 98 percent of Community Health Centers (CHCs) and about 97 percent of Primary Health Centers (PHCs) in Rajasthan offer three or more methods, while about 97 percent of public hospitals offer five or more methods.