Figure 2 Level of education, Sukh stations, Town (n = 964) Recommendations Sukh Initiative is implemented at ten stations located in No Schooling The infrastructure of reproductive health care services is dominated by four towns of , i.e. , Landhi, Bin Qasim and Primary Education TBAs. Available maternity homes and family planning services are not Malir. There are 2 stations in Landhi, 4 stations in Korangi, Middle sufficient to cater the needs of the communities. There is a high scope for 24.4 Secondary Education and above 3 stations in Bin Qasim and 1 station in . 34.6 making FP services available through building linkages with government and private sector. It is a five-year program (2013-2018), intending to increase the use of modern contraceptive methods and reducing unintended 14.2 Adequate supply and stocks of good quality contraceptive method mix will pregnancies amongst one million underserved population of result in increased uptake, decrease in discontinuation rates and improve Karachi, Pakistan. 26.8 compliance towards use of modern contraceptive methods. This will also A total of 964 married women of reproductive age were interviewed improve the quality of life for women, children and families. Socio-demographic characteristics Strategies are required to change behavior of communities towards early 49% of married women are youth (15-29 years) marriage, spacing of first birth, prevention of unplanned pregnancy, birth 34% of married women have no formal education Figure 3 Ethnic groups, Sukh stations, Landhi Town (n = 964) spacing and use of modern methods of contraception. Focus should be on Pushto, Hindko and Balochi speaking are the most prevalent ethnic group young women with low parity. 30 28.3 More than 40% of married women have 4 or more children Vulnerable groups such as certain ethnic and minority groups, young (15-29 Teen age marriage and pregnancy exist 25 years), illiterate and poor women should be provided with safety nets for Percent of women in reproductive age groups, 20 provision of family planning and maternal and child health services. Figure 1 17.5 SUKH Sukh stations, Landhi Town (n = 964) 15.9 14.3 15 13.3 30

Percentage INITIATIVE 10 25.1 7.3 25 21.1 21.6 5 3.4 20 0 Baseline 15.8 Sindhi Punjabi Pushto Hindko Balochi Others 15

* Others include: Sariki, Gujrati, Kachi, Potohari, Marwari, Brohi Assessment Percentage 10 9.2

5 4.5 Percent of married women according to number of living children, 2.8 Figure 4 Sukh stations, Landhi Town (n = 880) 0 15 – 19 20 – 24 25 – 29 30 – 34 35 – 39 40 – 44 45 – 49 years years years years years years years 60 Fact Sheet 50.4 50

40 SUKH IMPLEMENTING PARTNERS 30 23.9 Percentage 20 16.5 2015 10 9.1

0 1 child 2 children 3 children 4 or more Sukh Stations children For further information you may contact at Aman Foundation: UAN: +92 (21) 111-111-823 Landhi Town, Karachi Percent of current modern contraceptive users by age group, Percent of current modern contraceptive users by parity, Current Contraceptive Use Figure 7 Sukh stations, Landhi Town (n = 297) Figure 9 Sukh stations, Landhi Town (n = 297) MCH and FP Services (Private Sector)

Unplanned pregnancies exist in the community 29.5 Maternity homes and TBAs are the main cadres of MCH and FP services 30 60 Knowledge of modern contraceptive methods is high but use is low 50.4 Exclusive Family Planning facilities/clinics are few in number 25 50 More than 50% of married women have ever used any modern 22.1 Injections, condoms and pills are the contraceptive methods provided by contraceptive method 20 40 most of the health facilities Mostly women in the age group of 30 years or above with four or more 15.1 15.4 Provision of long-term contraceptive methods is low 15 30 living children reported current use of modern contraceptive methods 23.9 11.1 Percentage Commonly used contraceptive methods are condom, female sterilization Percentage 10 20 16.5 and injection 5.0 9.1 5 10 Current use of long-term modern contraceptive methods such as IUD and 1.7 Types of health facilities providing maternal care and family Iimplant is low 0 0 Figure 12 planning services, Sukh stations, Landhi Town (n = 43) 15 – 19 20 – 24 25 – 29 30 – 34 35 – 39 40 – 44 45 – 49 1 child 2 children 3 children 4 or more children years years years years years years years 39.5 40 Percent of married women with unplanned pregnancies, Figure 5 Percent of current modern contraceptive users by ethnic groups Sukh stations, Landhi Town (n = 97) Figure 10 Percent of current modern contraceptive users by education, Sukh stations, Landhi Town (n = 297) 30 27.9 20.0 Figure 8 Sukh stations, Landhi Town (n = 297) 20.0 35 33.1 20.9* 20 80 30 19.9 Percentage 64.6 19.8 25 23.0 10 7.0 60 4.7 19.7 20 0.0 0.0** 0 Percentage

19.6 19.6 Percentage 13.9 40 35.4 15 12.8 Maternity TBA home Health Hospital with FP Birthing Health house 19.6 homes center maternity care clinics homes (LHW)

Percentage 10 19.5 * Health center is general clinic providing antenatal care only. 20 4.7 ** Birthing Homes are small houses in the communities where maternal care is provided by skilled birth attendants, 5 3.4 such as midwives, LHVs, nurses, or doctors in their own homes. 19.4 Landhi Station 8 Station 9 0 0 Uneducated Educated Punjabi Sindhi Pushto Balochi Hindko Others * Others include: Sariki, Marwari, Potohari, Gilgiti, Gujrati, Burmi, Bangali Percent of facilities providing modern contraceptive methods by type Percent of women with knowledge, ever use and current use of modern Percent of current modern contraceptive user by type of method, Figure 13 of methods, Sukh Stations, Landhi Town (n = 22) Figure 6 contraceptive methods at Sukh stations, Landhi Town, (n = 964) Figure 11 Sukh stations, Landhi Town (n = 964)

Knowledge Ever use Current use Landhi Station 8 Station 9 40 36.4 98.4 98.3 98.1 30 100 27.1 31.8 25 30 27.3 80 20 59.3 59.4 59.3 20 18.2 60 15.3 50.7 15 13.8 Percentage Percentage

Percentage 40 30.8 31.4 30.2 10 10 5.9 4.5 4.5 4.5 5.4 4.8 4.8 20 5 4.3 3.7 3.7 3.3 2.8 2.2 1.9 2.2 1.6 1.1 1.6 1.1 0 0.6 0.0 0.0 0.0 0.0 0 0 Injection Pill Condom IUD Implant Female Male Condom Female Injection Pill IUD LAM Implant Male Sterilization Sterilization Landhi Station 8 Station 9 Sterilization Sterilization