KNOWLEDGE AND PRACTICES OF FAMILY PLANNING METHODS IN MAGAR COMMUNITY OF GOLBAZAR MUNICIPALITY

BY NirBahadur Ale Exam Symbol No. 4350004/2068 TU Regd.: 9-2-13-318-2002

A Thesis Submitted to Health and Physical Education Department in Partial Fulfillment of the Requirements for the Master Degree in Health Education

TRIBHUVAN UNIVERSITY FACULTY OF HEALTH EDUCATION R.R.TJ.M. CAMPUS, GOLBAZAR, 2017

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RECOMMENDATION LETTER

This is to certify that Nir Bahadur Ale conducted this thesis entitled "Knowledge and Practice on family planning method in Magar Community of Golbazar Municipality " The report and result of this thesis is his own work and he has not copied any aspect from other past thesis. I recommended this thesis for final evaluation.

Date: 10 April,2017 ------Mr. Dhanik Lal Mandal Supervisor / Lecturer Department of Health Education R.R.T.J.M. Campus Asanpur, Golbazar,Siraha

DECLARATION

I hereby declare that to the best of my knowledge this Thesis is of my original work. No. part of it was earlier submitted for the candidate of result degree to any university college or educational institution. Whatever subject matter I have presented in this thesis report, belongs to my own work except cited in references.

Date: 25 March, 2017 NirBahadurAle

ACKNOWLEDGEMENTS

I am greatly indebted to the RPRP Janta Multiple Campus, Golbazar for providing me with the opportunity to carry out this study. First of all, I would like to extend my sincere gratitude and coordinal thanks to my thesis adviser and supervisor DhanikLalMandalRPRPJantaMultiple Campus Golbazar for his continuous encouragement able guidance invaluable suggestion and patience in completing this work. Therefore, I am equally thankful to all the respondents and my all serves of my HP for their valuable support to complete this research work. Finally, I am very much thankful to the all community leader of Tetariya village and IVM computer center Golbazargave fully time this thesis book for computerizing.

Date: April 2017 NirBahadur Ale

ABSTRACT

The research entitled "Knowledge and Practices of Family Planning Methods in Magar Community of Golbazar municipality”has been conducted in . The Magars were selected for the study because the study of Magar knowledge and practices of family planning was not done till now. Besides, Magars are economically, politically and educationally backward in Golbazar municipality ward. 3.

The main objective of the study is to Lind out the knowledge and practices of family planning methods of Magar. The KP of family planning is the most important factor for launching family planning Programmers effectively.

The researcher has considered that family planning is more broaderthan birth control and contraceptive prevalence. That is why? The researcher has included responsible parenthood, girl child's education, women empowerment, maternal and child health in this study.

The research was conducted within the boundaries of Golbazar municipality ward. 3 Tetariya Villages. the total number of respondents were 92 married couples aged 20-30 years. In this study, the required information was collected with the help of interview schedule. Simple numerical and statistical techniques were used for data analysis and interpretation.

On the basis of collected data the researcher has derived the following major findings and recommendations:

Regarding the age at marriage, 48.91 percent got married before the age of 20 years.It is found that less respondents have knowledge regarding vasectomy, minilap and laparoscopy whereas 78.26. 31.52, 2.17,I.68. 1.08 percent of respondents had the knowledge of condoms, pills, Depo-Provera IUD and Norplant respectively. Majority of the Magar community had negative knowledge towards the contraceptive devices due to their cultural.It is revealed that 15.21 percent of the respondents used contraceptive devices

Knowledge and practice of family planning were affected by the socio-cultural. So education about family planning method is very necessary for the Magar community. Most of the health workers and family planning volunteers working in community level did not give emphasis on

L211;;;.■ Magar community. Therefore, community health workers should motivate the Magar community to use contraceptive devices.The NGOs, working in Siraha in the field of family planning and social welfare should conduct their services especially in Magar community. In social weather and family planning program, the communitymember should be encouraged to participate in social, educational and other related activities.

TABLE OF CONTENTS

Page No. DECLARATION i RECOMMENDATION LETTER ii APPROVAL SHEET iii ACKNOWLEDGEMENT vi ABSTRACT v-vi TABLE OF CONTENTS vii-viii LIST OF TABLES ix LIST OF FIGURES x ABBREVIATION xi

CHAPTER-IINTRODUCTION 1-8

1.1 General Background 1-4 1.2 Statement of the Problem 4-5 1.3 Objectives of the Study 6 1.4 Significance of the Study 6 1.5 Delimitation of the Study 7 1.6 Definition of the Important Terms 8

CHAPTER -II. REVIEW OF THE RELATED LITERATURE 9-12

2.1 Theoretical Literature 9-12

CHAPTER -III. METHODS OF STUDY 13-14 3.1 Population 13 3.2 Sampling Procedure and sample size 13 3.3 Tools and Instruments 13 3.4 Validation of Tools 13 3.5 Administration of the Tool 13 3.6 Method of Data Analysis and Interpretation 14 CHAPTER -IV.ANALYSIS AND INTERPRETATION OF RESULT15-3

4.1 Demographic Characteristics of Respondents 15 4.2 Family Types and Family Members of the Respondents 15 4.3 Educational Level of Respondents 16 4.4 Occupational Status 16 4.5 Age at marriage 17

4.6 Total Number of Births Number of Children 18 4.7 Knowledge of Family Planning Methods in Magar Community 18 4.8 Sources of Information about Contraceptives 19 4.9 Knowledge on Sources of Contraceptives 19 4.10 Knowledge on Specific Methods by their Name 20 4.11 Knowledge of Birth Spacing 21 4.12 Number of Children 22 4.13 Practice of Family Planning Methods in Magar Community 22 4.14 Current Use of Contraceptive Methods 22-23 4.15 Current Use of Specific Contraceptive Methods 23-24 4.16 Current Use of Contraceptive Devices According to Age 25 4.17 Current of Contraceptive to Education Status 26 4.18 Current Use of Contraceptive by Occupation 27 4.19 Practice on Breast Feeding 27 4.20 Cause of low Uses of Birth control Devices 28-29 4.21 Summary of finding 29-30

CHAPTER-V. CONCLUSION AND RECOMMENDATIONS 31-32

5.1 CONCLUSION 31

5.2 Recommendation 31-32 BIBLIOGRAPHY 33-34 Appendix-1 35-38

LIST OF TABLES

Tate No.Page

1. Family Types and Family Member of The Respondents15

2. Distribution of Respondents According to Their Educational Status16

3. Distribution of Respondents According to their Age at Marriage17-18

4. Sources of Information of Contraceptive Devices19

5. Knowledge on Sources for Contraceptive 19

6. Knowledge on Permanent and Temporary Contraceptive Devices 20

7. Average Children of a Couple22

8. Current Use of Contraceptive Devices According to Age 25

9. Distribution of Respondents by Educational Status and Use ofContraceptive26

10. Opinion about Family Planning 27

11. Duration of Breast Feeding and Colostrums Feeding27-28

LIST OF FIGURES

Figure No. Page 1. Distribution of Respondents According to the Occupation 17 2. Distribution of Respondents by their Knowledge on Birth Spacing 21 3. Current Use of Contraceptive Methods 23 4. Current Use of Specific Contraceptive Methods 24 5. Current Use of Contraceptive by Occupation 27 6. Causes of Low Uses of Birth Control Devices 29

ABBREVIATIONS

AHW Auxiliary Health Worker ANC Ante Natal Care CS Caesarean Section DOHS Department of Health Services FCHV Female Community Health Volunteer FHS Family Health Survey HA Health Assistant HI Health Institution HP Health Post ICPD International Conference on Population and Development MCHW Maternal and Child Health Worker MMMS Maternal Mortality and Morbidity Study NDHS Demographic and Health Survey PHC Primary Health Care SBA Skilled Birth Attendant SHP Sub Health Post TBA Traditional Birth Attendant TFR Total Fertility Rate UNICEF United Nations Children’s Fund VDC Village Development Committee KP Knowledge and Practice