Fertility and family planning in Uttar Pradesh, India: major progress and persistent gaps

• DOI: 10.1186/s12978-019-0790-x
• Publication Date: 2019-08-23T10:02:35Z
• Authors: Shiva S. Halli; Damaraju Ashwini; Bidyadhar Dehury; Shajy Isac; Antony Joseph; Preeti Anand; Vikas Gothalwal; Ravi Prakash; B. M. Ramesh; James Blanchard; Ties Boerma
• Keywords: Total fertility rate; Sterilization; Uttar pradesh

Uttar Pradesh (UP) is the most populous state in India with historically high levels of fertility rates than national average. Though UP declined considerably recent decades, current level well above government's target 2.1.Fertility and family planning data obtained from different rounds Sample Registration System (SRS) National Family Health Survey (NFHS). We analyzed trends UP, including differences methods mix, using SRS (1971-2016) NFHS (1992-2016). Bivariate multivariate regression analyses were used.From 2000, while total rate (TFR) it still 2015-16 (2.7 vs 2.18, respectively). The demand for satisfied increased 52 to 72% during 1998-99 compared an increase 75 81% India. Traditional play a much greater role (22 9% respectively), use sterilization was relatively low when averages (18.0 36.3% married women 15-49 years India, respectively 2015-16). Within district ranged 1.6 4.4, higher concentrated districts female schooling, predominantly located north-central UP. Fertility declines largest late nineties (B = 7.33, p < .001). Among currently women, traditional accounted almost one-third users 2015-16. Use but remained primary method (ranging 33 41% respectively) condom 17 16% 23 25% respectively.Greater reliance on condoms coupled modern contraception suggest inadequate access contraceptives, especially rates. activities need be appropriately scaled according geography ensure achievement state-level improvements programs outcomes.