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High non-use of contraception among tribal and non-tribal women in North-Eastern India: alarming but neglected

Published online by Cambridge University Press:  26 September 2024

Mithun Mog Open the ORCID record for Mithun Mog [Opens in a new window] ,
Debasis Neogi Open the ORCID record for Debasis Neogi [Opens in a new window]  and
Shobhit Srivastava Open the ORCID record for Shobhit Srivastava [Opens in a new window]
Mithun Mog*
Affiliation:
Department of Management, Humanities and Social Sciences, National Institute of Technology, Agartala, Tripura, India
Debasis Neogi
Affiliation:
Department of Management, Humanities and Social Sciences, National Institute of Technology, Agartala, Tripura, India
Shobhit Srivastava
Affiliation:
Department of Development Studies, International Institute of Population Studies, Mumbai, India
*
Corresponding author: Mithun Mog; Email: [email protected]
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Abstract

Limited evidence exists about the contraception uptake in indigenous tribal groups of the north-eastern region of India. This study based on the National Family Health Survey (NFHS) IV (2015–2016) reports aimed to describe the pattern and factors associated with contraceptive non-use in the tribal women of the north-eastern part of India. The study was a cross-sectional analytical study based on secondary analysis of NFHS-IV data. All women in the age group of 15–49 years from the north-eastern part of India were included. Data were extracted and analysed using modified STATA-14 software. The association of socio-demographic and economic characteristics with contraceptive non-use was assessed using logistic regression. The inter-group differences of population characteristics for non-use contraceptives were assessed by modified Blinder–Oaxaca decomposition technique using ‘Fairlie decomposition’. A total of 65,941 women were included, of whom 34,936 (52.9%) were tribal women. The proportion of contraceptive non-use was higher in tribal women. Tribal women with age at marriage above 30 years, Christian community, and women from Assam and Manipur state had higher odds of contraceptive non-use. The decomposition analysis showed that geographical variations, parity, and Christian religion contributed the most to contraceptive use disparity in the population. A huge gap was observed in contraceptive non-use among tribal and non-tribal women in the north-eastern part of India. The healthcare system must involve community representatives in designing context-specific community-based initiatives to increase the uptake of contraceptive use in these remote vulnerable communities.

Keywords

Fairlie decompositionfamily planningtribal womencontraceptivesNorth-East India
Type
Research Article
Information
Journal of Biosocial Science , Volume 56 , Issue 4 , July 2024 , pp. 754 - 766
Copyright
© MITHUN MOG, 2024. Published by Cambridge University Press

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