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Characteristics of family planning clients in Bangladesh.


 The study objective was to establish a profile of family planning clients in Bangladesh to illustrate differences and similarities of the clients who obtain various types of contraceptives--oral contraceptives (OCs), injectables, tubal ligation, and vasectomy--in both urban and rural areas. The urban women receiving OCs attended the family planning clinics of 6 hospitals in Dacca during the 1974-77 period. The rural OC clients attended a government family planning clinic about 25 miles southeast of Dacca between 1975-77. Urban injectable clients all attended the family planning clinic of the model clinic in Dacca. Rural injectable clients attended the same family planning clinic in Matlab as did rural OC clients. Urban tubal ligation clients were randomly selected from 2 areas, Kalicakar and Kustia. Vasectomy clients were randomly sampled from the lists of vasectomy clients which attended mass vasectomy centers in Shibjuir and Shalna provinces 2 years prior to the survey follow-up. The higher mean ages of all rural contraceptive users, regardless of method, was consistent with their high parities and the small percentages of these women who desired more children. 15.6% of urban women choosing sterilization had never used contraception previously, but 93.2% of urban OC acceptors and 61.5% of the injectable clients were obtaining contraception for the 1st time. 62% of sterilization clients who had previously used contraception had been using OCs. Among the rural users of contraceptives, those using pills and vasectomy had the highest proportions of no prior use of contraception (94% and 95.7%, respectively). 42% of tubal ligation clients had never used contraception previously; 64.2% of the injectable clients indicated they had never used contraceptives. Among the OC acceptors the majority of previous users had IUDs inserted. Injectable and tubal ligation acceptors previously using contraception had primarily been OC users. In both the urban and rural areas the vast majority of tubal ligation clients (95 and 99%) said that they definitely did not want any more children. The uncertain response was more evident among the vasectomy clients. In both urban and rural areas higher proportions of OC users than of injectable clients stated that they definitely wanted more children, but about twice as many lower parity rural women selecting OCs or injectable contraceptives said that they wanted more children.
