Contraceptive Awareness And Practice Among Women Seeking Medical Termination Of Pregnancy In Rural Areas

Abstract

Background: Family planning is a critical aspect of reproductive health, enabling individuals to make informed decisions about childbearing. Despite widespread awareness campaigns, contraceptive use remains low in rural areas due to social, cultural, and accessibility barriers. Medical Termination of Pregnancy (MTP) provides a unique opportunity for healthcare professionals to counsel women on contraceptive methods, yet many women continue to experience unintended pregnancies.

Objective: This study aims to assess the knowledge, attitude, and practice (KAP) regarding contraception among women seeking MTP in rural areas and identify the barriers to contraceptive adoption.

Methods: A questionnaire based cross sectional study was conducted at Adichunchangiri Institute of Medical Sciences, B.G. Nagara, from January 2024 to June 2024. The study included 50 women aged 18–35 years undergoing MTP. Data was collected on contraceptive awareness, sources of information, preferred methods, and reasons for non-use.

Results: Among the participants, 56% had some knowledge of contraception, yet only 40% had a positive attitude toward its use. Despite awareness, only 52% had used contraception before, and 54% of pregnancies were due to contraceptive non-use. The most commonly known methods were intrauterine contraceptive devices (24%) and male condoms (22%). Healthcare providers (30%) were the most trusted source of information, followed by family members (20%). Major barriers included myths (30% of participants) and fear of side effects.

Conclusion: Despite moderate awareness, contraceptive utilization remains suboptimal due to misconceptions, fear of side effects, and societal norms. Strengthening healthcare-based counseling and addressing misinformation through targeted educational interventions can improve contraceptive adoption and reduce unintended pregnancies in rural areas.