Abstract:
This study aims to investigate the factors that influence women’s decision in
selecting contraceptive methods in Pathein Township of Myanmar. Data used are
obtained from the survey conducted by Marie Strope International Organization.
Samples of this study are 562 married women of reproductive age who were currently
using any contraceptive method. Women’s socioeconomic, demographic
characteristics, knowledge of contraception and availability and accessibility of
contraception were taken as explanatory variables. The dependent variable is
contraceptive method choice, which is divided into three categories: short-term, longterm
and permanent contraceptive method. Cross tabulation and multinomial logistic
regression were carried out to examine the effects of independent variables on method
choice.
Results of bivariate and multivariate analysis were consistent. They showed
that age, residence, source of information, source of service and travel time have
significant effects on women’s choice of the contraceptive method. Women with
younger age were more likely to use short-term method than permanent method. Rural
women were less likely to use long-term and permanent method compared to urban
women. Knowledge on type of contraception had positive effect for the choice of
permanent method over long-term method. Radio, television, booklet and health staffs
/ health talks had a positive effect on long-term method over short-term method.
Source of service and travel time had a positive effect on long-term and permanent
methods over short-term method.
Therefore, it is suggested that younger women who have completed their
family size should be encouraged to use the permanent method. The coverage of radio,
television and booklet should be increased especially in rural areas. Government
hospitals should be encouraged to recommend the long-term and permanent method.
Health personnel at government hospitals should get training to provide for the
permanent method and insertion of IUD. It is necessary to improve transportation
conditions especially in rural areas to access to district hospitals and township
hospitals for the long-term method (IUD) and the permanent method namely
sterilization.