Vol. IX, Population and Development in Nepal, February 2002

Unmet Need For Family Planning Services: A Study Of Doti District
Bal Kumar KC
Ram Sharan Pathak
Govind Subedi
Yogendra Gurung
Keshab Adhikari
Pushp Kamal Subedi
For this study, a total of 18 VDCs including Dipayal-Silguri municipality of Doti district of Nepal were selected and altogether 1,600 households were enumerated from which 1,536 currently married women aged 15-49 years were interviewed. Two types of questionnaire: household and individual were used in this survey and contents and design of the questionnaire were based on the DHS model B questionnaire. Both contraceptive prevalence rate and unmet need for family planning in Doti district is found very much lower as compared to the average figures of Nepal. The main reasons for low met and unmet need for family planning services are the low access to family planning services in association with extreme deprivation of females from the basic capability like education and basic health services.

Working With The Young People On HIV/AIDS: FPAN's Experiences
Nirmal K. Bista
There is growing recognition that because of a combination of biological, psychological and social factor young people face various health risks and problems such as STDs including HIV/AIDS, early and frequent pregnancy, substance abuse, accidents and violence. On the other hand young people are usually very energetic and receptive to information that pertains to them and anxious to become more autonomous in their decision-making. Such curiosity and interest in learning offers great opportunities for improving young people's health and development. Based on the long experiences of the Family Planning Association of Nepal (FPAN) on reproductive health field, the major problems being faced by young people in Nepal are discussed in this paper.

Family Planning Programme In Nepal: Achievement And Constraints
Sunil Acharya
This paper reviews the national family planning programme in Nepal since it's initiation in the late sixties. The paper reviews the government population and family planning policies during the 1990s and looks at the progress made in achieving the policy objectives and programme targets. The paper concludes that though a modest progress has been made but a lot still needs to be done in order to achieve the family planning policy objectives.

First Method Of Family Planning: A Neglected Information By Health Planners And Service Providers In Nepal
Laxmi Bilas Acharya
This study has analyzed the use of the first method of family planning utilizing data from various national fertility and health surveys conducted in Nepal. Mainly the timing, type and purpose of using the first method are analyzed. Study reveals that most of the women/couples use family planning for the fist time only when they have a large number of living children. However, the young cohort of women is coming forward to start contraceptives in low parities. Mostly women without education and living in rural areas are likely to start family planning with a purpose of limiting births. Study indicates that family planning programmes in Nepal have not made proper use of the timing and type of first method of family planning information. This has hampered to achieve the goal of improving the health status of women and children by the use of family planning services in Nepal. Therefore, study suggests that current family planning programmes should divert their efforts to promote reversible methods of family planning right after the marriage of the couple.

A Conceptual Framework To Evaluate Government Family Planning Programme Efforts In Nepal
Ram Sharan Pathak
This article provides a comprehensive discussion of the multiple dimensions of family planning efforts and suggests an appropriate framework to evaluate government family planning programme efforts in Nepal. Guided by the Lapham-Mauldin's framework as revised by Entwisle, the author proposes a model of how a comprehensive and detailed case study might be done.

Evaluation Of Family Planning Programmes In Nepal Using Index Of Contraception
Dhanendra Veer Shakya
This paper attempts to evaluate family planning programmes in Nepal using one of the indices (index of contraception) of an aggregate fertility model of Bongaarts and Potter. The effect of contraception on natural fertility is analyzed for both current users currently married non-pregnant women aged 15-49 years using any modern method, and current users currently married women aged 15-49 years using any method. It is observed that the role of contraception is significant on reducing the level of fertility in Nepal. The contribution of contraception on reducing fertility from the natural level is found increased from 2.98 to 37.52 per cent for the earlier women over the period of 1976-2001; and that for latter women is increased from 23.17 to 37.10 per cent in the decade 1991-2001.

Fertility Behaviour And Knowledge, Perception And Current Use Of Modern Contraceptive Among Adolescent Girls Bikash Ghimire and Laxman Singh Kunwar
The main objective of this study is to examine the level of fertility and current use of contraception, knowledge and perception of currently married among adolescent girls of Padmakanya Multiple Campus. Available data indicate that the majority of adolescents get married at age of 24. The age at marriage of adolescent under the study is high. The high age at marriage in campus level students may be due to social change, modernization and educational background. CEB of the adolescents are found 0.070, which indicates that they have fewer children. The use of contraceptive method among adolescent girls is low (55.0%) as it is compared with the knowledge of contraceptive method and educational level.

A Note On Family Planning Programme In Nepal
Laxmi Raj Pathak
The basic objective of this article is to provide a note on family planning programme in Nepal. Besides providing background to the programme, this article includes objectives and targets of the ninth plan (1997-2002), family planning programme status, family planning strategy and issues and challenges.

How To Triangulate Quantitative And Qualitative Information: Methods Of Interpretation
Pushp Kamal Subedi
This note describes the method for triangulating quantitative and qualitative information as well as the methods of interpretation. It emphasizes how family planning programmes are to be examined by the combination of both methods.
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