# Contraceptive Use Patterns and Associated Determinants in a Rural Population of Narayanganj District, Bangladesh

## TL;DR

This study examines contraceptive use in rural Bangladesh, finding that men often make family size decisions while women manage contraception, with barriers like lack of education and gender roles affecting usage.

## Contribution

The study provides insights into gender dynamics and cultural barriers influencing contraceptive use in rural Bangladesh.

## Key findings

- 69% of married couples in the study used contraceptives, with women being the primary users.
- Husbands were seen as the main decision-makers for family size, while wives managed contraception.
- Barriers included lack of sex education, fear of side effects, and male noncooperation.

## Abstract

Contraceptive use patterns in rural communities are shaped by a complex interplay of social and economic factors. In Bangladesh, there is a significant disparity in birth control use between rural and urban areas. This study aims to explore the patterns, practices, and barriers to contraceptive use in a rural community, with the goal of bridging gaps and promoting sustainable development.

This study combined quantitative and qualitative methods to explore contraceptive use in a rural Bangladesh community. It involved a cross‐sectional survey to assess patterns and perceptions of contraceptive use, followed by focus group discussions (FGDs) to explore practices and barriers within the community.

This study involved 100 married couples from a rural Bangladeshi community, with 69% reporting contraceptive use. Most contraceptive users (81.2%) were women, with oral pills being the most common method. Decisions regarding family size were typically made by husbands (63%). FGDs revealed that husbands are seen as the primary decision‐makers, whereas wives are responsible for contraception. Barriers included lack of sex education, fear of side effects, and noncooperation from husbands, with some women feeling dependent on their husbands to obtain contraceptives. These findings highlight significant cultural and gendered factors affecting contraceptive use in rural communities.

This study highlights how social, economic, and demographic factors shape contraceptive use in rural Bangladesh. These challenges stress the need for gender‐inclusive, culturally tailored interventions to improve contraceptive use and empower rural communities.