The study was conducted in two phases. In the first phase, focus group discussions were utilized to identify all the different reasons for non-use of contraception among women identified as having an unmet need for family planning. The information obtained from these discussions was used to design questions for inclusion in the second phase, a nationally representative sample survey.
The objective of the study was to move beyond previous research on the KAP-GAP by conducting an in-depth investigation which would identify the reasons for non-use of family planning among women in Nepal who wanted to space or limit their births. This objective was realized through the application of focus group methods followed by a survey which included an open-ended question regarding reasons for non-use.
Kind of data
Sample survey data [ssd]
Unit of analysis
- Woman age 15-49 years
Producers and sponsors
Government of Nepal
Funded the study
The sample design utilized in the study was the same design used in the Nepal Fertility and Family Planning Survey (NFFS) of 1986. This multi-stage design was applied to rural and urban areas where at each stage of selection the sample was drawn on the basis of the probability proportional to the size (PPS) of the particular units.
The selection of the rural sample involved several stages. In the first stage 27 districts were selected from a total of 75 districts which were first arranged in serpentine order from east to west for Terai (Plains) districts, west to east for Hill districts and east to west for Mountain districts. The selection of districts was based on the 1981 population census and carried out with a systematic random sampling procedure.
The second stage involved the selection of two village panchayats from each district selected. At this stage a total of 54 village panchayats were selected. The third stage selected a total of 108 village wards from each selected village panchayat (i.e., 2 wards from one village panchayat). Village panchayats and wards were selected based on the number of households listed in the 1985 electoral list. At the final stage of sample selection, a complete listing of households was prepared for each selected village ward and approximately 40 households were selected with a systematic random sampling procedure.
The urban sample was also drawn at several stages. In the first stage 14 of the 29 town panchayats were selected. The Kathmandu town panchayat was selected three times because of its population size. A total of 48 wards (3 from each town panchayat) were selected at the second stage. Each of the wards selected was divided into sub-wards based on maps and field reconnaissance. This was followed by the random selection of a sub-ward and a systematic random selection of 30 households from a household list.
From the household list of the NFFS 3,836 rural households and 1,568 urban households were identified. These households were contacted to list all currently married women who resided the previous night at the house. In order to reduce the incidence of non-response, enumerators were required to make a minimum of three visits to complete the interview. All 156 sample points except one were visited to complete the survey. The reason for not completing the one sample point was an unfavorable situation for conducting interviews in the area.
Of the 3836 rural households, 89.5 percent were successfully while 81.4 percent of the 1,568 urban households were interviewed. Approximately 10 percent and 19 percent of non-responses, respectively, of rural and urban households, were largely attributed to two reasons: household not found and moved elsewhere. Altogether, 3432 rural households and 1277 urban households were successfully completed.
From the 3432 rural households, 4009 currently married women aged 15-49 years were identified as eligible women; and 1268 women from 1277 urban households were identified as eligible. Of these women, 97.3 percent in rural areas and 98.9 percent in urban areas were successfully interviewed.
Dates of collection
Mode of data collection
The survey utilized three data collection instruments, a household questionnaire, a screening questionnaire and an in-depth questionnaire. The household questionnaire was used to identify all eligible women to whom the screening questionnaire would be administered.
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Version 01 (August 2017). Metadata is excerpted from "Factor Related to Non-use of Contraception among Couples with an Unmet Need for Family Planning in Nepal" Report.