ROLE OF SOCIO-DEMOGRAPHIC AND CULTURAL FACTORS IN KNOWLEDGE, ATTITUDE AND PRACTICE OF USERS ABOUT FAMILY PLANNING METHODS AND SERVICES, RENDERING FROM RURAL PRIMARY HEALTH CARE CENTRE OF BANGLADESH

Background: The socio-demographic and cultural factors closely related with Knowledge, Attitude and Practice (KAP) of users at rural setting. Unfortunately studies on KAP of women about Family planning services from rural setting are almost absent. This study was designed to determine the responsible factors role on KAP of users for receiving family planning services from rural setting of Bangladesh. Methods: Qualitative descriptive analytical study was employed to follow a structured questionnaire format. A total 420 users were interviewed from two unions. Relevant literatures were reviewed to enhance our understanding of the issue in question. The questionnaires were pretest before finalization and it's has both open and close-ended questions. Results: The knowledge of users (87%) was mostly universal, while community women were more advanced than men. The unmet need for contraception's remains about 16% and 40% of mothers to have unintended births. Of all users, Pill was most known methods (68%), although IUCD (18%) and condom (14%) methods were common at community. Side effect (69%) and husband disapproval (31%) was barrier of practice of FPMs, although space for child bear (37%), health problems (30%), financial problems (25%) and education (8%) were push factors to users. Approximately 40% respondents travelled more than 4 kilometer to getting services. Factors were found to be significantly associated with KAP of users were: education (X2=29.73; p<0.001), occupation (X2=16.67; p<0.001) income (X2=17.61; p<0.011) family size (X2=25.44; p<0.022) distance(X2=18.75; p<0.013) cultural beliefs (X2=23.84; p<0.001, and accessibility (X2=23.67; p<0.00). Poor practice (44%) associated with schooling of users. Conclusion: Regular yard meeting with users' community and services allied persons may be arranged at community levels for upgrading the existing KAP. Stakeholders' from different ages, genders, and socioeconomic groups have to be engaged to promote evidence-based services. Extensive education and communication programs are needed to address family planning methods and services.