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Abstract Content (not more than 300 word, should include: Introduction, Objective, Methodology, critical findings & Conclusion):
Introduction: The information shared during a contraceptive visit is crucial because it helps clinicians understand the clients' goals regarding reproduction and ensures that clients are adequately informed about available techniques, potential side effects, and issues linked to them. Objective: This study aims to analyze the progress and equity in informed choice methods received by women in Uttar Pradesh and its districts. Methodology: The fourth and fifth rounds of National Family Health Survey data with sample sizes 97,661 and 93124, respectively, from Uttar Pradesh, were used to calculate the Method Information Index (MII), a Family Planning 2020 indicator that reflects some aspects of contraceptive information exchanged between providers and clients. For each district, the MII was calculated from two surveys about five years apart to examine change in the indicator over time. Afterward, univariate, bivariate, and difference methods were used for the analysis. Critical Findings & Conclusions: The results show substantial progress in contraception-related information exchange: side effects increased from 47% to about 70%, what to do when experienced side effects rose from 36% to 58%, information of other methods to use grew by 23 percentage points, and the comprehensive MII surged by 23 percentage points. Results show a notable 32-point increase in information for pill users, exceeding gains for IUD (12 points) and female sterilization (20 points). Women obtaining contraceptives informally exhibit a higher MII at 62%. Younger women (15-19) saw a substantial increase to 67%, a rise of over 50 points. Balrampur, Hamirpur, Sultanpur, and Siddharthnagar experienced significant MII increases, while Allahabad (Prayagraj), Moradabad, and Firozabad witnessed significant decreases. Many districts have room to increase provider-client information exchange based on the MII. Programs and donors would need to work together to make such improvements.
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Department of Fertility and Social Demography, International Institute for Population Sciences, Mumbai-400088, India