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Hormonal contraceptives are complicated reproductive technologies – both biologically and socially. Deeply embedded in global political-economic agendas and historically underpinned by eugenic movements, hormonal contraceptives have a social life often beyond their intended or imagined uses. Because so much of the discussion around contraceptives focuses on their complex history and volatile present, there has been minimal space to talk about the future of hormonal contraceptives. In this chapter I show that while the past and present are complex, the future is even more so!

As the threat of climate change becomes more palpable, two key anxieties (re)surface. First, a fear around growing populations in the Global South (while in reality Total Fertility Rate (TFRs) are in decline) and second, that of a hormonal body out of sync in the face of environmental changes. Similar anxieties have historically mobilised draconian ‘family planning’ measures in countries (like India) in the first instance. And in the second instance, hormonal manipulations to find ‘balance’ in the body, as opposed to balancing (or coming to a reckoning with) contemporary environments with/in which the body exists.

This chapter is an attempt to bring to the fore the importance of studying hormonal contraceptives in environmentally unstable times. To imagine a space beyond coercion or ‘choice’ as variously imagined, when it comes to reproductive justice vis-à-vis hormonal contraception. I suggest that, just as contraceptives have allowed us access to conversations about both women's autonomy and reproductive control, they now allow us to unpack the limits and potentials of hormonal management via the hormonal contraceptive pill.

Family planning (FP) services through the lens of human rights are not well known in Nepal. This study aims to assess Family Planning 2020: Rights and Empowerment Principles for Family Planning and identify factors affecting contraceptive use among HIV-infected women living in rural Far Western Nepal.

This study conducted a cross-sectional survey using self-designed proforma. To assess the association between contraceptive use and independent variables, this study calculated adjusted odd ratio (AOR) with 95% confidence interval (CI) using statistical package for social sciences (SPSS) V.20.

Only 37.8% of participants had access to full range of contraceptive methods, and only 57.5% of participants received proper counseling. Agency/autonomy, transparency/accountability and voice/participation were practiced by 43.7%, 23.4% and 19.7% of participants, respectively. Husband’s support (AOR = 4.263; 95% CI: 1.640–11.086), availability of FP services in their locality (AOR = 2.497; 95% CI: 1.311–4.754), employment (AOR = 3.499; 95% CI: 1.186–10.328) and postpartum period (AOR = 0.103; 95% CI: 0.023–0.475) were significantly associated with contraceptive use.

Health-care providers’ and program managers’ perspectives were not examined.

Findings of this study will be useful for making strategic plan on human rights-based approach to FP.

Expanding access to contraceptive information and services and strengthening autonomy, accountability and participation are key to human rights-based approach to FP.

This study identified that inadequate counselling, nonavailability of full range of contraceptive methods, low level of autonomy, accountability and participation were key bottlenecks in fulfilling human rights-based approach to FP.

Concern about side effects is one of the most commonly cited reasons for women’s non-use of contraceptives in sub-Saharan Africa, and the most common reason why women discontinue family planning. While studies find that some of women’s worries about contraceptives are based on distressing side effects, such as menstrual disruption, nausea, weight gain and delays in fertility, researchers frequently focus on misinformation spread by rumour. These studies decontextualize women’s concerns from the larger gendered context of their lives. Drawing on ethnographic field research carried out in northern Ghana with a feminist approach to understanding reproduction, this chapter examines women’s concerns about side effects, and the impact of these concerns on family planning practice. I show that despite anxiety about side effects, and their real physical, social and economic consequences, some women’s conceptions of the action of contraceptives on their bodies are pragmatic. Ethnogynecological perceptions of the importance of blood matching, combined with the importance of having small families for economic success, often encourage contraceptive use and mitigate the action of side effects rather than prompt non-use or discontinuation.

I begin my historical analysis of the co-evolution of reproductive norms and desires, approaches to fertility control, and the meaning assigned to contraceptives with an examination of the Grafenberg Ring, the first modern IUD. The Grafenberg ring, developed in the late 1920s by a German doctor, Ernst Gräfenberg, was a small ring made of silkworm gut and coiled silver that can be compressed to be inserted into the uterus. The Grafenberg ring appeared at a time when changes in social attitude towards sexuality had formed a favorable climate for a new contraceptive method. The device was greeted with much interest from the European birth control movement, and Gräfenberg was invited to speak at the Third Congress of the World League for Sexual Reform held in London in 1929 and at the Seventh International Birth Control Conference in Zurich in 1930 (Davis, 1971).

In Egypt, the IUD is the most common contraceptive method since 1988 and has remained so despite a recent drop in its share from 59.9% in 2008 to 51.5% in 2014 in favour of hormonal methods, which increased from 19.7% for pills and 12.3% for injectables in 2008 to 27.4% and 14.5% in 2014 according to 2014 Egypt demographic and health survey (EDHS). The recent shift away from intrauterine contraceptive device (IUDs) to hormonal methods have contributed to increased discontinuation. This paper aims to answer three questions: To what extent does the method type influence the hazard of contraceptive discontinuation in Egypt? Is the interaction between method type and duration of use a predictor of the probability of discontinuation after controlling other variables? What are the other important background variables that affect the hazard of contraceptive discontinuation?

Using data from EDHS2014, separate multilevel discrete-time proportional hazard models for events of interest (abandoned use while in need, switched to another method in the month following discontinuation and method failure) were built.

Only IUD users are significantly less likely to abandon use while in need and to experience method failure and a reduced risk of switching. During the first 6–10 months of use, all types of discontinuation can be significantly reduced for all three methods. Demographic variables do not significantly affect abandonment but strongly affect switching and significantly affect failure. Socio-economic variables do not significantly affect abandonment and switching. Exposure to media has a significant effect on abandonment but not on switching. Community contraceptive prevalence rate strongly affects switching.

Results confirm that the counselling should be more intense during the first year of method use and should pay special attention to women who are 25 years old and above and those who have two or more children. Also, media campaigns are important and especially those addressing the issue of abandoning while in need.

This study aimed to determine the prevalence of and factors associated with contraceptive use among school-going adolescents.

A cross-sectional study was conducted among vocational school students in Phitsanulok, Northern Thailand. The study employed a multistage random sampling technique to select 391 students from three schools that were purposively selected.

The prevalence of contraceptive use during the most recent sexual intercourse was 75.8%. The condom was the most commonly used contraceptive method, followed by emergency pills and the rhythm/calendar method. Being male, in the second academic year, sexual communication with parents, sex with a casual partner or sex worker and contraceptive use at sexual initiation were significant risk factors for contraceptive use (p < 0.05). The preventive factors were subdistrict municipality area residency, extended family, medium or high income and partners who drank (p < 0.05).

The authors found a high prevalence of contraceptive use among school-going adolescents. Maintaining and improving this trend would require a concerted effort from all stakeholders to promote early sexuality communication and ensure access and use of contraceptive services.

This study aims to explore the effect of mass media exposure on women contraceptive adoption. The intent was to show how factors affected contraceptive use, such as education, standards of living, etc., behave differently across the poverty line.

Logistic regression was used to test the effect of exposure of various mass media on contraceptive adoption. Indian Human Development Survey (2005) was used for the analysis. Analysis was performed to compare results across the poverty line.

Television exposure was found to be significant, and it had a strong effect on the likelihood that the family uses contraceptives. Newspaper readership was found significant above the poverty line and insignificant below.

The present study only analyzes cross-sectional data. A longitudinal study would be better suited to determine how these factors affect contraceptive use over time.

The findings of this study can be useful in designing more effective media mix for the communications aimed at increasing contraceptive use in India.

The findings show the divide between the population segments above and below the poverty line. Low education levels, affordability issues and son preferences are the major factors deterring contraceptive use at this level.

This is the first study to separately study the population samples across the poverty line. Compared to previous studies which focuses heavily on one media, this analysis includes other media variables and focuses on a variation of these factors across the poverty line.

This study aims to estimate the degree and nature of socioeconomic-related inequalities in sexual and reproductive health in Ghana and further assesses causes of these inequalities using decomposition technique. The authors assess the contribution of personal characteristics of the woman including access to health information and health seeking behaviours, household and locational characteristics to inequalities in sexual and reproductive health in Ghana. The study uses data from the three rounds of the Ghana Demographic and Health Survey conducted in 2003, 2008 and 2014.

Two indicators – use of modern contraceptives and intention to use modern contraceptives – are used to measure sexual and reproductive health of sexually active women. A wealth index, based on household ownership of assets, consumer goods and living conditions, is used as a measure of socioeconomic status. The paper estimates a concentration index to the relationship between cumulative health and socioeconomic rank. Paper procedures to apply decomposition techniques to determine the causes of socioeconomic inequalities in health based on a linear health regression model.

The study finds evidence of varying degrees of socioeconomic-related inequalities in sexual and reproductive health indicators. Specifically, the study finds that whilst use of modern contraceptives was concentrated among women in households with high socioeconomic status in 2003 and 2008, modern contraceptive use was prevalent among women in low socioeconomic status households in 2014. Equally, the study finds significant pro-poor inequalities in the intentions to use modern contraceptives in 2003 and 2014. The degree of socioeconomic inequalities in the intentions to use modern contraceptives increased between 2003 and 2014.

There is the lack of evidence on the degree, nature and causes of socioeconomic-related inequalities, which in tend impedes the design and implementation of sexual and reproductive health policies targeted at vulnerable and under-served populations. In addition, there is the need to study inequalities in health over time to monitor progress of health delivery systems towards equitable and universal coverage and understand the evolution of the determinants.

The purpose of this paper is to examine the effects of social networks on contraceptive adoption in Bangladesh.

Data were collected from 430 couples; the age of men was between 15 and 49 years. χ² test was applied to test the association between independent variables and current contraceptive use. Binary logistic regression was applied to examine the effects of social network on contraceptive use, and multinomial logistic regression was applied to examine the effect of social network on the choice of method.

Results from binary logistic regression reveal that social networks of both men (OR=2.71, 95% CI=1.371−5.354) and women (OR= 3.597, 95% CI=1.754−7.380) had a strong positive effect on current contraceptive use. The result from multinomial logistic regression also shows that men’s social network (OR= 2.74, 95% CI= 1.356−5.548) and women’s social network (OR=4.165,95% CI=1.958−8.860) were also associated with choosing a modern contraceptive method.

Social networks have a significant effect on current contraceptive use and modern method choice in Bangladesh. A social network approach should be included in family planning program in Bangladesh.

The main goal of the paper is to study the effect of intimate partner violence on wives' participation in adopting modern contraceptive as a method of family planning in India.

The authors' analysis uses data from the NFHS‐III (2005‐2006) based on a nationally representative sample of 109,041 households, and 124,385 women (15‐49 years). The sample covers 99 percent of India's population living in all 29 states. Both bivariate and multivariate techniques have been used to analyze data. The bivariate analysis in the form of scatter diagram has been used to examine the association between “use of modern contraceptive” and “spousal violence”, while multivariate analysis in the form of logistic regression has been carried out to assess this association after controlling other variables.

The study reveals that spousal violence negatively affects wives' participation in adoption of modern contraceptive, but that their knowledge of contraceptive, religion, and level of women empowerment should be taken into account as well. Women with higher knowledge about contraceptive have been found to use more modern contraceptive. Muslim women have relatively lower modern contraceptive prevalence rate and they have an inclination for traditional methods. Similarly, modern contraceptive prevalence is lower among women who enjoy relatively higher empowerment. In fact, it has been found from the study that women empowerment has a high positive correlation with traditional contraceptive prevalence rate.

This paper is the first attempt at examining the association between spousal violence and contraceptive behaviour in India on a national basis covering every corner of the country. The findings of the study clearly stress the importance of spousal violence prevention measures as supplemental to family planning measures. However, it will be erroneous to assume that mere passing of bills in the parliament and making laws will solve the problem which is deeply rooted in the society.