Couple-level reports of contraception are important as wives and husbands may give different reports about contraceptive use. Using matched couple-data (N=62910), from India’s NFHS–IV (2015-16), this paper examines concordance in spousal reports of current contraceptive use and its differentials. Reporting of contraceptive use was higher among wives (59%) than husbands (25%). Concordance was low; 16.5% couples reported use of the same method, while 21% reported use of any method. There existed a huge denial from husbands on use of female sterilization. Multivariate analysis shows that concordance was low in rural and Southern India, among younger women and women with lower wealth-index. Men’s control over household decision-making and negative attitudes towards contraception were associated with lower concordance. Findings highlight the importance of using couple-level data to estimate contraceptive prevalence, the role of education programs to inculcate positive attitudes towards contraception, fostering gender equality, and involving men into family planning efforts.
Presented in Session 1. Fertility, Family Planning, Sexual Behavior, & Reproductive Health 1