Less than one in 10 men use condoms in India, while nearly four in 10 women undergo sterilisation to avoid pregnancy, according to the latest National Family Health Survey-5 (2019-21), which also shows that female sterilisation continues to be on the rise.
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Only 9.5% of men used condoms but 37.9% of women underwent sterilisation, according to the NFHS.
Though condom use in urban India is better than rural parts, the overall trend is vastly similar — 7.6% men in rural India and 13.6% men in urban India use condoms, while 38.7% women in rural India and 36.3% in urban India underwent sterilisation.
Female sterilisation has gone up for the entire country from 36% in NFHS-4 (2015-16) to 37.9% in NFHS-5.
The States with the highest increase in female sterilisation were Bihar (14.1% points to 34.8%), Goa (13.6% points to 29.9%) and Madhya Pradesh (9.7% points to 51.9%) .
The State with the highest condom use was Uttarakhand (25.6%) and the Union Territory Chandigarh (31.1%). The silver lining, however, is that use of condoms has gone up between the two surveys — from 5.6% to 9.5%.
Female sterilisation is also the preferred choice of contraception over methods such as pills (5.1%), injectables (0.6%) and intra-uterine devices (IUD) and post-partum intra-uterine devices (2.1%).
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