scholarly journals Determinants of unmet need for family planning among married women in Zambia

2020 ◽  
Author(s):  
James N. Mulenga ◽  
Bupe B. Bwalya ◽  
Mulenga C. Mulenga ◽  
Kakoma Mumba
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Married Women ◽  
Planning Problem ◽  
Demographic Health Survey ◽  
Level Of Education ◽  
Contraceptive Side Effects ◽  
Logistic Regressions ◽  
Living Children

Unmet need for family planning remains a major family planning problem in most countries around the world. It presents serious consequences for the women, their families and society at large. This study was undertaken to establish the factors that affect total unmet need for family planning and its components in Zambia. This study used the 2013/14 Zambia Demographic Health Survey (ZDHS) dataset focusing on currently married women aged 15 to 49. Data analysis took the form of descriptive, binary logistic and multinomial logistic regressions. The study shows that although there has been a substantial increase in contraceptive use, combined unmet need for family planning has only decreased slightly over time and currently stand at 21%, made up of 14% limiters and 7% spacers. Various factors were identified as determinants of unmet need for spacing, limiting or total unmet need for family planning. These included age, partner’s level of education, contraceptive side effects, husband opposition to contraceptives and number of living children. To enhance utilization, policy should not be blind to the respective factors that influence combined unmet, unmet need for spacing and limiting.

scholarly journals Factors Associated with Unmet Need for Family Planning among Married Reproductive Age Women in Toke Kutaye District, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala
Keyword(s):  
Family Planning ◽  
Maternal Education ◽  
Health Workers ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.

DESIRE FOR MORE CHILDREN, CONTRACEPTIVE USE AND UNMET NEED FOR FAMILY PLANNING IN A REMOTE AREA OF BALI, INDONESIA

2010 ◽  
Vol 42 (4) ◽  
pp. 549-562 ◽  
Author(s):  
MELLISSA WITHERS ◽  
MEGUMI KANO ◽  
GDE NGURAH INDRAGUNA PINATIH
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Multivariate Logistic Regression Analysis ◽  
Reproductive Age ◽  
Access To Health Services ◽  
The Past ◽  
Access To Health ◽  
Living Children

SummaryExploring fertility preferences in relation to contraceptive use can increase the understanding of future reproductive behaviour and unmet family planning needs. This knowledge can help assist women in meeting their reproductive goals. The influences on the desire for more children and current contraceptive use were examined among 1528 married women of reproductive age in an isolated community in Bali, Indonesia, using multivariate logistic regression analysis. Women who were younger, had fewer living children, had given birth in the past year and had regular access to health services were more likely to desire children. Being older, having fewer living children, not having regular access to health services, having given birth in the past year and having the desire for more children were associated with a lower likelihood of using contraception. Women with regular access to health care are more likely to desire more children, probably because they are confident in their ability to have successful birth outcomes. However, specialized clinics or family planning outreach workers may be required to reduce barriers to service utilization among some groups. The findings of this study identify key target populations for family planning, including older women and postpartum women – groups that may not perceive themselves to be at risk for unintended pregnancy. Meeting unmet need for family planning among these groups could help women meet their fertility goals, as well as reduce maternal morbidity and mortality.

A study on prevalence of contraception and estimate unmet need of family planning among married women in the rural Shamirpet, Ranga Reddy District, T.S, India.

2017 ◽  
Vol 6 (10) ◽  
pp. 5513
Author(s):  
Vijayasree L.
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Unmet Need ◽  
Married Women ◽  
Mortality And Morbidity ◽  
The Family ◽  
Contraceptive Prevalence ◽  
Population Stabilization

The study on contraceptive use and unmet need for family planning is the key to understanding the change in fertility and improving reproductive health. Family planning program aims to not only achieve population stabilization but also to promote reproductive health and reduce maternal, infant & child mortality and morbidity. In this study an attempt has been made to assess the family planning practices adopted in the rural Shamirpet. Probability proportion sampling was done and 402 women were selected from 13 villages. Prevalence of contraception was found to be 61.7%. Permanent methods were preferred over temporary methods. Total unmet need for family planning was 11.7%. The contraceptive prevalence rate found in the present study is higher than the district figures and is on par with the state statistics. Unmet needs also are low compared to state figures.

scholarly journals Determinants of Modern Contraceptive Use among Young Married Women (Age 15-24) in Indonesia

2020 ◽  
Vol 12 (13) ◽  
pp. 37
Author(s):  
Sari Kistiana ◽  
Maria Gayatri ◽  
Diah Puspita Sari
Keyword(s):  
Family Planning ◽  
Interpersonal Communication ◽  
Contraceptive Use ◽  
Development Program ◽  
Married Women ◽  
Modern Contraceptive ◽  
Family Development ◽  
Desire To Have Children ◽  
Modern Contraceptive Use ◽  
Living Children

Younger maternal age increases maternal and neonatal risks, while the use of contraceptives among young married women is noticeably lower compared to older women. Contraceptive use can reduce the risk of reproductive health problems among young women. This study aimed to assess the determinants of modern contraceptive use among young married women aged 15-24 in Indonesia. The study utilized data of the 2019 Indonesian Population, Family Planning and Family Development Program Performance and Accountability Survey. The analysis was restricted to 3,927 young married women who were not pregnant during the survey, as they were likely to report either doing something or not postponing or delaying pregnancy. Logistic regression analyses were performed to predict factors influencing modern contraceptive use among young married women. Findings indicate that all demographic factors (age, residence, and region) and education were associated with modern contraceptive use. The number of living children and desire to have children revealed significant variability in modern contraceptive use among young married women. Other important factors in explaining contraceptive use were family planning program exposure factors such as knowledge of the contraceptive method and discussed family planning with health worker. The study underlines the importance of intervention programs aimed at increasing modern contraceptive information targeting adolescents who are older, residen in urban area, live in islands other than Java-Bali, have higher education; and encouraging provider-clients’ family planning interpersonal communication.

scholarly journals A STUDY TO ASSESS THE FACTORS INFLUENCING UNMET NEED OF FAMILY PLANNING AMONG MARRIED WOMEN IN SELECTED VILLAGES OF UDUPI DISTRICT, KARNATAKA

2014 ◽  
Vol 04 (01) ◽  
pp. 024-027
Author(s):  
Lekshmi A. R. ◽  
◽  
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Married Women ◽  
Great Success ◽  
The Public ◽  
Factors Influencing ◽  
The Family ◽  
Living Children ◽  
Descriptive Survey ◽  
Structured Questionnaire

Abstract: Background: Millions of women worldwide who are sexually active, who would prefer to avoid becoming pregnant, but are not using any contraception, these women are considered to have an “unmet need” for Family Planning. The concept of “unmet need” points to 1 the gap between some women's reproductive intensions and their contraceptive behaviour. Bridging the gap can lead to a great success in the family planning programme and realization of the dream of stable population. Objectives: To assess the unmet need of family planning and the factors influencing the unmet need among married women. Materials and Methods:A descriptive survey was under taken among 280 married women selected using purposive sampling. Data were collected using structured questionnaire. Results: About 41.1% of the total subjects had the unmet need for family planning in that 32.2% were having unmet need for spacing and 67.8% for limiting. Majority (55.7%) were not using family planning because of fertility related reasons. The study revealed that there was a significant association between unmet need and variables like age and number of living children. There was a significant association between unmet need and fertility related reasons. Conclusion: Since the unmet need of family planning is existing, awareness of the public in relation to family planning should be ongoing especially to the general public with lower level of education.

scholarly journals Currently married women with an unmet need for contraception in Eritrea: Profile and determinants

2011 ◽  
Vol 38 (1-2) ◽  
pp. 61 ◽  
Author(s):  
Gebremariam Woldemicael ◽  
Roderic Beaujot
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Economic Status ◽  
Unmet Need ◽  
Married Women ◽  
Sub Saharan Africa ◽  
The Status ◽  
Sub Saharan ◽  
Using Data ◽  
Unmet Need For Contraception

Eritrea’s contraceptive prevalence rate is one of the lowest in sub-Saharan Africa and its fertility has only started to decline. Using data from the 2002 Eritrea Demographic and Health Survey (EDHS), this study examines the determinants of unmet need for family planning that is the discrepancy between fertility goals and actual contraceptive use. More than one-quarter of currently married women are estimated to have an unmet need, and this has remained unchanged since 1995. The most important reason for unmet need is lack of knowledge of methods or of a source of supply. Currently married women with higher parity, and low autonomy, low or medium household economic status, and who know no method of contraception or source of supply are identified as the most likely to have an unmet need. Addressing the unmet need for family planning entails not merely greater knowledge of or access to contraceptive services, but also the enhancement of the status of women.

scholarly journals Spatial heterogeneity and major correlates of Unmet Need of family planning among young married women aged 15-24 in India: An Exploratory Study

SAGE Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 215824402110246
Author(s):  
Himani Sharma ◽  
S. K. Singh ◽  
Shobhit Srivastava
Keyword(s):  
Family Planning ◽  
Spatial Heterogeneity ◽  
Young Women ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Married Women ◽  
Moran's I ◽  
Contraceptive Prevalence ◽  
Women In India ◽  
Auto Regression

For young women aged 15 to 24, unintended pregnancies remain very common, reflecting lower contraceptive use. Given the socio-cultural and traditional beliefs and practices, the unmet need for family planning is a crucial indicator for tracking the progress in contraceptive prevalence, ensuring young women’s reproductive and sexual rights. This article aims to analyze spatial heterogeneity in the unmet need for family planning among young women age 15 to 24 and their mesoscale correlates. Using data from the recent round of Indian DHS (2015–2016), commonly known as the National Family Health Survey (NFHS), this study identifies the significant correlates of unmet need of contraception among young married women in India. The statistical methods range from multinomial logistic regression, spatial autocorrelation in terms of Moran’s I statistics, to spatial auto regression, to understand the spatial dependence and clustering in the unmet need across India’s districts. The contraceptive prevalence rate among young married women age 15 to 24 in India was 24%, while almost the same proportion of them (23%) had an unmet need for contraception. Current age, education, religion, poverty, number of children, media exposure, awareness about family planning, and birth occurred in the last 3 years were significant predictors of unmet need. The univariate Moran’s I for unmet need was 0.50, suggesting strong spatial heterogeneity in India. The auto regression models become much more influential after including the spatial weights in the model, where illiteracy, unawareness, poverty, and rural residence were statistically significant predictors of unmet need of family planning among young married women in India. Findings of the study providing complex cultural ecologies of contraceptive use dynamics may give vital inputs in designing gender-sensitive interventions that can create a suitable support system and enabling environment for increasing use of contraception and reducing the unmet need of family planning.

scholarly journals Determinants of contraceptive use among married women in Indonesia

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 193
Author(s):  
Alfian Gafar ◽  
Dewi Elizadiani Suza ◽  
Ferry Efendi ◽  
Eka Mishbahatul Mar’ah Has ◽  
Ahmad Putro Pramono ◽  
...  
Keyword(s):  
Family Planning ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Contraceptive Use ◽  
Binary Logistic Regression ◽  
Wealth Index ◽  
Education Level ◽  
Married Women ◽  
Living Children ◽  
Children Education

Background: Contraceptives in family planning are used to control the timings between pregnancies. Although the number of those using family planning has increased, determinants of contraceptive use among married women in Indonesia remain insufficient. This research aimed to identify the factors associated with contraceptive use among married women in Indonesia. Methods: This study employed data from the Indonesian Demographic and Health Survey 2017. We selected 35,621 married women aged 15–49 years. Then, the determinants of contraceptive use among married women in Indonesia were examined by binary logistic regression. Results: Women’s age (Adjusted Odds Ratio (AOR)=0.529; 95% CI=0.470–0.597), the number of living children (AOR=44.024; 95% CI=33.193–58.390), education level (adjusted odds ratio=2.800; 95% CI=2.181–3.594), wealth index (AOR=1.104; 95% CI=0.978–1.246), frequency of watching television (AOR=1.555; 95% CI=1.321–1.829), and frequency of using the Internet (AOR=0.856; 95% CI=0.794–0.924) were significantly associated with contraceptive use among married women. Conclusions: This study highlights the determinants of contraceptive use among married women in Indonesia. Women’s age, the number of living children, education level, wealth index, and access to information may influence contraceptive use among these women. This study emphasizes that health education and promotion on the importance of using contraception should be initiated in innovative ways.

scholarly journals Unmet Need for Family Planning among Urban and Rural Married Women in Yangon Region, Myanmar—a Cross-Sectional Study

2019 ◽  
Vol 16 (19) ◽  
pp. 3742 ◽  
Author(s):  
Myint Myint Wai ◽  
Espen Bjertness ◽  
Hein Stigum ◽  
Thein Thein Htay ◽  
Tippawan Liabsuetrakul ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Married Women ◽  
Considerable Proportion ◽  
Demographic And Health Surveys ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Unintended Pregnancies

Despite increasing contraceptive use and prevalence, many women who want to avoid or delay pregnancy are not using contraceptives. This results in unintended pregnancies, which increases the risk of unsafe abortions. This study aimed to explore the extent of the unmet need for family planning (FP) among urban and rural married women in Myanmar and their demand for and satisfaction with FP. A cross-sectional survey using adapted Demographic and Health surveys questions was conducted in south and north Yangon from September 2016 to November 2016. A total of 1100 currently married women of 18–49 years participated. The contraceptive prevalence was 67.2% in total, 63% urban, and 70% rural. About 19.4% (95% CI: 16.7%–22.4%) of the studied women had an unmet need for FP, significantly higher in urban than rural women (22.6% versus 16.6%). Rural women also showed significant lesser odds (adjusted OR: 0.63; 95% CI: 0.461–0.849) of unmet need than the urban counterparts. About 86% of the women had demand for contraception and 77% of them satisfied their demand. The study population revealed a fairly good contraceptive coverage; however, a considerable proportion of women had an unmet need for FP, especially the urban women. The demand for contraception is increasing, and contraceptive services need to expand coverage to marginalized groups in order to reduce the risk of unsafe abortions.

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