The Impact of Family Planning Programs on Unmet Need and Demand for Contraception

2014 ◽  
Vol 45 (2) ◽  
pp. 247-262 ◽  
Author(s):  
John Bongaarts
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Family Planning Programs ◽  
The Impact

scholarly journals Role of husband’s attitude towards the usage of contraceptives for unmet need of family planning among married women of reproductive age in Pakistan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammad Farhan Asif ◽  
Zahid Pervaiz ◽  
Jawad Rahim Afridi ◽  
Ghulam Abid ◽  
Zohra S. Lassi
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Family Planning Programs ◽  
Contraception Use ◽  
Wide Range

Abstract Background Family planning services deliver a wide range of benefits to the well-being of females and the community. It can curtail the risk of maternal and neonatal mortality through the reduction in abortions and pregnancies. The government of Pakistan has been struggling to convince people about the usefulness of family planning programs. However, different factors related to social norms, values, and culture are important to determine the success of these programs. One such factor is the patriarchal structure of Pakistani society where most of the household decisions are made by men. The objective of this research is to examine the role of the husband’s attitude towards the usage of contraceptives for the unmet need of family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan. Method The dataset of Pakistan Demographic and Health Survey 2017–18 is utilized to examine the role of the husband’s attitude towards the usage of contraceptives in UMNFP among MWRA in Pakistan. Results The UMNFP was considerably lower among MWRA between 40 years and above compared to women 15–19 years. The odds of UMNFP were higher among women and men who were educated up to the primary level compared to those with no education. Odds of UMNFP were higher among women from the poor wealth quintile compared to the poorest wealth quintile; similarly, it was significantly lower among women who were from the richer and the richest wealth quintile compared to the poorest wealth quintile. The odds of UMNFP were lower among women who were employed compared to those who were not employed. Lastly, the odds of UMNFP were higher among women whose husbands opposed to using contraceptives, who perceived that there was a religious prohibition for such use and when a decision on the contraception use was solely made by the husband. Conclusions Husband’s attitude towards the usage of contraceptives is an important predictor of UMNFP. Liaising with the community and religious leaders to persuade people particularly men about the usefulness of family planning programs and encouraging men to understand their women’s say in using contraceptives should be encouraged.

scholarly journals A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Susan Ontiri ◽  
Lilian Mutea ◽  
Violet Naanyu ◽  
Mark Kabue ◽  
Regien Biesma ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Peer Influence ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Modern Contraceptive ◽  
Modern Contraception ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background Addressing the unmet need for modern contraception underpins the goal of all family planning and contraception programs. Contraceptive discontinuation among those in need of a method hinders the attainment of the fertility desires of women, which may result in unintended pregnancies. This paper presents experiences of contraceptive use, reasons for discontinuation, and future intentions to use modern contraceptives. Methods Qualitative data were collected in two rural counties in Kenya in 2019 from women with unmet need for contraception who were former modern contraceptive users. Additional data was collected from male partners of some of the women interviewed. In-depth interviews and focus group discussions explored previous experience with contraceptive use, reasons for discontinuation, and future intentionality to use. Following data collection, digitally recorded data were transcribed verbatim, translated, and coded using thematic analysis through an inductive approach. Results Use of modern contraception to prevent pregnancy and plan for family size was a strong motivator for uptake of contraceptives. The contraceptive methods used were mainly sourced from public health facilities though adolescents got them from the private sector. Reasons for discontinued use included side effects, method failure, peer influence, gender-based violence due to covert use of contraceptives, and failure within the health system. Five reasons were provided for those not willing to use in the future: fear of side effects, cost of contraceptive services, family conflicts over the use of modern contraceptives, reduced need, and a shift to traditional methods. Conclusion This study expands the literature by examining reasons for contraceptive discontinuation and future intentionality to use among women in need of contraception. The results underscore the need for family planning interventions that incorporate quality of care in service provision to address contraceptive discontinuation. Engaging men and other social influencers in family planning programs and services will help garner support for contraception, rather than focusing exclusively on women. The results of this study can inform implementation of family planning programs in Kenya and beyond to ensure they address the concerns of former modern contraception users.

Demography as Diplomacy

2021 ◽  
pp. 127-157
Author(s):  
Emily Klancher Merchant
Keyword(s):  
Developing Countries ◽  
Family Planning ◽  
Intrauterine Device ◽  
Unmet Need ◽  
Family Planning Programs ◽  
The Social ◽  
Philanthropic Organizations ◽  
Heads Of State ◽  
Development Agendas ◽  
And Training

Chapter 5 demonstrates how, in the 1950s and 1960s, U.S.-based philanthropic organizations invested in the growth of demography, the social science of human population dynamics, and used demography to convince heads of state of developing countries to integrate family planning programs into their nation-building and economic development agendas. The Population Council and the Ford Foundation established population research and training centers at major U.S. universities, to which they recruited graduate students from developing countries, with the understanding that they would return home after completing their education to advocate for the establishment of family planning programs. These organizations also funded fertility surveys by American demographers in Africa, Asia, and Latin America that promoted small-family norms and the distribution of new systemic contraceptive technologies, specifically the intrauterine device and birth control pill, and documented the existence of what demographers termed “unmet need” for family planning services.

The Impact of Family Planning Programs on Fertility Rates. A Case Study of Four Nations.

1981 ◽  
Vol 35 (2) ◽  
pp. 334
Author(s):  
Dorothy Nortman ◽  
Jay Teachman ◽  
Donald J. Bogue ◽  
Juan Londono ◽  
Dennis Hogan
Keyword(s):  
Family Planning ◽  
Fertility Rates ◽  
Family Planning Programs ◽  
The Impact

scholarly journals Facility-Level Characteristics Associated with Family Planning and Child Immunization Services Integration in Urban Areas of Nigeria: A Longitudinal Analysis

2021 ◽  
Author(s):  
Kate Sheahan ◽  
Ilene Speizer ◽  
Jennifer Orgill-Meyer ◽  
Sian Curtis ◽  
Morris Weinberger ◽  
...  
Keyword(s):  
Family Planning ◽  
Urban Areas ◽  
Unmet Need ◽  
Principal Component ◽  
Public Facility ◽  
Postpartum Contraception ◽  
Child Immunization ◽  
Immunization Services ◽  
Facility Level ◽  
The Impact

Abstract Background: Unmet need for postpartum contraception is high. Integration of family planning with routine child immunization services may help to satisfy unmet need. However, evidence about the effects of integration has been inconsistent, and more evidence is required to determine whether and how to invest in integration. This study applies continuous facility-level family planning and child immunization integration index scores to: (1) determine whether integration changes over time, (2) assess the impact of the Nigerian Urban Reproductive Health Initiative (NURHI) on integration, and (3) identify facility-level characteristics associated with integration across facilities in urban areas of Nigeria. Methods: Longitudinal data from health facilities in six urban areas of Nigeria are available from 400 facilities at baseline (2011) and 385 facilities at endline (2014). Difference-in-differences models estimate the impact of NURHI on Provider and Facility Integration Index scores and determine associations between facility-level characteristics and integration. The two outcome measures, Provider and Facility Integration Index scores, reflect attributes that support integrated service delivery. These indexes, which range from 0 (low) to 10 (high), were constructed using principal component analysis. Scores were calculated for each facility. Independent variables are (1) time period, (2) whether the facility received the NURHI intervention, and (3) facility-level characteristics. Results: Within intervention facilities, mean Provider Integration Index scores were 6.46 at baseline and 6.79 at endline; mean Facility Integration Index scores were 7.16 (baseline) and 7.36 (endline). Within non-intervention facilities, mean Provider Integration Index scores were 5.01 at baseline and 6.25 at endline; mean Facility Integration Index scores were 5.83 (baseline) and 6.12 (endline). Provider Integration Index scores increased significantly (p = 0.00) among non-intervention facilities. Facility Integration Index scores did not increase significantly in either group. NURHI did not have a significant effect on integration index scores. Results identify facility-level characteristics associated with integration: location, family planning client load, years of provider experience, provider training, and public facility ownership. Conclusion: Programs aiming to increase integration of family planning and immunization services should monitor and provide targeted support for the implementation of a well-defined integration strategy that considers the influence of facility characteristics and concurrent initiatives.

scholarly journals Changes in Fertility Decline in Rwanda: A Decomposition Analysis

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Pierre Claver Rutayisire ◽  
Pieter Hooimeijer ◽  
Annelet Broekhuis
Keyword(s):  
Family Planning ◽  
Fertility Decline ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Decomposition Analysis ◽  
Reproductive Behaviour ◽  
Modern Contraceptive ◽  
Modern Contraceptive Use ◽  
Lower Fertility ◽  
The Impact

After having stalled in the 1990s, fertility in Rwanda resumed its downward trajectory between 2005 and 2010. The total fertility rate declined from 6.1 to 4.6 and modern contraceptive use increased. However, it is unclear which determinants lay behind the previous stall and the recent strong drop in fertility. This paper contributes to an ongoing debate on the impact of social upheavals on fertility decline. We use a decomposition analysis, focusing on the change in characteristics and reproductive behaviour of women and their contributions to levels of fertility during 1992–2000 and 2000–2010. Results show that due to widowhood and separation the proportion of women who were married decreased between 1992 and 2000, but their fertility increased in the same period due to replacement fertility and an unmet need for family planning. After 2000, postponement of marriage and lower infant mortality contributed to lower fertility, but the most important effect is the overall lower fertility due not only to improved family planning provision but perhaps also to the sensitizing campaigns of the Rwandan government.

scholarly journals Planning Guide for a Total Market Approach to Increase Access to Family Planning—Module 1: Landscape Assessment

2016 ◽  
Keyword(s):  
Family Planning ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Landscape Assessment ◽  
Family Planning Programs ◽  
Market Approach ◽  
Planning Guide ◽  
Measure Evaluation ◽  
The Impact ◽  
Total Market

PATH has drawn on its global experience from our total market approach (TMA) work in the Democratic Republic of Congo, Myanmar, Nicaragua, Uganda, and Vietnam to produce a TMA planning guide to increase access to family planning. The guide and toolkit (Planning Guide for a Total Market Approach to Increase Access to Family Planning: Toolkit and Glossary), produced by The Evidence Project, contain practical information and specific tools to help organizations and other planners conduct a landscape assessment, the first phase in developing a TMA. | These resources are part of a larger toolkit, which also includes an in-depth market analysis and two-volume handbook produced by MEASURE Evaluation, and a joint publication by all three projects (Guide for Assessing the Impact of a Total Market Approach to Family Planning Programs).

Sign in / Sign up

Export Citation Format

Share Document