scholarly journals Prevalence and determinants of unmet need for contraception in North Gonja District, Ghana

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anthony Wemakor ◽  
Humphrey Garti ◽  
Nawaf Saeed ◽  
Obed Asumadu ◽  
Bede Anyoka
Keyword(s):  
Family Planning ◽  
Child Outcomes ◽  
Unmet Need ◽  
Educational Status ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exact Test ◽  
Study Population ◽  
Unmet Need For Contraception

Abstract Background Unmet need for contraception contributes to the burden of unwanted pregnancies, which are correlated with a host of adverse maternal and child outcomes. The aim of this study was to determine the prevalence and identify the determinants of unmet need for contraception in North Gonja District, Ghana. Methods A cross-sectional survey involving 386 randomly selected women of childbearing age was conducted in North Gonja district, Ghana, with the use of a questionnaire in household interviews. Women were classified as having unmet need for contraception if they were fecund, sexually active and wished to postpone the next birth or halt childbearing completely but were not using any form of contraception. Chi-square/Fisher’s exact test and logistic regression analysis were used to identify the determinants of unmet need. Results The mean age of the study population was 26.1 (±8.4) years and awareness on contraception was almost universal in the district (95.9%). The overall prevalence of unmet need for contraception was 38.9%, with 27.5% having unmet need for limiting and 12.2% unmet need for spacing. In multivariate analysis, compared to women aged 25–29 years, those aged 20–24 years [Adjusted Odds Ratio (AOR) 0.26; 95% Confidence Interval (CI) 0.11–0.58] and 30 years and above (AOR 0.25; 95% CI 0.09–0.73) were less likely to have unmet need for contraception. However, uneducated women (AOR 5.06; 95% CI 1.07–24.01) compared with those educated to tertiary level; those unaware of family planning (AOR 3.93; 95% CI 1.12–13.80) compared to those aware; and those who had not previously practised contraception (AOR 1.81; 95% CI 1.09–3.00) compared to those who did were more likely to have unmet need. Conclusions The present study found high prevalence of both awareness on and unmet need for contraception among the study population. Unmet need for contraception is associated with age, educational status, awareness on family planning and previous contraception practice. Educational campaigns to promote contraception should prioritize women of middle age and low educational status. Further studies are needed to understand the low correlation between awareness on and unmet need for contraception.

scholarly journals Stigma as a barrier to family planning use among married youth in Ethiopia

2018 ◽  
Vol 51 (4) ◽  
pp. 505-519
Author(s):  
Aparna Jain ◽  
Hussein Ismail ◽  
Elizabeth Tobey ◽  
Annabel Erulkar
Keyword(s):  
Family Planning ◽  
Supply And Demand ◽  
Unmet Need ◽  
Principal Component ◽  
Principal Component Factor Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adolescent Groups ◽  
Anticipated Stigma ◽  
Youth Friendly Service

AbstractNearly 33 million female youths have an unmet need for voluntary family planning (FP), meaning they are sexually active and do not want to become pregnant. In Ethiopia, age at marriage remains low: 40% and 14% of young women aged 20–24 were married by the ages of 18 and 15, respectively. Despite increases in FP use by married 15- to 24-year-olds from 5% in 2000 to 37% in 2016, unmet need remains high at 19%. Supply-and-demand factors have been shown to limit FP use, yet little is known about how stigma influences FP use among youth. This study validates an anticipated stigma (expectation of discrimination from others) index and explores its effect on unmet need. A cross-sectional survey was implemented with 15- to 24-year-old female youth in Ethiopia in 2016. The analytic sample included married respondents with a demand (met and unmet need) for FP (n=371). A five-item anticipated stigma index (Cronbach’sα=0.66) was developed using principal component factor analysis. These items related to fear, worry and embarrassment when accessing FP. The findings showed that 30% agreed with at least one anticipated stigma question; 44% had an unmet need; 58% were married before age 18; and 100% could name an FP method and knew where to obtain FP. In multivariate regression models, youth who experienced anticipated stigma were significantly more likely to have an unmet need, and those who lived close to a youth-friendly service (YFS) site were significantly less likely to have an unmet need. Interventions should address anticipated stigma while focusing on social norms that restrict married youth from accessing FP; unmet need may be mitigated in the presence of a YFS; and the anticipated stigma index appears valid and reliable but should be tested in other countries and among different adolescent groups.

Knowledge, attitude and practices regarding implants among women of childbearing age

2021 ◽  
pp. 1-9
Author(s):  
Irshad Begum Shaikh ◽  
Syed Imtiaz Ahmed Jafry ◽  
Syed Muhammad Zulfiqar Hyder Naqvi ◽  
Syeda Nadia Firdous ◽  
Admin
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Contraceptive Method ◽  
Women Of Childbearing Age ◽  
Reproductive Health Services ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Child Bearing

Abstract A cross-sectional survey was conducted from February 2016 to September 2016 to assess knowledge, attitude and practices regarding implants among women of childbearing age visiting Reproductive Health Services Center, Civil Hospital,Karachi. A total of 396 adult non-pregnant married females of child bearing age, from 18 to 49 years old, were interviewed using a structured questionnaire.Only153 (38.6%) of therespondentshad knowledge about implants whereas out of them 122 (79.7%) acquired it from family planning clinics. Almost two third of them (n=267, 67.4%) were in favor of using implants as a contraceptive method. Moreover, 244 (61.6%) of them were of the opinion that if given the choice, they will use implanon though out of total 316 (79.8%) respondents who ever used contraceptives, only 3 (0.9%) used implants.Despiteafavorable attitude, limited knowledge and poor practices of the respondents highlighted the study findings. Keywords: Knowledge, Attitude, Contraception, Progestins, Continuous...

UNMET NEED FOR CONTRACEPTION AMONG HIV-POSITIVE WOMEN IN LESOTHO AND IMPLICATIONS FOR MOTHER-TO-CHILD TRANSMISSION

2009 ◽  
Vol 41 (2) ◽  
pp. 269-278 ◽  
Author(s):  
TIMOTHY ADAIR
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Hiv Status ◽  
Child Transmission ◽  
Childbearing Age ◽  
Hiv Positive Women ◽  
Mother To Child ◽  
Unmet Need For Contraception

SummaryIn Lesotho, the risk of mother-to-child-transmission (MTCT) of HIV is substantial; women of childbearing age have a high HIV prevalence rate (26·4%), low knowledge of HIV status and a total fertility rate of 3·5 births per woman. An effective means of preventing MTCT is to reduce unwanted fertility. This paper examines the unmet need for contraception to limit and space births among HIV-positive women in Lesotho aged 15–49 years, using the 2004 Lesotho Demographic and Health Survey. HIV-positive women have their need for contraception unmet in almost one-third of cases, and multivariate analysis reveals this unmet need is most likely amongst the poor and amongst those not approving of family planning. Urgent action is needed to lower the level of unmet need and reduce MTCT. A constructive strategy is to improve access to family planning for all women in Lesotho, irrespective of HIV status, and, more specifically, integrate family planning with MTCT prevention and voluntary counselling and testing services.

scholarly journals Analysis of Factors Affecting the Unmet Need Incidence in Couples of Childbearing Age in the West Bulotadaa Village Gorontalo City in 2019

2020 ◽  
Vol 8 (T2) ◽  
pp. 94-97
Author(s):  
Mayangsari Kau ◽  
Andi Ummu Salmah ◽  
Anwar Mallongi ◽  
Muhammad Arif Tiro
Keyword(s):  
Family Planning ◽  
Family Income ◽  
Multiple Logistic Regression Analysis ◽  
Unmet Need ◽  
Childbearing Age ◽  
The West ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Background Population

BACKGROUND: Population that continues to increase is a big problem for countries in the world, especially developing countries. One of the problems in the management of family planning programs is the high level of unmet need for family planning in Indonesia. Unmet need is the number of couples of childbearing age who want to postpone pregnancy or do not want additional children but do not use birth control methods. AIM: The aim of the study was to determine the determinants of the occurrence of unmet need in fertile age couples in the West Bulotadaa Village, Gorontalo City. METHODS: The study design was cross-sectional with a sample of 146 fertile age couples selected by systematic random sampling. Data collection was made, using questionnaires containing questions from the research variables. Data were analyzed by multiple logistic regression analysis through the SPSS for windows program. RESULTS: The visit of KB officers affected the unmet need with p = 0.032 (p < 0.05) with OR = 2.893, and there were some variables that were not significant such as the age variable p = 0.766 (p > 0.05), family income p = 0.189 (p > 0.05), distance of family planning services p = 0.057 (p > 0.05), and cost of contraception p = 0.632 (p > 0.05). CONCLUSION: It was concluded that the visit of family planning officers affected the unmet need and age, family income, distance to the place of family planning services and the cost of contraceptives did not affect the incidence of unmet need in West Bulotadaa, Gorontalo City.

scholarly journals Unmet need for contraception among urban women: a cross sectional study in Puducherry

2017 ◽  
Vol 4 (5) ◽  
pp. 1494 ◽  
Author(s):  
Sudha V. ◽  
Vrushabhendra H. N. ◽  
Srikanth S. ◽  
Suganya E.
Keyword(s):  
Family Planning ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Married Women ◽  
Research Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Universal Family ◽  
Unmet Need For Contraception

Background: Providing universal family planning services is an important strategy to reduce maternal morbidity and to control population growth. Worldwide, when contraception is used properly and effectively to avoid unwanted pregnancy it can reduce 25–35% of maternal deaths. The present study aimed at measuring the proportion of married women with unmet need for family planning in an urban area of Puducherry.Methods: A cross sectional study was conducted among 235 married women in the urban field practice area of Sri Venkateshwara Medical College Hospital & Research Centre, Puducherry. Participants were selected based on predetermined eligibility criteria using systematic random sampling method. SPSS version 23.0 was used for statistical analysis. Proportion, Mean, Standard deviation and Logistic regression were applied to interpret the results.Results: Mean age of the participants was 33.3 ±6 years, Nearly 77 %( 181) of the participants reported having used any method of contraceptive at least once and 34.5 %( 81) were found to have unmet need for family planning. The most common reason for unmet need for contraception was fear of side effects (39.5%) and others were infrequent sex (12.3%),insisted by family members (12.3%) and religious reasons (12.3%).Conclusions: Unmet need for family planning was found to be fairly high in our study population. Health care personnel, preferably field staff should be trained to give an informed choice of contraception to the eligible couples to reduce the unmet need for contraception.

scholarly journals Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Atem Bethel Ajong ◽  
Philip Nana Njotang ◽  
Martin Ndinakie Yakum ◽  
Marie José Essi ◽  
Felix Essiben ◽  
...  
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Health District ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Unmet need for contraception among HIV-positive women in Ile-Ife, Nigeria

2018 ◽  
Vol 49 (1) ◽  
pp. 26-31
Author(s):  
Temitope Omoladun Okunola ◽  
Kayode T Ijaduola ◽  
Ebunoluwa A Adejuyigbe
Keyword(s):  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Hiv Positive Women ◽  
Unmet Need For Contraception

As mother-to-child transmission of HIV is difficult to predict and also hard to prevent in practice, pregnancy among women living with HIV/AIDS (WHA) needs to be taken with considerable aforethought. The prevention of unwanted pregnancy among WHA is therefore a public health issue. The aim of our study was to determine the unmet need for contraception among HIV-positive women and the associated factors. Ours was a cross-sectional study involving 425 non-pregnant WHA attending an adult HIV clinic in Nigeria. Interviewer-administered, structured questionnaires designed for the study were used to obtain data. The contraceptive uptake was 47% while the unmet need for contraception was 20%. There were significant associations between unmet need for contraception and age group ( P < 0.001), religion ( P < 0.001), ethnic group ( P < 0.001), knowledge about contraceptives ( P = 0.02), educational status ( P = 0.01) and partners’ retroviral status ( P = 0.008) The unmet need for contraception was high. Advocacy programs should perhaps be focused on older women, Christians and those with little or no education.

scholarly journals Persisting Regional Disparities in Modern Contraceptive Use and Unmet Need for Contraception among Nigerian Women

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Chao Wang ◽  
Huimin Cao
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Universal Coverage ◽  
Regional Disparities ◽  
Demographic And Health Surveys ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Unmet Need For Contraception

Background. Evidence suggests that equitable provision of contraceptive services can help women achieve their reproductive goals and has significant impact on reducing the rates abortion and unintended pregnancy at large. However, regional disparities continue to persist on top of low family planning prevalence which is a critical public health challenge for fast growing populations like Nigeria. Objectives. The present study aimed to explore the prevalence of (1) nonuse of modern contraceptives, (2) unmet need for contraception, and (3) regional disparities in these two. Methods. The present study used cross-sectional data obtained from the Nigeria Demographic and Health Surveys conducted in 2003, 2008, and 2013. Participants were women of reproductive of age (15-49 years) regardless of marital status. Regional disparities of nonuse of modern contraceptives and unmet need were analysed by descriptive and multivariate regression methods. Results. In the pooled sample of 79,656 participants during 2003, 2008, and 2013, 88.6% reported not using any modern methods, and 13.5% reported having unmet need for contraception. The prevalence rates of nonuse were, respectively, 91.8%, 90.6%, and 88.6% and those of unmet need were 14.2%, 16.6%, and 13.5% in the years 2003, 2008, and 2013. Significant differences were observed in the odds of reporting nonuse and unmet need for contraception across the geopolitical zones. Conclusions. The rates of nonuse of contraception are remarkably high among women in Nigeria with significant disparities across the six geopolitical zones. Efforts should be made to address the regional disparities in order to achieve the goals of universal coverage of family planning services in the country.

scholarly journals Bias Provider Dan Peluang Terjadinya Unmet Need KB Pada Pasangan Usia Subur di Kecamatan Kraton Kota Yogyakarta

2018 ◽  
Vol 34 (1) ◽  
pp. 33 ◽  
Author(s):  
Asep Novianto ◽  
Ova Emilia ◽  
Djaswadi Dasuki
Keyword(s):  
Family Planning ◽  
Multivariable Analysis ◽  
Unmet Need ◽  
Data Retrieval ◽  
Cross Sectional Study ◽  
Childbearing Age ◽  
Bias Analysis ◽  
Cross Sectional ◽  
Significance Level ◽  
Provider Bias

Purpose: This study aims to determine the relationship of provider bias with unmet need of KB in couples of childbearing age in Kecamatan Kraton Kota Yogyakarta.Method: This cross-sectional study involved 121 respondents of childbearing age couples in Kraton Sub-district Yogyakarta city. Data retrieval technique with multistage random sampling. Data analysis with univariable. Bivariable analysis using chi-square test with significance level (p <0,05) and 95% confidence level CI. Multivariable analysis using logistic regression statistic test. This research was conducted in May-June 2017.Results: This study showed that there was a significant relationship both statistically and practically between provider bias and unmet need of KB in couples of childbearing age. The results of the provider's bias analysis after considering the support of husbands, occupations and the number of children affected by 15% in the opportunities for unmet need KB.Conclusion: Quality of service to provide understanding of contraception needs to be improved. Family planning providers need to acquire communication skills to provide family planning services through capacity building activities for providers in a sustainable manner.

scholarly journals Prevalence of depression among hypertensive individuals in urban Trivandrum: a cross sectional study

2017 ◽  
Vol 4 (6) ◽  
pp. 2156
Author(s):  
Prathibha M. T. ◽  
Sara Varghese ◽  
Gokul Dev V. ◽  
Jincy J.
Keyword(s):  
Primary Care Physicians ◽  
Economic Status ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Study Population

Background: People with chronic diseases are more likely to have depression than those without any physical illness. Lack of adherence to treatment, poor compliance to life style modification therapy and lost to follow up are major concerns raised in the management of hypertension among subjects with co-morbid depression. Hence it is very important to explore the epidemiology of depression among hypertensives. Methods: The study was conducted in Medical College health unit area of urban Trivandrum as a cross sectional survey among adults >18 years who were diagnosed to have hypertension. The subjects were interviewed using a semi structured questionnaire to collect the socio-demographic variables and the 9 item Patient Health Questionnaire (PHQ 9) to capture depression. Data from a sample of 432 hypertensive individuals collected were analyzed and Chi square, t test, was done to find the associated factors. Results: Mean age of the study subjects was 62.47 years. Among the study subjects the blood pressure was under control among only 33.8% of the study population. The prevalence of depression was found to be 33.3% (144) with 95% C.I (27.98-39.14). Gender, Socio economic status, marital status, low educational status, regular physical activity, duration of hypertension, uncontrolled BP, were found to be significantly associated with depression. Conclusions: The prevalence of depression among hypertensive individuals is high in this study population. Adequate control of BP along with awareness among primary care physicians in identifying those with hypertension and co-morbid depression is essential. 

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