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 Unmet needs for family planning in Sunsari, eastern Nepal

1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Family Type ◽  
Women Of Reproductive Age ◽  
Cross Sectional

Introduction: The unmet need for family planning is a very useful tool in measuring and predicting the contraceptive needs of a population. Seventeen percent of all married women would prefer to avoid pregnancy but are not using any form of family planning. In less developed countries, about one forth of pregnancies is unintended. Objective: To determine the level of unmet need for family planning and evaluate the factors that influences the unmet needs in Married Women of Reproductive Age (MRWA). Methods: A cross-sectional study of 410 women attending the immunization clinic of B.P.Koirala Institute of Health Sciences, a teaching hospital in Dharan was carried out over 3 months. Results: MRWA had 22%, 15% and 8% unmet needs for family planning, spacing and limiting births respectively. Health concerns and side effects (30.5%), husband and family opposition (14%), uncertainty about child bearing (12.2%) and inconvenience (10%) were among the major constraints to the use of contraception. Unmet need has significant association between parity & education. Age and family type had no significant effect on unmet needs. Conclusion: In spite of high level of awareness about family planning method, a significant level of unmet need exists among women of reproductive age. Keywords: unmet needs; family planning; married women of reproductive age; MRWA DOI: http://dx.doi.org/10.3126/hren.v9i3.5581   HR 2011; 9(3): 148-151

scholarly journals Unmet Need For Family Planning Among Married Women In Sub-Sahara Africa: A Meta-Analysis of DHS Data (1995 – 2020)

2021 ◽  
Author(s):  
Million Phiri ◽  
Clifford Odimegwu ◽  
Chester Kalinda
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Central Africa ◽  
Married Women ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Women Of Reproductive Age ◽  
Sub Saharan

Abstract Background: Closing the gap of unmet needs for family planning (FP) in sub-Saharan Africa remains critical in improving maternal and child health outcomes. Determining the prevalence of unmet needs for family planning among married women in the reproductive age is vital for designing effective sexual reproductive health interventions and programmes. Here, we use nationally representative data drawn from sub-Saharan countries to estimate and examine heterogeneity of unmet needs for family planning among currently married women of reproductive age. Methods: This study used secondary data from Demographic and Health Surveys (DHS) conducted between January 1, 1995 to December 31, 2020 from 37 countries in sub-Saharan African. An Inverse Heterogeneity model (IVhet) in MetaXL application was used to estimate country and sub-regional level pooled estimates and confidence intervals of unmet needs for FP in SSA. Results: The overall prevalence of unmet need for family planning among married women of reproductive age in the sub-region for the period under study was 22.9% (95% CI: 20.9–25.0). The prevalence varied across countries from 10% (95% CI: 10–11%) in Zimbabwe to 38% (95% CI: 35–40) and 38 (95% CI: 37–39) (I2 = 99.8% and p-value < 0.0001) in Sao Tome and Principe and Angola, respectively. Unmet needs due to limiting ranged from 6%; (95% CI: 3–9) in Central Africa to 9%; (95% CI: 8–11) in East Africa. On the other hand, the prevalence of unmet needs due to spacing was highest in Central Africa (Prev: 18; 95% CI: 16–21) and lowest in Southern Africa (Prev: 12%; 95% CI: 8–16). Our study indicates that there was no publication bias because the Luis Furuya-Kanamori index (0.79) was within the symmetry range of -1 and +1. Conclusion: The prevalence of unmet need for FP remains high in sub-Saharan Africa suggesting the need for health policymakers to consider re-evaluating the current SRH policies and programmes with the view of redesigning the present successful strategies to address the problem.

scholarly journals Fertility transition in selected sub-Saharan African countries: the role of family planning programs

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1748
Author(s):  
Vincent Otieno ◽  
Alfred Agwanda ◽  
Anne Khasakhala
Keyword(s):  
Family Planning ◽  
Fertility Transition ◽  
Unmet Need ◽  
Reproductive Age ◽  
African Countries ◽  
Fertility Preference ◽  
Family Planning Programs ◽  
Wide Range ◽  
Sub Saharan ◽  
Control Technologies

Background: Change in fertility rate across societies is a complex process that involves changes in the demand for children, the diffusion of new attitudes about family planning and greater accessibility to contraception provided by family planning programs. Among the neo-Malthusian adherents, it is believed that rapid population growth strain countries’ capacity and performance. Fertility has, however, decelerated in most countries in the recent past. Scholars have concentrated on wide range of factors associated with fertility majorly at the national scale. However, considerably less attention has been paid to the fertility preference - a pathway through which various variables act on fertility. The Sub-Saharan African countries’ disparities amid almost similarities in policies is a cause of concern to demographers. Methods: Using Bongaarts reformulation of Easterlin and Crimmins conceptual scheme of 1985 on Demographic and Health Survey Data (DHS) data collected overtime across countries, the understanding of the current transition in general would help to reassess and provide explanations to the observed latest fertility dynamics at play. This study therefore is an attempt to explain the current fertility transition through women’s fertility preference. Results: Results reveal that indeed fertility transition is diverse across countries though generally on a decline course in most of the sub-Saharan countries. The huge disparities in fertility preferences among women of reproductive age and its non-significant change in the implementation indices overtime points at the levels of unmet need to contraception underneath as well as the proportion of demand to family planning commodities satisfied by programs in a bid to allow women implement their fertility desires. Conclusions: It is therefore plausible to conclude that the improvement of the availability and the uptake of quality birth control technologies is one of the most feasible means through which countries can fast track their fertility transitions.

scholarly journals Unmet Need of Family Planning Among Married Women of Reproductive Age in Rural Areas of Manikganj District

2019 ◽  
Vol 10 (1) ◽  
pp. 23-27
Author(s):  
Abu Noman Mohammed Mosleh Uddin ◽  
Mehedi Hasan Jewel
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Nuclear Family ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional

Aims: Introduction: Bangladesh has impressive gains in indicators related to population and family planning. Therefore, the unmet need for family planning should be addressed with utmost importance. Materials and Methods: A descriptive type of cross sectional study was conducted at four villages of Saturia Upazilla of Manikganj district to find out unmet need of family planning among married women of reproductive age including the status of contraceptive use and obstacles toward using family planning methods. The duration of study was from November 2017 to March 2018. The sample size was 480 in number. Results: In the study, 87.5% respondents were Muslims. Regarding level of education 18.75% of the respondents was illiterate, 22.19% of the respondents completed their primary education and 31.35% passed the secondary school certificate Examination. Most of the respondents (92.92%) were housewives. Out of 480 families, 51% belongs to nuclear family. 23.13% of the respondents had income below 10,000 Tk. and about 27.50% had an income more than 20,000 Tk. Among 480 respondents, 42.06% had 2 living children and about 33.78% had a single child. 89.17% of the respondents knew about contraceptive method. OCP was the most preferred method among 57.62% respondents. 61% respondents were using contraceptive method. The reason for not using any contraceptive method were fear of side effects (28.03%), eager to conceive (13.63%), and non-co-operative attitude of the husband (7.58%). In this study 58.13% respondents had the knowledge about permanent method of contraception. Conclusion: Family planning is more of a health necessity than an option. Though family planning program has remarkable success over the past decade, but still there is unmet need. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 23-27

Unmet Need for Family Planning and Associated Factors Among Married Women of Reproductive Age in Shebedino District, Southern Ethiopia, 2020

2020 ◽  
Author(s):  
Matewos Wotango Wonago ◽  
Desalegn Tsegaw Hibstu
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Early Marriage ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
First Marriage ◽  
Reproductive Age Group

Abstract Back Ground: The Ethiopia Demographic and Health Survey, report indicates that high level with slight decrement of unmet need for family planning among married women that is, 37%, 25%, and 22% in 2000, 2011 and 2016 respectively. One of the consequences of unmet need is unwanted pregnancy with its serious squeal of induced abortion, and ultimately results in high maternal morbidity and mortality. The risk would increase in developing countries considerably (10). Therefore, this study focused on assessing magnitude of unmet need for FP and associated factors among married women of reproductive age group in Shebedino district, Sidama Zone, South Ethiopia, 2019.Methods: Community-based cross-sectional study was conducted from April 12 to 28, 2019. Data on married reproductive age groups women were collected using a pre-tested and interviewer administered structured questionnaire from 447 women using systematic random sampling technique. The data were entered using Epi Data version 3.1 and then exported in to SPSS version 20.0 Software for analysis. The result of bi-variable and multi-variable was reported by Adjusted Odd Ratio with 95% confidence. Result: A total of 447 married reproductive age group (15-49 years) women were included in the study with 100 % response rate. Fifty Six (12.5%) 95% CI: 9.5%-15.5%) women had unmet need for family planning [42 (9.4%) for spacing and 14 (3.1%) for limiting]. Age of the respondents [AOR= 6.02, CI: 2.73, 13.27], Age at first marriage [AOR= 9.3, CI: 1.9, 45.42], birth interval, [AOR= 2.9, CI, 1.3, 6.3], Number of alive children, [AOR= 9.3, CI: 1.9, 45.42], and Age at first start to use family planning to control birth (AOR= 3.69, CI: 1.44, 9.45) were identified as a positively associated factors.Conclusion: The level of unmet need for family planning in this study (12.5%) was lower than both the national (22%) and South Regional State (21%). Thus, spacing among births for at least two or more years, enforcing the law on minimum age for the first marriage, involvement of men in shaping reproductive preferences, reducing early marriage and participating relevant stakeholders to minimize mistimed and unwanted pregnancies and unmet need for family planning are recommended.

scholarly journals Demand satisfied by modern contraceptive among married women of reproductive age in Kenya

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0248393
Author(s):  
Peter Gichangi ◽  
Michael Waithaka ◽  
Mary Thiongo ◽  
Alfred Agwanda ◽  
Scott Radloff ◽  
...  
Keyword(s):  
Sustainable Development ◽  
Family Planning ◽  
Mass Media ◽  
Sustainable Development Goals ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Women Of Reproductive Age ◽  
Development Goals

Background Demand for family planning met/satisfied with modern contraceptive methods (mDFPS) has been proposed to track progress in Family Planning (FP) programs for Sustainable Development Goals. This study measured mDFPS among married women of reproductive age (MWRA) in Kenya to identify which groups were not being reached by FP programs. Materials and methods Performance, Monitoring and Accountability 2020 (PMA2020) survey data from 2014–2018 was used. PMA2020 surveys are cross-sectional including women 15–49 years. PMA2020 used a 2-stage cluster design with urban/rural regions as strata with random selection of households. Univariate and multivariate analysis was done using stata V15. Results Of the 34,832 respondents interviewed from 2014 to 2018, 60.2% were MWRA. There was a significant decrease in demand for FP from 2014 to 2018, p = 0.012. Lowest demand was among 15–19 and 45–49 years old women. Overall, modern contraceptive prevalence rate increased significantly from 54.6% to 60.8%, p = 0.004, being higher for women from urban areas, home visits by health care worker (HCW), educated, wealthy, visited health facilities and exposed to mass media. Unmet need for FP decreased from 23.0–13.8% over the 5-years, p<0.001. Married adolescent 15–19 had the highest unmet need and those from rural areas, poor, uneducated and not exposed to mass media. mDFPS increased significantly from 69.7–79.4% over the 5-years, p<0.001, with increase in long acting reversible contraception/permanent methods from 19.9–37.2% and decrease in short acting methods from 49.9–42.2%. Significant determinants of mDFPS were age, rural/urban residence, education, wealth, health facility visitation, exposure to FP messages via mass media in the last 12 months, year of study and county of residence. Conclusions Results show a good progress in key FP indicators. However, not all MWRA are being reached and should be reached if Kenya is to achieve the desired universal health coverage as well as Sustainable Development Goals. Targeted home visits by HCW as well increase in mass media coverage could be viable interventions.

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