Access to contraceptives for adolescents in northern Nigeria – a cross-sectional study from three secondary health facilities in Kaduna metropolis, Kaduna

Background: In 2015, the United Nations Development Programme (UNDP) noted that countries will need to meet the increasing demand for contraceptives by the over 600 million 15- to 19-year-olds around the world. Although the unmet need for contraception for Women of Child Bearing Age (WCBA) in Nigeria is 12.7%, the value is higher (35.3%) among adolescents aged 15 – 19 years. Additionally, the unmet need for family planning (FP) among WCBA in Kaduna state is 5.8%, with 33.3% of women aged 20-24 years in Kaduna reported to have had a live birth before the age of 18 years. This study sought to evaluate adolescent contraceptive use in three referral health facilities of Kaduna metropolis. Methods: This is a descriptive cross-sectional desk review of 5543 FP clients that attended three referral centers between 2014 and 2016. Data on their age, parity and the use of contraceptives were collected from the clinic registers and analyzed using SPSS 22. Results: The FP client age ranged from 12 to 57 years, of which only 3.6% were adolescent. The annual proportion of adolescent contraceptive users ranged from 3.1 – 4.1%. More than 96% of the adolescents had given birth to at least one child. Around 62% of the adolescents used injectable contraceptives but there was no IUD use reported by any adolescent. Conclusions: The low proportion of adolescent contraceptive users and their limited choice of contraceptive methods, emanating from multiplicity of client and provider bias, calls for innovative interventions to meet the contraceptive needs of adolescents.

Download Full-text

A cross sectional study of contraceptive use and reasons for unmet needs among mothers attending immunisation clinic at tertiary care centre of central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203925 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3575

Author(s):

Archana Dethe ◽

Pradeep Kaswan ◽

Umakant G. Shidam ◽

Bhagyashree S. Gawande ◽

Daljeet Kaur

Keyword(s):

Unmet Needs ◽

Contraceptive Use ◽

Tertiary Care ◽

Unmet Need ◽

Central India ◽

Cross Sectional Study ◽

Sectional Study ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Unmet Need For Contraception

Background: Unmet need of contraception remains a national problem. The study was conducted among the mothers attending immuno-prophylaxis clinic (IPC) at tertiary care centre of central India to determine the use of different types of contraception and assess the unmet need for contraception along with the reasons associated with the unmet needs of contraception. Aim and objective was to study the contraceptive use, reasons for unmet needs amongst the mothers attending IPC and some related factors.Methods: This was a cross-sectional study conducted during the period from February-April 2016 at IPC in tertiary care setting. In this study 280 mothers attending IPC for Measles and DPT 1st booster of their child were enrolled. The sample population was selected by simple random sampling method. A pre-tested structured questionnaire was used to collect data from the respondents with written informed consent.Results: This study shows that, 65% of mother told they were practicing any type of family planning method. Unmet need for contraception was 37.14 per cent. Among those having unmet need (n=104), fear of side effects (41.35%), infrequent sex (25%) were the common reasons for unmet need. Religion, age of marriage, age at 1st pregnancy, education, socioeconomic status, occupation of husband, counselling about contraceptives during ANC/PNC visits and resumption of menses were significantly associated with the use of contraceptives.Conclusions: The unmet need for contraception was quite high. Most of the study subjects were not using contraception due to fear of side effects and lack of knowledge.

Download Full-text

Male-Female Concordance in Reported Involvement of Women in Contraceptive Decision-Making and Its Association With Modern Contraceptive Use Among Couples in Rural Maharashtra, India.

10.21203/rs.3.rs-358822/v1 ◽

2021 ◽

Author(s):

Anvita Dixit ◽

Nicole E Johns ◽

Mohan Ghule ◽

Madhusudana Battala ◽

Shahina Begum ◽

...

Keyword(s):

Decision Making ◽

Partner Violence ◽

Contraceptive Use ◽

Unmet Need ◽

Married Couples ◽

Cross Sectional Study ◽

Modern Contraceptive ◽

Cross Sectional ◽

Lower Odds ◽

Modern Contraceptive Use

Abstract Objective: Women’s involvement in contraceptive decision-making increases contraceptive use and reduces unmet need, but study of this has been limited to women’s self-reports. Less research is available examining couple concordance and women’s involvement in contraceptive decision-making as reported by both men and women. Study Design: We carried out a cross-sectional study using data from rural India (N=961 young married couples). Using multivariable regression we examined the association between concordance or discordance in spousal reports of wife’s involvement in contraceptive decision-making and modern contraceptive use, adjusting for demographics, intimate partner violence, and contraceptive use discussion. Results: More than one third (38.3%) of women reported current modern contraceptive use. Report of women’s involvement in contraceptive decision-making showed 70.3% of couples agreed that women were involved, jointly or alone (categorized as Concordant 1), 4.2% agreed women were not involved (categorized at Concordant 2), 13.2% had women report involvement but men report women were uninvolved (categorized as Discordant 1), and 12.2% had women report uninvolvement but men report that women were involved (categorized as Discordant 2). Discordant 2 couples had lower odds of modern contraceptive use relative to Concordant 1 couples (adjusted RR=0.61, 95% CI 0.45-0.83). No other significant differences between Concordant 1 couples and other categories were observed. Conclusion: One in four couples indicated discordance on women’s involvement in contraceptive decision making, with Discordant 2 category having lower odds of contraceptive use. Couples’ concordance in women’s involvement in contraceptive decision-making offers a target for family planning research and interventions to better meet their needs.Trial registrationClinicalTrial.gov, NCT03514914. https://clinicaltrials.gov/ct2/show/NCT03514914

Download Full-text

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

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171570 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1494 ◽

Cited By ~ 1

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.

Download Full-text

Unmet need for contraception and associated factors among women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia: a cross-sectional study

10.21203/rs.3.rs-154728/v1 ◽

2021 ◽

Author(s):

Negalign Mechal ◽

Mustefa Negash ◽

Hailemichael Bizuneh ◽

Ferid A Abubeker

Keyword(s):

Cardiovascular Disease ◽

Associated Factors ◽

Unmet Need ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Contraception Use ◽

Unmet Need For Contraception

Abstract Background Pregnancies complicated by cardiovascular disease carry a high risk of morbidity and mortality. Contraception offers a unique opportunity to avoid unintended pregnancy and/or optimize preconception cardiac health status. Such planning will also allow possible modification of medical therapy that can be detrimental to the growing fetus. However, unmet need for contraception can become a barrier to achieving these goals. This research was aimed to determine the rate of unmet need for contraceptives and associated factors among women with cardiovascular disease. Methods A facility-based cross-sectional study was conducted from February 1 – May 31/2020. A convenient sampling technique was used to enroll 284 reproductive age women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College. Data was collected through an exit interview using a structured and pretested questionnaire. Descriptive, bivariate, and multivariate methods were used to analyze the level of unmet need and its associated factors. Results The overall unmet need for contraception was 36%. The majority of the respondents lack counseling on contraception use. The most common reasons for non-use of a contraceptive method was fear of drug side effects and drug interaction. Unmet need for contraception was found to be more likely among those who have not been counseled on contraceptive utilization (AOR 6.7, CI 1.8–24.7) and those who lack partner support on contraception use (AOR = 6.2, CI: 1.91–19.8). Unmet need was also found to be more likely among women who have never used contraception before (AOR = 3.2, CI 1.12–8.92). Conclusion Unmet need for contraception was high in this high-risk population group. Tailored counseling can alleviate fear and concerns about contraceptive use. Appropriate strategies that enhance male partner involvement should also be implemented.

Download Full-text

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

Tropical Doctor ◽

10.1177/0049475518809605 ◽

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.

Download Full-text

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

BioMed Research International ◽

10.1155/2019/9103928 ◽

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.

Download Full-text

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

Berita Kedokteran Masyarakat ◽

10.22146/bkm.26753 ◽

2018 ◽

Vol 34 (1) ◽

pp. 33 ◽

Cited By ~ 1

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.

Download Full-text

Barriers and determinants of postpartum family planning uptake among postpartum women in Western Ethiopia: a facility-based cross-sectional study

Archives of Public Health ◽

10.1186/s13690-022-00786-6 ◽

2022 ◽

Vol 80 (1) ◽

Author(s):

Temesgen Tilahun ◽

Tariku Tesfaye Bekuma ◽

Motuma Getachew ◽

Rut Oljira ◽

Assefa Seme

Keyword(s):

Family Planning ◽

Statistical Significance ◽

Unmet Need ◽

Cross Sectional Study ◽

Health Facilities ◽

Postpartum Women ◽

Sectional Study ◽

Cross Sectional ◽

Postpartum Family Planning ◽

Western Ethiopia

Abstract Background Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high. Therefore, this study is aimed to assess barriers and determinants of postpartum family-planning uptake among women visiting Maternal, Neonatal, and Child Health (MNCH) services in public health facilities of western Ethiopia. Methods A facility-based cross-sectional study design with a quantitative method was conducted on 989 postpartum women in Western Ethiopia from September 1 to October 30, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires, entered using EPI-INFO version 7.0, and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. Result In this study, 56.1% of participants had used PPFP in the last year. The most commonly used method was injectable (51.7%). Family planning use before the index pregnancy (AOR = 2.09;95%CI:1.29,3,41),counselling on PPFP during antenatal care and delivery (AOR = 4.89;95%CI:2.31,10.37),health facility delivery (AOR = 7.61;95%CI:4.36,13.28), skilled birth attendance (AOR = 4.99;95%CI:2.88,8.64),COVID-19 restrictions (AOR = 0.59;95%CI:0.39,0.90) were factors associated with PPFP utilization. Being breastfeeding and amenorrhea were major reasons for not using postpartum family planning. Conclusion Post-partum family planning utilization among study participants was low. Given the associated factors, it is recommended that health facilities should make postpartum family planning one of their top priorities and focus on these factors to improve its utilization.

Download Full-text

A study to assess the unmet need for contraception among married women in the rural field practice area of a medical college Jhansi

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20212005 ◽

2021 ◽

Vol 8 (6) ◽

pp. 2999

Author(s):

Vimal Arya ◽

Ashish K. Singh

Keyword(s):

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Community Based ◽

Cross Sectional ◽

Policy Makers ◽

Medical College ◽

Reproductive Intentions ◽

Field Practice ◽

Unmet Need For Contraception

Background: The concept of unmet need for family planning points to the gap between some women’s reproductive intentions and their contraceptive behaviour.Methods: A community based cross-sectional study was conducted from April 19 to March 20 in rural Jhansi. 520 married women (15-49 years) were interviewed by house to house survey.Results: Out of 520 participants 124 (23.8%) had unmet need, out of them 73 (14.03%) had unmet need for spacing births and 41 (9.8%) of the participants had unmet need for limiting births.Conclusions: The unmet need for contraceptives was 23.8% in the study which is much higher compared to NFHS-4 data for urban UP (19.6%), and it has to be taken in to consideration by policy makers.

Download Full-text

Prevalence of Contraceptive Methods among Eligible Couples in an Urban Area of Chennai - A Cross Sectional Study

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i55a33831 ◽

2021 ◽

pp. 262-267

Author(s):

K. R. Deepak Avinash ◽

S. Suganthi ◽

E. Venmathi

Keyword(s):

Urban Area ◽

Contraceptive Use ◽

Mode Of Delivery ◽

Unmet Need ◽

Population Expansion ◽

Married Couples ◽

Cross Sectional Study ◽

Sectional Study ◽

Contraceptive Methods ◽

Cross Sectional

Introduction: Rapid population expansion is putting a strain on many developing countries' resources, especially in India. Optimal fertility management enables women and men to avoid and achieve conception and parenthood when desired. India launched officially Family Planning Programme way back in 1952 to address these issues, yet its goals were far from achieving facing stern obstacles in many forms. Surveys and studies by individual authors to find out the prevalence of contraceptive use and their determinants have been conducted in various parts of India. However, the contraceptive prevalence is not uniform across India. The aim of the study is to estimating the prevalence of contraception usage among eligible couples and to assess the factors associated with contraception usage. Methods: This was a cross sectional study conducted among married eligible couples living in the urban area named Semencheri in Chennai. It was carried out for a period of 4 months from 2ndApril to 5th of July 2019. The study population consisted of eligible married couples with female partner of age between 15 to 49yrs of age married for at least 2 year, and having minimum one child, Based on the results of a pilot study the sample size was calculated and estimated to be 120, structured questionnaire was used to collect data. Results: The prevalence of contraception was only 63.3% though 92.5% of couples studied were aware of the contraceptive methods, the factors like education of either of the couple and mode of delivery of the previous child were significantly associated with contraception usage. Conclusion: Even though the use of contraception has increased among couples, still there is an unmet need for contraception, in spite of increased education qualification and knowledge about contraceptive methods.

Download Full-text