Unmet need for family planning among Myanmar migrant women in Bangkok, Thailand

2020 ◽  
Vol 28 (3) ◽  
pp. 182-193
Author(s):  
Shwe Sabai Thein ◽  
Bang-on Thepthien
Keyword(s):  
Family Planning ◽  
Odds Ratio ◽  
Unmet Need ◽  
Healthcare Services ◽  
Age Group ◽  
Knowledge Level ◽  
Migrant Women ◽  
High Parity ◽  
Targeted Interventions ◽  
Reproductive Healthcare

Women migrating to different destinations may use, and be exposed to, different contraceptive behaviours. The unmet need for family planning can lead to a number of high-risk and high-parity births, thereby increasing maternal mortality. The study's objectives were to identify the prevalence of the unmet need for family planning and predictors for unmet need among Myanmar migrants. Data were collected from a survey of 360 Myanmar migrant women in Bangkok. Participating women's median age was 30 years. The prevalence of the unmet need for family planning was 15.8%. The adjusted odds ratio (AOR) of those in age group 36–45 years having an unmet need more so than the age group 18–25 years and 26–35 years was 2.52 (AOR–2.52, confidence interval [CI] 0.73–8.73); those with poor knowledge about family planning were three times more likely to have an unmet need for family planning than those with a good knowledge level (AOR–3.17, CI 1.30–7.68). The odds ratio of the respondents with an unmet need for family planning who were more dissatisfied with accessibility to family planning compared to those who were satisfied was twofold (AOR–2.05, CI 1.01–4.17) and fourfold for those who were unable to access a family planning outlet (AOR–4.17, CI 1.96–8.86). The findings of this study suggest that targeted interventions could not only increase knowledge and awareness of family planning, but also increase the visibility of sexual and reproductive healthcare services.

scholarly journals Towards achieving the family planning targets in the African region: a rapid review of task sharing policies

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Leopold Ouedraogo ◽  
Desire Habonimana ◽  
Triphonie Nkurunziza ◽  
Asmani Chilanga ◽  
Elamin Hayfa ◽  
...  
Keyword(s):  
Family Planning ◽  
Universal Access ◽  
Scale Up ◽  
Healthcare Providers ◽  
Unmet Need ◽  
Healthcare Services ◽  
Task Sharing ◽  
Reproductive Healthcare ◽  
Ssa Countries ◽  
Unmet Need For Contraception

Abstract Background Expanding access and use of effective contraception is important in achieving universal access to reproductive healthcare services, especially in low- and middle-income countries (LMICs), such as those in sub-Saharan Africa (SSA). Shortage of trained healthcare providers is an important contributor to increased unmet need for contraception in SSA. The World Health Organization (WHO) recommends task sharing as an important strategy to improve access to sexual and reproductive healthcare services by addressing shortage of healthcare providers. This study explores the status, successes, challenges and impacts of the implementation of task sharing for family planning in five SSA countries. This evidence is aimed at promoting the implementation and scale-up of task sharing programmes in SSA countries by WHO. Methodology and findings We employed a rapid programme review (RPR) methodology to generate evidence on task sharing for family planning programmes from five SSA countries namely, Burkina Faso, Cote d’Ivoire, Ethiopia, Ghana, and Nigeria. This involved a desk review of country task sharing policy documents, implementation plans and guidelines, annual sexual and reproductive health programme reports, WHO regional meeting reports on task sharing for family planning; and information from key informants on country background, intervention packages, impact, enablers, challenges and ways forward on task sharing for family planning. The findings indicate mainly the involvement of community health workers, midwives and nurses in the task sharing programmes with training in provision of contraceptive pills and long-acting reversible contraceptives (LARC). Results indicate an increase in family planning indicators during the task shifting implementation period. For instance, injectable contraceptive use increased more than threefold within six months in Burkina Faso; contraceptive prevalence rate doubled with declines in total fertility and unmet need for contraception in Ethiopia; and uptake of LARC increased in Ghana and Nigeria. Some barriers to successful implementation include poor retention of lower cadre providers, inadequate documentation, and poor data systems. Conclusions Task sharing plays a role in increasing contraceptive uptake and holds promise in promoting universal access to family planning in the SSA region. Evidence from this RPR is helpful in elaborating country policies and scale-up of task sharing for family planning programmes.

scholarly journals A Retrospective Cohort Analysis of Family Planning Behaviour in India

2021 ◽  
Author(s):  
Ajay Gupta ◽  
Shekhar Chauhan ◽  
Ratna Patel ◽  
Vaishali Chaurasia
Keyword(s):  
Family Planning ◽  
Universal Access ◽  
Cohort Analysis ◽  
Unmet Need ◽  
Family Health ◽  
Healthcare Services ◽  
Indian Government ◽  
Marital Duration ◽  
The Family ◽  
Reproductive Healthcare

Abstract Background: Family Planning programs influence women’s health by contributing to universal access to sexual and reproductive healthcare services. Access to contraception assists in delaying, spacing and limiting pregnancies. Despite being the first country that had implemented the family planning back in 1952, the Indian government has failed to achieve desirable family planning outcomes. This study examines the cohort-wise family planning behaviour of married women.Methods: Data from four rounds of National Family Health Survey (NFHS), India conducted in 1992-93, 1998-2000, 2005-06, and 2015-16 were pooled to construct marriage cohorts with sample size of 749102 women aged 15-49 years. Twelve consecutive marriage cohorts were made from 1957 to 2016. A trend analysis was performed on cohorts married after 1957 to determine if they will ultimately attain ever-use of family planning levels. Bivariate and multivariate analysis were carried out to understand the family planning behaviour by marital cohorts and marital duration. Results: The result found that ever use of contraception has decreased among the recent cohorts in all the four rounds of survey. The study found that the odds of use of contraception has increased in recent cohorts. The women in 2012-16 cohort were 1.6 times more likely to use any contraception than women from 1957-61 cohort. Results found that use of contraception increases with increase in marital duration of the women. After attaining the parity of 3 children, the desire of conceiving additional child among women has decreased significantly over the cohorts. The result also found that among the older cohorts, the sterilization was preferred after 5+ parity, and for the recent cohorts, sterilization is being preferred with 0-2 parity. Conclusion: There is a need to identify the groups with the unmet need for contraception, and an attempt to reach these groups with contraceptive services is highly desirable.

scholarly journals Unmet needs for family planning and its socio-demographic correlates among women in the reproductive age group in central rural India

2020 ◽  
Vol 7 (2) ◽  
pp. 659
Author(s):  
Ramesh Devidas Pawar ◽  
Shital Pratapsing Solanke
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Educational Status ◽  
Married Women ◽  
Reproductive Age ◽  
Age Group ◽  
Community Based ◽  
Reproductive Age Group ◽  
Status Of Women

Background: Unmet need is the discrepancy between reproductive intentions and birth control practices. If the unmet needs remained neglected it leads to population explosion which is one of the greatest threats to India’s economic, social and political development.  A community-based study was carried out in rural areas with the objective to find the prevalence of unmet need for family planning and its socio-demographic determinants among married women of reproductive age.Methods: A community based cross sectional study was conducted between January to June 2019. After calculation of sample size 670 participants were selected by simple random sampling method.  Predesign and semi structured Performa was used for data collection. Data was collected and analyse using Epi Info 7.Results: Unmet needs of family planning among the study subject was 31.19% (57.58% for the spacer and 42.42% for limiter). It was significantly higher among the Muslim (66.67%) and Boudh (40.38) religion. It was higher among Illiterate (40.82%), women residing in joint families (72.16%). Unmet need of family planning was significantly associated with age of women, religion, educational status of women and their husbands, occupation, type of family, no of children the women have and age at marriage.Conclusions: Unmet needs among married women in the reproductive age group was still high and was significantly associated with age of women, religion, educational status of women as well as their husband, occupation, type of family, number of children the women had and age at marriage.

scholarly journals A Study on Acceptance of Contraceptive Device Among Female in A Rural Area of Bangladesh and Its Relation with Their Educational Level

2018 ◽  
Vol 17 (1) ◽  
pp. 46-49
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas ◽  
AKM Maruf Raza ◽  
Mehdi Ashik Chowdhury ◽  
Md Sumon Rahman
Keyword(s):  
Family Planning ◽  
Rural Area ◽  
Educational Level ◽  
Unmet Need ◽  
Contraceptive Device ◽  
Age Group ◽  
Cross Sectional ◽  
Face To Face ◽  
Contraceptive Devices ◽  
Married Life

Background: Bangladesh had an official Family Planning (FP) programme beginning in 1960. Bangladesh has experienced a sevenfold increase in its Contraceptive Prevalence Rate (CPR) in less than forty years from 8% in 1975 to 62% in 2014. However, despite this progress, almost one-third of pregnancies are still unintended which may be attributed to unmet need for family planning and discontinuation and switching of methods after initiation of their use. To find out the acceptance of contraceptive devices among female in rural area of Bangladesh and its relation with their educational level. Methods : A cross sectional descriptive study of fifteen days’ duration was conducted among female in rural area of Bangladesh. Participants not willing to respond and pregnant women were excluded. Total of 120 women were selected as study participants. Every woman was interviewed face to face with pre-tested questionnaire after taking informed consent. Results: About 46.92% were age group 26 to 35 years and 11.11% were age group more than 36 years of age, 83.96% were Muslim and 14.81% were Hindu. Maximum (83.96%) were married. About 37.04% were upto class V and 1.23% were SSC passed. About 27.16% were class VI to X. About 60.49% duration of married life 1 to 10 years and 1.23% married life 30 to 40 years. 86.42% were use contraceptive device, among them 34.43% were use condom and 3.28% were used IUD. About 43.33% respondents suffer from irregular menstruation and 25% from menorrhagia, 20.84% weight gain. About 46.66% respondents had 2 children and 4.16% had no child. Conclusion: A renewed commitment from government bodies and independent organizations is needed to implement and monitor family planning strategies in order to ensure the adherence to and provision of the most appropriate contraceptive method for couples. Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 46-49

Unmet need for family planning in Jamaica

1995 ◽  
Vol 27 (3) ◽  
pp. 319-324
Author(s):  
M. A. Chiezah ◽  
D. J. Adamchak
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Reproductive Age ◽  
Age Group ◽  
Jamaican Women ◽  
Group 15 ◽  
Reproductive Age Group

SummaryThis study updates and extends estimates for unmet need and total demand for family planning for Jamaican women in the reproductive age group, 15–49. The findings suggest that, as yet unmet need for family planning was 22·7%, compared to 16% previously estimated.

scholarly journals Impact of COVID-19 pandemic on women reproductive health and family planning services

2021 ◽  
Vol 10 (4) ◽  
pp. 1757
Author(s):  
Manish Taywade ◽  
Rudra Prasad Pradhan
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Workers ◽  
Universal Access ◽  
Healthcare Services ◽  
Reproductive Age ◽  
Family Planning Services ◽  
Sustainable Development Goal ◽  
Reproductive Healthcare ◽  
Reproductive Age Group

Globally, women and adolescents health in the reproductive age group are heavily affected during the ongoing coronavirus disease - 2010 (COVID-19) pandemic. Contraception shortage across the world. Sustainable development goal, target 3.7 is “to ensure universal access to sexual and reproductive healthcare services, including for family planning, information and education and integration of reproductive health into national strategies and programmes.” The demand of health workers and supply chain are affected and impacted the availability and accessibility to the sexual and reproductive health

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