scholarly journals Understanding unmet need for family planning

Author(s):  
Srishti Singh ◽  
Meenakshi Kalhan ◽  
J. S. Malik ◽  
Anuj Jangra ◽  
Nitika Sharma ◽  
...  

Unmet need represents the gap between women’s reproductive intentions and their contraceptive behavior. There are some 225 million women in the world who want to use safe and effective family planning methods are unable to do so. Control over fertility is very important not only because of its far-reaching implications on prosperity and overall growth of the nation, but also because of its impact on the freedom of young women to lead life of their own choice. Reduction in unmet need for family planning is critical for the overall development of the society. Combination of the mutually reinforcing effects of investments in education, health and family planning programmes is needed.

2020 ◽  
Vol 18 (2) ◽  
pp. 238-242
Author(s):  
Usha Dhakal ◽  
Ram Bahadur Shrestha ◽  
Surendra Kumar Bohara ◽  
Samir Neupane

Background: Maternal mortality is associated with the unmet need of family planning. Family planning has been subjected as taboos in the Muslim community with low use of its methods. Gulariya Municipality is the second largest community for Muslim. This research focuses on knowledge, attitude and practice of family planning among Muslim women of reproductive age.Methods: Descriptive cross-sectional study design was undertaken in Gulariya Municipality. Married Muslim women of reproductive age group from 164 households were interviewed using systematic random sampling. Key informant interview was also applied.Results: The percentage of women who have knowledge on family planning methods was found 94.5%. On the means of contraception, most of the women (73.2%) knew about Depo. The attitude of the respondents was seen positive. A total of 79.3% of women were found to have practiced temporary means of family planning while none of the women surveyed were found using permanent family planning methods. Association between all socio-economic and demographic factors with knowledge of family planning methods were found insignificant at 0.05 level of significance. However, association between wealth rank and practices on family planning shows statistically significant association. Conclusions: Majority of women have knowledge on family planning, but still lack knowledge on few method like condom. Most of them found practicing family planning, despite the practice was not seen being done regularly. Language barrier seems to be influencing knowledge, attitude and practice of family planning. The research warrants newer strategies to be developed and employed to deal with the multi-disciplinary prospective of family planning among Muslim women.Keywords: Family planning; knowledge, attitude and practice; muslim women


2021 ◽  
Author(s):  
◽  
Rodgers Isiko

Background Family planning refers to a conscious effort by a couple to space the number of children they have through the use of contraceptive methods. According to WHO, an estimated 225 million women in developing countries, 24.2% of women of reproductive age have an unmet need for contraception. However, contraceptive use in sub-Saharan Africa is low at only 21%. The total fertility rate remains high for many countries in the region (4.6 in Kenya and Rwanda, 5.4 in Tanzania, 6.2 in Uganda, and 6.4 for Burundi). Methodology This was a community-based project implementation on increasing awareness and utilization of family planning methods in Police Wing village, Jinja district. Consent was gotten from the VHT, LC1, and DHO before mobilizing people to gather at the VHT’s home and her neighbour’s compound where we carried out the different educational sessions. Different team members got different roles to play as regards the health education session. One week later, we evaluated the progress of our project implementation through the administration of questionnaires to the same people we health educated. The questionnaire assessed the level of utilization, awareness, myths, misconception, and demography of the participants. Results 28% had heard about at least three family planning methods and 24.1% had at one time used family planning while 75.9% of the participants admitted not to have used it. The post-session assessment showed an increase from 28% to 93% in knowledge regarding the available methods of FP and an increase in the utilization of FP from 28% to 42%.   Conclusion and recommendations Addressing the myths and misconceptions about FP by exposing them as a fallacy would help increase the uptake as evidenced by the will of the community to take up the different methods. Organize frequent health talks about FP in the community.


2019 ◽  
Vol 3 ◽  
pp. 887
Author(s):  
Pamela Williams ◽  
Katie Morales ◽  
Vikram Sridharan ◽  
Alekya Tummala ◽  
Elliot Marseille

Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women in this group want family planning for birth spacing or to avoid unintended pregnancies and stop child bearing once desired family size has been reached. Women spend on average about 30 years, or three-quarters of their reproductive lives, attempting to avoid pregnancy. In total 76% of Rwandan women want family planning postpartum, yet a 26% unmet need remains. Methods: This cost effectiveness analysis compared the two most frequently-used family planning methods in Rwanda, longer-acting reversible contraception (LARC), injections and subdermal implants, and shorter-acting reversible contraceptives (non-LARC), pills and condoms. Women who do not use contraception postpartum were also represented. A time horizon of 24 months was used to reflect the World Health Organization suggested two-year spacing from birth until the next pregnancy, and the analysis was conducted from a health systems perspective. Results: For women of reproductive age (12-49 years) in Rwanda, including LARC postpartum family planning methods in the options, saves $18.73 per pregnancy averted, compared to family planning options that offer non-LARC methods exclusively. Conclusion: $2.8 million US$ per year can be saved if LARC is included as a contraceptive choice across all health centers in Rwanda; this cost savings provides the opportunity for these funds to be allocated to other high value interventions. Potential inclusion of these methods at Rwanda’s faith-based health facilities warrants further attention.


2009 ◽  
Vol 364 (1532) ◽  
pp. 3093-3099 ◽  
Author(s):  
Ndola Prata

It is imperative to make family planning more accessible in low resource settings. The poorest couples have the highest fertility, the lowest contraceptive use and the highest unmet need for contraception. It is also in the low resource settings where maternal and child mortality is the highest. Family planning can contribute to improvements in maternal and child health, especially in low resource settings where overall access to health services is limited. Four critical steps should be taken to increase access to family planning in resource-poor settings: (i) increase knowledge about the safety of family planning methods; (ii) ensure contraception is genuinely affordable to the poorest families; (iii) ensure supply of contraceptives by making family planning a permanent line item in healthcare system's budgets and (iv) take immediate action to remove barriers hindering access to family planning methods. In Africa, there are more women with an unmet need for family planning than women currently using modern methods. Making family planning accessible in low resource settings will help decrease the existing inequities in achieving desired fertility at individual and country level. In addition, it could help slow population growth within a human rights framework. The United Nations Population Division projections for the year 2050 vary between a high of 10.6 and a low of 7.4 billion. Given that most of the growth is expected to come from today's resource-poor settings, easy access to family planning could make a difference of billions in the world in 2050.


Author(s):  
Joseph Massenga ◽  
Rita Noronha ◽  
Bayoum Awadhi ◽  
Dunstan R. Bishanga ◽  
Oliva Safari ◽  
...  

In Tanzania, 27.1% of all women of reproductive age are currently using modern contraception and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania. The survey, which collected information beyond that collected in the Tanzania Demographic Health Survey, used a two-stage, stratified-cluster sampling design, conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15–49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. A total of 393 (33.2%) women used family planning methods and 929 (79%) required prior approval from their partners. Participation of men in utilization of maternal health care was low, where 680 (57.8%) women responded that their partners accompanied them to at least one antenatal care (ANC) counselling visit and 120 (10%) responded that their partners participated in family planning counselling. Women who did not want to disclose whether they had discussed family planning with their partners, strikingly had the highest percentage of using family planning methods after birth. Factors independently associated with family planning uptake included: having discussed family planning with the partner (aOR 3.22; 95% CI 1.99–5.21), having been counselled on family planning during antenatal care (aOR 2.68; 95% CI 1.78–4.05), having discussed family planning with a community health worker (CHW) (aOR 4.59; 95% CI 2.53–8.33) and with a facility health care worker (aOR 1.93; 95% CI 1.29–2.90), having primary or higher educational level (aOR 1.66; 95% CI 1.01–2.273), and being in union (aOR 1.86; 95% CI 1.02–3.42). Educational interaction with community and facility health workers, as well as having a supportive partner as facilitator increased uptake of family planning. This needs to be prioritized in regions with similar socio-cultural norms in Tanzania and beyond.


Author(s):  
Sangita V. Patel ◽  
Swapnil Malkhede ◽  
Maitri Shah ◽  
Latika Chugh ◽  
Jesal H. Patel ◽  
...  

Background: Increased family planning helps to reduce maternal mortality and infant mortality. Unmet need is spacing of birth for younger women and is the limitation of births for older women; both of which can be fulfilled by rigorous counseling. so the present study was conducted to measure the proportion of targeted women adopting family planning methods after postpartum counseling and to find out the type and timing of adoption.Methods: A Non-randomized control trial was conducted. The study was carried out at the postpartum delivery ward of the obstetrics and gynecology department of SSG Hospital. 103 participants in the intervention group and 103 participants in the control group were interviewed.Counseling and leaflet were given to the intervention group. The washout period was kept for one week. In the next week in the control group usual counseling was given by the counselor (standard of care). Second interview of the same participants was done telephonically or home visits after the 6 months to see the adoption of family planning method.Results: Within six months of delivery, acceptance of contraceptive methods was more in intervention group (72.85%) than in control group (48.52%). Condom was the most common type of contraceptive intervention used in both interventional group (51.45%) and control group (36.76%) followed by Copper T use which was 14.21% in interventional group and 8.82% in control group. Majority of the women adopted contraceptives within two months of intervention.Conclusions: Counseling may help in adoption of family planning methods among postpartum women.


1970 ◽  
Vol 19 (1) ◽  
pp. 11-15 ◽  
Author(s):  
SK Ferdousi ◽  
MA Jabbar ◽  
SR Hoque ◽  
SR Karim ◽  
AR Mahmood ◽  
...  

Objective: This study aims to find out the unmet need of family planning among the rural women. To explore the obstacles to use family planning methods and to estimate the prevalence of contraceptive use. Study design: Cross-sectional type of descriptive study. Settings: The study was conducted at Sreepur upazila under Gazipur district. Subjects: All the married women of reproductive age, residing in a selected village of Sreepur upazila, were selected as the study subject. Results: The study revealed that unmet need was (22.4%). Most of the respondents (72.1%) were using contraceptive methods. Among those who used contraceptives, OCP was the most commonly used method (61.7%). About 28% were not using any method. The main reason was fear of side effects (46.1%). Conclusion: The study concluded that a nationwide contraceptive prevalence study may be carried out to explore the problem in detail. Key words: Unmet need; family planning; contraceptive prevalence rate. DOI: 10.3329/jdmc.v19i1.6244 J Dhaka Med Coll. 2010; 19(1) : 11-15.


Author(s):  
Edwin de Jesús VARGUEZ-SALAS ◽  
María Guadalupe ANDUEZA-PECH ◽  
Elsa María RODRÍGUEZ-ANGULO ◽  
Ricardo OJEDA-RODRÍGUEZ ◽  
Jolly Josefina HOIL-SANTOS

Worldwide it is estimated that there is a slowdown in population growth and a decrease in the birth rate. According to the institutions, much of this change is due to the success of family planning programs. Family planning is recognized as one of the main interventions that saves the lives of mothers and children, especially in postpartum women who have a greater need to achieve longer intergenic intervals or to reduce unplanned pregnancies and their repercussions on maternal and child health. The objective of this work was to determine the level of knowledge and the acceptance of family planning methods, as well as the unmet need in pregnant women who attend prenatal control in a Health Unit of the state of Yucatan from May to July 2018. The study It was cross-sectional, it included 164 women who had prenatal control in the rural medical unit, were invited to participate and informed consent was requested. A low level of knowledge in family planning methods was found, the acceptance of family planning methods after the obstetric event was 18.3%, while the frequency of unmet need was 54.9%.


Author(s):  
Yachna Setu ◽  
Shiv Prakash ◽  
Khurshid Parveen ◽  
Richa Singh

Background: Unmet need for family planning is the major problem in developing countries. The use of family planning methods is better in urban areas as compared to rural areas and it is worse in urban slums. Thus unmet need for family planning is more in urban slums. Aims and objectives: To find out the prevalence of unmet need and to estimate the factors associated with unmet need for Family Planning.Methods: A community based cross sectional study was carried out on eligible couples selected from urban slums of Allahabad district by multistage random sampling and were interviewed by using pre-tested schedule. Data analysis was done by using SPSS version 21.Results: The study revealed that 22.47% (80/356) of eligible couples had unmet need for family planning. The most common reason for unmet need was irregular supply of family planning methods (31.25%), followed by opposition from husband/family members (21.25%), fear of side effects of using any family planning methods (17.25%), lack of knowledge regarding any family planning methods (13.75%). The unmet need for family planning was found to be associated with number of live births, education of female participants and occupation of male participants.Conclusions: The unmet need for family planning is high in slums areas and to improve the condition awareness should be created.


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