scholarly journals Assessment of unmet need for family planning and its determinants in a rural block of Haryana

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

Background: Unmet need represents the gap between women’s reproductive intentions and their contraceptive behavior. Meeting the unmet need for family planning would help to reduce the mortality and morbidity from unwanted pregnancies. Objectives of the study were to assess the unmet need for family planning and its determinants among married rural women.Methods: The present study was community based cross-sectional study conducted in rural area of Haryana from September 2015 to August 2016 among 500 currently married women (18-49 years).Results: The unmet need for family planning was 19.2% (4.8% spacing and 14.4% limiting). Education, occupation and desirable number of children were significantly associated with unmet need for family planning. The commonest reason for not using contraception among those with unmet need was fear of side-effects (37.5%) followed by in-laws disapproval (21.9%) and others.Conclusions: The unmet need for family planning was high. Women’s education and empowerment by protecting their health, wellbeing and rights, including their reproductive rights would prove to be beneficial.

Author(s):  
Vimal Arya ◽  
Ashish K. Singh

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.


Author(s):  
Anupama M. ◽  
Krishna Iyengar ◽  
Rajesh S. S. ◽  
Ashok Jayaram ◽  
Venkatesh P.

Background: The concept of unmet need for family planning points to the gap between some women’s reproductive intentions and their contraceptive behaviour. The National Population policy (NPP) 2000 states that the immediate objective is to address the unmet need for contraceptive services. Unintended pregnancy related to unmet need is a worldwide problem that affects women and their families and societies at large.Methods: A community based cross-sectional study was conducted from November 2016 to October 2017 in Maralur and Maralur Dinne, urban localities under urban health Training Centre of Sri Siddhartha Medical College. 260 Married women (15–49 years) were interviewed by house to house survey. The questionnaire was used to collect data to assess their reproductive intentions and contraceptive behaviour.Results: Out of 260 participants, 144 (55.4%) of them belonged to the group where their contraceptive needs were met for spacing and limiting births, 59 (22.69%) of them of did not have any need for contraceptives, 16 (6.15%) had unmet need for spacing births and 41 (15.77%) of the participants had unmet need for limiting births.Conclusions: The unmet need for contraceptives was 21.92% in the study which is much higher compared to NFHS-4 data for urban India (12.1%). The reasons and the factors associated with the unmet need should be addressed.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036519 ◽  
Author(s):  
Mussie Alemayehu ◽  
Araya Abrha Medhanyie ◽  
Elizabeth Reed ◽  
Afework Mulugeta

ObjectiveThe study aimed to identify the effects of the individual-level and community-level factors on the use of family planning (FP) among married women in the pastoralist community of Ethiopia.DesignA community-based cross-sectional study was conducted in September 2018. Data were analysed using R software. To determine the fixed effect of individual-level and community-level factors of FP use, a two-level mixed-effects logistic regression was used. The result was described using the Adjusted OR (AOR), and the variance partition coefficient.Setting and participantsAfar, Ethiopia (2018; n=891) married women of reproductive age (15–49) years.Primary outcome measuresFP use or non-use.ResultsThe current use of FP was 18.7% (16.31%–21.43%). Women who need to walk 1 hour and more to the nearest health facility (AOR 0.14, 95% CI 0.05 to 0.3), have ANC visit of 4 and above (AOR 6.02, 95% CI 1.74 to 20.8), had their last birth at a health facility (AOR 2.71 95% CI 1.27 to 5.81), have five and more children (AOR 4.71, 95% CI 1.86 to 11.9), have high knowledge on FP (AOR 2.74, 95% CI 1.11 to 6.74) and had high intentions to use FP (AOR 10.3, 95% CI 3.85 to 27.6) were more likely to report FP use. The magnitude of the effect of for FP use was smaller than that of 9 of the 13 individual factors. Apart from this 19.4% of the total variance in the odds of using FP attributed to between community difference (intraclass correlation coefficient=0.194). Regarding the community-level characteristics, clusters of having higher electronic media possession (AOR 2.84, 95% CI 1.2 to 6.72) and higher women decision making on FP (AOR 8.35, 95% CI 2.7 to 27.1) were significantly associated with increased FP use compared with clusters with lower reports of these aspects.ConclusionFP use among the pastoralist community is influenced by both individual cluster/community-level characteristics or factors. Even though the effect of clustering in FP use was large in comparison with the unexplained between-cluster variation, it was lower than the individual-level factors.Trail registrtion numberNCT03450564


Author(s):  
Enas A. Dhaher

Background: Family planning practices could be determined through adopting proper knowledge and positive couple attitudes towards the use of family planning which would most likely result in favourable family decisions which would benefitted both the individual and the overall country welfare.Methods: A cross sectional study has been conducted using a structured questionnaire administered through face-to-face interview to a convenient sample of 151 pregnant women attending the obstetrics and gynaecology outpatient clinic at the Armed Forces Hospital in the southern region of Saudi Arabia in December 2014.Results: The results revealed that modern methods were popular among women. In general we found positive attitudes towards family planning among the sampled women as two third of the women have ever used contraceptives. However, the present study showed that 34% of women had unmet need of family planning. Women’s age, marriage years and number of children were all found to be associated factors with unmet need.Conclusions: National organized family planning programs might help satisfying the family planning needs for the families. Further studies regarding southern men’s knowledge and attitudes towards family planning is recommended. 


1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki

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


Author(s):  
Sudha V. ◽  
Vrushabhendra H. N. ◽  
Srikanth S. ◽  
Suganya E.

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.


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