scholarly journals An epidemiological study to assess unmet needs for family planning among married women in an urban slum area of Mumbai

Author(s):  
Shalini Rawat ◽  
Ashwini Yadav ◽  
Meraj Gohar

Background: Unmet need is useful tool for monitoring family planning program and maternal health. Thus, reducing maternal mortality, unintended pregnancies and abortions. Use of modern contraceptives in 2017 prevented an estimated 308 million unintended pregnancies.Methods: A cross-sectional study was done among reproductive age (15-44 years) women attending general OPD in Urban health Training centre for a period of one month. Simple random sampling was used and sample size of 375 was taken. Data was analysed using SPSS software version 23.Results: Out of 375 women 85 (22.66%) were using contraceptives while 290 (77.34%) of women were not using any type of contraception. Total unmet need for spacing birth was 69 (18.4%) while for limiting birth was 98 (26.13%). Unmet need for spacing birth was highest 27 (26.21%) in age group of 20-25 years and unmet need for limiting birth was highest 10 (12.04%) in the age group of 30-35years. Educational status and socio-economic status of the women were found to be significantly associated with the unmet need. (50%) of women with no child and 24 (55.81%) women having one child had more need for spacing birth while women who had 2 children 26 (24.29%) had need for spacing and 41 (38.31%) had need for limiting births.Conclusions: The unmet need for contraception was found to be 44.53% which is much higher than the NFHS-4 data for urban Maharashtra i.e.11%. Appropriate measures should be taken for motivating couples to adopt the family planning methods specially among younger age women and economically backward groups

Author(s):  
Ramesh Devidas Pawar ◽  
Shital Pratapsing Solanke

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.


2017 ◽  
Vol 6 (11) ◽  
pp. 5525
Author(s):  
Vijayasree L.

Family planning is an important pillar for safe motherhood and good reproductive health and is influenced by number of socio-demographic factors. Since fertility in India is primarily marital this study was planned among married women. A community based cross-sectional study was conducted among 402 women of reproductive age group. Details regarding various socio-demographic factors with special emphasis on education and occupation of husband and wife and their socio-economic status and its relation to contraceptive usage were studied. Prevalence of contraception was found to be 61.7%. Contraceptive usage had a significantly positive relation with literacy status of women, socio economic status of the couple. On the other hand husband’s educational status, occupation of women, husband’s occupation did not have any relation with contraceptive usage.


Author(s):  
Deepak Anil ◽  
Sunil Kumar D. ◽  
Vijaylakshmi Rao Vadaga ◽  
Arun Gopi ◽  
M. R. Narayana Murthy

Background: According to national family health survey-5 (NFHS-5), in urban Karnataka, the total unmet need was 7.3. An important concept to describe effectiveness of family planning program is unmet need for family planning. Most married women want to limit childbirth and space deliveries but are unable to use contraceptives for varying reasons leading to unmet need. To assess unmet need of family planning and its associated factors among married women in reproductive age group in Mysuru.Methods: A community based cross-sectional study was done from November 2020-January 2021 among married women in reproductive age group (18-49 years) in urban Mysuru. Sample size calculated was 162. The samples were selected by systematic random sampling and interviewed using a pre-tested semi- structured questionnaire. Data was analysed using SPSS version 23 (licensed to JSS AHER).Results: The overall unmet need was 29.01%, among this 17.3% was for spacing and 11.71% for limiting. Out of 162 females studied, around 131 had knowledge about at least one contraceptive method. Unmet need was higher in unemployed women belonging to the lower socio-economic group. Important reasons cited for not using contraceptives were family opposition, fear of side effects, negligent attitude of the women and lack of knowledge about family planning.Conclusions: Unmet need of family planning in the study area was comparatively high, therefore, routine family planning counselling, health education, and health awareness programs need to be strengthened.


Author(s):  
Alemu Kebede ◽  
Sileshi G. Abaya ◽  
Elias Merdassa ◽  
Tariku Tesfaye Bekuma

Abstract Background Family planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregnancy. So, women’s demand for contraceptive utilization to limit, space, or delay the number of family size can be increased by integrating family planning service at each service delivery points. Objective The main aim of this study was to assess the demand for modern contraceptive and associated factors among currently married women of the reproductive age group in rural kebeles of Nunu Kumba District, 2015. Methods A community-based cross-sectional study design was conducted from January 15–30, 2015 among 584 systematically selected currently married women of reproductive age in six rural kebeles of Nunu Kumba District. A pre-tested and interviewer-administered questionnaire was used to collect the data. Data were analyzed using SPSS version 20. Descriptive statistics were done to summarize the data. A multivariate logistic regressions analysis method was employed and odds ratio with 95% confidence interval was used to control for possible confounders. P-value < 0.05 was used to declare a significant association. Results The total demand for modern methods of contraceptive was 450 (77.1%) of which 325 (55.7%) of them were current user and 125 (21.4%) of them were had unmet need for modern contraceptive methods. Being in the younger age group (15–24 and 25–34 years [AOR = 0.196; 95% CI: 0.055, 0.692] and [AOR = 0.179, 95% CI: 0.043, 0.745] respectively, husband having no intention for more children [AOR = 4.124, 95% CI: 1.891, 8.996], number of children alive [AOR = 2.617, 95% CI: 1.056, 6.486], and couples ever not discussed on family planning [AOR = 0.340, 95% CI: 0.187, 0.619] were factors associated with demand for modern methods of contraception. Conclusion The total demand for modern methods of contraceptive was high in the study area except for long-acting and permanent methods with high unmet need for spacing than for limiting. Therefore, any program aimed at promoting family planning at the district level should look for ways and means of increasing demand for long-acting and permanent family planning methods and encouraging husband involvement to increase its utilization.


Author(s):  
Neeti Verma ◽  
Prashant K. Bajpai

Background: Despite the availability of a wide range of contraceptive and mass media campaigns and information, education, and communication programs, population control remains a distant dream to achieve. The low use of spacing methods is reflected by early childbearing and short birth intervals. The present study was undertaken to assess the knowledge, attitude, and practice of different contraceptive methods among married women in the reproductive age group.Methods: A cross-sectional study was conducted among 230 married women in the reproductive age group (18-49 years) attending the outpatient department (OPD) of urban health training centre and came mainly from the neighboring slum locality.Results: We have included a total of 230 participants in the study analysis. Almost all (98.6%) of the study participants had knowledge about at least one method of contraception. If we see the use of contraceptive methods, 163 (70.8%) women ever used any of the contraceptive methods. Less than half (40.9%) had knowledge that contraceptive methods reduce the economic burden on the family. A negative attitude towards the practice of contraception was found among 11.7 percent of women in the study. When asking about present (last 1 year) practice of contraception, 29.1% not practiced any method of contraception, 25.6% used oral contraceptive pills (OCPs), and 27.8% used condoms.Conclusions: The study reveals good knowledge and favorable attitude of rural couples towards contraception. Contraceptive knowledge and practice were influenced by exposure to family planning messages. Women's education and counselling of couples can play an important role in adopting family planning methods.


Author(s):  
Amina Mohammed ◽  
Esther Awazzi Envuladu ◽  
Elizabeth Onyi Okoh ◽  
Ize Anuwolapo Osagie ◽  
Mustapha Abdulsalaam Danimoh ◽  
...  

Family planning provides individuals and couples the ability to adequately space each pregnancy. Contraceptive uptake is still low in developing countries. This study aims to determine the proportion of women with unmet need for family planning in plateau State. Methods and materials: This was a cross sectional study, employing quantitative and qualitative data collection techniques. Multistage sampling technique was used to select 300 study participants across the three senatorial zones in Plateau State. A semi structured interviewer administered questionnaire was used to obtain information from study participants while a Focussed Group Discussion (FGD) guide was used to conduct FGDs among women. Data was analysed using SPSS version 23. Results: The mean age of respondents was 25.4 years. The proportion of women currently using any form of contraceptive was 36%. Fifty-six percent of the respondents had unmet need for family planning. Educational status and parity were statistically significantly associated with having unmet need for family planning. In the FDGs most women of lower parity narrated that they would like to limit and space their pregnancies but were not using family planning commodities for fear of infertility, back ache, headache and complication such as convulsion in pregnancy. Conclusion: The use of family planning commodities is low and unmet need for family planning high in Plateau State. Interventions such as health education targeting mothers may reduce the proportion of women with unmet need for family planning. This will enable women adequately space and limit their pregnancies and reduce maternal morbidity and mortality. Key words: family planning, unmet need, limiting pregnancy, spacing pregnancy.  


2019 ◽  
Author(s):  
Elvis Junior Dun-Dery ◽  
Elijah Yendaw ◽  
Frederick Dun-Dery ◽  
Lawrence Bagrmwin

Abstract Background: Universally, an estimated 80 million unintended pregnancies comprising both mistimed and unwanted pregnancies are recorded yearly, but only half of women at risk of a mistimed pregnancy use contraceptives. In developing countries, over 100 million females have unmet need and national surveys in Ghana indicate a 29% unmet need rate. Methods: A cross-sectional community based study was used, involving the use of multi-step cluster sampling methods in selecting 300 women of reproductive age. The study was quantitative in nature, using structured interviewer administered questionnaires. Results: More than half (66%) of the women in reproductive age still had unmet need, 71% were currently pregnant and 36% confirmed ever having a mistimed pregnancy. Overall, 53% of the women confirmed never communicating on family planning issues with their partners, a little below half (45%) of the respondents took their own health care decisions and 79% ever received family planning services from a health professional. Factors related to unmet need included mistimed pregnancy, level of education, preferred birth/pregnancy interval, communication between partners and the autonomy to spend self-earnings. Conclusion: Considering that high rates of unmet need results in mistimed pregnancy, improved policies around the influence of unmet need on mistimed pregnancies are needed.


Author(s):  
Disha R. Geriya ◽  
Venu R. Shah ◽  
Viral R. Dave ◽  
Kantibhai N. Sonaliya

Background: India is a country where population is rapidly growing, to slow down this growth rate family planning is necessary. Family planning services have the potential to improve the quality of the lives and economic welfare of people. Aim of the study was to assess prevalence of unmet need, knowledge, attitude regarding family planning methods and contraceptive practices, among study participants.Methods: A cross- sectional study was carried out among females of early reproductive age group 18-25 years, Group-1 and late reproductive age group 35-49 years, Group-2Results: Out of 200 women, majority respondents belonged to age group of 22-25 years (44.5%). Females of both age-groups had almost similar (54% and 53%) knowledge “partially correct” type for objectives of family planning and had similar positive attitude (78% and 85%) towards family planning practices. Total 45% of group 1 and 55% of other group females were currently using contraception. Most common method used by group 1 women was Intra Uterine Devices (35.5%), followed by Oral Contraceptive pills (31.2%) and in group 2 women was permanent sterilization (74.5%) followed by barrier and Intra Uterine Devices (9.1% each). Unmet need of family planning was 29% and 18% among early and late reproductive age groups, respectively.Conclusions: Unmet need of family planning was higher among early age group females. In both age groups, utilization of contraceptives were less because of lack of awareness and fear of side effect.


2021 ◽  
Author(s):  
Abiyu Abadi Tareke ◽  
Ermias Bekele

Abstract Background: Family planning is a key method for reducing population growth and improving maternal and child health by spacing births and preventing unwanted pregnancies. have an unmet need for family planning is defined as women believed to be sexually involved but are not using some form of contraception, either do not want to have more children (Limiting) or want to delay their next birth for at least two years, (Spacing).Methods: The data for this study arrived from the Ethiopia Demographic Health Surveys in 2005, 2011, and 2016 to investigate trends and Predictors of change of unmet need for family planning among reproductive age women in Ethiopia. A pooled weighted sample of 26,230 (7761 in 2005, 9136 in 2011 and 9,333 in 2016 Ethiopian demographic health surveys) reproductive-age women used for this study. For the overall trend (2005-2016) multivariate decomposition analysis for non-linear response outcome was calibrated to identify the factors contributed to the change of unmet need for family planning. The Logit based multivariate decomposition analysis utilizes the output from the logistic regression model to assign the observed change in in unmet need for family planning over time into two components. Stata version 16.0 was used to analysis the data.Result: among reproductive age women in Ethiopia the magnitude of unmet need for family planning decreased from 39.6% in 2005 to 23.6% in 2016. From the decomposition analysis change of unmet need for family planning was due to change in characteristics and coefficients. About nine in ten changes in unmet need for family planning was attributable to the difference in coefficients. Factors that associated with the change of unmet need for family planning over the last 11 years were educational status, birth order, and desired number of children.Conclusion: Remarkable change in unmet need for FP was observed between the period of 2005 and 2016. Both change in characteristics and coefficient were the contributing to observed change. Majority of the change in unmet need for FP was due to difference in coefficient over the study period. Mainly the change of unmet need for FP was due to change in women having birth order of five and above, having secondary education and women who desired number of children below five.


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