scholarly journals Unmet need for contraception among eligible women of urban slums in Chennai

2021 ◽  
Vol 8 (11) ◽  
pp. 5352
Author(s):  
Jayashree Kalva ◽  
Arathi P. Rao ◽  
Prakash Narayanan
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Unmet Need ◽  
Urban Slum ◽  
Urban Slums ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Slum Dwellers ◽  
Living Children ◽  
Unmet Need For Contraception

Background: Unmet need for family planning is a crucial indicator to assess demand for family planning programme. It was reported that women from the world’s poorest countries have a high unmet need for contraception. Unmet need is particularly high among immigrants, urban slum dwellers, and women in the post-partum period. The objective of this study was to assess the unmet need and factors influencing the unmet need for contraception among urban slum dwellers in Chennai, South India.Methods: A community-based cross-sectional study of 375 married women was conducted among 50 urban slums of Chennai. Multistage random sampling was employed. About 6-9 women from each slum were interviewed. A semi-structured questionnaire was used to obtain data.Results: The mean age of the participants was 32.1±7.3 years. The total unmet need was 13.8%, which included 9.3% for limiting and 4.5% spacing. The major reasons for contraception non-use among women with unmet need were no preference to use modern contraceptives (30.8%) and preference to get sterilized soon (21.2%). Age, education, religion, and number of living children were the factors associated with unmet need.Conclusions: It was noted that unmet need reduced with age and increased number of living children. Though the unmet need is considerably low compared to other studies it is evident that women are still uncertain to use modern contraceptive methods for spacing and are more likely to undergo sterilization after their desired family size is achieved.

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

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.

scholarly journals Profile of unmet needs of family planning in an urban slum of Ganjam district, Odisha, India: a cross-sectional study

2019 ◽  
Vol 8 (3) ◽  
pp. 961
Author(s):  
Smaranita Sabat ◽  
Dhaneswari Jena ◽  
Durga Madhab Satapathy ◽  
Sithun Patro ◽  
Radhamadhab Tripathy
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Unmet Need ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Sectional Study ◽  
Cross Sectional ◽  
Education Of Women ◽  
Living Children

Background: Unmet need for family planning refers to the percentage of fecund women of reproductive age either married or in union, women who either wish to postpone the next birth (spacers) or who wish to stop child bearing (limiters) but are not using a contraceptive method. This clearly indicates a gap between a woman’s reproductive intention and current contraceptive behaviour. The objectives of the present study was to determine the prevalence of unmet need for family planning, to assess the association between socio-demographic characteristics and unmet need of family planning, to identify the reasons for unmet need.Methods: It was a cross-sectional study conducted from June to August 2018 in Ankuli (UHTC). A total of 188 ever married women in the reproductive age group were selected by simple random sampling.Results: Out of 188 women, 41 (21.8%) had no need for contraception and needs for family planning of 78 (41.5%) women had been met. The prevalence of unmet need for family planning was 36.7% consists of 24 (12.8%)  spacing need and 45 (23.9%)  limiting need. It was found that age, education of women, age at marriage, number of living children, contraceptive knowledge and inter-spousal communication were significantly associated with unmet need for family planning. The most common reason for not using any contraceptive method was fear of side effects (40.6%).Conclusions: The unmet need for family planning was high and in order to reduce the gap, the program should address the above reasons.

scholarly journals Unmet Need of Postpartum Contraceptives Use in Urban Slums

2020 ◽  
Vol 38 (2) ◽  
pp. 46-52
Author(s):  
Jennyfer Tazneen ◽  
Shaheda Hamid ◽  
Mostafizur Rahman
Keyword(s):  
Family Planning ◽  
Family Income ◽  
Post Partum ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Urban Slums ◽  
Dhaka City ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Monthly Family Income

Background: Unwanted pregnancy is common in slum dwelling couples as they are less aware about postpartum contraceptive. Unmet need of postpartum contraceptive is also evident in slums. Objective: This study aims to assess the unmet need of post-partum contraceptives used in urban slums. Materials and Methods: This study was a cross-sectional study on fecund women in postpartum period (0 months to 24 month). A total of 162 postpartum women were face to face interviewed with a pretested semi structured questioner by using software SPSS- 20. Place and period: The study was conducted in slum area of Jurain and Moghbazar in Dhaka city, during the period of January 2016 to December 2016. Results: About 51.2% (83) of the respondents were in the age group of 22-26 years. Almost 53.1% (86) of the respondents were illiterate. 57.4% (93) of the respondents were housewife. 61.1% of the respondents gave history of monthly family income of 4200-5700 taka. Total unmet need of postpartum contraceptive period, among 162 respondents were 58% about 94 and met need 42% (68). Intention for contraceptives used, were 86% (81) among 94 respondents. Factors related with unmet need – All most 45.7% of the respondents were not used any contraceptives due to not approved by their husband among 94 respondents. Decision regarding family planning has given by husband 51.85% (84). There were significant association with education and unmet need of contraceptives use (p<0.05). Monthly family income was significant association with unmet need of contraceptives use (p<0.05). Conclusions: Unmet need for family planning has been a major concern for international population since several decades. Present study indicated a high unmet need for postpartum contraception in the selected area of urban slums in Dhaka city, with a scope to decrease constraints and address user perspective to meet the contraception needs.Change in the attitude of the husband, family and society to accept equity and equality of women and men can positively lead women’s unmet need of family planning during postpartum periods. JOPSOM 2019; 38(2): 46-52

scholarly journals Unmet Need for Contraception and its Associated Factors among Married Women of Reproductive Age in Simichaur VDC of Gulmi District

2018 ◽  
Vol 11 ◽  
pp. 11-14
Author(s):  
NR Kandel
Keyword(s):  
Family Planning ◽  
National Level ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Correct Information ◽  
Unmet Need For Contraception

Background Nepal Demographic Heath Survey conducted in 2006, has indicated 26.4 percent of unmet need among married women of reproductive age had unmet need at national level. Unmet need for limiting was highest (15.2%) where as spacing method constitutes at 9.4 percent. At western region, the vary region where the Gulmi district is situated unmet need is 32.4 % with 36.6 % of married women of reproductive age currently using contraceptives is lower than at the national level (44.2%).The objective of the study was to find out the various factors associated with the unmet need for contraception among married women of reproductive age group in Simichaur VDC of Gulmi district Methods It was a descriptive, cross sectional, community based study. Altogether 131 married women of reproductive age were interviewed while the systematic random sampling method was designed for sampling procedure. Interview was done using semi-structured questionnaire for data collection. Results Among 131 Married women of reproductive age, 42 percent were found currently using modern contraceptive method. Forty eight percent of the married women of reproductive age had unmet need for contraception, 29.7 percent for limiting and 18.3 percent for spacing. Less than a half of the respondent (45.8 percent) were able to name all seven modern contraceptive methods with the correct information about their source Conclusion The unmet need for family planning was high and the major reason for non-use of contraception were absence of husband, fear of side effect and having no information about contraceptives. So, Program that focuses on correct information sharing about contraceptives with couple should be designed, communication and discussion about family planning between spouses, programs that encourage the involvement of men in family planning should be developed and implemented. DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7423 Health Prospect 2012;11:11-14

scholarly journals Factors Associated with Unmet Need for Family Planning among Married Reproductive Age Women in Toke Kutaye District, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala
Keyword(s):  
Family Planning ◽  
Maternal Education ◽  
Health Workers ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.

scholarly journals Predictors of modern contraceptive use among women and men in Uganda: a population-level analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034675 ◽  
Author(s):  
Amrita Namasivayam ◽  
Sarah Lovell ◽  
Sarah Namutamba ◽  
Philip J Schluter
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Secondary Data ◽  
Population Level ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Logistic Regression Models ◽  
Modern Contraceptive Use

Objective(s)Despite substantial and rapid improvements in contraceptive uptake in Uganda, many women continue to have unmet need for contraception. As factors affecting contraceptive use are dynamic and complex, this study seeks to identify current predictors and provide effect size estimates of contraceptive use among women and men in Uganda.Study designA nationally representative cross-sectional population survey, using secondary data from Uganda’s 2016 Demographic and Health Survey. Stratified by sex, weighted bivariable and multivariable logistic regression models were derived from a suite of potential predictor variables. Predictive abilities were assessed via 10-fold cross-validated area under the receiver operating characteristic curves (AUCs).SettingUganda.ParticipantsAll women aged 15–49 years who were permanent residents of the selected households or stayed in the household the night before the survey were eligible to participate. In one-third of the sampled households, all men aged 15–54 years who met the same residence criteria were also eligible.Primary outcome measuresModern contraceptive use.ResultsOverall, 4914 (26.6%) women and 1897 (35.6%) men reported using a modern contraceptive method. For women and men, both demographic and proximate variables were significantly associated with contraceptive use, although notable differences in effect sizes existed between sexes—especially for age, level of education and parity. Predictively, the multivariable model was acceptable for women with AUC=0.714 (95% CI 0.704 to 0.720) but less so for men with AUC=0.654 (95% CI 0.636 to 0.666).Conclusion(s)Contemporary significant predictors of contraceptive use among women and men were reported, thereby enabling key Ugandan subpopulations who would benefit from more targeted family planning initiatives to be identified. However, the acceptable AUC for women and modest AUC for men suggest that other important unmeasured predictors may exist. Nonetheless, these evidence-based findings remain important for informing future programmatic and policy directions for family planning in Uganda.

Determinants of Modern Contraceptive Methods Use in Piple, Chitwan of Nepal

2019 ◽  
Vol 9 (3) ◽  
pp. 22-28
Author(s):  
Rajani Shah ◽  
Dinesh Kumar Malla
Keyword(s):  
Family Planning ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Younger Women ◽  
Modern Contraceptives ◽  
Living Children

 Background: Family planning contributes in preventing maternal and child mortality and empowers women. For the past ten years contraceptive prevalence rate has remained stagnant in Nepal. This study aimed at iden­tifying the use and factors associated with modern contraceptive methods in Piple, Chitwan, Nepal. Methods: It was a cross-sectional study. Piple village development com­mittee was selected purposively, in which two wards were randomly se­lected. Married women of reproductive age (n=332) of each household were interviewed. Descriptive, bivariate and multivariate analysis were performed. Results: About half (49%) of the respondents had used a modern contra­ceptive method. Women in the age groups 25-39 years [aOR: 2.39; 95% CI: 1.16 - 4.92] and 40-49 years [aOR: 4.67; 95% CI: 1.71 - 12.70] were more likely to use modern contraceptives compared to the women in the age group 15-24 years. Similarly, women having 3 or more living children [aOR: 2.98; 95% CI: 1.19 - 7.50] were more likely to use the modern contracep­tives than women with upto two children. Women whose husbands would approve of using the contraceptives [aOR: 11.33; 95% CI: 3.93-32.62] were more likely to use the methods than those who got or perceived no ap­proval from husband. Conclusions: Information and service on modern contraceptive methods should be focused to younger women. Involvement of husbands in family planning program would contribute to use of modern contraceptives by women.

Study of Unmet Need for Family Planning in Urban Slum Population of Davangere- A Cross Sectional Study

2013 ◽  
Vol 4 (4) ◽  
pp. 20 ◽  
Author(s):  
L Hamsa ◽  
SP Rajashri ◽  
V Vijayanath ◽  
DK Mahesh ◽  
BN Sandhyalakshmi ◽  
...  
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Slum Population

scholarly journals IMPROVING DESIGN AND DELIVERY OF FAMILY PLANNING SERVICES TO MEET THE UNMET NEED FOR CONTRACEPTION IN QUETTA BALOCHISTAN

2019 ◽  
Vol 8 (4) ◽  
pp. 213-218
Author(s):  
Naiha Sagheer ◽  
Saleem Ullah ◽  
Noureen Latif ◽  
Tabinda Zaman
Keyword(s):  
Family Planning ◽  
Mass Media ◽  
Health Workers ◽  
Unmet Need ◽  
Monitoring And Evaluation ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional

Background: Approximeately 24 percent of married women of reproductive age in Pakistan would like to adopt family planning, but are unable to avail the means to practice contraception. This study has been conducted to find out frequency and perception about family planning practices and further to explore and analyze the causes of failure to meet the demand for contraception. Methods: A cross-sectional study was conducted on married females of reproductive age group and married males while visiting the outpatient departments of two hospitals of Quetta from January to September 2017. They were interviewed by researchers through a structured, reliable and pretested questionnaire. The data obtained and analyzed by using SPSS 21 version. Results: 76% of participants were in favour of practicing yet only 33.8% had actually practiced it sometime during their reproductive years. The major reasons for not using family planning were the apprehension of harmful effects of contraceptive methods (52.6%), non-supportive partner (30%), unavailability of services (11.4%) and religious constraints (6%). The mass media was the main source of motivational information(69%) followed by Lady health workers. Conclusion: The current prevalence of family planning is still not at the expected level, There is a dire need of the continued use of mass media and services of community health workers to raise awareness. The practice of modern contraceptive methods can be enhanced by provision of client-centered quality services.. An increase in the number of family planning centers along with an efficient functioning, monitoring, and evaluation are also required to address unmet needs of the community near their doorstep.

scholarly journals Determine the unmet need for family planning in a hilly area in a state of North India

2021 ◽  
Vol 10 (6) ◽  
pp. 2234
Author(s):  
Nidhi Chauhan ◽  
Saurabh Rattan
Keyword(s):  
Family Planning ◽  
Prevalence Rate ◽  
Universal Access ◽  
Unmet Need ◽  
Reproductive Age ◽  
North India ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Contraceptive Prevalence Rate ◽  
Contraceptive Prevalence

Background: The utilization of family planning services has improved over the decade, but still the SDG’s health target to ensure universal access to sexual and reproductive health care services is yet to be achieved, unmet need being one of the  imperative component.Methods: A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to June 2019. Total sample size calculated was 316. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymous interview schedule was administered after taking consent.Results: The mean age of the participants was 30.2±6.1 years. The modern contraceptive prevalence rate (mCPR) was found to be 67.7% among women of reproductive age group (15-49 years). Male condom (36%), followed by female sterilisation (30%) were the most common methods preferred. Unmet need of family planning was found to be 10.4%.Conclusions: Besides male condoms and female sterilisation, other methods of contraception were adopted by meagre number of women. Though, the unmet need for family planning was lesser in this study, still, efforts are needed to plunge it, for ameliorating the contraceptive prevalence rate. Also, the availability of basket of contraceptive choices in government sector need sheer assiduity.

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