scholarly journals DETERMINANTS OF UNMET NEEDS IN MARRIED WOMEN IN INDONESIA (INDONESIAN DHS ANALYSIS 2017)

2021 ◽  
Vol 10 (1) ◽  
pp. 1
Author(s):  
Bethania Amruh Nisak

The incidence of unmet needs in Indonesia is still high, around 10.6 percent. For every 36 million couples of childbearing age, there are 4 million couples who experience unmet needs. The high number of unmet needs will trigger various effects on women of childbearing age. One of the impacts is unwanted pregnancy. This unwanted pregnancy can be a factor in morbidity and mortality in the mother, increasing maternal mortality if not addressed promptly. This study is an observational non-reactive study. This study aimed to determine the factors related to the unmet need for family planning in married women. The study subjects were 29,189 married women aged 15-49 years old (women of childbearing age). The data source comes from the Indonesian Demographic and Health Survey (IDHS) in 2017. Further analysis was carried out using the chi-square test and multiple logistic regression. The results show that the factors affecting the unmet need for family planning in women are the age of women, the number of children who are still alive, family planning discussions between spouses or husband and wife, education level, employment status, knowledge related to methods, and history of family planning use. The variable of family planning usage history is the most influential factor in the unmet need for family planning in pregnant women. Women who have never done birth control have a high risk of unmet need—women's knowledge about contraceptive methods related to the contraceptive method and the history of using family planning (p-value <0.05). The variable of family planning usage history is the most influential factor in the unmet need for family planning in pregnant women. Women who have never done birth control have a high risk of unmet need—knowledge related to family planning methods and history (p-value <0.05). The variable of family planning usage history is the most influential factor in the unmet need for family planning in pregnant women. Women who have never done birth control have a high risk of unmet need.

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):  
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.


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.


2013 ◽  
Vol 18 (1) ◽  
pp. 1-17
Author(s):  
Melissa Bell ◽  
Deborah Rubin

Social workers are in a position to provide contraceptive information to clients at high risk for unintended pregnancy. This paper reports on the results of an exploratory survey of licensed social workers in Pennsylvania (N=197) working with clients of childbearing age about their knowledge of contraceptive methods and policies regarding access to contraception. The majority of respondents reported that they did not feel they were knowledgeable about birth control issues. Particular gaps in their knowledge included information about emergency contraception and laws regarding access to contraception by minors. Respondents reported that social work courses do not adequately prepare students to discuss the provision of contraceptive information to clients. Implications for social work are discussed.


2021 ◽  
Author(s):  
Million Phiri ◽  
Clifford Odimegwu ◽  
Chester Kalinda

Abstract Background: Closing the gap of unmet needs for family planning (FP) in sub-Saharan Africa remains critical in improving maternal and child health outcomes. Determining the prevalence of unmet needs for family planning among married women in the reproductive age is vital for designing effective sexual reproductive health interventions and programmes. Here, we use nationally representative data drawn from sub-Saharan countries to estimate and examine heterogeneity of unmet needs for family planning among currently married women of reproductive age. Methods: This study used secondary data from Demographic and Health Surveys (DHS) conducted between January 1, 1995 to December 31, 2020 from 37 countries in sub-Saharan African. An Inverse Heterogeneity model (IVhet) in MetaXL application was used to estimate country and sub-regional level pooled estimates and confidence intervals of unmet needs for FP in SSA. Results: The overall prevalence of unmet need for family planning among married women of reproductive age in the sub-region for the period under study was 22.9% (95% CI: 20.9–25.0). The prevalence varied across countries from 10% (95% CI: 10–11%) in Zimbabwe to 38% (95% CI: 35–40) and 38 (95% CI: 37–39) (I2 = 99.8% and p-value < 0.0001) in Sao Tome and Principe and Angola, respectively. Unmet needs due to limiting ranged from 6%; (95% CI: 3–9) in Central Africa to 9%; (95% CI: 8–11) in East Africa. On the other hand, the prevalence of unmet needs due to spacing was highest in Central Africa (Prev: 18; 95% CI: 16–21) and lowest in Southern Africa (Prev: 12%; 95% CI: 8–16). Our study indicates that there was no publication bias because the Luis Furuya-Kanamori index (0.79) was within the symmetry range of -1 and +1. Conclusion: The prevalence of unmet need for FP remains high in sub-Saharan Africa suggesting the need for health policymakers to consider re-evaluating the current SRH policies and programmes with the view of redesigning the present successful strategies to address the problem.


Author(s):  
Neethu George ◽  
Sulekha T. ◽  
Adithya Ramachandran ◽  
Andrean Peters ◽  
Pretesh Rohan Kiran

Background: According to the United Nations, India will become the most populated country by 2050.This will lead to further strain in social and economic life. Family planning plays a major role in bridging this rapid population growth. But unmet needs for family planning prevent women from availing this benefit. Aims of the study were to determine the prevalence of unmet needs for family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka.Methods: This was a cross sectional study conducted during a period of two months among ever married women in selected villages of Anekal. A structured interview schedule consisting of questions about unmet needs for family planning and its determinants was administered to 133 ever married women.Results: Of the 133 study participants 127 (95.5%) were aware of at least one contraceptive method. The prevalence of unmet needs for family planning was 11.3%. Younger age (18-24 years), <5 years active years of married life, women having a single live child and who were a sole decision maker had higher unmet needs for family planning. Among the women who had unmet needs for family planning, the major reason reported was family and cultural problems.Conclusions: The unmet need for family planning was found to be 11.3% which is more than the state value of 8.8% (rural Karnataka NFHS 4). So there is a need to create increased awareness among the women in the study area regarding the importance of contraceptive measures in the family and the society.


2020 ◽  
Vol 8 (2) ◽  
pp. 58
Author(s):  
Rizki Arista Devi ◽  
Yuly Sulistyorini

Latar Belakang: Jawa Timur merupakan provinsi dengan jumlah penduduk terbesar ke-2 di Indonesia.Laju pertumbuhan penduduk dapat ditekan melalui optimalisasi dan revitalisasi pelaksanaa programKeluarga Berencana (KB) yang saat ini dikelola oleh Badan Kependudukan (BKKBN). Pada penelitian iniakan dijelaskan mengenai gambaran kepesertaan KB di Provinsi Jawa Timur pada Tahun 2018.Tujuan: Penelitian ini bertujuan untuk mengetahui jenis KB apa saja yang digunakan oleh pasangan usia subur, faktor yang mempengaruhi pemilihan alat kontrasepsi seperti pengetahuan, dan keterpaparan media informasi.Metode: Metode penelitian dilakukan dengan menggambarkan hasil faktor yang mempengaruhikepesertaan KB di Provinsi Jawa timur melalui penjelasan data yang diperoleh dari publikasi SurveiKinerja Akuntabilitas Program 2018.Hasil: Hasil penelitian menunjukkan bahwa faktor yang mempengaruhi kepesertaan KB di Provinsi JawaTimur Tahun 2018 antara lain pengetahuan. Semakin tinggi pendidikan wanita kawin usia 15-49 tahun di Provinsi Jawa Timur Tahun 2018 menunjukkan semakin banyak terpapar media informasi dibandingkan wanita yang berpendidikan lebih rendah. Wanita yang terpapar media informasi lebih banyak menunjukkan lebih memiliki wawasan yang luas dalam menentukan metode kontrasepsi yang akan digunakannya. Metode kontrasepsi yang paling banyak digunakan oleh wanita kawin usia 15-49 tahunadalah KB suntikan 3 bulan. Peserta KB yang menggunakan KB suntikan 3 bulan lebih dari 50% diProvinsi Jawa Timur Tahun 2018.Kesimpulan: Pengetahuan wanita kawin usia 15-49 tahun yang tinggi maka semakin teliti dalampemilihan metode kontrasepsi yang akan digunakannya. Semakin pengetahuan wanita tersebut baikkemungkinan untuk menggunakan KB lebih besar.ABSTRACTBackground: East Java is the second most populous province in Indonesia. The rate of population growth can be reduced through the optimization and revitalization of the implementation of the Family Planning (KB) program which is currently managed by the Population Agency (BKKBN). This study will explain the description of family planning in East Java Province in 2018. Objectives: The purpose of this study was to find out what types of birth control are used by couples of childbearing age, factors that influence the selection of contraceptives such as knowledge, and information media exposure. Methods:  The research method was describing the results of factors affecting family planning participation in East Java Province through explanation publication data Accountability Performance Survey Program 2018. The results showed that factors affecting family planning participation in East Java Province in 2018 included knowledge. The higher women knowledge the more careful in the selection of contraceptive methods to be used. The better the woman's knowledge the possibility to use birth control is greater than women whose knowledge is low. The higher education of married women aged 15-49 years in East Java Province in 2018 shows more exposure to information media compared to women with lower education. Women who are exposed to more information media show more insight into determining which contraceptive method they will use. The most widely used contraceptive method by married women ages 15-49 is 3-month injection birth control. Woman who use 3-month injection are more than 50% in East Java Province in 2018.Conclusion: High knowledge of married women aged 15-49 years, the more careful in the selection ofcontraception methods. The good knowledge a woman has, the greater possibility for using KB.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammad Farhan Asif ◽  
Zahid Pervaiz ◽  
Jawad Rahim Afridi ◽  
Ghulam Abid ◽  
Zohra S. Lassi

Abstract Background Family planning services deliver a wide range of benefits to the well-being of females and the community. It can curtail the risk of maternal and neonatal mortality through the reduction in abortions and pregnancies. The government of Pakistan has been struggling to convince people about the usefulness of family planning programs. However, different factors related to social norms, values, and culture are important to determine the success of these programs. One such factor is the patriarchal structure of Pakistani society where most of the household decisions are made by men. The objective of this research is to examine the role of the husband’s attitude towards the usage of contraceptives for the unmet need of family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan. Method The dataset of Pakistan Demographic and Health Survey 2017–18 is utilized to examine the role of the husband’s attitude towards the usage of contraceptives in UMNFP among MWRA in Pakistan. Results The UMNFP was considerably lower among MWRA between 40 years and above compared to women 15–19 years. The odds of UMNFP were higher among women and men who were educated up to the primary level compared to those with no education. Odds of UMNFP were higher among women from the poor wealth quintile compared to the poorest wealth quintile; similarly, it was significantly lower among women who were from the richer and the richest wealth quintile compared to the poorest wealth quintile. The odds of UMNFP were lower among women who were employed compared to those who were not employed. Lastly, the odds of UMNFP were higher among women whose husbands opposed to using contraceptives, who perceived that there was a religious prohibition for such use and when a decision on the contraception use was solely made by the husband. Conclusions Husband’s attitude towards the usage of contraceptives is an important predictor of UMNFP. Liaising with the community and religious leaders to persuade people particularly men about the usefulness of family planning programs and encouraging men to understand their women’s say in using contraceptives should be encouraged.


Sign in / Sign up

Export Citation Format

Share Document